• Title/Summary/Keyword: 응급의료 서비스

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A Study on Improving Role of Firefighting Service Toward an Aging Society (고령화 사회에서의 소방인력 활용 및 서비스 개선방안)

  • Kang, Chang-Gon;Lee, Si-Young
    • Fire Science and Engineering
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    • v.26 no.3
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    • pp.49-59
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    • 2012
  • This study is aimed to increase the fire-fighting manpower utilization and the increasing of its services in aging society. Due to continuous improvement of living standards and development of medical technology, the elderly population rate is being increased and it brings rapid progresses of aging society. Therefore, as a fire-fighting organization which is responsible for safety from various disasters, they should grasp comprehensively and systematically exact status of weak person from disaster in perspective of it with conjunction of all concerned department and at the same time proceed to speedy move as well as determine the appropriate emergency measures. In order to do this, safe life education for elderly people and the comprehensive measures of home security should be taken by transforming the policy from particular object-oriented policy to demand-driven policy. And through the expansion of one one nine services such as using grandeur of powerful IT nation out of old-fashioned promotion way, they should provide fire-fighting service for convenient and comfortable life of elderly people after retirement. A consideration of the elderly people is the best way to penetrate a advancement fire-fighting in aging society.

A Study on Priority of Patient's Medicine Task for the Emergency Department in IoT Environment (사물인터넷(IoT) 환경의 응급실에 있어서 진료테스크 선정 지원 알고리즘 개발)

  • Kim, Daebeom
    • Journal of the Korea Society for Simulation
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    • v.25 no.2
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    • pp.51-61
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    • 2016
  • With high interest in the patient satisfaction of emergency medical services, there is a lot of effort into improving the process of Emergency Department(ED) utilizing the technology of Internet of Things(IoT). In this study, the core technologies of smart ED are examined and a decision support algorithm for medicine tasks is proposed. The proposed algorithm minimizes the decision risks such as task selection accountability, patient complaints, care delays and longer stay time. It can reduce the nurses burnout and improve the patient care with kindness and consideration. Ultimately, patient satisfaction, job satisfaction and professional identity of nurses can be increased. The comparative study was carried out by simulation in terms of the average length of patient stay in a simplified hypothetical ED system. In all the cases, the proposed algorithm was shown to perform substantially better than the other rule.

Ring-type Heart Rate Sensor and Monitoring system for Sensor Network Application (센서 네트워크 응용을 위한 반지형 맥박센서와 모니터링 시스템)

  • Jang, In-Hun;Sim, Kwee-Bo
    • Journal of the Korean Institute of Intelligent Systems
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    • v.17 no.5
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    • pp.619-625
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    • 2007
  • As low power, low cost wireless communication technology like Bluetooth, Zigbee, RFID has been put to practical use together with the wellbeing trend, the concern about ubiquitous health care has been greatly increased and u-Health is becoming one of the most important application in the sensor network field. Especially, development of the medical services to be able to cope with a state of emergency for solitary senior citizens and the aged in silver town is very meaningful itself and their needs are also expected to continuously increase with a rapid increase in an aging population. In this paper we demonstrate the feasibility of extracting accurate heart rate variability (HRV) measurements from photoelectric plethysmography(PPG) signals gathered by a ring type pulse oximeter sensor attached to the finger. For this, we made 2 types of ring sensor, that is reflective and pervious type, and developed the remote monitoring system which is able to collect HR data from ring sensor, analyze and cope with a state of emergency.

A study on Medical servicer satisfaction of Emergency Department patient (응급실 내원자의 의료서비스 만족에 관한 연구)

  • Kwon, Seon Suk;Yoo, In Soo;Jung, Ha Sook
    • The Korean Journal of Emergency Medical Services
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    • v.1 no.1
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    • pp.42-53
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    • 1997
  • To offer basic data about the influential factors on patient's Satisfaction level for emergency medical services the authors were performed this study in 60 patients visited to emergency room of third stage general hospital in Taejeon city. Data were collected through interview with patients by using a 15 items' questionaire according to care subscale, teaching subscale of Likert's five stage quantitative scale and the tools developed by Barbara Davis. The data were analyzed by using the SPSS/PC computerized program for mean, standard deviation, percentage, ANOVA, t-test, and pearson correlation. The results are as followings ; 1. Satisfaction of emergency medical service were showed in care area, but not showed in teaching and total area 2. Satisfaction of sociodemographic characteristics were a statistically significant difference only marriage, that were the higher in marriaged than single(P<.0.05). 3. In the emergency situation characteristics the satisfaction accordings to the visit cause were lower in accident than disease group, the reason of hospital selection were in order trust, introduction group, distance, traffic, kinds, and score of satisfaction were showed each of 43.47, 51.27(P<.001), the transportation vehicle was the 119, hospital ambulance group. but were not a satistically significant difference. 4. The negative correlation was observed between satisfaction and the length of stay at ER and the longer length of stay at ER was showed the lower satisfaction. But the positive correlation was observed between satisfacton and the arrival time, patients who arrived ER from 6:00P.M. to midnight were more satisfied than patients who arrived other time. 5. The length of stay at ER was significantly different according to the reason of hospital selection, the reason of ER selection, the visitant cause and hopital decisioner. Especially the length of stay was much longer in accident group and unconscious group.

