• Title/Summary/Keyword: 119구조대

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The present condition analysis of patients who transferred to the emergency room by 119 Rescue service at night - Focused on the Emergency Center of Chonnam National University Hospital - (119 구급대를 이용하여 야간에 응급실로 내원한 환자 현황 분석 - 전남대학교병원 응급의료센터를 중심으로 -)

  • Yoon, Jonggun;Kim, Gunnam;Kim, Kyungwan;Jeong, Yongtae
    • The Korean Journal of Emergency Medical Services
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    • v.8 no.1
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    • pp.117-126
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    • 2004
  • In general, the patients who transferred to the hospital by 119 rescue service at night go to the emergency room(ER) of general hospital rather than that of their nearby the 1st(clinic) and 2nd(local hospital) hospital. And the hospital is mainly selected not by 119 EMST but by patients or his/her conservators. Therefore we had studied retrospectively with emergency situation diary and medical chart for 697 patients of being transferred to one emergency medical center for 6 months since January 2004, and results are as follows. 1. The 280 patients(42.5%) of being transferred hospital at night by 119 rescue service were not emergency case and their average staying time in hospital was about $7.15{\pm}10.06$ minutes. 2. Transfer time was distributed in each time intervals of 1819, 2021, 2223, and 2401 and patients ratio in each intervals were 15.1%, 17.8%, 16.4%, and 15.2%. 3. In response of ambulance, the average time from the spot to the hospital was $14.53{\pm}9.27min$. and average distance of that was $7.95{\pm}9.21km$. 4. Diseases rather than traffic accidents or traumatic injury were main causes of ambulance calling and its value was 533(76.5%), and accidents were mainly occurred in patients' house and its value was 479(68.7%). 5. In time of transfer by 119 rescue service, hospital was mainly selected by patient/conservator and its value was 648(93.0%). In result. the hospital was selected not by EMST but by patient/conservator. 6. The case that the 1st grade EMT was rode in ambulance was 161(23.1%), and the case that 2nd EMT and emergency team member who educated for emergency were rode in ambulance were 504(72.3%). So the number of the 1st grade EMT was short in fire station of Kwangju metropolitan city than other city. 7. The first aids for patients before reaching hospital were limited to oxygen inhalation, airway control, and BLS for maintaining limbs and spine. So it seems to be a simple patients transfer. Consequently, to establish an efficient emergency medical system, it has been thought that it should be advanced a moderate education and public information about the appropriate use of emergency medical system toward citizen, and also need the hospital selection by the patients categorizing standards for 119 rescue service member, securing the 1st grade EMT, appropriate first-aids education, and securing professional human power in emergency room of the Ist(clinic) and 2nd(local hospital) hospital at night.

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A Study on the Activation·Specification of 119 Rescue & Care in JeJu (제주도 119구조·구급대의 활성화 및 전문화 방안)

