• Title/Summary/Keyword: Emergency Department

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A Research on the Navigation of Northern Sea Route According to Safety of Vessel and Crews (선박 및 선원의 인명 안전을 고려한 북극해 항로 운항 연구)

  • Kim, Won-Ouk;Youn, Dae-Gwun;Park, Woe-Chul
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.21 no.1
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    • pp.40-46
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    • 2015
  • Arctic Ocean has rapidly melted due to global warming, by this, commercial ship has been operating through the area. Reason to develop the Northern Sea Route(NSR) even in extreme conditions, the distance than the existing route is shortened, which bring economic benefits. For these reason, the International Maritime Organization(IMO) established safety standards of the Arctic navigation(Polar Code) in order to ensure safe operation in the Northern Sea Route. In this study, it has been described ice types and safety standards of Artic vessel what officer needs to know for safe navigation on the Arctic Ocean. And It was verified by simulation the theoretical knowledge for the safe operation of the Arctic vessel. As a result, it was found that ship needs to reduce speed and analyze ice for safe operation before enter into the ice, it is necessary to enter at right angle to break ice safety and efficiently. Also according to the result of the simulation of navigation entering in ice channel(Lead), it was difficult to change course, it is believed that require emergency training for passing Vessel. In the future, It shall be analyzed precisely under various conditions of scenario.

Perception of Good Death and Attitudes toward Death between ER Nurses and Coroners (검시관과 응급실 간호사의 좋은 죽음에 대한 인식과 죽음에 대한 태도)

  • Han, Ji-Young
    • Journal of Hospice and Palliative Care
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    • v.18 no.1
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    • pp.16-24
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    • 2015
  • Purpose: This study was conducted to describe and compare how emergency room (ER) nurses and coroners perceive good death and their attitudes toward death. Methods: A survey was performed with 51 ER nurses in P city and 44 coroners nationwide. Data were collected from October 1, 2010 through February 28, 2011. Data were analyzed with descriptive statistics, t-test, ANCOVA, Scheffe's test using the IBM SPSS statistics 21.0 program. Results: For the perception of good death and attitudes toward death, coroners scored higher ($3.01{\pm}0.43$ and $2.87{\pm}0.35$, respectively) than ER nurses group ($2.95{\pm}0.40$ and $2.61{\pm}0.33$, respectively), but the differences were not significant. The results of perception of good death and attitudes toward death were not statistically significant between ER nurses and coroners. Conclusion: The study showed no difference between ER nurses' perception of good death and attitudes toward death and those held by coroners. The findings of the study show that it is necessary to offer steady education on death to nurses and coroners to help them build a proper understanding of good death and grow positive attitudes toward death.

A Study on Strengthening Consequence Management System Against CBRN Threats (CBRN 위협에 대비한 사후관리체계 강화방안)

  • Kwon, Hyuckshin;Kwak, Minsu;Kim, Kwanheon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.40 no.4
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    • pp.429-435
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    • 2020
  • North Korea declared itself complete with nuclear force after its sixth nuclear test in 2017. Despite efforts at home and abroad to denuclearize the Korean Peninsula, the prospects for the denuclearization are not bright. Along with political and diplomatic efforts to deter NK's WMD threats, the government is required to strengthen its consequence management capabilities against 'catastrophic situations' expected in case of emergency. Accordingly, this study was conducted to present measures to strengthen follow-up management against CBRN threats. The research model was partially supplemented and utilized by the THIRA process adopted and utilized by the U.S. Department of Homeland Security among national-level disaster management plan development models. Korea's consequence management (CM) system encompasses risk and crisis management on disaster condition. The system has been carried out in the form of a civil, government and military integrated defense operations for the purpose of curbing the spread or use of CBRNs, responding to threats, and minimizing expected damages. The preventive stage call for the incorporation of CBRN concept and CM procedures into the national management system, supplementing the integrated alarm systems, preparation of evacuation facilities, and establishment of the integrated training systems. In the preparation phase, readjustment of relevant laws and manuals, maintenance of government organizations, developing performance procedures, establishing the on-site support systems, and regular training are essential. In the response phase, normal operations of the medical support system for first aid and relief, installation and operation of facilities for decontamination, and development of regional damage assessment and control guidelines are important. In the recovery phase, development of stabilization evaluation criteria and procedures, securing and operation of resources needed for damage recovery, and strengthening of regional damage recovery capabilities linked to local defense forces, reserve forces and civil defense committees are required.

