• Korean Journal of Psychosomatic Medicine
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• v.27 no.2
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• pp.130-137
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• 2019

Objectives : When a patient who attempts suicide visits the emergency room, it is important that the departments of emergency medicine, internal medicine, and psychiatry communicate with each other and prioritize treatment. This study was conducted to verify the effectiveness of the multidisciplinary emergency consultation system (ECS) for drug intoxicated patients. Methods : We retrospectively analyzed the data from medical records prior to the ECS, from July 2017 to May 2018, and after the ECS, from July 2018 to May 2019, to verify the effectiveness of the system. Results : After the ECS, admission to open wards was significantly higher than to the intensive care units (χ²=8.567, p=0.014). In addition, the proportion of consultations to the department of psychiatry among patients admitted to other departments tended to increase (χ²=4.202, p=0.053), and the time required for consultation response decreased (Z=-2.031, p=0.042). As a result of the consultation, the proportion of the patients who had been transferred to the department of psychiatry was increased (χ²=4.692, p=0.043), and the time spent to transfer tended to decrease (Z=-1.941, p=0.052). Conclusions : After implementing the ECS for drug intoxicated patients, unnecessary intensive care unit admissions, consultation response time, and the time spent to transfer were reduced, and the rate of consultation referrals and transfer rates increased. This means that the multidisciplinary consultation system rapidly provided essential medical services to patients at lower medical costs.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.10 no.8
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• pp.1519-1525
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• 2006

This paper proposes the U-healtcare middleware that is based on mininumCORBA. Ubiquitous healthcare system is generated by combining the technologies of computer system and medical system. This makes available that the person can receive medical treatment anywhere, anytime at on-line. The Healthcare devices are connected to network system as wire or wireless internet. So, the computer system can gather the vital information from the person at the real time and transfers the information to the server system that processes the medical information. When a medical doctor makes a diagnosis they can get more information about the patient by using the information within the server. Users would like to receive more services in the ubiquitous healthcare system than the traditional medical system. And in U-healthcare system, every healthcare devices and the users have to be connected to network system and the information from them has to be integrated. U-Home Healthcare middleware I proposed in this paper will do everything that I mentioned above.

• Journal of Digital Convergence
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• v.14 no.3
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• pp.261-267
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• 2016

As IoT technology has gained the attention all around the world, the development for various services of healthcare, smart city, agriculture, and defense based on IoT is in progress. However, it is likely that healthcare services based on IoT have a problem of being leaked of patients' biological information by a third party and that risks patients' lives. In this paper, an IoT health care service managing model based on location sensor is proposed, which secures the biological information of a patient and simplifies the procedure to process the treatment and administration steps by using the data resources sensed. Even when an emergency occurs, this proposed model can respond quickly using the location information of the patient, which enables the staff in the hospital to locate the patient in real time. In addition, there is an advantage to minimize the time and the process of care, because the location of the equipment for necessary treatment is possible to be instantaneously located with attached sensors.

• Journal of the Society of Disaster Information
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• v.11 no.2
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• pp.183-190
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• 2015

When patients have acute cardiac arrest before they are hospitalized, the ratio of CPR done by the general public is directly related to patient survival ratio. However, compared with that of advanced nations, our nation has low patient survival ratio due to its low ratio of CPR done by the general public. To improve this situation, the current study conducted a pre-survey targeting 3,800 general public to find how to apply an emergent medical system using smart phone location-based service. According to its outcome, first, they have a high level of CPR experience while their recognition of CPR generality is low. Second, their self-confidence in doing CPR significantly differ according to their age, academic achievement and occupation yet with generally low self-confidence. Third, their participation in the emergent medical system using location-based service APPs is high, and has co-relation to their will for CPR, self-confidence in CPR and experience in CPR training.

• Annual Conference of KIPS
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• 2010.11a
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• pp.1815-1817
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• 2010

TMSM을 통한 검진 및 센싱 결과를 바탕으로 다량의 복잡한 의료 정보를 지능적으로 통합하는 의료서비스 방식과 앰비언트 정보 시스템을 통한 시각화 시스템은 환자의 상태를 실시간으로 모니터링하며, 환자의 응급상황에 대하여 보다 유연하고 조기 적으로 대처할 수 있게 하여 정보 인지적 부담을 덜고, 인적, 진단 비용을 절약할 수 있다.

