• Title/Summary/Keyword: Cases of the Accident

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Cardiac Rupture after Blunt Chest Trauma (흉부 둔상에 의한 심장파열)

  • 김태이;정태은;이동협;이정철;한승세
    • Journal of Chest Surgery
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    • v.31 no.3
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    • pp.255-261
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    • 1998
  • A clinical evaluation was performed on 11 cases of the cardiac rupture by blunt chest trauma at the department of thoracic and cardiovascular surgery, Yeungnam University Hospital during the period from July, 1993 to May, 1995. The results were as follows ; The sex distribution was 8 mem and one women, and mean age was 41 years old. The causes of accident was traffic accident in most cases. And then one case was cultivator accident and another one was fall down. The average times from trauma to admission was 139 minutes and the patients that transferred via other hospitals have relatively long average times to 227 minutes. The average times from admission to operation was 117 minutes and we consumed 25 minutes for the preoperative preparation. The sites of injury were 7 cases in the right heart and 3 cases in the left heart. There were symptoms and signs of the cardiac tamponade(dyspnea, chest pain, nausea/vomitus, neck vein distention & hypovolemic shock) at admission and in most of them typical symptoms and signs of a tamponade appeared. Surgical approach was performed with median sternotomy in 10 cases. Subxiphoid pericardial window was created in one case. Another case which was very difficult in surgical procedure was operated under cardiopulmonary bypass and the result was good.

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Perception and Need for Industrial Accident Compensation Insurance in Industries which have less than 5 Employees (5인 미만 사업장의 산재보험에 대한 사업주와 근로자의 인식도 및 요구도 조사)

  • Yun, Soon-Nyung;Jung, Hye-Sun;Lee, Bok-Im;Lee, Hyun-Joo;Lee, Hyun-Jeong;Kim, Hwa-Joong
    • Korean Journal of Occupational Health Nursing
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    • v.9 no.2
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    • pp.121-131
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    • 2000
  • This study was conducted to acquire data in order to institute an effective industrial accident compensation insurance(IACI) system. The subjects were employers and employees in small scale industries which have less than 5 employees. The questionnaires consisted of questions on perception and need for IACI. A total of cases were 181 employers and 105 employees participated in the study. Perception and need of employers and employees were assessed using the ANOVA, t-test. The results were as follows ; 1. Workplaces examined mostly in manufacturing(78.9%), industries with one employee(44.1%). Beneficiary rate of IACI 4.4%. 2. 60.0% of employees had experienced an industrial accident and in most cases employers paid the cost of medical treatment. 45.0% of employers nd 50.0% of employees were not aware that IACI had been put into effect starting July, 1, 2000. 52.0% of employers had no type of industrial accident compensation. 3. The need of outcome measures, especially of employers and employees who had an IACE, were higher than those without an IACI. Employers and employees who had experienced an industrial accident outnumbered those who hadn't. The results of this study reveal that there is a great need for the institution of an IACI and health promotion policy in small scale industries.

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Clinical evaluation of the esophageal perforation: 8 cases report (식도천공의 임상적 고찰)

  • 한균인
    • Journal of Chest Surgery
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    • v.16 no.1
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    • pp.121-126
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    • 1983
  • 8 cases of the esophageal perforations were treated at the department of thoracic surgery, Chungnam National University Hospital during the period from July, 1980 to Dec., 1982. The causes of the perforation were various; swallowed a piece of glass, stocking pin, coiled wire, compressed air blow, strenuous vomiting, dog bite, tiller accident, and endoscopic procedure. The perforation sites were cervical esophagus in 3 cases, upper thoracic in 2 cases and lower thoracic in remains. We have performed following surgical procedure; Incision and drainage for cervical abscess, closed thoracostomy, thoracotomy and debridement, esophagoscopy and gastrostomy. Two cases were died. The causes of death were massive bleeding and sepsis.

