• The Korean Journal of Emergency Medical Services
• /
• v.10 no.2
• /
• pp.35-42
• /
• 2006

Purpose: We studied that EMT took care in prehospital care of cardiac arrest patients by "the chain of survial", we need the data about treatment of EMT in prehospital care of cardiac arrest patients. and then we want to educate EMT for their emergency skill and knowledge of prehospital care of cardiac arrest patients. Method: We studied 162 cardiac arrest patients were transported by EMT in Jecheon province, Chingbuk. Results: 1. Stage of Early Access 96.9% of people who related the cardiac arrest patients used the Jecheon 119 Rescue at their emergency situation. 2 Stage of Early CPR The EMT supported keeping of airway to 148 of 162 cardiac arrest patients. Artificial respiration was 120 of 162 cardiac arrest patients and chest compression was 119 of 162 cardiac arrest patients. 3. Stage of Early AED There were shocked 6 cardiac arrest patients but weren't shocked 156 victims of 162 cardiac arrest patients by AED. 4. Stage of Early ACLS There were reported 3 of 162 cardiac arrest patients. to Doctor or Hospital Emergency Center for medical direction to EMT in prehospital area. There is no advanced airway, IV insertion and medication to the prehospital cardiac arrest patients.

• Journal of Korean Academy of Nursing
• /
• v.36 no.8
• /
• pp.1308-1314
• /
• 2006

Purpose. The purposes of this study were to develop a PBL program for continuing nurse education and to evaluate the program after its implementation. Methods. The PBL program was developed in the core cardio-pulmonary nursing concepts through a collaborative approach with a nursing school and a hospital. The PBL packages with simulation on ACLS were implemented to 40 clinical nurses. The entire PBL program consisted of six 3-hour weekly classes and was evaluated by the participants' subjective responses. Results. Two PBL packages in cardio-pulmonary system including clinical cases and tutorial guidelines were developed. The 57.5 % of the participants responded positively about the use of PBL as continuing nurse education in terms of self-motivated and cooperative learning, whereas 20.0% of the participants answered that the PBL method was not suitable for clinical nurses. Some modifications were suggested in grouping participants and program contents for PBL. Conclusion. The PBL method could be utilized to promote nurses' clinical competencies as well as self-learning abilities. Further research is needed in the implementation strategies of PBL-based continuing education in order to improve its effectiveness.

• Journal of Korean Critical Care Nursing
• /
• v.1 no.1
• /
• pp.59-71
• /
• 2008

Purpose: This study was to identify the effects of simulation-based training for advanced cardic life support on the competence of nurses in critical care settings. Methods: In this study, a nonequivalent control pretest-post test quasi-experimental design was used. Data were collected from May 1 to June 1, 2006 at one general hospital in W city. Among 40 nurses in critical care settings, twenty were assigned to the experimental group and twenty to the control group. Nurses in the experimental group received simulation-based training for advanced cardiac life support. Measurement tool were ACLS related knowledge and skills developed by AHA & Mega Code (2005) and some items were modified. The collected data were statistically processed using SPSS version 12.0 for Windows, and analyzed using descriptive statistics, $X^2$test, t-test, paired ttest, Pearson correlation coefficients. Results: 1) Hypothesis 1“: Nurses who received simulationbased training would have more knowledge of advanced cardiac life support than nurses who received traditional training”, was supported (t=11.51, p=.00). 2) Hypothesis 2: “Nurses who received simulation-based training would have better advanced cardiac life support skills than nurses who received traditional training”, was supported (t=2.38, p=.00). Conclusion: Simulation-based training for advanced cardiac life support is an effective strategy for increasing the competence of nurses in advanced cardiac life support in critical care settings.

• The Korean Journal of Emergency Medical Services
• /
• v.22 no.2
• /
• pp.93-102
• /
• 2018

Purpose: The study aims to establish an effective training strategy and methods by comparing the effects of educational interest, satisfaction, and achievements of virtual reality and videos education before simulation training. Methods: The randomized control study was implemented on May 31, 2018, by randomly selecting 36 participants to compare educational virtual reality and videos. Statistical analyses were performed using SPSS 20.0. Results: The participants were divided into an intervention group of 17(47.2%) and a control group of 19(52.8%). Regarding the levels of satisfaction, a significant difference (p= .010) was noted between the control (3.88 points) and the intervention groups (4.45 points). A significant difference (p= .001) was also noted between the intervention (80.3 points) and control (63.3 points) in terms of total simulation practical skills. Conclusion: Educational virtual reality can be an alternative training method to achieve the standard educational objectives by raising levels of educational interest and of achievement with practical skills.

• Korean Journal of Adult Nursing
• /
• v.22 no.1
• /
• pp.70-79
• /
• 2010

Purpose: This study was conducted to develop a Web-based learning program on cardiopulmonary emergency care for clinical nurses and to evaluate learners' responses. Methods: Based on the assessment of learning needs of clinical nurses, a total of three self-directed learning modules were developed according to the procedure of the ADDIE (assessment, design, development, implementation, & evaluation) model. Results: Each learning module included the emergency treatments and drugs used in the real patients' situations with cardiopulmonary crisis, which had been adopted from the emergency department of a C University hospital located in G-city. Real video clips for endotracheal intubation and ACLS (advanced cardiac life support) were developed with the help of the staff of the department of emergency medicine using a human simulator, $SimMan^{(R)}$. The program published on the Web was evaluated by 20 clinical nurses who are working in the emergency department and wards of a C-University hospital. About 80% of the respondents were satisfied with the program contents, design, and learning strategy. Conclusions: Web-based learning programs on cardiopulmonary emergency care are needed for clinical nurses as educational material for staff education to increase their knowledge for making immediate clinical decisions and in giving skilled care in emergency situations.

