• Title/Summary/Keyword: 응급 구조

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An Emergency Management Architecture Using Personalized Emergency Policy for Smart Healthcare (스마트 헬스케어를 위한 사용자 맞춤형 응급 정책을 활용한 응급 관리 구조)

  • Chun, Seung-Man;Choi, Joo-Yeon;Park, Jong-Tae
    • Journal of the Institute of Electronics and Information Engineers
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    • v.50 no.11
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    • pp.3-11
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    • 2013
  • In smart healthcare service, the accurate and prompt emergency detection and notification are very critical to patients' lives. Since these detection and notification of emergency situation are usually performed by the medical staffs, it is difficult to simultaneously support many patients in real-time. This article presents a methodology for emergency bio-data transmission for smart healthcare using personalized emergency policy. It consists of three steps: In step 1, the bio-data is collected by wireless body area network. In step 2, the decision on emergency is made using personalized emergency policy. In step 3, the emergency message including the health condition information is converted between IEEE 11073 PHD message and HL7 CDA. By doing this, the emergency status of the individual bio-data collected from wireless body area network is detected automatically using personalized emergency policy. When the emergency is detected, the quick emergency rescue service can be provided to the patient by delivering to the emergency notification and the emergency bio-data. We have verified the service and functions of the proposed system architecture by realizing it.

The necessity for education on endotracheal intubation through video laryngoscope - A focused on paramedic students - (비디오 후두경을 통한 기관내 삽관 교육의 필요성 - 응급구조과 학생을 중심으로 -)

  • Ham, Young-Lim;Kim, Jin-Hwa;Lee, Jae-Gook
    • The Korean Journal of Emergency Medical Services
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    • v.23 no.1
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    • pp.7-17
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    • 2019
  • Purpose: The aim of this study was to verify the necessity of endotracheal intubation through video laryngoscope and to provide basic data to inform the provision of video laryngoscope education. Methods: Eighty paramedic students participated in this study. A survey was conducted from November 5, 2018 to December 7, 2018. Data were analyzed with independent t-tests, and the chi-squared test. Results: The video laryngoscope is a highly usable instrument that can easily be applied during training. The instrument provides better visual evaluation of the normal airway (p=.004), the airway in case of cervical collar and head fixation (p=.000), and the airway in case of tongue edema (p=.000). The time of endotracheal intubation in the normal airway was significantly less with the video laryngoscope compared with the direct laryngoscope. The success rate of tracheal intubation was significantly higher in the video laryngoscope group than in the direct laryngoscope. Conclusion: This study suggests the necessity of education on endotracheal intubation through video laryngoscope in the professional airway maintenance training course of emergency department students. The video laryngoscope is easier to apply than the direct laryngoscope in cases of intubation in various clinical situations.

A study on the job of paramedic (1급 응급구조사 직무에 관한 연구)

  • Yun-Deok Jang;Hee-Jeong Ahn;Eunjung Ko;Hyo-Ju Lee
    • The Korean Journal of Emergency Medical Services
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    • v.28 no.1
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    • pp.127-137
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    • 2024
  • Purpose: This study aimed to analyze the jobs of paramedics who are diversifying by deriving duties in accordance with occupational group-related laws, although they are not directly specified in the job description of paramedics or the Emergency Medical Act. Methods: This study selected four paramedics who randomly extracted participants that submitted consent to participate between March 2023 and October 2023. Their occupational groups were the Korea coast guard and air rescue, health centers, and industries; they met on September 19, 2023, and directly transcribed the recorded contents through a three-and-a-half-hour focus group interview for analysis. Results: In the results, although the job description was not directly specified in the job description or emergency medical law, five areas of work applied to practice were derived: "rescue," "administration," "education," "industry," and "tactical." Conclusion: To expand jobs according to the diversification of the occupational field of paramedics, job analysis of paramedics belonging to various occupations is required.

Identifying research trends in the emergency medical technician field using topic modeling (토픽모델링을 활용한 응급구조사 관련 연구동향)

  • Lee, Jung Eun;Kim, Moo-Hyun
    • The Korean Journal of Emergency Medical Services
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    • v.26 no.2
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    • pp.19-35
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    • 2022
  • Purpose: This study aimed to identify research topics in the emergency medical technician (EMT) field and examine research trends. Methods: In this study, 261 research papers published between January 2000 and May 2022 were collected, and EMT research topics and trends were analyzed using topic modeling techniques. This study used a text mining technique and was conducted using data collection flow, keyword preprocessing, and analysis. Keyword preprocessing and data analysis were done with the RStudio Version 4.0.0 program. Results: Keywords were derived through topic modeling analysis, and eight topics were ultimately identified: patient treatment, various roles, the performance of duties, cardiopulmonary resuscitation, triage systems, job stress, disaster management, and education programs. Conclusion: Based on the research results, it is believed that a study on the development and application of education programs that can successfully increase the emergency care capabilities of EMTs is needed.

An Exploration on the Use of Medical Simulation in Emergency Medical Technician Education (응급구조사 교육 분야에서 의료 시뮬레이션의 활용 방안 모색)

  • Kim, Jee-Hee
    • Fire Science and Engineering
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    • v.21 no.3
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    • pp.104-112
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    • 2007
  • Simulators were introduced in education as a tool to make advanced training standardized, less expensive, and without danger to those involved. In 1922 in the Unites States, Edward Link presented his homemade flight simulator, which became common place in both military and civilian aviation, known as the "Link Trainer". The development of mannequin simulators used for medical simulation education, training, and research is reviewed, tracing the motivations, evolution to commercial availability, and efforts toward assessment of efficacy of those for teaching cardiopulmonary resuscitation(CPR) for medical personnel and emergency medical technicians(EMT), cardiology skills, anaesthesia clinical skills, and crisis management. This study will provide a brief overview of simulators and trainers in several domains.

