• Title/Summary/Keyword: Disaster medicine

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The Use of Human Resource and Emergency Service of Elderly Affected by Flood Disaster (수해경험 노인의 인적자원과 서비스 활용에 관한 연구)

  • Chung, Soon-Dool;Kim, Go-Eun;Park, Ji-Young
    • 한국방재학회:학술대회논문집
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    • 2008.02a
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    • pp.143-146
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    • 2008
  • This study aimed to suggest the way to support flood disaster older survivors with analysing how relief services and their human resources are used. For this study, the data was collected from 184 elderly aged over 65 years from Inje and Pyungchang in Gangwon province where lots of flood damages were done. The results of the study was elderly used human resources of public servant/military soldiers, volunteers as public or official services than as private resources. These results provide the evidence that public or official human resources are very helpful to control their emergency situations because there is hardly any use of their private human resources except for assistance from their family. And it shows that older people are willing to use services of life rescue and information services of their family members safety rather than basic supplies, medical care or medicine providing. With this findings we suggest informing the news of family safety including basic necessaries are highly signigicant. Thus, it is useful for disaster planners to understand building immediate life rescue and accurate information delivery systems. These are relevant to older adults' psychological well-being, thus, providing news of family safety including offering material resources are highly needed for older disaster survivors.

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Efficacy and Usability of Patient Isolation Transport Module for CBRN Disaster : A Manikin Simulation Study (특수재난 대응 환자 격리 이송 장비의 효율성 및 편의성 평가: 마네킹시뮬레이션 연구)

  • Kim, Ki-Hong;Hong, Ki-Jeong;Haam, Seung-Hee;Choi, Jin-Woo
    • Fire Science and Engineering
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    • v.32 no.3
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    • pp.116-122
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    • 2018
  • In Chemical, Biological, Radiological and Nuclear (CBRN) disaster, integrated and optimized equipment package including stretcher, isolation unit, patient monitoring and treatment equipment is essential to achieve proper treatment and prevent secondary contamination. The purpose of this study was to evaluate the efficiency and ease of use of integrated CBRN disaster equipment package for disaster medical response. This study was a randomized crossover study using a manikin simulation for emergency medical technitian (EMT). All participants used the existing devices and prototype of integrated CBRN disaster equipment package alternately. Efficiency was measured by time from vital sign change to detection or treatment application. Ease was use was measured by questionnaires for each patient monitor, stretcher care and isolation unit. 12 EMTs were enrolled. hypoxia-detection time of integrated equipment group was significantly shorter than existing equipment group (4.9 s (3.8-3.9) vs 3.5 s (2.5-3.9), p < 0.05). There was decreasing tendency of ECG change detection and facial mask oxygen supply but no statistical significance was observed. Overall satisfaction of patient monitoring device in integrated equipment group was significantly higher than existing devices (4(3.5-5) vs 3(3-3), p < 0.05). The use of integrated CBRN disaster equipment package shortened the hypoxia detection time and improved usability of vital sign monitor compared to existing devices.

Collaborative Disaster Governance Recognized by Nurses during a Pandemic (코로나19 대응 간호사가 인식하는 협력적 재난 거버넌스)

  • Rim, Dahae;Shin, Hyunsook;Jeon, Hyejin;Kim, Jieun;Chun, Hyojin;Oh, Hee;Shon, Soonyoung;Shim, Kaka;Kim, Kyung Mi
    • Journal of Korean Academy of Nursing
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    • v.51 no.6
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    • pp.703-719
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    • 2021
  • Purpose: We aimed to identify collaborative disaster governance through the demand and supply analysis of resources recognized by nurses during the COVID-19 pandemic. Methods: We used a descriptive study design with an online survey technique for data collection. The survey questions were developed based on focus group interviews with nurses responding to COVID-19 and expert validity testing. A 42-question online survey focusing on disaster governance was sent to nurses working in COVID-19 designated hospitals, public health offices, and schools. A total of 630 nurses participated in the survey. Demand and supply analysis was used to identify the specific components of disaster governance during a pandemic situation and analyze priority areas in disaster governance, as reported by nurses. Results: Demand and supply analysis showed that supplies procurement, cooperation, education, and environment factors clustered in the high demand and supply quadrant while labor condition, advocacy, emotional support, and workload adjustment factors clustered in the high demand but low supply quadrant, indicating a strong need in those areas of disaster governance among nurses. The nurses practicing at the public health offices and schools showed major components of disaster governance plotted in the second quadrant, indicating weak collaborative disaster governance. Conclusion: These findings show that there is an unbalanced distribution among nurses, resulting in major challenges in collaborative disaster governance during COVID-19. In the future and current pandemic, collaborative disaster governance, through improved distribution, will be useful for helping nurses to access more required resources and achieve effective pandemic response.