• Journal of Internet Computing and Services
• /
• v.8 no.1
• /
• pp.115-123
• /
• 2007

Agents in Multi-Agent System; (MAS) should make use of a common Agent Communication Language (ACL) in order to negotiate with others, and conform to negotiation protocols thatare designed to reach agreements. Therefore, agents must have suitable architectures that could cover above requirements. In this paper, we define an instructive ACL and compare it with other ACLs such as Foundation for Intelligent Physical Agents (FIPA) ACL and Knowledge Query Manipulation Language(KQML), In particular, we represent agents as logic programs with knowledge base and negotiation library. Finally, we show how the planner, which is in the negotiation library, provides the plan of actions and updates agent's knowledge base.

• Fire Science and Engineering
• /
• v.34 no.4
• /
• pp.135-140
• /
• 2020

The purpose of this study was to prevent electric shock to children. children are at high risk of electrocution by accidents. In the present case, a 2-year-old child was electrocuted after inserting metal chopsticks into a home outlet. In this case, professional advanced cardiac life support (ACLS) was properly performed by a 119 paramedic, resulting in the return of spontaneous circulation (ROSC) in the child. There are very few successful cases of resuscitation of patients involved in electric shock accidents in Korea, and we report a case of ROSC and discharge and proper resuscitation by a 119 paramedic.

• Journal of the Korean Society for Aviation and Aeronautics
• /
• v.9 no.1
• /
• pp.59-69
• /
• 2001

The rotor blade is modeled using a composite box beam with arbitrary wall. The active constrained damping layers are bonded to the upper and lower surfaces of the box beam to provide active and passive damping. A finite element model, based on a hybrid displacement theory, is used in the structural analysis. The theory is capable of accurately capturing the transverse shear effects in the composite primary structure, the viscoelastic and the piezoelectric layers within the ACLs. A reduced order model is derived based on the Hankel singular value. A linear quadratic Gaussian (LQG) controller is designed based on the reduced order model and the available measurement output. However, the LQG control system fails to stabilize the perturbed system although it shows good control performance at the nominal operating condition. To improve the robust stability of LQG controller, the loop transfer recovery (LTR) method is applied. Numerical results show that the proposed controller significantly improves rotor aeromechanical stability and suppresses rotor response over large variations in rotating speed by increasing lead-lag modal damping in the coupled rotor-body system.

• Fire Science and Engineering
• /
• v.25 no.5
• /
• pp.21-31
• /
• 2011

This study aimed at evaluating and developing 119 emergency medical technicians' prehospital care for non-traumatic cardiac arrest. Total 322 EMT in Chungnam province and Daejeon city filled out the self-administered questionnaire. The data were analyzed by SPSS 18.0 for descriptive statistics. Among the 322 EMT, 309 (97%) and 169(53%) always or almost performed CPR and AED for nontraumatic cardiac arrest patient, respectively. Among the advanced EMT and nurse, IV were sometimes or not performed at 94.7% and medication including epinephrine which commonly used for survival of cardiac arrest were treated just at 9.3 % (14 person). The reason they did not perform each procedure for airway management, AED or IV was lack of manpower, limit of time or joggle of ambulance and legal restrictions. In conclusion, to increase survival rate of non-traumatic cardiac arrest in out-of-hospital, it is necessary to increase manpower, legal protection of EMS, establishment of standard operating procedure, practice for improvement technique and use of medication for ACLS.

• Geomechanics and Engineering
• /
• v.23 no.5
• /
• pp.419-429
• /
• 2020

To investigate the effect of spatial variability on hydraulic properties of unsaturated soils, a numerical model is set up which can simulate seepage process in an unsaturated heterogeneous soil. The unsaturated heterogeneous soil is composed of matrix sand embedded with a small proportion of clay for simulating the heterogeneity. Soil-water characteristic curve and unsaturated hydraulic conductivity curve of the unsaturated soil are expressed by Van Genuchten model. Hydraulic parameters of the matrix sand are considered as random fields. Different autocorrelation lengths (ACLs) of hydraulic parameter of the matrix sand and different proportions of clay are assumed to investigate the influence of spatial variability on the equivalent hydraulic properties of the heterogeneous soil. Four model sizes are used in the numerical experiments to investigate the influence of scale effects and to determine the sizes of representative volume element (RVE) in the numerical simulations. Through a number of Monte Carlo simulations of unsaturated seepage analysis, the means and the coefficients of variations (COVs) of the equivalent hydraulic parameters of the heterogeneous soil are calculated. Simulations show that the ACL and model size has little influence on the means of the equivalent hydraulic parameters, but they have a large influence on the COVs of the equivalent hydraulic parameters. The size of an RVE is mainly affected by the ACL and the proportion of heterogeneity. The influence of spatial variability on the hydraulic parameters of the heterogeneous unsaturated soil can be used as a guidance for geotechnical reliability analysis and design related to unsaturated soils.