  • Koh, Jae-Moon;Kim, Tae-Min;Kim, Hyo-Sik;Lee, Young-A
    • The Korean Journal of Emergency Medical Services
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    • v.6 no.1
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    • pp.153-168
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    • 2002
  • Since 1992, conventional fire fighting businesses have been converted into a metropolitan autonomous fire fighting system to be ready for a variety of disasters. However, the corresponding investment has been overlapped due to the non-integration of businesses to prevent any potential disasters, and a series of collaborative systems have been not functioning so well. In the meantime, our fire fighting sector has been trying to set up its own clean and faithful position by abolishing any inconvenient system or outsourcing private sectors, and expanded its work scope from conventional fire fighting even to rescue and emergency works. While focusing on handling disaster, the fire fighting sector has been widely trusted and reliable throughtout our nation. Moreover, our fire fighting sector has secured nation wide mobile organizations, technical personnel by field, special equipments and independent communication network. In addition, the fire fighting sector has knowledges, expertise and capabilities required for managing disasters, while in charge of almost every disaster management works including fire, explosion, collapse, disaster and flood. It becomes an organization for comprehensive disaster management under an absolute national trust, which is based on the system for prevention, preparation and countermeasure against a variety of disasters. Thus, our fire fighting sector must make many efforts and try to modernize conventional education and training. The ways to facilitate rescue and emergency works may include the nurture of technical fire fighting personnel along with modernized equipments, the reinforcement of rescue and emergency education, the facilitation of operating civil defense corps, the facilitation of operating volunteer fire fighting corps, the better arrangement of 119 briefing room for public healthcare in provincial offices, the sterilization of rescue instruments and equipments the better repair education for emergency rescue member, the establishment of regional emergency assistant system and the expansion of fire fighting personnel and equipments. In terms of reinforcing the functions and services of rescue 119 and emergency corps, we must review the following considerations: Building up security system along with operational expansion, building up a system for emergency medical treatment, building up a comprehensive information management system for rescue and emergency, constructing a provincial safety museum and so forth. For the ways to better the works of rescue 119 we can review the following considerations : Improving the education for fire fighting training corps under Jeju Provincial Fire and Disaster Management Department, providing rescue members with more opportunities for clinical practices, enhancing the morale of rescue members, installing a comprehensive briefing room for emergency rescue members, building up medical networks along with reasonable policies for information service, operating the consulting system for rescue 119 and so on. If these requirements are met, it is expected that the fire fighting departments in Jeju province can cope with every accident and disaster a little more rapidly and quickly in compliance with local needs, so that they can keep their own position as a public fire fighting organization which may be trusted by the public.

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Analysis of patients retransferred to a tertiary hospital through paramedics (119구급대를 통해 3차 병원으로 재이송된 환자분석)

  • Choi, Jun-Won;Mun, Jun-Young;Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.24 no.2
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    • pp.79-88
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    • 2020
  • Purpose: The study aimed to collect the first aid activity log data of patients who were retransferred through paramedics and to analyze the data in the hospital to improve the plan. Methods: We analyzed 434 retransferred patients, out of the 18,197 patients who visited the emergency medical center in the C area in G metropolitan city, from January 2017 through December 2018. The collected data were analyzed using the SPSS software. Results: The patients were retransferred for various reasons: 17.7% (77 cases) due to the absence of specialists, 15.0% (65 cases) required first aid, and 5.3% (23 cases) due to absence of medical department. In addition, the major medical department with the largest number of retransfer was the department of emergency medicine with 38.2% (166 cases). In the prehospital stage, 38.5% (167 cases) were classified as severe, but in the hospital stage, they were classified as mild. In addition, as a result of hospitalization and discharge, 60.4% (262 cases) were discharged. Conclusion: Most of the retransferred patients were non-emergency patients, and were discharged for mild conditions. The overcrowding in the emergency room of a tertiary hospital can be prevented by reducing the retransmission.

A Study on Methods for Capacity Building of Fire Cause Investigation in Fire Stations (소방기관의 화재원인조사 역량 강화 방안에 관한 연구)

  • Lee, Eui-Pyeong
    • Fire Science and Engineering
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    • v.25 no.5
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    • pp.108-118
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    • 2011
  • In this study, strengths related with fire investigation of fire stations are analyzed and methods for the capacity building of their fire cause investigation are suggested. The methods for capacity building of fire cause investigation suggested are focused on using potential and strengths of current fire fighting and enhancing internal capacity rather than reinforcing investigation personnel, organization, and equipment and ensuring investigation power. The methods suggested in this study are as follows. 1) Because fire investigation results are the basis of fire administration, fire marshals should change their awareness of the need of fire investigation; 2) A fire investigation system should be established to ensure statements of people concerned systematically; 3) A substantial system of fire cause investigation should be established to investigate fire scenes more than twice; 4) A substantial system of fire cause investigation should be established to use such materials as CCTV; 5) Extinguishing should be made in consideration of fire cause investigation and a scene preservation system after extinguishing should be established; 6) A fire investigation system should be established in connection with 119 first-aid and rescue teams and 7) Steps to raise the morale of fire investigation staff should be taken.