Core competency and educational needs of paramedic students in disaster management (응급구조(학)과 학생들의 재난관리 핵심역량과 재난교육 요구도)

  • Park, So-Mi;Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.24 no.3
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    • pp.65-78
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    • 2020
  • Purpose: The purpose of the study was to investigate the core competency and educational needs of paramedic students in disaster management. Methods: A self-reported questionnaire was completed by 207 paramedic students between June 1 and October 29, 2017. The study instrument included disaster preparedness (15 items), disaster management core competency (26 items), disaster education needs (26 items). Data were analyzed using t-test, ANOVA, and Duncan's multiple range test using IBM SPSS 24.0. Results: The students reported that only 13% had experienced or witnessed disasters; however, 95.2% would be willing to help in the event of a disaster. Their disaster preparedness was 1.84 points on a 3-point scale. We did see differences in disaster preparedness by background: hospital practice (F=5.352, p=.001); fire-fighting practice (F=8.994, p=.000). The students had a core competency of disaster management at 3.25 points on a 5-point scale with differences depending on major satisfaction (F=3.760, p=.006). The level of student demands for disaster education was 4.29 points. Conclusion: If variety of educational environments are provided for disaster-related learning and training, the core competency of disaster management for paramedic students will improve. The students will be available as disaster management experts in various fields, even after graduation.

Current status of traffic accident victims who were transported by 119 ambulances in Chungcheongnam-do (충청남도 지역의 119 구급으로 이송된 교통사고 환자의 발생 특성)

  • Kim, Jin-Hyeon;Choi, Eun-Sook;Lee, Kyoung-Youl
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.2
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    • pp.99-112
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    • 2021
  • Purpose: The study aimed to analyze the current status of traffic accident victims who were transported by 119 ambulances within the administrative district of Chungnam province and provide essential data for accident prevention. Methods: The pre-hospital care records of patients who called the 119 emergency service in 2019 were obtained from the Chungnam Fire Department. Data pertaining to 13,663 traffic accident victims who were transported to hospitals were analyzed. Results: Patients in those aged ≥60 years accounted for 49.8% of the total cases. In patients aged ≥80 years(n=2,154), motor cycle accidents were highest as 28.3%. In addition, cultivator (n=135) and buggy car (n=79) accident victims were the highest in aged ≥80 years as 66.7% and 67.1%, respectively. Traffic accident victims-population ratio in Chungnam was 0.65%, wherein 2.03% included population aged ≥80 years. Conclusion: It was clear that accidents varied across administrative districts depending on the age group of population distribution. Thus, safety measures for preventing motorcycle, cultivator, and buggy car accidents are necessary for areas with many older people aged ≥80 years.

Analysis of treatment outcomes based on socioeconomic factors of patients visiting the emergency room (응급실 내원 환자의 사회경제적 요인에 따른 치료 결과 분석)

  • Yo-Han Shin;Sang-Kyu Park;Bo-Kyun Kim
    • The Korean Journal of Emergency Medical Services
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    • v.27 no.1
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    • pp.127-137
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    • 2023
  • Purpose: This study aimed to analyze the treatment outcomes according to the socioeconomic factor of patients who visited the emergency room. Methods: This study conducted frequency analysis, percentage analysis, and Fisher's exact test analysis method, using the R 4.1.2 program based on the 2019 data from the Korea Health Panel. Results: Among the treatment results of 1,648 patients, 392 patients were hospitalized or transferred to other hospitals, 845 were discharged after treatment, 224 were discharged, and 7 died. The Fisher's exact test of treatment outcomes and socioeconomic factors was not statistically significant for status of the worker and employment relationship, but was significant for the housing, household, economic activity, and insurance types, and marital status and education. Conclusion: The results of this study indicate that it is necessary to conduct follow up studies on socioeconomic factors to provide basic data that can contribute to fairness and equity in the health care field.

Image on Emergency-rescue (응급구조인력에 관한 이미지 연구)

  • Kim, Jee-Hee;Lee, Jei-Young
    • Proceedings of the KAIS Fall Conference
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    • 2011.05b
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    • pp.810-812
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    • 2011
  • 이 연구에서는 응급구조인력에 관한 소방공무원들의 주관성을 진단하고, 기능적인 측면에서 세부적인 유형적 효과요인들을 짚어봄으로써 향후 개선과 방향성을 알아보고자 한다. 위에서 제기된 사항들의 해답을 얻기 위하여 주관성연구 분석방법을 활용하며, 응급구조인력이 소방공무원들에게 미치는 영향에 관하여 소방공무원들의 주관적 성향을 살펴보기 위해서 Q방법론을 이용하였다.

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Reception Typology on Emergency-rescue and System (응급구조 인력과 체계에 관한 인식 유형 연구)

  • Lee, Jei-Young;Kim, Jee-Hee
    • Proceedings of the KAIS Fall Conference
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    • 2011.05b
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    • pp.594-598
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    • 2011
  • 이 연구에서는 응급구조 인력과 체계에 관한 소방공무원들의 주관성을 진단하고, 기능적인 측면에서 세부적인 유형적 효과요인들을 짚어봄으로써 향후 개선과 방향성을 알아보고자 한다. 위에서 제기된 사항들의 해답을 얻기 위하여 주관성연구 분석방법을 활용하며, 응급구조 인력과 체계가 소방공무원들에게 미치는 영향에 관하여 소방공무원들의 주관적 성향을 살펴보기 위해서 Q방법론을 이용하였다.

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