• 한국응급구조학회지
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• 제11권1호
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• pp.27-40
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• 2007

Even now, 119 rescue services have dissatisfactory aspects in operation, system and equipments as discussed above, It is the most urgent subject to systemize rescue services so that they can be suitable for our status, for we will make 21C welfare state come true before long. So, this author suggest that the followings have to be raised to activate 119 rescue service. 1) Bring up experts and offer high-quality rescue service 2) Prepare more up-to-date equipments 3) Operate transfer joint organizations 4) Promote the ability to meet with a press at the time of rescue service activities 5) Adjust regulations related to rescue services 6) Make up for a countermeasure to traffic accidents of ambulances 7) Adjust regulations making it mandatory to establish heliport at the target on hospitals more than a defined scale 8) Install more rescue service teams 9) Educate and train officials belonging to briefing rooms, where the officials with long experiences are arranged 10) Minimize the time for rescue team to reach fields 11) Establish legal protection system for rescue the team Nowadays, our country operates the department of fire fighting and rescue services without great difficulty, even though the circumstances are bad - insufficient members and the inferior circumstances. All of the fire fighting officials are given heavy duties in bad circumstances, and so are the team of rescue service. The rescue service team, taking charge of some emergency medical system, do a fire fighting inspection as a non-duty service, though they are scanty of sleep due to prevention and protection services of the fire fighting service team. But, they can not engage in rescue services completely and have to deal with miscellaneous duties. So they can not offer professional emergency medical services. But now, almost every fire fighting organization, belonging to National Emergency Management Agency, are separating rescue services, which shows a lot of good results. People recognize rescue services to get better and better gradually and the demands for this rescue services increase. So, this is the best time when rescue service teams should offer qualitative services rather than quantitative services. The people will recognize this rescue service team to be an organization sacrificing and serving for them. However well institutes and operation systems should be established, the rescue service team can not come true their aim without strong wills that they will serve and sacrifice themselves for people from their hearts. In addition, it is essential for the officials in charge of policies about emergency medical services to have a concernment on and practice the policy without failure.

• 한국실내디자인학회논문집
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• 제22권1호
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• pp.350-358
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• 2013

Due to recent change in fire stations, this study aims to propose improved directions for planning of 119 rescue centers through its analysis of spatial organization and characteristics by functional area based in case studies of new-design centers. The Korean 119 rescue centers have changed in terms of function and roles in line with the flow of changing social environments, so it has been required to give new spatial change to these centers. It's meant in this study to classify compulsory special service spaces for the 119 rescue centers by domain and to suggest design guidelines for each type of spaces. Eight case of recue centers that were newly built in and after 2008 were selected and analyzed to serve the purpose. Finally, the results of this study were as followed: First, each of the rescue centers is divided into several domain depending on the type of work, and there are meaningful characteristics in the vertical and horizontal spatial layout of the individual spaces. Second, there are specific differences among the spaces in the spatial occupation percentage. The percentage of the space for community service is obviously lower in the 119 rescue centers in Seoul than in Incheon. Third, the domain classification criteria of this study are selected based on earlier studies, and another space for community service is newly added as a result of making a case study.

• 한국응급구조학회지
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• 제8권1호
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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.

• 한국응급구조학회지
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• 제13권1호
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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.

• 한국응급구조학회지
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• 제7권1호
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• pp.147-178
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• 2003

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, buliding 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 trainging corps under Jeju Provicial Fire and disaster management department, providing rescue members with more opportunity 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. Provide little more superior quality high fire fighting service to jeju islander, and need long-term and elaborate research to correspond in rising fire fighting man-power demand newly and investment. Construction of well-matched disaster administration system is assignment that must hurry in international free city. That jejudo receives time factor about that is received for another thing area's number of persons or equipment when regional special quality large scale or disaster happens is that of course the support receives limitation immediately. Jeju fire fighting services is one story reform, specialization taking into account particular situation of jeju area to grow as sightseeing and center of culture intending international free city, should be upgraded. So, it may do big contribution naturally in jeju international free city phase that coincide jeju islander's social welfare promotion and safety desire.