Benthic Marine Algal Community on the Mid-east Coast of Korea (한국 동해안 중부의 저서 해조류 군집)

  • Lee, Jae-Il;Kim, Hyun-Kyum;Yoo, Kyong-Dong;Yoon, Hee-Dong;Kim, Young-Hwan
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.21 no.2
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    • pp.119-129
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    • 2015
  • Benthic marine algal flora and community structure at Chuksan on the mid-east coast of Korea were investigated seasonally from July 2007 to May 2009. Ninety-eight seaweed species were identified, including 13 green, 23 brown and 62 red algal species. The number of species found ranged between 33 and 63 among seasons. Two green (Ulva australis and Codium arabicum), three brown (Dictyota dichotoma, Sargassum fusiforme and Sargassum yezoense), and eleven red algae (Corallina pilulifera, Lithophyllum okamurae, Pachymeniopsis elliptica, Grateloupia filicina, G. cornea, Hildenbrandia rubra, Chondrus ocellatus, Acrosorium polyneurum, Chondria crassicaulis, Polysiphonia morrowii and Symphyocladia latiuscula) were observed throughout the survey period. Average marine algal biomass was $629.68g\;dry\;wt\;m^{-2}$ and it ranged seasonally from 119.30 to $1,660.96g\;dry\;wt\;m^{-2}$. The vertical distribution of marine algae was characterized by Corallina pilulifera and Sargassum spp. in the intertidal zone; Sargassum spp. at 1 m depth; Sargassum spp. and melobesioidean algae at 5 m depth; and melobesioidean algae at 10 m depth.

Focusing on the effect of shareholder voting rights (Say on pay) on CEO compensation (경영진 보수에 대한 주주 투표권(Say on pay)의 효과를 중심으로)

  • Cha, Jeong-Hwa;Lee, Eun-Ju
    • Journal of Digital Convergence
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    • v.20 no.1
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    • pp.119-127
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    • 2022
  • In order to analyze the effect of strengthening the disclosure of remuneration for high-paid workers among the measures to improve the governance structure of financial companies by the Financial Services Commission in 2018, this study demonstrated the compensation system, management performance, and improvement of governance for Korean financial companies from 2015 to 2020. Analysis was performed. As a result of the empirical analysis, it was found that financial companies after 2018 decreased the employee compensation disparity and the majority shareholding ratio, while the stock performance and foreign ownership ratio increased. This study has the greatest contribution in that it is the first domestic study to verify the effect of applying the so-called Say on Pay, which discloses management's remuneration and allows shareholders to check its appropriateness through voting.

Research on the prevention of legal dispute over 119 rescue team (119구급대의 법적분쟁 예방에 관한 연구)

  • Lim, Jae-Man
    • The Korean Journal of Emergency Medical Services
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    • v.13 no.1
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    • pp.19-33
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    • 2009
  • Purpose : To check the legal relation between rescue team and patient as well as legal responsibility for patient's damage intentionally or erroneously caused by rescue member, a public official, in the performance of relevant job ; to prevent legal dispute over rescue team and to present program for fair settlement of dispute and equitable and feasible burden of damage. Method : First, the legal principle of Civil Law, Criminal Law and Administrative Law related to the theme of this research will be investigated around research by literature. Second, the case of dispute related to rescue team will be introduced. Result: 1. If 119 rescue members as a public official intentionally or erroneously cause damage to patient in the performance of job, they shall bear civil, criminal and administrative responsibility. They shall bear civil responsibility for indemnity for damage due to default or tort. The typical criminal responsibility includes accidental homicide arising out of duty, preparing falsified official document, dereliction of duty, etc. In the administrative side, the state is responsible for indemnity for peculiar status of the rescue member, public official. 2. Though raising civil petition or legal dispute over unsatisfactory rescue service may be reasonable to guarantee the right of nation, such action may cause stress to rescue member as well as may lead to mental shrinking and defensive attitude only to take the basic first aid treatment which has low possibility of mistake instead of active first aid treatment so as to avoid legal responsibility. 3. The program that may prevent legal dispute over 119 rescue team includes expansion of manpower specialized in first aid treatment, enhancement of education on legal environment, development and application of standard job guideline, formation of mutual trust with patient, detailed explanation, preparing and keeping minute record, improvement of the rescue members' ability of first aid treatment and development of medical instruction mode. Conclusion : The best policy is to prevent legal dispute. If it is impossible to basically exclude the possibility of dispute, however, we need to make effort to minimize the occurrence, settle fairly and divide damage equitably and feasibly. To improve the preventible death rate of our first aid system to the level of advanced country, 119 rescue team which is in charge of the stage before hospital needs to positively enforce special first aid by improving the qualitative level of rescue service and to strive to prevent legal dispute that may occur in the process.