The Major Elements of Psychological Assessment and Intervention for Children and Adolescents after a Disaster: A Professional Delphi Preliminary Survey (재난 시 소아청소년 정신건강 평가 및 치료의 주요 요소: 전문가 델파이 예비 조사)

  • Park, Jang-Ho;Lee, Mi-Sun;Chang, Hyoung Yoon;Hwang, Jun-Won;Lee, Ju-Hyun;Kim, Ji-Youn;Lee, Cheol-Soon;Kim, Eunji;Bae, Seung-Min;Bhang, Soo-Young
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.27 no.3
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    • pp.164-172
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    • 2016
  • Objectives: This study attempted to evaluate the usefulness and direction of development of post-traumatic assessment and interventions based on the opinions of psychiatrics and disaster and trauma-related experts using the Delphi survey technique. Methods: In-depth individual interviews served as the pre-survey and were followed by Delphi primary and secondary surveys. Specialists in child and adolescent mental health, psychological support professionals specialized in disasters and related practitioners with experience of disasters in Korea completed a set of questionnaires and participated in focus group interviews and in-depth individual interviews on post-traumatic assessment and intervention. Results: We found that the following issues have a significant impact on the interventions after disasters: the proper time of the initial interview in the event of a disaster, assessment notices, aged assessment services, mandatory enforcement measures, scale screening and treatment intervention elements, symptoms degree classification, intervention standardization, the use of a levelled program, care unit environment, and operation plan. Conclusion: This study proposed effective mental health intervention measures and has implications for the development of evaluation treatment protocols after disasters.

Psychosocial Interventions for Children and Adolescents after a Disaster: A Systematic Literature Review (1991-2015) (재난 후 소아청소년의 정신사회적 개입: 체계적 문헌고찰(1991~2015))

  • Lee, Mi-Sun;Hwang, Jun-Won;Lee, Cheol-Soon;Kim, Ji-Youn;Lee, Ju-Hyun;Kim, Eunji;Chang, Hyoung Yoon;Bae, Seung-Min;Park, Jang-Ho;Bhang, Soo-Young
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.27 no.4
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    • pp.278-305
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    • 2016
  • Objective: The aim of this systematic literature review is to analyze the psychosocial interventions for children and adolescents after disasters. Methods: We conducted a review of the extant research literature from 1991 to 2015 via a comprehensive search of the MEDLINE, EMBASE, Cochrane CENTRAL, PubMed and PsyclNFO databases. The keywords employed in this research included: 'child', 'adolescent', 'youth', 'disaster', 'posttraumatic', 'psychosocial', 'therapy' and 'intervention'. The researchers followed the PRISMA guidelines. A total of 850 articles were screened for their eligibility and fifty-nine were found to meet the study criteria. The final data analysis was performed based on the disaster type, study design, type of intervention, sample size, age, school grade, number of sessions, setting of intervention delivery, providers, approach and parent involvement. Results: Countries worldwide have experienced various kinds of disasters, including earthquakes, hurricanes, vessel accidents, tornados, tsunamis, volcanic eruptions, war, fire, terrorism, and traffic accidents. The types of psychosocial intervention that were conducted after these disasters included: psychological first aid, psychological debriefing, psychoeducation, trauma focused cognitive behavior therapy, eye movement desensitization reprocessing, prolonged exposure therapy, group play therapy and arts therapy, project interventions, school-based interventions and web-based interventions. Conclusion: The findings of the systematic literature review suggest that an appropriate psychosocial intervention could be utilized as evidence-based mental health treatment for children and adolescents after disasters.

A Case Report on Dental Identification in the KAL Air Disaster (KAL기 사고시 소사체의 개인식별감정 1예)

  • 김종열;신형식
    • Journal of Oral Medicine and Pain
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    • v.8 no.1
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    • pp.61-67
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    • 1983
  • Authors observed a corpse which is died from "Charring", caused by air disaster, for the purpose of individual identification. This is an identifide case of the charred corpse due to the fire while landing of KAL 747 Jumbo(HL 7445) at Kimpo airport Nov.1980. It was referred to author in the state of carbonization by high degree of heat-as unknown body entirely. But teeth condition and treated condition were well preserved under mouth closing and by the comparative examination of antermortem dental records, dental radiographs, the individual identification was simply accomplished. Therefore, it brought repeatedly a recognition of the practical effectiveness of dental identification and importance or dental records.

