• Title/Summary/Keyword: 응급의료

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A Study on Operation Problems for the Emergency Medical Process Using Real-Time Data (실시간데이터를 활용한 응급의료 프로세스 운영에 관한 연구)

  • Kim, Daebeom
    • Journal of the Korea Society for Simulation
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    • v.26 no.3
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    • pp.125-139
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    • 2017
  • Recently, interest in improving the quality of EMS(emergency medical services) has been increasing. Much effort is being made to innovate the EMS process. The rapid progress of ICT technology has accelerated the automation or intelligence of EMS processes. This study suggests an emergency room management method based on real-time data considering resource utilization optimization, minimization of human error and enhancement of predictability of medical care. Emergency room operation indices - Emergency care index, Short stay index, Human error inducing index, Waiting patience index - are developed. And emergency room operation rules based on these indices are presented. Simulation was performed on a virtual emergency room to verify the effectiveness of the proposed operating rule. Simulation results showed excellent performance in terms of length of stay.

Measures of Spatial Accessibility to Emergence Medical Services with a Modified Three-Step Floating Catchment Area Model : A Case Study of the Chungnam Province (수정 3SFCA 모형을 활용한 응급의료서비스 접근성 분석: 충청남도를 사례로)

  • Park, Jeong Hwan;Woo, Hyun Jee;Kim, Young Hoon
    • Journal of the Korean association of regional geographers
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    • v.23 no.2
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    • pp.388-402
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    • 2017
  • This paper presents an enhancement of the two-step floating catchment area (2SFCA) method for measuring spatial accessibility between three age groups, addressing the problem of uniform access within the catchment by applying multiple impedance function to account for distance decay and by applying weights to different age groups to account for medical service preference. The enhancement is provided to be another special care of the gravity model. When applying this modified three-step floating catchment area to measure the spatial access to emergency medical services in a study area, Chungnam province in South Korea, we find that it reveals the variation of spatial accessibility patterns between cities and rural areas and delineates more spatially explicit medical service shortage areas in southern Chungnam areas, especially remoted local rural areas. Finally, this method may be used to help the health and medical service divisions and the state departments improve designation of medical shortage areas. From the discussions, it is easy to implement in planning spatial policies of medical service and straightforward to be used as a basic, but core element for health and medical strategies in the province.

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Design integrated emergency center management system with mobile device (모바일 기기를 이용한 통합 응급의료센터 관리 시스템 설계)

  • baek, Sung-hyun;Jang, Jong-wook
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2012.10a
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    • pp.414-417
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    • 2012
  • Recently, there will be many changes that revised emergency medical service with prescribe specialist doctor emergency medical center duty. if emergency patients come emergency medical center, in the existing system, emergency patients receive treatment in order emergency room doctor and 1-2 resident and 3-4 resident and specialist doctor. in improved system, emergency patients receive treatment to emergency room doctor and duty specialist doctor. as a result, the procedure was. simplify. but appling such a system, there should be placed duty specialist doctor about all departments in hospital. So, all hospitals be difficult to place duty specialist doctor about all departments in hospital. In this paper, to use mobile device, there design integrated emergency center management system for revision of the emergency medical service to use emergency medical center service near the user's and specialist doctor service in hospital and the hospital's information service and Emergency room usage service.

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Pre-hospital Emergency Medical Service (병원 전 단계 응급의료서비스)

  • Shin, Seong-Yoon;Kim, Hee-Ae;Jang, Dai-Hyun;Lee, Hyun-Chang;Rhee, Yang-Won
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2013.07a
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    • pp.87-88
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    • 2013
  • 본 논문에서는 응급 환자가 발생하여 가까운 병원이나 대형 병원에 도착하기 전에 환자의 정보를 이용하여 응급처치가 가능하도록 한다. 그리고 응급 의료 기관에서는 환자 진료 준비를 사전에 갖출 수 있도록 하여 응급 환자 진료의 효율성을 높였다. 우리가 흔히 연락을 쉽게 할 수 있는 119번호를 이용하여 다양한 복합 응급 신고를 접수하고 있고, 유관기관과 통합적 대응 체계를 구축하는 효율적 응급의료서비스 새로운 전략을 제시하고자 한다.