• Journal of Digital Convergence
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• v.13 no.11
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• pp.149-156
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• 2015

Due to a change of food culture, many patients suffering from various diseases such as hypertension, heart disease, stroke, cancer. However, it takes a long time in the hospital for many patients due to the administration before the patient care process. In this paper, we propose a m-Healthcare service model that patients can receive medical services without the inconvenience offers by reducing the administrative hospital treatment that can automatically recognize through the hospital installed RFID readers when the patient patients with various diseases are foreign to the hospital. In particular, the proposed model improves the operational efficiency of the existing healthcare system by shortening the treatment time for medical personnel to help patients in emergency situations can determine automatically the patient's status does not give the disease type and condition of the patient to health care personnel. Test results, service latency, efficiency, etc. patient satisfaction, and evaluate the existing health care system model results, the proposed method was improved service delay existing techniques average 16.5% efficiency was higher 27% of patients service satisfaction was improved by 22.4% on average.

• Annual Conference of KIPS
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• 2008.11a
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• pp.1115-1118
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• 2008

유비쿼터스 컴퓨팅은 급속한 의사결정이 가장 중요한 헬스 케어 환경에서 새로운 패러다임이다. 동적인 환경에서 이질적인 장치로부터 얻어지는 정보는 고수준의 복합성을 지니며 융합(fusion)의 필요성을 강조하게 된다. 컨텍스트 기반 유비쿼터스 환경에 대한 이해는 존재하는 프라이버시 관련성을 약화시킨다. 본 본문에서는 유비쿼터스 컴퓨팅 환경에서 프라이버시가 향상된 컨텍스트 기반 정보 융합을 위한 시스템과 프레임워크 구조를 표현한다. 제안하는 설계에서 프라이버시란 복합적인 데이터 엔터티로 캡슐화되는 매개변수의 집합으로서 정의된다. 본 논문에서는 응급의료서비스에서 기대되는 의료 서비스를 지원해 주는 데이터 융합 설계를 고안해 내는 것을 목표로 하는 동시에 프라이버시 위험을 감소시키고자 한다.

• KIPS Transactions on Computer and Communication Systems
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• v.3 no.8
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• pp.245-250
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• 2014

In recent years, the developments of medical technology and emergency medical services have been changed to home from the hospital. In this regard, the researches for the prevention or early diagnosis have become actively. In particular, bio-signal monitoring is applied to a variety of u-healthcare application services. The proposed system in this paper is to provide a security technology to protect the medical information measured from the various sensors. Especially, bio-signal information is privacy-sensitive personal information that must be protected. We applied a two-dimensional code technology, QR code, for the protection and management. In the client side, it can analyze the QR code and confirm the results on devices. Finally, with this proposed platform, we show the results of application service to verify the creation and distribution of integrated image file between the bio-signal and medical image information.

• Journal of Korean Academy of Nursing Administration
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• v.15 no.1
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• pp.64-71
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• 2009

Purpose: This study shows the prehospital emergency nursing practices, and analyzes them associated with their individual characteristics and job conditions. Method: Based on a survey of the National Emergency Medical Center in Korea(2008), principal components were extracted from 7 prehospital emergency nursing practices by factor analysis, and some regression analyses of principal components(CPR-AED and V/S-I.V.) were executed on individual characteristics and job conditions. Results: The PENs gave themselves higher order ratings for vital sign check, airway management for loss of consciousness patients, CPR for suspicious cardiac arrest, keeping vein open for shock patients, AED for abnormal pulse rate, AED for suspicious cardiac arrest, and AED for loss of consciousness. Age and duty periods were statistically significant influential factors on the CPR-AED component. Conclusion: The results indicate that the PENs were competent in overall prehospital emergency activities and procedures even some weak self-evaluations, and that the standard curriculum and practice standard for prehospital nursing should be developed in order to increase nursing leadership in prehospital emergency settings.

• The Korean Journal of Emergency Medical Services
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• v.28 no.1
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• pp.63-76
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• 2024

Purpose: To analyze trends related to demography and EMS and to provide supporting data for the appropriate deployment of EMS providers. Methods: In this cross-sectional study, data on patients transported by 119 EMS, demographics, and EMS factors were collected using the Korean Statistical Information Service (KOSIS) and the National Fire Agency annual report from 2017 to 2021. Results: During the study period, the total number of patients and those with severe disorders transported via 119 EMS showed an increasing trend. The total fertility rate and population during the same period tended to decrease, and the population density and number of households increased; however, there was a disparity between regions. The main demographic factors affecting the number of patients transported were population density and total fertility rate, while the main EMS factors were the number of ambulances and provision of emergency medical information services(hospital guidance, pharmacy information, and first aid guidance). Conclusion: From the perspective of EMS providers' force deployment, it is necessary to consider population density, population, number of households, total fertility rate, and number of emergency medical institutions and to strengthen the role of diverting the use of 119 EMS by minor patients by providing emergency medical information.