• The Korean Journal of Emergency Medical Services
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• v.9 no.1
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• pp.25-32
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• 2005

Purpose: There has been an increase in the number of prehospital cardiac arrests due to increases in both cardiovascular diseases and the average age of the population, We performed this study to identify the proper resuscitation technique and AED to be used to increase the survival rate in prehospital cardiac arrest. Methods: We studied 57 victims with prehospilal cardiac arrest by EMT's Reports form January to December, 2004. Results: Fifty-seven of 92 victims were trasported with ECG in prehospital cardiac arrest. Ventricular fibrillation(VF)/ ventricular tachycardia was 56.2%, asystole was 33,3%, and pulseless electrical activity(PEA.) was 10.5% in initial rhythm analysis, There weren't attempt CPR in 14.0%. Twenty of the 32(62.5%) were shocked by AED for the adequacy method. There were no statistical differences the transportation time. Conclusion: With the increase in cardiovascular disease and old age, the number out-of-hospital cardiac arrests has risen accordingly. However, there were lack of CPR by bystander, defibrillation, advanced cardiac life support(ACLS) in prehospital stage. To improve the adequancy of basic life support and to increase the performance of ACLS, especially AED, we must create challenges to develop new protocols in prehospital care.

• Proceedings of the KOR-KST Conference
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• 1998.10b
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• pp.408-408
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• 1998

교통신호기는 다양한 교통통행에 우선권을 부여하는 교통안전시설물로서, 교통소통과 안전에 지대한 영향을 끼치는 매우 중요한 통제시설이다. 그러나 현행 부적절한 신호기 설치로 차량 교통의 흐름을 방해하거나 교통사고를 증가시키는 경우가 있다. 본 연구는 교통안전시설실무편람에 제세된 9가지 신호기 설치준거 중 보행자 신호기 설치 준거에 대하여 국내도로상황 및 보행자 특성에 맞는 새로운 설치준거를 제시하는데 목적이 있다. 교통운영 측면에서 보면, 보행자 신호기는 보행자가 도로를 횡단하는데 적절한 간격을 찾을 수 없을 때 인위적으로 횡단간격을 만들어 주기 위한 교통제어시설이다. 따라서 보행자가 횡단보도에서 최대로 대기할 수 있는 시간을 기준으로 설치 여부를 결정하는 것으로 가정하고, 보행자가 보도상에서 기다릴 수 있는 최대한도 대기시간은 단일로상의 무신호 횡단보도에 교통신회가 설치되었을 경우 한 주기에서 녹색시간을 감한 시간으로 가정할 수 있다. 무신호 횡단보도 현장조사를 통하여 보행자 횡단행태, 횡단보행속도, 보행자 대기시간 등을 분석하였다. 차량의 간섭에 의한 보행자 회단간격과 차량 교통량과의 관계를 도출하고, 보행자 간섭에 의한 차량 교통량과 보행자 교통량과의 관계를 도출하였다. 결론적으로 차로수별로 차량 교통량과 보행자 교통량 상관관계에 의한 신호기 설치, 설치고려, 미설치 영역을 구분하여 보행자 신호기 설치준거(안)을 제시하였다.

• Proceedings of the Korean Society of Computer Information Conference
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• 2012.01a
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• pp.87-90
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• 2012

본 연구는 일상생활에서 빈번히 발생되는 정지의 위급상황에 대처하기 위해 심폐소생술의 방법을 스마트폰으로 습득할 수 있게 제작하였으며, 심폐소생 자동기기가 비치되어 있는 경우, AED(자동심장제세동기, Automated External Defibrillator)를 사용하여 심폐소생할 수 있는 방법을 단계별로 제공하고 동영상으로 따라해 볼 수 있도록 제작하였다. 신체의 위급한 상황에 대한 발견 및 응급대처 후 인접한 병원에 접근하기 위한 위치정보를 바로 찾아 볼 수 있도록 메뉴를 설정하였으며, 부가적으로 화재시 일반차량들이 소방차의 길을 터주는 안내 동영상도 탑재하여 공익홍보 효과를 더하였다. 따라서 본 논문은 공익적인 특성의 국민 대상 안내, 지침을 App으로 홍보에 효과적으로 적용 가능하며, 앞으로 일반적인 상업용 기업의 메뉴얼로 확장 가능하다.