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Study on Housing Price focused on Population Inflow (주택가격에 관한 연구: 인구유입을 중심으로)

  • Young-Min Kim
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.3
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    • pp.111-119
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    • 2024
  • The purpose of study is to analyze the effect of population inflow on apartment price growth. For this purpose, proxy for population structure is employed: (i) net population inflow based on 'resident registration criteria', (ii) buyer's transaction. The major findings are as followed. First, net population inflow of total and 50 over gives no significant effects on the apartment price growth in Seoul and Jeju. However, there are significant and positive effects of 50s and 60s in Seoul, and 60s in Jeju on the apartment price growth, respectively. Second, buyer's transactions of 'total and 50 over' give positive effect on apartment price growth only in Seoul. However, 60s and 50s of buyers' transaction give positive effect on the apartment price growth both in Seoul and Jeju. This study implies that more detailed population inflow like age group provide more meaningful information to the study on apartment price growth.

Survey of the Need for the Development of a Simulated Training Program that Reproduces Automobile Accidents (자동차 사고를 재현한 시뮬레이션 교육 프로그램 개발을 위한 요구도 조사)

  • Kang, Min-Ju
    • Fire Science and Engineering
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    • v.33 no.1
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    • pp.179-187
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    • 2019
  • This study performed a survey on the need for an automobile accident-simulation training program for 60 emergency workers and nine emergency medical professors. The results showed that the need for cervical spine immobilization use was highest (76.8%) in first-aid requiring simulation training, and the need for head injury was highest (75.4%) in the scenario requiring simulation training. Based on the 43-month working experience of emergency workers, the uses of pneumatic anti-shock garment, KED, and the need for rapid extrication were significantly different between the two groups (p=0.01, p=0.05). In addition, the scenario showed statistically significant differences in the need for face, abdomen, and other injuries in both group (p=0.05, p=0.04, p=0.03). The needs of emergency workers and emergency medical professors for an automobile accident simulation-training program were high, and the development of a simulation program is needed.

Effect of chest compressions on the quality of back pain prevention and chest compressions by applying body stabilization Convergence movement (체간안정화 융합운동을 접목한 가슴압박이 요통예방과 가슴압박 품질에 미치는 영향)

  • Hong, Eun-Jeong;Cho, Byung-Jun;Kim, Gyoung-Young
    • Journal of the Korea Convergence Society
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    • v.10 no.5
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    • pp.85-94
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    • 2019
  • This study was aimed to identify a study on the effect of chest compressions combined with abdominal drawing-in technique on prevention of back pain and chest compression quality. We tested motion analysis, electromyography, and chest compression quality of 15 paramedics. Data were normalized to SPSS 21.0 (Kolmogorov-Smirnov and Shapiro-Wilk test). The paired t-test was used for the pre- and post-test chest compressions, the one-way ANOVA was used for the analysis of the measurement point-in-time differences, and LSD was used for the post-test. The results of the study showed significant difference in muscle activity and chest compression success rate when the chest pressure was applied with abdomen drawing-in. Therefore, it is necessary to study cardiopulmonary resuscitation education which can increase the chest compression success rate while preventing the back pain of the paramedics in the future.