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Analysis of Bystander Cardiopulmonary Resuscitation and Public Access Defibrillation Utilization -Convergence Study based on the Data of Daegu - (목격자에 의해 시행된 심폐소생술 및 자동심장충격기 시행률 분석 -대구광역시 자료기반 법률 및 지침 고찰을 통한 융합연구-)

  • Park, Si-Eun
    • Journal of the Korea Convergence Society
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    • v.13 no.3
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    • pp.265-274
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    • 2022
  • This study was conducted on 3,418 cases of cardiopulmonary arrest patients' detailed status table (2020, raw data) collected in 2020. Also, it is a retrospective narrative research that investigates and examines related laws and guidelines. The main findings are as follows. First, the implementation rate of 'bystander CPR' was 30.66% (1047 cases) and it was a remarkable result. It can be inferred the quality of the relevant laws and guidelines. Second, 'Public access defibrillation (shock)' accounted for only 0.10%(5 cases). it is considered that the relevant laws and guidelines are weighted towards 'stock and obligation.' Strategic differentiation of response by region is needed. Third, out-of-hospital cardiac arrest occurred at house was 71.97%(2,640 cases). To operate the 'special ambulance team' efficiently, it is necessary to analyze regional data more closely and develop an efficient strategy in the future.

Qualitative Study on Social Workers' Experiences and Roles during End-of-Life Care in Elderly Long-Term Care Facilities (노인 장기요양기관에 종사하는 사회복지사의 임종 케어 경험과 역할에 관한 질적 연구)

  • Kim, Eun-Kyung
    • The Journal of the Korea Contents Association
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    • v.22 no.5
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    • pp.503-517
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    • 2022
  • This study was to investigate the social workers' psycho·social experiences and roles during the end-of-life care process in elderly long-term care facilities. As a result of data analysis through in-depth interviews, social workers experienced great exhaustion and burnout due to frequent death experiences during the end-of-life care process, and expressed regret for not being able to provide better service for the deceased and longing for loved ones. And in the event of a sudden death, social workers would undergo criticism and complaints. The main roles of social workers during end-of-life care were to contact and communicate with family members when signs of death appeared and support them after the death. The necessity of standardized manuals and education for end-of-life care, a recharging program and support group to prevent burnout of social workers, and a legal safety net for emergency preparedness and emergency measures were suggested. The necessity of death preparation education, hospice care, and advance medical directive was also emphasized for the dignified death of the elderly.

Factors Influencing the Safety Consciousness and Health status of the Young-old and Old-old elderly on Injury Occurrence Analysis (전기-후기노인의 안전의식 및 건강요인이 손상 및 손상기전에 미치는 영향)

  • Kim, Chang-Hwan
    • Journal of the Health Care and Life Science
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    • v.8 no.2
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    • pp.155-163
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    • 2020
  • The purpose of this study is to examine the current status of the Injury based on the 7th National Data on the National Health and Nutrition Survey, identify the relationship between general characteristics, safety awareness, health status, injury, and identify the factors that affect the occurrence of injury. The subjects were selected for the final analysis of 1,608data. For the analysis, frequency analysis, cross analysis, and multiple logistic regression analysis were performed. the results of the study show that in the young-old elderly, gender(woman), marital status(separated of divorced), lower the awareness of safety, body discomfort, sickness, and in-outpatient, Annual unmet medical service experienced are higher the occurrence of injury. Therefore, as a prevention education that lowers the incidence of injury. selective education is required for the Young-old and Old-old elderly, and legal penalties for drunk driving on various means of transportation and an integrated approach to strengthening and education is required.