• The Korean Journal of Emergency Medical Services
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• v.21 no.2
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• pp.63-69
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• 2017

Purpose: The purpose of the study was to compare the ability of college students to use automated external defibrillators (AED) and to provide a basic data for helping laypersons easily apply the AED. Methods: The subjects were randomly assigned to instruction groups. One group was instructed by pictures (group P), one by videos (group M), and one by telephone dispatchers (group D), Without employing cardiopulmonary resuscitation, a single rescuer was asked to apply defibrillation to a mannequin for practice in accordance with the instructions assigned to each group. Results: Regarding the proper pad attachment of the AED, group P followed the instruction $0.31{\pm}0.47times$, group M, $0.81{\pm}0.40times$, and group D $0.69{\pm}0.47times$. Regarding the instruction of taking the hand off a patient for analyzing cardiac rhythm and the instruction of taking the hand off a patient before defibrillation, group P did not follow the instruction; group M followed the instructions $0.50{\pm}0.51times$; and group D followed all instructions at all times. Conclusion: If a dispatcher gives real-time instructions for using an AED to laypersons wtih no experience at the time of AED use, the quality of laypersons' AED use will greatly improve.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.13 no.4
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• pp.215-220
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• 2013

Recently, death number of heart attack in the world is increasing rapidly. Therefore, to solve these problem, it is trend that is making mandatory automatic defibrillator AED establishment to airport, school, at home. However, AED use in an emergency or equipment failure caused malfunctions if equipped with AED may even become obsolete. In this paper, in order to improve this problem, AED Simulator using the fuzzy simulation technique in comparison to existing methods Tilt ambient temperature conditions and in consideration of the conditions, self-diagnostics, error detection at the time to determine whether the development of intelligent simulation. Moreover, in this paper, it proved that fuzzy AED Simulation improved fault detection probability results 30% more than conventional method.

• Journal of Chest Surgery
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• v.36 no.6
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• pp.451-455
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• 2003

In August 2000, the American Heart Association and the European Resuscitation Council published the conclusions of tile International Guidelines 2000 Conference on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care which contains both the new recommendations and an in-depth review. The most important changes in the recommendations according to the authors are discontinuation of the pulse-check for lay people, 500 ml instead of 800∼1,200 ml tidal volume during bag-valve-mask ventilation (FiO2 > 0.4) of a patient with an unprotected airway, unifying correct endotracheal intubation size as 8.0 mm, vasopressin (40 units) and epinephrine (1 mg) as comparable drugs to treat patients with ventricular fibrillation, early prehospital survey and intravenous lysis for patients who have suffered coronary artery syndrome and stroke.

• Fire Science and Engineering
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• v.31 no.3
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• pp.127-136
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• 2017

In Korea, the "Act on Emergency Medical Care" was enacted in 1994, which was a trigger for first aid training. Currently, first aid training including AED for the general public is done, but the actual use of AED is not enough. The reason for this is that there may be a problem with non-uniform BLS training. The personal and social factors that hinder the intent for AED use were identified through previous studies and applied to BLS training improvement. As a result, 200 subjects (41.6%), who had no intention to use AED, among a total of 481 subjects, were reduced to 43 subjects (8.9%) after receiving the improved BLS training. As a detailed method to increase the intention of using AED, the need for AED location training was highest after the training. Based on this, it is important to convey accurate contents in AED training and the training for location awareness of AED should be done at the same time.

