• 제목/요약/키워드: Advanced life-support

검색결과 211건 처리시간 0.025초

심정지 환자 이송 시 구급대원의 자동제세동기 사용현황 (Use of Defibrillator(AED) on Prehospital Cardiac Arrests)

  • 고봉연;최용철;이재열
    • 한국응급구조학회지
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    • 제10권2호
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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.

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Design and Implementation of Community-based Hazard Mapping Support System for Traditional Towns with Local Heritage

  • Min, Byung-won
    • International Journal of Advanced Culture Technology
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    • 제6권3호
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    • pp.193-200
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    • 2018
  • This paper describes the design and trial development of a system that supports continuous hazard mapping by local residents in their daily life. We performed an interview survey to design our system in a model traditional town in Saga Prefecture, Japan. The results show that despite continued efforts, many practical problems remain and residents feel unsafe. Considering these results, we designed and developed a unique information and communication technology-based support system that contributes to community-based disaster prevention and reduction. The continuous resident participation and posting design are the core concept for our community-based approach. Our system continues to support making a hazard map by integrating the community-based hazard information. Local residents register information (disaster types, risk level, photographs, comments, positional information) about locations that could be dangerous in a disaster. In addition, our system enables information sharing through a Web server. We expect that this information sharing will allow local hazard information for each district to be used.

A study on the aged welfare model using the advanced technology - Focusing on emotional welfare -

  • Shin, Sang-Ok;Kweon, Seong-Ok;Choi, Chang-Suok
    • 한국컴퓨터정보학회논문지
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    • 제20권12호
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    • pp.137-143
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    • 2015
  • This study is looking to do a new model which overcomes emotional isolation phenomenons of aged people through using an advanced technology in our community approaching an aging society. Senior welfare has been oriented to economically, medically supported welfare model so far. An ageing society going on, even if the scale of welfare cost is bigger and bigger, the level of satisfaction has been decreasing. This is the fact that the expansion of economical support for the aged in emotional alienation is not only a solution for them suffering from emotional isolation phenomenons, which requires a new model for senior welfare. Above all, because the senior welfare oriented to economically, medically supported welfare model can not be continued any more, a new model is required to be sustainable in national finance. This study has a purpose that recovers emotional life of the aged, improves their quality of life, and offers emotional welfare model to be sustainable economically.

GIS, 가치공학, 그리고 생애주기비용에 의한 토지이용계획과 상수도계획의 동적인 연계 (Dynamic Combination of Land Use Planning and Water Planning using GIS, VE and LCC)

  • 김형복
    • 한국공간정보시스템학회:학술대회논문집
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    • 한국공간정보시스템학회 2000년도 학술회의 논문집 3권2호
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    • pp.93-105
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    • 2000
  • GIS는 속성자료와 관련하여 공간자료를 다루는데 강력한 수단이다. 그러나 GIS는 동적인 계획문제(dynamic planning problems)를 다루는데 있어서 분석기능과 인터페이스기능이 부족하다. 의사결정지원 체계(Decision Support Systems: DSS)는 그래픽사용자인터페이스(Graphic User Interface: GUI)기능, 모델링기능과 데이터베이스기능을 제공하여 GIS의 부족한 면을 보완한다. DSS의 새로운 분류인 공간의사 결정지원체계(Spatial Decision Support Systems: SDSS)는 공간차원의 문제를 취급할 시 표현기능, 기본적인 분석기능, 그리고 공간, 비공간자료 취급기능과 같은 GIS의 기능과 그래픽사용자인터페이스기능, 모델링기능, 그리고 데이터베이스기능과 같은 DSS의 기능을 통합한다. 계획지원체계(Planning Support Systems: PSS)는 SDSS의 기능에 더 진보된 공간분석기능과 시간기능을 추가한다. 이 연구에서는 GIS, 가치공학(value engineering: VE), 그리고 생애주기비용(life cycle costing: LCC)에 의한 토지이용계획에 따른 상수도관망의 용량확장을 위한 PSS의 구축에 초점을 맞추고자 한다. 이러한 PSS는 토지이용계획에 따른 상수도 필요량을 공급하고 도시성장 규제를 위한 일련의 용량확장대안을 작성하고 도시성장에 연관되는 상수도관망의 투자에 관한 문제를 다룬다.

