• 한국응급구조학회지
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• 제6권1호
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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.

• 한국통신학회논문지
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• 제31권3B호
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• pp.224-231
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• 2006

유선 전화에 의한 119, 112 등의 긴급서비스는 KT의 전화번호부 데이터베이스에 의해 구조서비스 요청자의 위치를 즉시 파악할 수 있다. 그러나 이동전화에 의한 119, 112 긴급구조서비스 요청 시 이동전화의 위치를 이동통신망에서 제공받아야 한다. 본 연구는 모바일 긴급서비스를 위한 이동통신망에서의 위치정보 제공을 위한 프로토콜에 대한 것으로, 국내외 무선긴급구조서비스 기술, 제도, 관련 연구 현황을 조사하고, TIA/EIA/J-STD-036-A을 기반으로 국내 이동통신망 환경에 적합한 기술규격을 제시하였다. 무선긴급서비스는 무선긴급구조서비스와 무선긴급경계서비스로 구분할 수 있다. 무선긴급구조서비스를 위한 네트워크 표준 참조모델은 국내 표준으로 제정되어 있으며, 본 논문에서는 무신긴급구조서비스 참조 모델의 각 모듈간 세부 인터페이스를 정의하고 시나리오와 메시지, 메시지 흐름을 정의하였다. 또한 무선긴급경계서비스를 위한 네트워크 참조모델을 제시하고, 구성요소간의 메시지 흐름 및 메시지 규격에 대하여 정의하였다.

• 한국화재소방학회논문지
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• 제19권2호
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• pp.45-62
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• 2005

본 논문은 우리나라 병원전 응급의료체계의 대부분을 차지하고 있는 119구급대의 법적 지위를 정의하고 직무수행과 관련된 법적책임에 따라 발생할 수 있는 문제들을 검토하여 병원전 응급의료체계의 질향상에 필요한 구급대원의 법적 보호를 위한 대책을 제시하고 나아가 앞으로 발생 가능한 병원전 응급의료체계와 관련된 법적인 소송에 대비한 위험관리와 그 대책에 대하여 검토하였다. 119구급대는 소방법에 근거하여 편성되어 그에 따라 구급대원은 공무원의 법적지위를 갖게 되어 국가배상책임이 일차적이지만, 응급처치와 응급환자 이송이라는 업무의 특성상 민, 형사상 책임이 동시에 발생할 수 있다. 구급대원의 직무수행과 관련된 법적 문제의 발생을 줄이고, 구급대원을 법적으로 보호하기 위한 방법으로 의학적 지도관리를 강화하고 구급대원의 응급의료와 관련된 지침서를 마련하고 지침과 절차에 따라 직무를 수행하여야 하며 현장에서 응급실까지의 응급의료체계와 관련된 출동에 대해서는 정확하고 합법적인 기록을 작성하여 보존하여야 한다. 현재 구급대원의 법적보호규정으로 긴급피난적 응급처치와 형사적 책임의 완화 내지 면제를 위해 응급의료에 관한 법률에 의해 임의적 감면사유를 규정하고 있다. 민사적으로도 긴급피난 외에 착한 사마리아인법 또는 구호자 보호법과 같은 새로운 법제정 및 개정이 필요하다.

• 한국응급구조학회지
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• 제1권1호
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• pp.71-86
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• 1997

This study is to suggest some developmental policies by analyzing the activities of first aid party in Kwangju and Chonnam regions for two years from Jan. 1, 1991 to the end of December, 1995. First, the residents in Kwangju and Chonnam regions have the sufficient benefits of emergency medical center, but it will be desirable that general hospital should be established and managed in Kohung peninsula which forms the wide island area far away from big cities. Second, the classification of the degree of severe case in the field by rescue members should be strengthened as the means which can reduce the number of patients transferred to the emergency room and the legal method which rescue members can select the medical agency. Third, children less than 10 are most frequent emergent patients and it is due to parent's indifference and children's in sensibility to safety. So the safely education in the course of infant and elementary education should be strengthened and the method which can keep the self safety through the legal system. Fourth, to increase the rate of emergency measure by rescue members, the reasons of fail of emergency treatment are suggested, the treatment results of each rescue member are analyzed every year and it is desirable that the system which can evaluate the personal ability should be introduced. Fifth, the medical accidents occurred in the case of medical act, by rescue members must lake the legal responsibility, but such a problem can he solved with the compensation of insurance system by government. Sixth, to reduce the time required for transfer, traveling service system for the fixed period in beach should be complemented and extended more and service system at ordinary times should be examined at mountains, the area of traffic jams and large special industrial park. Seventh, since service system with one team of two members of 119 rescue party in expressway cannot be mobilized when multiple accidents occur at the same time, it is considered that service system of two teams of four members should be extended. Eighth, first-aid service in expressway is conducted with rescue and emergency treatment by the rescue party at the same time, but the professional rescue lacks and it may result in the injury of patients. Therefore the creation of rescue party in expressway is the urgent problem.