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A Study on Implementation of Mobile Emergency Medical System Using NFC (NFC를 이용한 모바일 응급 의료 시스템 구현에 관한 연구)

  • Park, Joo-Hee
    • Journal of Advanced Navigation Technology
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    • v.18 no.6
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    • pp.633-639
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    • 2014
  • Recently the study about a smart health care which is combined IT with BT to provide a variety of health care services are being actively investigated. In order to provide the best possible emergency medical services in a short period of time, it is necessary that the rapid emergency measures in the event of an emergency essential. In this paper, we propose an emergency medical service platform to take effective first aid to person who has a NFC tag or NFC-enabled mobile smart phones in an accident. Using NFC, it is possible to help without physical contact to the patient unconscious to emergency incidents such as falling down in everyday life. In this paper, we design and implement an mobile emergency medical system that can deliver first aid information ask for help in case of emergency.

응급구조사 해외연수과정 개선에 관한 연구

  • Gwon, Chang-Hui;Kim, Jeong-In;Hwang, Hyeong-Gyu
    • 한국디지털정책학회:학술대회논문집
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    • 2006.12a
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    • pp.43-50
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    • 2006
  • 본 연구에서는 미 운송부 산하 고속도로교통안전국에서 규정한 EMT-I 의 미 국립표준교과과정을 알아본 뒤, 기존 피츠버그 의과대학 응급의료센터에서 제공되는 교육과정의 구성과 내용에 대하여 소개하고 미 국립 응급구조사 협회의 연차보고서를 토대로 EMT-I 자격의 미국 내 시행실태를 파악하였다 또한. 각 주별로 제공되는 교육과정의 내용과 EMT-I 구급대원의 활동범위에 대하여는 응급 의료시스템 잡지의 주 별 현황조사를 실시하였다. 끝으로 장기적인 추진과제인 Paramedic 과정 개설에 관하여 제언하였다.

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Review and Interpretation of Health Care Laws Based on Civil Law - Medical service Act, Emergency medical Act, Act on remedies for injuries from medical malpractice and mediation of medical disputes - (민법에 기초한 보건의료관련 법령 조문의 검토와 해석 -의료법, 응급의료에 관한 법률, 의료사고 피해구제 및 의료분쟁 조정 등에 관한 법률-)

  • Yi, Jae Kyeong
    • The Korean Society of Law and Medicine
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    • v.23 no.3
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    • pp.89-115
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    • 2022
  • In this article, the Medical Act, the Emergency Medical Act, Act on remedies for injuries from medical malpractice and mediation of medical disputes were reviewed and interpreted based on the Civil Act. In the health and medical field, there are various laws that reflect changes in the medical field due to the development of health and medical technology, and their revision is very frequent. And the legislation has become very complicated. They contradict each other or require interpretation. In this situation, a person must take considerable care not to violate the law. In many cases, specific guidelines or authoritative interpretation are required to apply the law. Even guidelines and authoritative interpretations often conflict with civil law. In this article, errors in the legal text related to health care were found. In addition, it found a case that contradicts the civil law perspective in interpretation. Thus, it was confirmed that civil legal thinking was necessary to legislate, interpret, and apply health care-related laws.

A Design of Service Improvement Model for Emergency Medical System using Augmented Reality (증강현실을 이용한 응급환자 의료서비스 향상 모델 설계)

  • Jeong, Yoon-Su;Kim, Yong-Tae;Park, Gil-Cheol
    • Journal of Convergence for Information Technology
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    • v.7 no.1
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    • pp.17-24
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    • 2017
  • In the medical field, augmented reality is being used for surgical and medical education. However, augmented reality technology is not applied to emergency patients. In this paper, we propose a medical service support model that can support rapid medical service to emergency patients through an augmented reality - based IT device. The proposed model has the function of collecting the information necessary for the first aid simply through the IT equipment based on the reality of reality, and also receiving the first aid method appropriate for the emergency situation to the medical staff and supporting the service. In addition, the proposed model hierarchically collects information related to emergency patient information inquiry, emergency patient status and emergency treatment based on Analytic Hierarchy Process (AHP). The collected information uses a pair of comparison matrices to compensate for the ambiguity between the information. In particular, the collected information is stored in the server of the medical staff, and in addition to the unique information of the collected information, the collected information can be reflected in the medical service of the medical staff.

