• Title/Summary/Keyword: Emergency Conditions

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Suggestion of a New Writer's Guideline to Reduce Human Errors Found in the Emergency Operation Procedures of a Nuclear Power Plant (비상운전절차서 작성과정의 인적오류 저감을 위한 지침서 제안에 관한 연구)

  • Lee, Dhong-Ha;Jang, Tong-Il;Lee, Yong-Hee
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.1
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    • pp.129-138
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    • 2010
  • Gori-I nuclear power plant has been examining the effectiveness and efficiency of the current emergency operation procedures from human factors viewpoint. Previous study showed that some mistakes that the procedures did not comply with the writers' guidelines. Reviewing the current writers' guidelines for emergency operating procedures revealed that they lack of some important human factors rules such as enumeration of switching conditions and detailed action requirements, definite expression for setup points, description for anticipated results, and recommendation for use of present tense, affirmative sentence and active voice. This study suggested a new classification system for the writers' guideline contents supplementing the deficiencies of the current emergency operation procedure text.

CONSIDERATIONS CONCERNING IMPROVEMENT OF EMERGENCY EVASION PERFORMANCE

  • Nozaki, H.
    • International Journal of Automotive Technology
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    • v.7 no.2
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    • pp.187-193
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    • 2006
  • When emergency evasion during running is required, a driver sometimes causes a vehicle to drift, that is, a condition in which the rear wheels skid due to rapid steering. Under such conditions, the vehicle enters a very unstable state and often becomes uncontrollable. An unstable state of the vehicle induced by rapid steering was simulated and the effect of differential steering assistance was examined. Results indicate that, in emergency evasion while cornering and during which the vehicle begins to drift, unstable behavior like spins can be avoided by differential steering assistance and both the stability and control of the vehicle is improved remarkably. In addition, reduction of overshoot during spin evasion by the differential steering assistance has been shown to enable the vehicle to return to a state of stability in a short time in emergency evasion during straight-line running. Moreover, the effectiveness of differential steering assistance during emergency evasion was confirmed using a driving simulator.

A Study on Actual Conditions of the First-Aid Education for Child-care Teachers at Daycare Center for the Disabled Children (장애아 전담 보육시설에서 보육교사의 응급처치교육에 대한 실태조사)

  • Lee, Hyo-Cheol;Jang, Yong-Su
    • The Korean Journal of Emergency Medical Services
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    • v.14 no.1
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    • pp.19-29
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    • 2010
  • Purpose : This study was conducted to examine the degree of recognition of safety education and its execution for child-care teachers at daycare center for the disabled children in Jeollanam-do. Ninety six child care teachers filled out the questionnaire and the results were as follows. Results : 1. The possibility of accident prevention by the day care teachers was a little higher in case of nearby education institution. The most appropriate period of safety education was within one month. 2. Majority of child care teachers had received safety and first-aid educations before and the education was done for less than 2 hours. 3. The best educational method was practice-centered education of off-duty time. The contents of first-aid education were bleeding, fall, shock, and burn. 4. The education material and book should be available to the teachers when they need the knowledge. 5. By the annual schedule, safety education should be conducted and provided to the parents. Conclusion : This study suggested that reinforcement of contents related to emergency situation and actual first-aid as well as theory education in the process of parent and teacher education should be conducted on the basis of information of general conditions related to safety and first-aid education at the daycare center for the disabled children.

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A Study on the Interhospital Transfer of Emergency Patients (응급환자 전원에 관한 판례의 태도 - 대법원 2005. 6. 24. 선고 2005다16713 판결 -)

  • Lee, Jae-Yeol
    • The Korean Society of Law and Medicine
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    • v.10 no.1
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    • pp.389-420
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    • 2009
  • Main Issue of Supreme Court Decision 2005Da16713 Delivered on June 24, 2005 is about the duty of medical care in the interhospital transfer of patients. According to the above Supreme Court Decision, in the interhospital transfer of patients, the decision to transfer should make from the aspect of medical treatment. The hospitals and doctors keep the duty of medical care. In addition to the duty for hospitals/doctors to check the capacity and availability of the hospital to which the patient is transferred, there are also duties to inform about emergency medical service and to sufficiently explain the need for the transfer, the medical conditions of the patient to be transferred and the hospital from which the patient is transferred. The hospital to which the patient is transferred must be thoroughly informed about matters such as the patient's conditions, the treatment the patient was given and reasons for transfer. including information upon referral, completeness of medical records, patient monitoring and so on. The interhospital transfer requires the consent of doctor belonging to the hospital to which the patient is transferred after the consideration of capacity and availability of the hospital and the informed consent of patients or legal representatives.