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A Study on the Statistical Analysis of Fire Patterns in Seoul Metropolitan Region (통계적 방법을 이용한 수도권지역의 화재유형분석에 관한 연구)

  • Sin, Jae-Wook;Kim, Hae-Rim;Park, Young-Ju;Lee, Hae-Pyeong;Moon, Kyong-Ae
    • Proceedings of the Korea Institute of Fire Science and Engineering Conference
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    • 2010.04a
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    • pp.424-428
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    • 2010
  • 본 연구에서는 통계적 분석방법을 이용하여 수도권지역(서울특별시, 인천광역시, 경기도)의 화재발생 유형에 대한 분석을 통하여 체계적이고 효율적인 소방정책을 수립하기 위한 기초 자료를 확보하는데 주안점을 두었다. SPSS와 Clementine 프로그램을 이용하여 소방방재청 국가화재정보시스템의 2007년과 2008년 화재발생 자료를 대상으로 기초통계분석(교차분석, 빈도분석)을 비롯하여 의사결정트리 분석 등을 수행하였다. 분석결과로서, 수도권지역의 화재건수는 2007년 이후부터 감소하거나 유지하는 경향을 보이고 있으며, 화재유형은 50% 이상이 건축/구조물에 의한 것으로 나타났다. 또한, 인명피해를 보면 서울시는 다른 수도권지역과 달리 2007년 대비 2008년 부상자와 사망자 수가 감소하였으며, 재산피해의 경우, 서울을 비롯한 대부분의 수도권지역에서 감소한 것을 확인할 수 있었다.

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Safety in Mass Gathering: Basic Survey for Crowd Crush (군중집회 시의 안전: 군중압박의 기초 조사)

  • Soon-Joo Wang
    • Journal of Korean Society of Disaster and Security
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    • v.16 no.1
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    • pp.49-60
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    • 2023
  • After the 10.29 Itaewon disaster, interests in the crowd crush injury increased, but it is pointed out that the academic and practical basis related to crowd crush is still weak in Korea. Therefore, in this study, terms and concepts related to crowd crush were investigated and proposed, and representative cases of crowd crush events were investigated and summarized. Approaches based on representative cases were investigated, and among them, video analysis, simulation, questionnaire survey and interview methods were derived as an essential approach methods. Through this research, it is expected that standardization of Korean terminology, concept establishment, evaluation, and systematization of approach methods of crowd crush can be accomplished.

Lessons from the Experiences of Volunteers at the Sewol Ferry Disaster (세월호 자원봉사자의 경험으로부터 교훈)

  • Shim, Sang Min;Yoon, Hyae Young;Choi, Yun Kyeung
    • Stress
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    • v.25 no.2
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    • pp.105-119
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    • 2017
  • Backgound: The first step in disaster response is preparation, and education and training of workforce are considered as important elements of preparedness. The purpose of this study was to identify the needs of volunteers by exploring service experiences after a disaster to develop volunteer education programs. Methods: Participants were 11 volunteers who had supported the victims' families during about 1 year after the Sewol ferry disaster. Focus group interviews were conducted to investigate the experience of volunteer at the levels of individual, within-team and between-teams, and to discover the need of further training. Results: The results showed that the needs for self- and team-care and advanced education were reported. Conclusions: These results were discussed in terms of development of competence and mental health needs disaster volunteers. Limitations of this study and directions of future research were suggested.

Hierarchical Neural Network for Real-time Medicine-bottle Classification (실시간 약통 분류를 위한 계층적 신경회로망)

  • Kim, Jung-Joon;Kim, Tae-Hun;Ryu, Gang-Soo;Lee, Dae-Sik;Lee, Jong-Hak;Park, Kil-Houm
    • Journal of the Korean Institute of Intelligent Systems
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    • v.23 no.3
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    • pp.226-231
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    • 2013
  • In The matching algorithm for automatic packaging of drugs is essential to determine whether the canister can exactly refill the suitable medicine. In this paper, we propose a hierarchical neural network with the upper and lower layers which can perform real-time processing and classification of many types of medicine bottles to prevent accidental medicine disaster. A few number of low-dimensional feature vector are extracted from the label images presenting medicine-bottle information. By using the extracted feature vectors, the lower layer of MLP(Multi-layer Perceptron) neural networks is learned. Then, the output of the learned middle layer of the MLP is used as the input to the upper layer of the MLP learning. The proposed hierarchical neural network shows good classification performance and real- time operation in the test of up to 30 degrees rotated to the left and right images of 100 different medicine bottles.