• 한국화재소방학회논문지
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• 제29권5호
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• pp.79-87
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• 2015

우리나라의 소방행정력은 도심지역에 집중 배치되어 지역적 불균형을 나타내고 있는 실정이다. 모든 시민들에게 균등한 서비스가 공급되는 것이 가장 이상적인 형태이나 지역적 여건이나 예산 등과 같은 문제로 인해 이를 실현하기에는 한계가 있다. 부산시의 경우 전체 건축물의 절반가량이 구조대가 5분 이내에 도달이 어렵다는 결과가 도출되었는데, 특히 관할면적이 상대적으로 넓은 권역은 구조대의 접근성이 더욱 더 취약했다. 기존 119구조대의 접근 취약성을 평가한 결과, 현재 구조대 권역의 지리적 위치 때문에 관할 권역의 조정에 따른 개선 효과는 사실상 미비할 것으로 예측되었는데, 이에 따라 본 연구에서는 추가적인 구조대의 신설을 제시하였다. 구조대 증설을 통해 접근 취약성을 해결한 권역은 북부, 강서, 금정, 기장, 해운대 순으로 나타났는데, 해당지역 내 건축물 수는 총 53,546개소로 나타났다.

• 한국응급구조학회지
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• 제21권1호
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• pp.87-98
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• 2017

Purpose: This study investigated the use of infection management and the frequency of emergency equipment sterilization by emergency rescue crews to provide basic guidelines and suggestions for infection control. Methods: A self-reported questionnaire was completed by 160 emergency medical technician rescue crews in J area from May 7 to May 22 in 2015. The questionnaire consisted of 95 items, including the general characteristics of the subjects (8 items), the use of emergency equipment (33 items), the frequency of facility sterilization (33 items), infection control (12 items), vaccination (4 items), and the use of personal protective equipment (5 items). Results: In all, 97.3% of respondents were aware of the "Guidelines of Infection management for Rescue Operators' and 90.9% received training on infection control. A total of 72.7% and 47.3% of rescue centers were equipped with disinfection facilities and laundry rooms, respectively. The average frequency of sterilization was $3.17{\pm}0.75$, which significantly differed for teams with more clinical experience (p=.050) and teams with three members (p=.030). The average score for individual protective equipment supplies was $1.95{\pm}0.66$. Conclusion: For proper infection management of emergency equipment, our results suggest that the number of crew members should be increased for each ambulance, protective equipment and rescue products should be supplied, and the number of facilities for sterilization and laundry at rescue centers should be doubled.

• 한국산학기술학회논문지
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• 제10권12호
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• pp.3931-3942
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• 2009

본 연구의 목적은 현장에서 근무하는 119 구급대원들을 대상으로 DNR(Do not resuscitate)과 관련된 이들의 윤리문제 인식 및 태도를 알아봄으로써, DNR 대상 환자 처치에 도움이 되는 객관적인 기틀을 마련하기 위해 시도된 서술적 조사연구이다. 연구대상은 전라북도 소방서에서 근무하는 구급대원 219명을 대상으로 하였다. 자료수집 기간은 2009년 5월 6일부터 6월 20일까지였으며, 자료수집 방법은 구조화된 질문지를 이용하였다. 자료 분석 방법은 SPSS 12.O program을 이용하여 빈도, 백분율, $x^2$-test, 교차분석이다. 연구 결과 대상자의 성별, 연령, 종교, 결혼상태, 임상근무경력, 현재 근무지 경력, 현재직위, 윤리 및 가치관에 관한 교육경험, DNR 교육 받은 곳, DNR 실행경험, DNR 상담요청에 따라 윤리적 태도간에 유의한 차이가 있었다. 따라서 본 연구 결과를 바탕으로 DNR에 관한 대책을 마련하기 위하여 더 많은 후속 연구가 필요하다고 사료된다.