• 대한토목학회논문집
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• 제32권1D호
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• pp.13-22
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• 2012

국가가 운영하는 119 구조 구급 출동서비스는 응급상황에서 인간의 생명과 직결되는 매우 중요한 사회적 응급 운송시스템이며, 고령화 사회로의 급속한 전이를 보이는 우리나라의 현 사회구조를 비추어 볼 때 그 중요성은 더욱 커져가고 있다. 특히 긴급차량의 사고현장 도착시간은 환자의 초등 조치에 영향을 미치는 중요한 변수이며, 출동서비스 센터의 위치, 사고 현장까지의 접근성 등 도로네트워크 속성에 따라 영향을 받을 수 있다. 따라서 본 연구에서는 경상북도의 구조 구급활동자료를 바탕으로 119 긴급차량의 도착지체 및 출동배치의 효율성을 분석하고자 하였다. 먼저 구조 구급서비스의 출동분포 특성을 살피고, 구조 구급서비스 시설, 도로 네트워크의 위치정보가 주어진 상태에서 GIS의 공간분석을 활용하여 구조 구급서비스 시설의 일정 반경에 포함되지 않는 사고다발지역(사각지역)과 국가교통 DB상의 도로네트워크 입력속도, 실제 구조 구급일지 상의 현장 도착시간을 각각 입력 값으로 하는 긴급차량 도착지체 지역을 GIS 맵으로 표출하였다. 또한 출동거리가 10km 넘는 원거리 출동빈도가 높은 구조구급 서비스시설의 출동배치 효율성을 분석하고, GIS의 OD 네트워크 분석을 이용하여 도로네트워크상 최단거리에 위치한 서비스시설에서 출동이 이루어지도록 구조 구급서비스망을 개선하였다.

• 한국콘텐츠학회논문지
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• 제11권1호
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• pp.254-265
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• 2011

본 연구는 J도 소방안전본부 산하 119구급대 60명을 대상으로 하였으며, 연구 기간은 2009년 12월 1일 부터 2월 10일까지였다. 어려운 기관내삽관 교육 전.후 비교 및 일반적 특성에 따른 지식, 자신감, 학업적 자기효능감, 술기수행 능력을 SPSS 14.0을 이용하여 분석한 결과는 다음과 같다. 1. 지식, 자신감, 학업적 자기효능감, 술기수행 능력 모두 교육 전보다 교육 후 유의미하게 증가하였다. 2. 일반적 특성에 따른 교육 전 후 지식은 성별과 병원근무경력에서 모두 유의한 차이를 보였고, 자신감은 계급과 병원경력에서 모두 유의한 차이를 보였다. 학업적 자기효능감은 계급과 병원경력 및 학력에서 모두 유의한 차이를 보였다. 술기수행 능력은 유형 1에서 119구급대 근무경력, 유형 2에서는 대원의 연령과 최종학력이 유의한 차이를 보였으며, 유형 3은 119구급대 근무경력과, 병원에서 근무경력이 교육 후 유의한 차이를 보였다. 유형 4는 연령과 계급에서 교육 전 후 유의한 차이를 보였다. 결론적으로, 119구급대의 기도유지술에 관심을 갖고, 정확한 기관내삽관을 배울 수 있도록 자신감을 함양시킬 수 있는 교육 프로그램이 절실히 필요하다고 사료된다.