고속철도에서의 응급의료체계 - 고속철도 역사와 차량내의 응급처치 장비 배치의 예를 중심으로

  • Wang, Sun-Ju
    • Magazine of the Korean Society of Hazard Mitigation
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    • v.10 no.2
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    • pp.42-50
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    • 2010
  • 국내에서 이용객수가 많은 6개 고속철도 역사와 운행 중인 고속열차(KTX)에 심장마비 환자에 대한 응급처치 장비로서 자동제세동기가 2009년에 설치되었다. 이와 관련하여 6개 역사의 역무원 및 고속열차 승무원과 일반대중에게 심폐소생술 및 자동제세동기 사용법과 일반대중 제세동기 사용허용을 교육하는 고속철도 자동제세동기 보급 및 교육사업도 시행되었다. 이를 통해서 국내 응급의료체계가 한 단계 발전하는 계기가 되었으며 국내 고속철도가 심장마비 환자의 응급 대처 능력을 갖추게 되어, 역사 및 고속열차 안에서 심장마비 환자가 발생하더라도 신속한 대응을 할 수 있을 것으로 기대할 수 있겠다. 본 연구는 이러한 역사 및 고속열차 내에서의 응급의료체계 향상을 위한 노력을 자동제세동기 배치를 통하여 알아보며, 이에 따라 다양한 교통편 및 다중이용시설의 사고, 재난 및 응급 대응이 현재까지 해 오던 건축물 안전, 법규 마련 뿐 만 아닌 인명 피해 감소를 위한 응급의료체계라는 매우 중요한 부분이 있음을 이해하고 이에 대한 시스템 개발 및 대처도 안전과 방재 측면에서 같이 다루어져야 함을 본 연구 내용은 강조하고 있다.

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Indications and Estimations of the Needs for Direct Medical Control in the Patients Transported by 119 Rescuers (119 구급대에 의해 이송된 환자들 중 직접적 의료지도가 필요한 범위와 그에 따른 수요 추정)

  • Park, Jae-Young;Jung, Koo-Young;Bae, Hyun-A
    • Fire Science and Engineering
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    • v.20 no.3 s.63
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    • pp.42-47
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    • 2006
  • Direct medical control by medical doctors is an essential part of emergency medical services system (EMSS). However, the indications are not specifically defined, even in 119 system with their own medical control team. The Seoul Metropolitan Fire and Disaster Management Department has operated internal medical consultation services on its own since January 2004. Based on the experiences from these services, we reviewed the cases of the direct medical consultation and establish the indications for direct medical control. And we presumed the demand of direct medical control with the established indications. The crews of 119 in Seoul made 793 calls to Medical Control Team during November 2004. We reviewed all of the calls according to the level of consciousness (AVPU), the kinds of emergency care done by crews during transport (10 categories), and the mechanisms of injuries (9 categories). The need for direct medical control was judged by authors with reviewing the records reported by the crews and control teams. Among 23 items, 14 items assigned as the indications, which were abnormal level of consciousness (VPU), 6 kinds of emergency care, and 5 mechanisms of injures. The sum of the three of them, 7,782 cases (45.9%), was in need of direct medical control. In conclusion, about half of the patients transported by 119 crews in Seoul require direct medical control. The need for the direct medical control in Seoul was estimated as many as 260 calls per day. To fulfill the need for direct medical control and to provide a effective medical control, the direct medical control should be accomplished through the communications between the crews and the medical staffs in the local hospitals.