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A Study on the Operation Regional Emergency Medical Center and the Using Behavior by Visiting Patients (한 지역 권역 응급의료센터 내원환자의 이용 행태 분석)

  • Ryu, Hwang Gun;Song, Hyun Kyung;Kim, Hye Suck;Kim, Tae Gon
    • The Korean Journal of Health Service Management
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    • v.1 no.1
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    • pp.110-124
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    • 2007
  • Currently, we have seen sudden increase of demand for emergency medical services by reason for high-speed economic development increase of traffics, etc. in this society. Consequently the government enforced & operated emergency medical system in 1991 as a link of more positive countermeasure against it, but many problem; still remain in reality. In particular, the regional emergency medical center designated by the Ministry of Health and Welfare falls short of our expectations for its essential role by the reason of such as insufficiency in professional manpower and institutions concerned in small-scale hospital, matters with transportation system, preference of large hospital, etc. Therefore, this study was conducted grasp for the actual conditions of emergency medical system based upon literature research & the preceding studies and interview research the motive of coming hospital, satisfaction & understand to the subject of 150 persons of patients and their guardians who used regional emergency center of Pusan National University Hospital, thereby examining & analysing the cause of emergency room overcrowding by non-emergency cases, one of the problem; enumerated from preceding studies. The main result of this study is as follows. First the actual condition of non-emergency patients coming hospital for examining overcrowding of emergency medical center showed that, of the patients who used the emergency medical center, non-emergency patients accounted for 49.3%, which acted as the main cause of delaying medical care for emergency cases, cases of which medical person or first-aid man decided to come hospital accounted for 36.1 %, thereby suggesting essential need for re-education & wide public information to even the professional manpower besides patients & guardians for their using emergency medical system. Second, as the result of researching patient acknowledgement with reference to their using emergency medical center, the rate of their giving right answer is no more than 60%, which means that non-emergency cases' using as such is due to the shortage of their knowledge of the said emergency medical center, which suggests us that wider P.R for emergency medical system to common people who may be one of the patients of it at any time is still in need. Third, the result of researching for finding out a future remedy of emergency medical system showed that the users who know well of the way of using emergency medical center had relatively high satisfaction of it, ones who have lesser knowledge of it lower satisfaction and users who feel in need of emergency specialized manpower feel the necessity of public information of emergency medical information center(1339) at the same time. The finding of examining the subject of study, in conclusion, showed that the degree of the patients & their guardians' understanding of emergency medical system is lower and the medical persons concerned also had no distinct difference in their understanding of it from the common people's, which suggests us for extensive enforcement of systematic education and public information in aspect of the government via various media for the purpose of effective operation of emergency medical center.

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A Study on Medical Information Platform Based on Big Data Processing and Edge Computing for Supporting Automatic Authentication in Emergency Situations (응급상황에서 자동인증지원을 위한 빅데이터 처리 및 에지컴퓨팅 기반의 의료정보플랫폼 연구)

  • Ham, Gyu-Sung;Kang, Mingoo;Joo, Su-Chong
    • Journal of Internet Computing and Services
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    • v.23 no.3
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    • pp.87-95
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    • 2022
  • Recently, with the development of smart technology, in medical information platform, patient's biometric data is measured in real time and accumulated into database, and it is possible to determine the patient's emergency situations. Medical staff can easily access patient information after simple authentication using a mobile terminal. However, in accessing medical information using the mobile terminal, it is necessary to study authentication in consideration of the patient situations and mobile terminal. In this paper, we studied on medical information platforms based on big data processing and edge computing for supporting automatic authentication in emergency situations. The automatic authentication system that we had studied is an authentication system that simultaneously performs user authentication and mobile terminal authentication in emergency situations, and grants upper-level access rights to certified medical staff and mobile terminal. Big data processing and analysis techniques were applied to the proposed platform in order to determine emergency situations in consideration of patient conditions such as high blood pressure and diabetes. To quickly determine the patient's emergency situations, edge computing was placed in front of the medical information server so that the edge computing determine patient's situations instead of the medical information server. The medical information server derived emergency situation decision values using the input patient's information and accumulated biometric data, and transmit them to the edge computing to determine patient-customized emergency situation. In conclusion, the proposed medical information platform considers the patient's conditions and determine quick emergency situations through big data processing and edge computing, and enables rapid authentication in emergency situations through automatic authentication, and protects patient's information by granting access rights according to the patient situations and the role of the medical staff.

Evaluation of Emergency Water Supply Plan for Block System of Water Network using WaterGEMS (WaterGEMS모형을 이용한 상수관망 블록시스템의 비상급수계획 평가)

  • Baek, Chun-Woo;Jun, Hwan-Don;Kim, Joong-Hoon;Yoo, Do-Guen;Lee, Kwang-Choon
    • Journal of the Korean Society of Hazard Mitigation
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    • v.8 no.6
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    • pp.15-20
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    • 2008
  • Hydraulic analysis of water distribution system can be divided into demand-driven analysis and pressure-driven analysis. Demanddriven analysis can give unrealistic results to simulate hydraulic conditions under abnormal operating conditions such as sudden demand increase and pipe failure. In Korea, demand-driven analysis has been used to establish emergency water supply plan in many water projects, but it is necessary to use pressure-driven analysis for establishment of emergency water supply plan. In this study, WaterGEMS model that was developed for pressure-driven analysis is used to evaluation of emergency water supply plan of J city. As the results, it was able to draw up more efficient plan for water supply in small block, and established emergency water supply plan of J city was determined to be appropriate.