• 한국응급구조학회지
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• 제13권1호
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• pp.87-96
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• 2009

Purpose : To grasp the mental burden for legal responsibility that rescue members have in the performance of job. Method : Questionnaire was presented to rescue members serving in 2 direct control safety centers of fire station located in Seoul, Daejon, Incheon, Kwangju, Busan, Daegu and Ulsan. Results : 1. Questioned whether they have mental burden for legal responsibility while performing job on the site, the rescue members responded : very burdensome in 38.0%, burdensome in 56.0%, moderate in 4.5%, not burdensome in 1.0%, no burden at all in 0.5%. 2. Questioned on the first aid treat for which they have the most mental burden, the rescue members responded : intubation into trachea laryngeal mask airway(LMA) in 40.4%, automatic external defibrillator in 16.3%, securing vein providing sap(medicine) in 10.8%, basic cardiopulmonary resuscitation in 7.2%, eliminating foreign matters inserted into body in 5.4%, stanching external bleeding and treating injury in 5.4%, fixing extremities and spine by using splint in 1.8%, measuring the symptom of vitality in 1.2%, providing oxygen in 0.0%. 3. Questioned whether experiencing legal problem or firm petition(complaint) raised by patient while serving as rescue members, they responded : experiencing a complaint in 41.6%, experiencing no complaint in 58.4%. Asked to indicate the stress level in the scale of which they suffered when lawsuit or firm petition was raised, 0(weak)-10(strong), they answered 8.8 in average. 4. Questioned whether 119 rescue members put the legal responsibility in case that they cause damage to patients intentionally in performing, they responded to the inquiry 3.66 in average(of 5.00). It represented meaningful differences (F=2.874, p=.024) whether they had license or not. 5. In future, legal action will raise against the rescue member by 99% because of people's rights improvement(63.1%), high expectations for the rescue system(29.5%), non-licensed rescue members(5.1%). Conclusion : It was found that the rescue members had severe mental burden for advanced life support which was investigated to have low enforcement rate in the preceding research, for instance, intubation into trachea securing vein management by using automatic external defibrillator. To improve the qualitative level of rescue service in the fire fighting, it may be required to construct the environment that eliminates the mental burden of rescue members for legal responsibility.

• 대한원격탐사학회:학술대회논문집
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• 대한원격탐사학회 2005년도 Proceedings of ISRS 2005
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• pp.608-611
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• 2005

The existing wired emergency call such as 119, 112 have its own location information to serving immediate rescue service. For the case of wireless emergency call by mobile phone, the location information should be provided by wireless network. This paper describes the network architecture and protocol for mobile emergency service referring TIAlEWJ-SID-036-A with reviews about technical issues, legacy factors and related researches. The mobile emergency service is divided into mobile emergency rescue service and mobile emergency alert service. The network reference model for mobile emergency rescue service is released in KOREA. In this paper, the interfaces between elements of the network reference model, and service scenarios, message flows are defined. Supplement to mobile emergency rescue service, the network reference model, interfaces and message flows for mobile emergency alert service are developed. The protocol is described by DID, and the proposed works are on processing for domestic standard of TTA.

• 한국산학기술학회논문지
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• 제17권4호
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• pp.433-439
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• 2016

이 연구는 일부 119 구급대원을 대상으로 직무스트레스가 피로도에 미치는 영향 파악하였다. J도의 119 구급대원 264명을 자가 보고 설문지로 2015년 1월 5일부터 3월14일까지 조사하였으며, 설문 대상자의 일반적인 특성, 건강관련 특성, 직무스트레스와 피로도를 파악하여, 피로도와의 관계를 분석하기 위해 t-test와 ANOVA, Pearson correlation, Multiple regression analysis을 이용하였다. 119구급대원의 피로는 구급대원의 개인적 특성뿐 아니라 직무스트레스에 의해 영향을 받았다. 향후 119구급대원들의 피로를 감소시킬 수 있도록 현장에서의 직무수행 후 스트레스를 관리하고 해소할 수 있는 노력이 필요하다. 또한 구급대원들의 건강관리 능력을 향상시킬 수 있는 방안의 마련을 통해 피로를 감소시킬 수 있을 것으로 판단된다.