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Rapid Cycle Deliberate Practice 전문 소생술 시뮬레이션 교육이 간호사의 수행 능력, 자신감과 만족도에 미치는 효과 (Effect of Rapid Cycle Deliberate Practice Advanced Life Support Simulation Education on Nurse's Performance, Confidence, and Satisfaction)

  • 김미영;김성희
    • 한국산학기술학회논문지
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    • 제20권11호
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    • pp.44-55
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    • 2019
  • 본 연구는 간호사를 대상으로 초기 심정지 5분 간 수행능력, 자신감 향상을 위해 전통적 시뮬레이션 교육 방법과 Rapid Cycle Deliberate Practice(RCDP) 시뮬레이션 교육 방법을 받은 전·후 변화를 확인하고 두 그룹 간의 수행 능력, 자신감, 만족도를 비교 하고자 시도되었으며 연구 대상자는 서울 소재 병원의 간호사로 그룹 1은 62명으로 RCDP 시뮬레이션 방법을 그룹 2는 60명으로 전통적 시뮬레이션 교육 방법으로 총 122명의 간호사에게 전문 소생술 교육을 진행 하였다. 2019년 3월 18일부터 29일 까지 자료 수집을 하였으며 자료 분석은 SPSS Version 23.0 프로그램으로 서술적 통계, Fisher's exact test, t-test, Wilcoxon sign rank test, Mann-Whitney U-test를 활용하여 분석하였다. 연구 결과 RCDP와 전통적 시뮬레이션 교육의 두 그룹 간에는 수행 능력의 일부 항목(z=-2.02, p=0.044 / z=-2.42, p=0.015 / z=-3.03, p=0.002)은 유의한 차이를 보였으나 수행 자신감(z=0.388, p=0.699)과 만족도(t=.72, p=0.476)에서 두 그룹간의 차이는 없었다. 본 연구는 전통적 시뮬레이션 교육 방법과 RCDP 시뮬레이션 교육 방법 모두 간호사의 전문 소생술 수행 능력 및 자신감을 높이는데 효과적인 교육 방법임을 확인하였다. 따라서 간호사 대상 전문 소생술 교육시 교육 대상 및 내용에 따라 적절한 시뮬레이션 방법을 적용하고 다양한 분야에 RCDP 시뮬레이션 교육 방법을 활용하여 효과성을 확인 해 볼 것을 제언한다.

스마트폰 어플리케이션을 활용한 전문심폐소생술 시뮬레이션 재학습이 간호사의 지식 및 교육 만족도에 미치는 효과 (The Effects of an Advanced Cardiac Life Support Training via Smartphone's Simulation Application on Nurses' Knowledge and Learning Satisfaction)

  • 표미연;김정연;손주온;이은숙;김향숙;김계옥;박혜정;김민주;안기현;양정란;유준희;김영아;김효진;최모나
    • 임상간호연구
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    • 제18권2호
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    • pp.228-238
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    • 2012
  • Purpose: The purpose of this study was to examine how an Advanced Cardiac Life Support (ACLS) simulation application via smartphone effects nurses' ACLS knowledge and learning satisfaction. Methods: The participants were selected from nurses in medical Intensive Care Unit (ICU), surgical ICU and emergency room. The experimental group consists of fifty nurses who were self-learned with ACLS simulation application via smartphone and the control group of seventy-one nurses who used traditional learning materials. Outcome variables included nurses' knowledge and learning satisfaction which were collected before and after the intervention. Results: The scores of ACLS knowledge were higher in the control group compared to the experimental group (p=.001) while learning satisfaction showed no statistical difference (p=.444). In learning satisfaction, the experimental group showed higher interest than the control group (p=.019) while the control group rated higher on the item, 'the contents of education was reliable' (p=.007). Conclusion: ACLS knowledge score was graded higher in control group that used traditional learning method than the experimental group that used the smartphone application. This study showed that training with the new material significantly increased nurses' interest in ACLS education. Hence, more applications for smartphones should be developed to provide self-learning environment for nurses and improve care quality.