The Public Health Welfare Conception of the Beveridge Report and Its Realization via the NHS (베버리지 보고서의 의료보장 구상과 NHS를 통한 구현)

  • Juneyoub Han;Jiyong Park
    • The Korean Society of Law and Medicine
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    • v.24 no.3
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    • pp.59-104
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    • 2023
  • This essay attempts to analyze the public health welfare conception within the text of the Beveridge Report and its realization via the NHS in Great Britain. Once referring to the influence of the Report to create the foundations of the 20th-century welfare system, the quest to scrutinize the original intentions of the Report and its succession to the NHS is certainly intriguing. Furthermore, when regarding the significance of public health policy for a modern state, the effort to engage in Beveridge's conception and its realization is more than timely. In light of such a premise, this paper indulges in its study by the following methods. First, the historical background of the Report - namely, the role of the spirit of the age and the experience of the Emergency Medical Service are to be analyzed to identify the origins of the welfare policies proposed by Beveridge. Furthermore, the public health welfare conception of the Report conceived from its time is reflected upon by engaging on the goal towards social welfare and public health scheme. Lastly, the aims of the NHS and its management, treatment classification, and rehabilitation program are reviewed for comparative analysis with the Report to survey the realization of Beveridge's design. In this process, this paper not only takes into account the original text of the Report - but also other essential works of law and public policy, including the NHS Constitution for England and the National Health Service Act of 1946. The intentions of this study are not bound by merely coinciding with the Report, but resonate significance via reflecting upon the Beveridgian legacy on the modern welfare state from the current perspective. The structured analysis to research the aims and policies of the Report and to compare them to the reality of the NHS may provide an opportunity to confirm the realization of Beveridge's scheme in British society. In addition, this essay is part of an academic endeavor to critically assess the past and the present of the welfare institution in the public health sector. As such, it is hopeful that the essay sheds light on further studies concerning the constructive remedies of the Korean welfare system as well.

Expanded Petri-Net Modeling for Real Time Embedded System Context-awareness Service (실시간 임베디드 시스템 상황 정보 서비스를 위한 확장된 Petri-Net 모델링)

  • Yang, Seung-Weon;Lee, Jae-Bong
    • The Journal of the Korea Contents Association
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    • v.11 no.1
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    • pp.16-25
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    • 2011
  • Some context is characterized by a single event in computing environment, but many other contexts are determined by a lot of things which occur with a space and a time. The Realtime Embedded System context-awareness service that interacts with the physical space can have property such as time. The exceptional behaviors of the system that interact with physical space can result in critical damage and cause danger to the operation of an embedded system. we propose an approach which should include spatio-temporal property and exceptional management in the context model, and verify its effectiveness using an expanded Petri-Net. The context-awareness service modeling of an embedded system is discussed the properties of model such as basic Petri-Net, patterned Petri-Net, or Spatio-temporal Petri-Net for the exceptional behaviors of the system. The proposed methodology demonstrated using an example that is emergency medical service. The use of expanded Petri-Net will contribute not only to develop the application but also to model the spatio-temporal context awareness for the exceptional handling.

Utilization Status of Emergency Medical Service for Children (아동의 응급의료서비스 이용실태)

  • Jeon, Hye-Jin;Kim, So-Sun;Bae, Hyun-A;Yoo, Il-Young
    • Child Health Nursing Research
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    • v.14 no.1
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    • pp.5-13
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    • 2008
  • Purpose: This study was done to describe utilization status of emergency medical service for children at one university affiliated hospital located in Seoul. Data were obtained from the medical records of patients under 13 years of age who visited the ER from January 1 to December 31, 2006. Method: Medical records missing the time of discharge were excluded in the analysis of waiting time, which resulted in 19,766 cases. Data were analyzed using SPSS WIN 14.0 version. Result: There were slightly more boys (58.4%), average age of the children was 3.97 years of age. More children at the aged 1 to 3 years (51.3%) visited the ER. Fever was the most frequent complaint: 5,180 cases (24.38%). The other complaints were head or facial laceration (10.55%), vomiting (9.63%), abdominal pain (8.06%), cough (7.67%), and painful limb swelling (6.34%). Average waiting time before the first medical examination was 17 minutes, and average ER stay time was 3 hours and 23 minutes. Conclusion: The results suggest the need to assign a nurse specialist for pediatric ER to provide more efficient care for the children. Also, extra staff assignment during the evening shift or extending office hours of local pediatricians should be considered.

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