• The Korean Journal of Blood Transfusion
• /
• v.23 no.2
• /
• pp.162-168
• /
• 2012

Background: Potassium, the most common cation in the intracellular space, plays a critical role in our physiology. Potassium imbalance may cause life-threatening problems, ranging from general weakness to cardiac arrest due to ventricular fibrillation. For emergency physicians, detection of such derangement within a short period of time is of critical importance. In this study, we wanted to determine whether analysis of whole blood samples can be used as a screening tool for potassium imbalance by comparative analysis of whole blood and serum samples. Methods: Two samples were drawn from 227 patients. The whole blood sample was taken from the radial artery and contained in a commercially available arterial blood collection syringe with a lithium-heparin coating. The serum sample was contained in a commercially available vacuum bottle in a non-additive silicone coated tube and transported to the laboratory. The study population was divided into three groups, patients with normal whole blood potassium, patients with decreased whole blood potassium, and patients with elevated whole blood potassium. Potassium levels for each group were coupled with serum potassium levels and compared. Results: No significant difference in potassium values was observed between whole blood and serum samples (P<0.05). Strong associations were observed among the three groups (normal range, hypokalemia, and hyperkalemia group). Compared to the normal group (r=0.851), the hyperkalemia group showed a stronger association between variables (r=0.897), and the hypokalemia group showed a weaker association (r=0.760). Their correlation coefficients were highly significant (P<0.05). Conclusion: Our study illustrates that point-of-care testing using whole blood with whole blood can be a reliable screening tool when treating patients with suspicious potassium abnormality, especially in hyperkalemia patients.

• Proceedings of the Korean Society for Emotion and Sensibility Conference
• /
• 2009.05a
• /
• pp.191-194
• /
• 2009

유엔의 통계에 의하면, 2020 년에 전세계 60 세이상의 인구는 10 억까지 달성하고, 2050 년, 전세계에 20 억 가까운 노인 인구가 생존하게 됩니다. 끊임없이 증가되는 세계의 노령화 문제 때문에, 혼자 생활하는 독거 노인은 끊임없이 증가하고, 동시에 노인들의 순환기질환 관련 위험성은 증대하고 있다. 따라서 본 디자인연구는 이러한 노인들의 문제를 해결하기 위해 외형은 손목 시계와 같이 손목에 차는 형태로 연구되었으며, 심장과 혈압 항상 검사 측정하는 기능이 있어서, 그 수치가 안전을 위협하고 있을 때, 119 나 친척들 또는 담당의사에게 전화로 응급처리를 요청하게 되고, GPRS 는 스스로 작동, 병원에 응급조치와 함께 가장 짧은 시간에 도착할 수 있도록 것을 한다. 동시에 제품에는 환자의 진료카드가 있어 담당의사가 아니라도 진료를 할 수 있도록 하는 기능을 가진 기기에 대하여 연구하였다. 이러한 기기가 노인들에게 사용되기 위해서는 노인의 특성을 고려한 특징적인 연구가 필요하며, 노인의 감성에 맞는 기기의 특성을 파악 적용하는 문제를 연구하였다.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2015.10a
• /
• pp.1345-1347
• /
• 2015

본 논문에서는 응급상황이 신고되는 상황에서 수보자에게 전달되는 신고자의 주변음향신호로부터 신고자의 주변상황을 추정하기 위하여 음향의 주파수적 특성 및 변화특성의 모델링 성능이 뛰어난 Gabor 필터뱅크 기반의 특징벡터 추출 기술 및 분류 성능이 뛰어난 심화신경망을 도입한다. 제안하는 Gabor 필터뱅크 기반의 특징벡터 추출 기법은 비음성 구간 검출기를 통하여 음성/비음성을 구분한 후에 비음성 구간에서 23차의 Mel-filter bank 계수를 추출한 후에 이로부터 Gabor 필터를 이용하여 주변상황 추정을 위한 특징벡터를 추출하고, 이로부터 학습된 심화신경망을 통하여 신고자의 장소적 정보를 추정한다. 제안된 기법은 여러 가지 시나리오 환경에서 평가되었으며, 우수한 분류성능을 보였다.