병원 내 심정지 상황에서 응급의학과 이외 전공의에 의해 시행된 전문 심장소생술의 현황 (The status of advanced cardiac life support performance by resident belonging to other department except for department of emergency medicine in in-hospital cardiac arrest)

  • 조현우;우재혁;임용수;장재호;조진성;최재연;양혁준;현성열
    • 대한응급의학회지
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    • 제29권5호
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    • pp.485-492
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    • 2018
  • Objective: This paper reports the status of the advanced cardiac life support (ACLS) according to the guidelines by residents belonging to other departments other than the department of emergency medicine. The differences in status between the junior group and senior group was also investigated according to grades of residents. Methods: The ACLS performance for in-hospital cardiac arrest cases of one academic hospital, except for the cases occurring in intensive care unit between November 2015 and October 2017, were analyzed retrospectively. Data included the characteristics of residents, patients' outcomes, ACLS performance, and conventional treatment having discordance with the ACLS guidelines. Leaders during cardiopulmonary resuscitation (CPR) were divided into a junior group and senior group. Results: A total of 152 cases were enrolled in this study. Of these, 131 cases (86.2%) showed at least one treatment with inconsistency from the guidelines and the incidence of discordant treatment was similar in the two groups (55 [85.9%] vs. 76 [88.4%], P=0.657). Implicit use of sodium bicarbonate was more frequent in the senior residents group (odds ratio [OR], 3.04; 95% confidence interval [CI], 1.36-6.81). On the other hand, no use of a defibrillator was less frequent in the senior residents group (OR, 0.14; 95% CI, 0.03-0.81). Conclusion: In both groups, the rate of discordance with the ACLS guidelines during CPR were high. The rate of implicit use of sodium bicarbonate and no use of defibrillator were significantly different in the two groups. A customized education strategy for ACLS is needed for each group.

Relationship between Participation in the Elderly Job Project and Quality of Life: focused on the Social Capital Mediating Effect

  • Jang, Yumi
    • International Journal of Advanced Culture Technology
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    • 제10권3호
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    • pp.11-17
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    • 2022
  • This study investigates income support, labor opportunities, and social capital by the demographic characteristics of the elderly who participate in the elderly job project, and especially the relationship between social and quality of life. We want to provide empirical data on how the elderly vocational business ultimately affects the lives of the elderly through the intervention of social capital. The intervention effect of social capital is as follows. Satisfaction with the elderly job project has a great impact on the quality of life, trust, network, and social participation. In particular, trust in the quality of life of the elderly had a great influence on the quality of life and was indirectly effective. In addition, the intervention of social participation between social capital was known, and the elderly job project increased social participation to improve the quality of life of the elderly. Therefore, it can be evaluated that the elderly job project has an important positive effect on the quality of life of the elderly, and the social capital formed through the elderly job project plays a role in directly or indirectly improving the quality of life of the elderly.

밀폐된 생태계내에서의 생명 지원 시스템 (An Advanced Life Support System at a Closed Ecosystem)

  • 강석원
    • 한국농업기계학회:학술대회논문집
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    • 한국농업기계학회 2003년도 동계 학술대회 논문집
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    • pp.372-377
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    • 2003
  • 인간이 생존하기 위하여 필요한 것들 중에는 음식, 물, 산소 그리고 피신처를 들 수 있을 것이다. 미 우주항공국(The National Aeronautics and Space Administration (NASA))에서는 21세기에 인간을 화성에 보내고, 달과 화성에는 기지를 세워 사람이 살수 있도록 하고자한다. 화성까지의 왕복 소요 시간은 3년여 이상으로 이 기간동안 우주선 승무원들이 소비할 산소, 물 그리고 식량의 양은 방대한 양이며, 우주공간으로 쏘아 올리는데 많은 에너지가 필요하기 때문에, 경제적으로 재생산이 가능한 생명지원시스템을 고려하고 있다. (중략)

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Applications of Information Technology for Knowledge Management Implementations

  • 홍순구;홍석기;이상식;김종원
    • 한국정보시스템학회:학술대회논문집
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    • 한국정보시스템학회 2001년도 추계학술대회 발표논문집:차세대 전상거래 시대의 비즈니스전략
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    • pp.285-290
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    • 2001
  • The borderless global economy has accentuated the importance of knowledge as the most critical source of competitive advantage. Thus, knowledge management has become a strategic mandate for most world-class organizations. A key enabler for implementing an effective knowledge management system is advanced information technology. Strategies for developing an enterprise-wide knowledge management system Infrastructure with embedded information technology are discussed. In particular, this paper discusses the concept of a knowledge management life cycle- -knowledge capture, knowledge development, knowledge sharing, and knowledge utilization, and how applications of new information technology support each step of the knowledge management practices within and between organizations is suggested.

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