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The Correlation between TCI and BDI, STAI in Traffic Accident Patients (교통사고 염좌 환자에서 기질 및 성격에 따른 불안 우울 수준의 차이)

  • Kim, Ji-Young;Kim, Ji-Hwon;Jeong, Si-Yeong;Myoung, Sung-Min
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.4
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    • pp.1-11
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    • 2010
  • Objectives : The purpose of this study was investigated that correlation between Temperament and Character Inventory(TCI) and Beck Depression Inventory (EDI). State-Trait Anxiety Inventory(STAI) in traffic accident patients. Methods: We investigated 30 cases of traffic accident patients. The patients answered that questionnaire about temperament. character and depression. anxiety. TCI and BDI. STAI were used to get to know that answers. Results: Depression is positive correlated with novelty seeking and harm avoidance in temperament. In character. depression is negative correlated with self directedness, and positive correlated with self-transcendence. Anxiety is positive correlated with harm avoidance in temperament. and negative correlated with self directedness. Conclusions : The results of correlation between TCI and BD I. STAI in traffic accident patients were consistent with previous studies in general person.

A Study on Statistics for Accidents in Confined Space in Korea (밀폐공간 질식재해 통계현황 분석)

  • Yoo, Kye-mook;Park, Hyun-hee;Chung, Kwang-Jae
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.19 no.4
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    • pp.363-369
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    • 2009
  • The total number of confined space accident cases from 1999 to 2007 in Korea were 220, causing 353 injuries and 212 casualties. Out of 220 cases, 44(20.0%) occurred in sewage treatment facilities and 40(18.2%) occurred in both manholes and containers. When the main causes of confined space accidents were classified, oxygen deficiency accounted for 69 cases(31.4%), carbon monoxide, 48(21.8%), hydrogen sulfide, 40(18.2%), and organic solvent, 32(14.5%). Improvement of occupational accident statistics is necessary in order to report accurate and precise data for confined space accidents. The structure of confined space must be considered when selecting gas to be measured.

Stab Wound of the Heart: 8 Cases of Successful Operation (심장자창의 수술치험례: 8례 보고)

  • 이성광;박동식;김종원
    • Journal of Chest Surgery
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    • v.6 no.2
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    • pp.181-188
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    • 1973
  • 8 cases of the heart wound which had been successfully operated on were reported. These wounds were caused by knife in 6 cases, by traffic accident in one case and by explosion in one case, and clinically classified as Hemothorax type in 4 cases, acute Tamponade type in 3 cases and combined type in one case. Some important problems for the diagnosis and treatment of stab wound of the heart were also discussed.

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Late Detection of Chronic Subdural Hematoma in Traffic Accident Patients Who Treated Tibial Fractures; Report of 2 Cases (경골골절 치료 중 만성 경막하 혈종이 발견된 교통사고 환자 2례 고찰)

  • Kim, Byung-Jun;Shin, Byung-Cheul;Hwang, Eui-Hyoung;Hwang, Man-Suk;Heo, In;Heo, Kwang-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.3
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    • pp.119-125
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    • 2015
  • A chronic subdural hematoma (CSDH) is an old collection of blood and blood breakdown products between the surface of the brain and its outermost covering. We present two cases with tibia fracture caused by traffic accident progressed to chronic subdural hematoma. A 72-year-old male patient had shown signs of headache, urinary incontinence and mental storm when he has been in the hospital after 3weeks without CSDH diagnosis. And a 78-year-old male patient with mild head injury suffered from right side headache after traffic accident. We took korean medical treatments associate with tibial fracture. And we knew subdural hematoma through Brain CT. It is good report which shows CSDH can can occur from traffic accident. It requires correct diagnosis and closed observation for traffic accident patients.