The Work Experiences of Emergency Room Nurses during the COVID-19 Pandemic (COVID-19 대유행 상황에서 응급실 간호사의 근무 경험)

  • Hyeon, Yong Hwan;Chae, Young Hee
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.3
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    • pp.221-232
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    • 2021
  • Purpose: The purpose of this study was to explore emergency room nurse's work experiences during the COVID-19 pandemic. Methods: Data were collected from 15 registered nurses working in the emergency room between October, 10th and December 15th, 2020, through focus group interviews and in depth interviews. Collected data were analyzed using Colaizzi's phenomenological method. Results: The study derived four categories and eight themes. The four categories are 'sense of cringing with fear', 'nursing in chaotic situation', 'lonely struggles', and 'career growth as a nurse'. Emergency room nurses experienced fear and confusion in the COVID-19 pandemic, but overcame the crisis and had positive experiences of professional growth as a nurse. Conclusion: To protect emergency room nurses from infectious disease and improve their professional quality of life during the COVID-19 pandemic appropriate education and healthcare resource should be provided. It is necessary to reflect clinical worker's opinions and improve the delivery system of guideline to reduce confusion in the field and develop practical infectious disease control guideline. Furthermore, better working conditions, appropriate rewards and social and mental support should be provided for nurses in emergency room.

Concept of an intelligent operator support system for initial emergency responses in nuclear power plants

  • Kang, Jung Sung;Lee, Seung Jun
    • Nuclear Engineering and Technology
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    • v.54 no.7
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    • pp.2453-2466
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    • 2022
  • Nuclear power plant operators in the main control room are exposed to stressful conditions in emergency situations as immediate and appropriate mitigations are required. While emergency operating procedures (EOPs) provide operators with the appropriate tasks and diagnostic guidelines, EOPs have static properties that make it difficult to reflect the dynamic changes of the plant. Due to this static nature, operator workloads increase because unrelated information must be screened out and numerous displays must be checked to obtain the plant status. Generally, excessive workloads should be reduced because they can lead to human errors that may adversely affect nuclear power plant safety. This paper presents a framework for an operator support system that can substitute the initial responses of the EOPs, or in other words the immediate actions and diagnostic procedures, in the early stages of an emergency. The system assists operators in emergency operations as follows: performing the monitoring tasks in parallel, identifying current risk and latent risk causality, diagnosing the accident, and displaying all information intuitively with a master logic diagram. The risk causalities are analyzed with a functional modeling methodology called multilevel flow modeling. This system is expected to reduce workloads and the time for performing initial emergency response procedures.

Analysis and Research of 119 Silver Ambulance Activities and Its Development Methods (일부지역 119 노인전용구급차(Silver Ambulance)의 활동분석 및 발전방안)

  • Kwon, Hay-Rran
    • The Korean Journal of Emergency Medical Services
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    • v.11 no.3
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    • pp.191-204
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    • 2007
  • This study analyzes use and operation of silver ambulance with 110 patients who had used silver ambulance in Gwangju and Jeonnam regions from June of 2006 to June of 2007 and 53 paramedics who are involved directly in ambulance operation and the results of this analysis are as follows. 1. Users' health conditions, 69.1% of users answered as bad and 67.3% suffered from chronic diseases over 3 months and it was found that they used silver ambulance due to their bad health conditions. 2. Cronbach's alpha was 0.630 and family function index was generally reliable and solution was high as 1.60, but total points were low as 7.11 and it was considered that they had family troubles. 3. On the question of ambulance use, 44.5% answered they used it because it is free, 53.6% used it for appointed medical examination and treatment and 18.1% used it for emergency. 4. Degrees of satisfaction with ambulance and paramedics were 95.4% and 76.4% respectively and 80.0% of ambulance users answered ambulance arrived quickly within 15 min. 5. Correlation($x^2 $) between family or relative's residence and frequency of visits was 86.367 and its significance probability was 0.00 and it was found that it was significant in the level of 0.1%, but correlation($x^2 $) between visitors other than family or relatives and frequency of visits was 14.768 and its significance probability was 0.25 and it was found that it was not significant in the level of 5%. 6. Correlation($x^2 $) between transfer operation speed and mobilization time was found that it was not significant in the level of 5%. Correlation($x^2 $) between their own health condition purpose of ambulance use was 13.802 an 5.696 and its significance probability was 0.93 and it was found that it was not significant in the level of 1%, and it was considered because paramedics carried patients with safe operation.

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