• The Journal of the Convergence on Culture Technology
• /
• v.8 no.3
• /
• pp.91-97
• /
• 2022

The purpose of this study was to analyze the measurements of blood pressure and time using manual and automatic blood pressure monitors in various road conditions to verify reliable blood pressure monitor in a moving ambulance. First, the manual blood pressure monitor palpation on unpaved roads showed a systolic pressure deviation of 5 mmHg. However, the automatic blood pressure monitor showed two measurement failures, one reading failure, and the measured systolic pressure deviation was 35 mmHg. The measurement time was 102 seconds faster on average than the automatic blood pressure monitor. Second, the palpation of the manual blood pressure monitor while going over speed bumps remained constant at 130 mmHg. However, the automatic blood pressure monitor had a systolic pressure deviation of 52 mmHg. The measurement time was 61 seconds faster on average than the automatic blood pressure monitor. Finally, the manual blood pressure monitor palpation on the sharp curve road showed a systolic pressure deviation of 5 mmHg. The automatic blood pressure monitor had one reading failure and the measured systolic pressure deviation was 21 mmHg. The measurement time showed that the manual blood pressure monitor was 101 seconds faster than the automatic blood pressure monitor. As a result, in a moving ambulance during an emergency, the manual blood pressure monitor showed high reliability because the blood pressure measurement was constant and the measurement time was short.

• Journal of the Korea Society of Computer and Information
• /
• v.25 no.10
• /
• pp.159-168
• /
• 2020

The purpose of this study is to confirm the general characteristics of 119 paramedics who are treating early emergency patients and to confirm the relationship between job stress and job satisfaction and to examine the effect of stress on satisfaction, a questionnaire survey was conducted on 365 paramedics in four Chungcheong provinces. The reliability of the job stress tool was Cronbach α = .87. The job satisfaction tool was Cronbach α = .84. The collected data were analyzed by SPSS WIN 18.0 program. There were differences among the sub - variables of general characteristics, but the general characteristics excluding academic ability were less correlated with job stress, and job satisfaction was higher when the subjects' age, number of dispatches and field hours were smaller. Job stress was found to be low when stress was high on first aid, dispatch, transport, medical guidance, conflicts and emergencies excluding partners. To reduce job stress of 119 paramedics, it is recommended to provide institutional support and education to improve the ability to recruit new emergency personnel and to provide emergency medical care and guidance because of diversification of dispatch methods and appropriate stress management.

• Journal of the Korea Institute of Information and Communication Engineering
• /
• v.14 no.11
• /
• pp.2423-2428
• /
• 2010

The number of motor vehicle registrations in Korea is increasing steadily each year, driven by industry development and economic growth. The number of traffic accidents is also rapidly increasing. Korea has a relatively high number of traffic accidents among OECD member countries, and it ranks among the highest in traffic accident death rates. This death rate is higher compared to death rates as a proportion of the number of traffic accidents in each country. It is very common for drivers to lose consciousness in traffic collisions, which leads to a failure to carry out early emergency measures. In order to prevent such situations as well as hit-and-runs and people left uncared for after traffic accidents, there is a need for motor vehicle black boxes and accident report systems. This study addressed the need for an emergency evacuation system for people injured in traffic accidents and a secondary traffic accident prevention system by developing a motor vehicle emergency situation detection and report system combined with a black box, and materializing it as an actual system.