A study on the improvement of food cutting machines through industrial accident characteristics in Korea (식품절단기 사용 사업장의 사고성 재해 특성에 따른 개선방안 연구)

  • Rhee, Hong-Suk;Yi, Kwan-Hyung;Park, Min-Ki
    • Journal of the Korea Safety Management & Science
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    • v.18 no.1
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    • pp.35-43
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    • 2016
  • The past five years, industrial accidents due to food processing machinery have been occurred 725 cases, injury by the food cutter occurred 390 cases in its. On this study, to prevent food cutter injury, an attempt is made to present the improved documentation of fundamental safety of the food cutter workplace through the injury analysis of food cutter injury and surveys on band saw machine business field. Analyzing the result of 390 cases on food cutter injury, amputation, cut, puncture occupied 75.1 percent (293 cases), compressed occupied 23.3% (91 cases), also it showed constant component without reference to gender, age, scale of work place, service period. In the survey, lack of concentration for workers have been pointed out as the biggest factor in the cause of band saw machine injury. Meanwhile, such as the EU and Japan, whereas presents safety standards about band saw machines that are tailored to each country, on the other hand, South Korea doesn't provide the standards. To prevent the food cutter injury, safety standards need to be established in consideration of amputation, cut, puncture, compressed injury and financial support is required to procure protective equipment at each place of business.

Clinical evaluation of chest trauma (흉부손상의 임상적 고찰)

  • 김영호
    • Journal of Chest Surgery
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    • v.15 no.4
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    • pp.414-421
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    • 1982
  • 200 patients admitted to the Chest Surgery Department of Jeonbug National University Hospital from January, 1974 to December, 1981 were analyzed clinically. The ratio of male to female was 7: 1, which showed male predominance. Distribution of patients according to age disclosed that over half [62%] of the patients was social age between 20 and 49 years. The most common cause of chest trauma was traffic accident [39%], and the next were stab wound, fall down [17.5%], and hit [8.5%] in decreasing order. Common lesions due to chest trauma were as follows; rib fracture [51%], hemopneumothorax, hemothorax, and pneumothorax in decreasing number. The most common cause of rib fracture was traffic accident [50%] and the associated organ injuries were long bone fracture, head injury, spine and pelvic bone fracture, spleen rupture, and liver laceration. Hemothorax, pneumothorax, and hemopneumothorax were treated with insertion of thoracic catheter in 90 cases, pure thoracentesis in 11 cases, and emergency thoracotomy in 11 cases. In flail chest, 6 patients were treated by intramedullary insertion of Kirschner`s wire and the results were good. The incidence of complication was 17%, including atelectasis [11 cases], pyothorax, fibrothorax, pneumonia, and acute respiratory failure. Four patients were died [2%], and the causes were acute respiratory failure in 2 cases, spinal cord injury in one case and head injury in one case.

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Risk evaluation of fisher's safety on stow net fishing vessel (안강망어선에서 조업하는 선원의 위험도 평가)

  • HYUN, Yun-Ki;KIM, Hyung-seok;LEE, Yoo-Won
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.56 no.2
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    • pp.138-146
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    • 2020
  • Stow net fishery is one of the fishery with high fishing work accidents in southwestern sea of Korea. We conducted to serve as basic data for improving the healthy and safe working environment of fisher using risk assessment process (ISO45001) with fishermen's occupational accidents of the National Federation of Fisheries Cooperative (NFFC) from 2016 to 2018. The average occurrence rate of victim in this fishery was 9.04%, 16.7 times more than such rate in all industries. In addition, the average fatality rate was found to have a very serious level management to 31.06‱, 27.7 times more than such rate in all industries. The safety hazards of stow net fishery was more likely to occur by other general industrial groups, with more severe consequences after the accident. According to 4M analysis, 58.6% of all accidents were caused by human factors, 24.0% by environmental factors, 16.0% by mechanical factors, and 1.5% by managerial factors, respectively. The occurrence frequency by accident type was the highest in 187 cases (32.2%) for struck by object, 158 cases (27.2%) for slipping, and 94 cases (16.2%) for being in contact with machinery. Severity is the highest for others such as diseases etc., in the order of being struck by object, being in contact with machinery, falling from above slipping, collapsing, bumping, and burning. Being struck by object, being in contact with machinery, and slipping are high-risk groups, falling from above others, bumping, and burning are medium-risk groups based on the risk assessment using the occurrence frequency and severity of accident. The obtained results are expected to contribute to the safe operation environment subsidy for fishing crews on the stow net fishing vessel.