• Journal of the Institute of Electronics Engineers of Korea SD
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• v.38 no.8
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• pp.43-53
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• 2001

Wavelength conversion devices are essential to build an expanding all-optical network, and various types of wavelength conversion techniques are being researched. Among them, wavelength conversion based on the cross phase modulation in a directionally coupled semiconductor optical amplifier has been introduced and the concept has been experimentally proved. In this paper, a split-step method is applied to properly model the mentioned wavelength converter in the time-domain and various characteristics have been analyzed. It is shown that the present modeling approach can explain the results of the reported experimental results. Furthermore the wavelength conversion is shown to be well performed when the input signal wave and the converted wave travels in the opposite direction. The simulation shows that the positive and negative chirping appear simultaneously at both the leading and trailing of edges of the optical pulse.

• The Korean Journal of Emergency Medical Services
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• v.10 no.2
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• pp.53-62
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• 2006

Purpose: There has been an increase in the number of prehospital cardiac arrests due to the increasing number of cardiovascular diseases and the increase in the average age of the population. We performed this study to identify the proper resuscitation technique and AED to be used to increase the survival rate in prehospital cardiac arrests. Methods: This studied 159 victims with prehospital cardiac arrests(VF or VT rhythm) by EMT's Reports from January to August, 2005. Results: 108 of 159 victims(67.9%) were shocked by AED. Eighty of 159 victims(50.9%) were recorded with AED shock in prehospital cardiac arrests. A number of shocks is averaged 2.19; 46.2% of one-shock and 86.1% of 1-3 shock. EMS first-tier response interval from time of dispatch to scene arrival was 5.88 minutes, from scene arrival to scene start was 7.36 minutes, from scene start to hospital admission was 9.91 minutes and from scene arrival to AED shock was 6.84 minutes. EMT provided advanced care to prehospital cardiac arrests: 97.5% in CPR, 10.1% in advanced airway management, 67.9% in AED shock. Conclusion: With the increase in cardiovascular disease and old age, the number of prehospital cardiac arrests has risen gradually. However, there were lack of CPR by bystander, defibrillation and advanced cardiac life support(ACLS) in prehospital stage. To improve the adequacy of basic life support and to increase the performance of ACLS, especially AED, we must create challenges to develop new protocols in prehospital care.

• The Journal of Korean Society for School & Community Health Education
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• v.21 no.3
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• pp.21-34
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• 2020

배경 및 목적: 본 연구는 학교 내 응급상황(천식 위기, 알레르기 반응, 저혈당 위기, 발작, 심폐정지, 출혈/골절, 머리/목 상해, 열성질환, 중독, 질식)에 대한 행정 차원과 물품구비 차원에서의 준비 실태, 그리고 응급처치 수행자신감을 파악하는데 목적이 있다. 방법: 단면조사연구로 274명의 보건교사를 대상으로 하였으며, 자가보고형 조사지를 이용하여 대상자와 학교의 일반적 특성, 학교 내 응급상황에 대한 행정·물품 준비 실태, 그리고, 응급처치 수행자신감 등 3개 영역의 자료를 수집하였다. 자료수집은 2018년 2월 1일부터 2018년 7월 31일까지 실시하였고, 자료분석은 기술통계, t-검정과 분산분석을 이용하였다. 결과: 대부분의 학교에서 응급상황 관리계획이 있었으나, 응급상황별로 천식 위기는 46.7%, 알레르기 반응은 58.4%에서만 관리계획을 갖추고 있었다. 산소, 혈당측정기, 자동제세동기, 경추고정장치 등은 85% 이상의 학교에서 보유하고 있었으나, 기관확장제 흡입기, 에피네프린 주사제, 흡인기 등은 거의 갖추고 있지 않았다. 응급상황 수행자신감은 5점 만점에 2.67점 (발작관리) 에서 3.55점 (심폐정지관리)이었으며, 일부 응급상황에 대해서 의료기관 근무경력이 증가함에 따라 수행자신감이 증가하였다. 결론: 대부분의 학교에서 응급관리계획을 수립하고 있었으나, 응급상황별 관리계획을 수립한 경우는 반 정도에 불과하였다. 보건교사의 학교 내 응급상황에 대한 응급처치 수행자신감은 전체적으로 낮게 나타남에 따라, 이들의 역량강화를 위한 체계적인 교육과 멘토링 프로그램이 요구된다.