• Fire Science and Engineering
• /
• v.24 no.2
• /
• pp.154-161
• /
• 2010

There have been various discussions to prevent violence to 119 emergency medical technicians, and the aims of the were as follow ; first, the staff dispatched to the scene should be reinforced so that the patients committing violent acts can be subdued. Secondly, self-defense devices should be provided to 119 emergency medical technicians so that they can use them in a dangerous situation and escape from it. And finally, 119 emergency medical technicians should be allowed to refuse to transport the patients when they or their guardians do violence to them in order to prevent potential violent cases. When countermeasures after violence is committed, it is important to secure evidence and determine strongly to bring charges to the offenders rather than agree to overlook the violence in order to correct them right. It is necessary to introduce a support program to help the victim technicians concentrate on their physical and mental treatment. Violence to 119 EMT should be punished so that the society will think it is natural to punish such offenders. In a safer environment, 119 EMT can perform their duties and it is very important to draw this consensus.

• The Korean Journal of Emergency Medical Services
• /
• v.25 no.2
• /
• pp.145-156
• /
• 2021

Purpose: Despite the fact that emergency medical centers (ED) are used by emergency patients, more than 50% of non-emergency patients have been reported to be admitted in EDs, of which more than 10% of them used the 119 ambulance. Therefore, this study investigated whether there was a change in the severity of patients visiting EDs during the first year of the COVID-19 pandemic. Methods: This was a retrospective study of patients who visited the ED through the 119 ambulance in 2019 (13,735) and 2020 (11,015). Patient data were analyzed using the medical information system. Results: There was an increase in non-emergency patients at the emergency departments (KTAS levels 4-5) in 2020 with a rate of 58.0% (6,393), as compared to the 2019 data with a rate of 44.9% (6,169). However, the 2020 median length of stay in the emergency department was 188 minutes (IQR: 0-5,909minutes) (p=.000), which was decreased as compared to the 2019 median length of stay of 231 minutes (IQR: 5-6,211minutes) (p=.003). Conclusion: Providing emergency ambulance guidelines for selecting proper hospitals and educating patients to refrain from using the ED for non-emergency patients should be taken into consideration to prevent overcrowding and construct a more effective emergency medical system (EMS).

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
• /
• 2021.10a
• /
• pp.167-169
• /
• 2021

There are only 14 public medical facilities available to residents regularly in the island area of Chungcheongnam-do, one health life support center, and one hospital ship, and these facilities and equipment cannot effectively respond to emergency patients such as severe trauma, cerebrovascular and cardiovascular diseases. The fastest means of transporting emergency patients is to use a doctor helicopter deployed at Dankook University Hospital (based in Cheonan). However, there is only one doctor helicopter deployed, and it cannot operate at night, and since it is in charge of all areas of Chungcheongnam-do, there is a limit to rapid transport in the event of a large number of patients. Therefore, we would like to review the necessity of "Chungnam-type Doctor UAM Development" to compensate for the problems of the urban aviation mobility (UAM) industry and the emergency patient transport system in islands, a field of the 4th industry.

• The Korean Journal of Emergency Medical Services
• /
• v.27 no.3
• /
• pp.47-58
• /
• 2023

Purpose: The purpose of this study was to analyze the characteristics of patients who canceled their ED visits and to determine the factors that influence ED cancellation. Methods: Retrospective study that analyzed data from the electronic medical records(EMR) and Prehospital Care Reports(PCRs) of 305 patients who cancelled their appointments at a single emergency medical center over a six-month period from October 12, 2022, to April 12, 2023. Results: ED cancellations were 2.287 times higher if the patient presented to the ambulance after outpatient hours(09:00~17:00) (p=.007), and ED cancellations were 3.712 times higher if the patient presented to the ambulance under the influence of alcohol(p=.011). For patients' symptoms, medical diseases were associated with a 1.965 times increase in cancelled ED visits compared to other modes of transport (p=.005), while mental and chronic diseases were associated with a 67.3% decrease in cancelled ED visits compared to other modes of transport (OR=0.327, CI=[0.130-0.822], p=.018). symptomatic improvement was associated with a 2.482 times increase in presentations to a 119 ambulance compared to delayed waiting time(p=.022). Conclusion: Emergency medical centers should consider improving the legal system, such as increasing emergency medical care fees, to reduce the number of patients who cancel their appointments.