• Journal of Positioning, Navigation, and Timing
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• 제8권3호
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• pp.119-127
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• 2019

COsmicheskaya Sisteyama Poiska Avariynich Sudov Search and Rescue Satellite-Aided Tracking (COSPAS-SARSAT) is an international communication support program to perform search and rescue (SAR) operations in emergency situations by using satellite signals relayed from a beacon. The legacy COSPAS-SARSAT was originally composed of low altitude and geostationary Earth orbit satellites; thus, a limited number of directional dish antennas was sufficient to cover the limited number of visible satellites at the local user terminal. However, the second generation COSPAS-SARSAT newly added the medium Earth orbit satellites, e.g., Global Navigation Satellite Systems (GNSS) to the existing system, so that the number of visible satellites increase dramatically, and the system upgrade to cover all the visible satellites is foreseen. The additional use of planned Korea Positioning System (KPS) to existing GNSS is envisaged to provide a better performance of their SAR service. This paper presents the benefits of the additional use of KPS together with the phased array antennas at the local user terminal of the COSPAS-SARSAT. This is to effectively response to the increase of the number of visible satellites. Numerical simulation is included to evaluate the performance improvement of COSPAS-SARSAT in terms of the number of visible satellites, geometry between satellites and user, and position estimation accuracy.

• 한국화재소방학회:학술대회논문집
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• 한국화재소방학회 2005년도 공동추계학술논문발표회 논문집
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• pp.107-116
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• 2005

• 한국응급구조학회지
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• 제6권1호
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• pp.141-152
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• 2002

The purpose of this study is to provide the basic materials for searching the way of improvement to heighten the emergency medical welfare level by one step further. To achieve this purpose, the subjects of this study were selected 452 college students in Gwangju, using a random sampling method. The statistical analysis methods utilized for analyzing the collected data are frequency analysis, $x^2$ test. The conclusions obtained from these analyses are as following ; 1. In question about necessary optimum number of persons for rescue first aid activity, health and non-health major college students responded by 39.2%, 45.3% respectively that rescue team 15 people, first aid team 3 people is most suitable. But there was no significant difference in major department(p<0.05). 2. In question about security of the public health doctor and the emergency medical technician, all health and non-health major college students are recognizing necessity urgently, but there was no significant difference in major department(p<0.05). 3. In question about 119 rescue first aid team member applying for an examination qualification grant to the department of EMT's graduate, all health and non-health major college students were highest by 52.9%, 52.4% respectively in "necessity" item. But there was no significant difference in major department(p<0.05). 4. Because rescue first aid equipment level appears higher than 41.7% in non-health major college student's case by 54.2% in health major college student's case, health major college students are recognizing that equipment level should be supplemented more but there was no significant difference in major department(p<0.05). 5. In question about equipment supplement, all health and non-health major college students appeared highest by 64.8%, 69.3% in accident type different special equipment. But there was no significant difference in major department(p<0.05). 6. In question about rescue ambulance car size, we could know being thinking that health and non-health major college student each 61.2%, 56.5% is small and narrow that large size of the rescue ambulance amount need. But there was no significant difference in major department(p<0.05). 7. In question about patient's state is worsened, because rescue first aid equipment is inferior, health major college student responded sometimes 55.1%, many 29.5%. very many by 11.5%, while non-health major college student responded 65.8%, 23.1%, 4.0% respectively. There was significant difference in major department(p<0.05). 8. In question about emergency patient must utilize for 119 rescue ambulance car, all health and non-health major college students appeared highest by 38.8%, 41.3% in "not so" item. In question about rescue first aid team's first-aid treatment ability improves more, all health and non-health major college students appeared highest by 58.1% and 58.7% respectively in "improve" item. In question about "119 rescue ambulance car must go more rapidly than now", all health and non-health major college students are recognizing that should be quicker by 58.1%, 60.9% respectively. When called to 119 all health and non-health major college students responded highest by 55.5%, 53.3% respectively that we must receive first-aid treatment direction from a doctor. In question about "119 rescue ambulance car must be made the pay system", all health and non-health major college students responded 74%, 80% respectively in "not so" item. There was significant difference in major department(p<0.05). In conclusions, In oder to provide superior rescue first aid service to people, a public health doctor should be placed in the situation room inside the fire station so that the doctor could instruct the proper emergency treatment suitable for each situation to the rescue first aid team. Also, national education about a first-aid treatment that do to all people is necessarily necessary in emergency delivery system and this should be spread extensively through school education and broadcasting medium and education should be gone side by side, and see that will can save emergency patients' life which is more when these education consists continuously fixed period for public institution of policeman, fire officer etc. specially. And for reinforcement of patient transfer system, public organization must procure special ambulance car so that emergency patient receive first aid treatment while transfer.