A Study on Medical-criminal Problem of Withdrawing Life-Sustaining Treatment (치료중단행위에 대한 의료형법적 고찰 -의학적 충고에 반한 퇴원 사례를 중심으로-)

  • Cho, In-Ho
    • The Korean Society of Law and Medicine
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    • v.9 no.1
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    • pp.319-382
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    • 2008
  • As a withdrawing care's study, the purpose of this study is searching about withdrawing care's acceptance and circumstances through Bora-mae hospital case(chapter 1). Withdrawing life-sustaining treatment has various forms. Though the meaning of euthanasia, death with dignity, natural death, physician assisted suicide are duplicated, the meaning of those are different slightly. Firstly, this study looks about the difference of the those meaning and acceptance range(condition) by withdrawing care's forms(chapter 2). Bora-mae hospital case sentenced guilty about physician who discharged incompetent patient who was after surgery by patient's wife determination. This Bora-mae case that sentenced guilty about discharge against medical advise(DAMA) that is regarded to custom has brought intensive confliction of legal, social, medical aspect, Bora-mae hospital case has many legal problems. First, as to criminal law rule 250(murder), the problem is whether discharge and withdrawing life-sustaining treatment is commission or omission. this study concluded omission(district court: omission, appeal, supreme court: commission). Because legal denounce point of discharge and medical treatment withdrawing is omission that physician who is obligatory on patient to cure. If physician's act is regarded omission, it is necessary to determine whether he has guardian status and obligation. Without guardian status and obligation, omission crime can't exist. This study decided that physician had guardian status and obligation and foundation of guardian status was pre-action or acceptance of emergency patient. Physician's medical treatment duty finished when patient(or patient's guardian) demands discharge. But when patient death is foreseen and other possible treatment does not exist, his duty of life prolonging treatment does not finish. This originate from physician's social responsibility and public status that limits patient's private liberty. This study regarded physician's action as accomplice about whether physician's discharging action is accomplice or the principal offender(district court: the principal offender, appeal, supreme court: accomplice). Though the principal offender needs criminal determination and action, there is no this common determination and functional action control of physician in Bora-mae case(chapter 3). Bora-mae hospital case partly originated from deficiency of legal, institutive system including medical security system shortage, the instruction is 1. medical security system strengthening, 2. hospital ethical committee's activity strengthening, 3. institutionalization of withdrawing life-sustaining treatment, 4. acceptance of pre-decision making system, 5. sufficient persuasion of physician for patient and faithful writing of medical paper, 6. respect for patients' self-determination and rights, 7. consciousness's changing for withdrawing life-sustaining treatment and persistent education about medical ethics(chapter 4). Considering Bora-mae case, medical sector is not the dead ground of a criminal punishment. Intervention of criminal law in medical sector give rise to ill effect, that is, excess medical examination and treatment, safeguard treatment, delay of discharge from a hospital. Because sufficient guarantee of life becomes mere empty slogan under situation that impose a burden of heavy cost to family or hospital, public and systematic solution should be given(chapter 5).

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Utility Comparison of Chest Lateral Decubitus Projection with AP and PA Position (흉부 측와위 촬영 시 전후방향과 후전방향 검사의 유용성 비교)

  • Choi, Guirack
    • Journal of the Korean Society of Radiology
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    • v.7 no.3
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    • pp.233-238
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    • 2013
  • Chest lateral decubitus radiation exposure PA be carried out in general, but emergency patient or the patient's discomfort in the body examination had a lot of inconvenience. In this study, we compared AP and PA image quality, patient safety, and analysis of the examination effectiveness between the two tests was to evaluate the usefulness. Pleurisy or pneumothorax in patients with suspected or diagnosed chest lateral decubitus radiation exposure 30 consecutive patients (male 20 patients, 10 females) were included in the study. Image quality evaluation method microstructure of lung, wide areas of diagnosis, a clear air-fluid interface, the patient rotate, cardiac shadow and sharp diaphragmatic was based on Department of Radiology specialist, division of pulmonology resident blind test was evaluated by four people. Chest decubitus by radiation exposure the AP and PA position examination the usefulness of comparative analysis Image quality in the AP and PA, whereas there was no significant difference in attitude, Stability of the patient and Radiation's examination efficiency AP position compared to the position of PA scores were higher. PA position does not require a examination may be of AP position in a position to suggest that.

Relationship of Goal Orientation, Flow Experience and Self-Accomplishment among College Students Receiving Lifeguard Education (수상인명구조 교육 참여 대학생들의 목표지향, 몰입경험 및 자아성취감에 관계된 요인)

  • Kim, Yun-Won;Moon, Tae-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.5
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    • pp.2214-2221
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    • 2011
  • The purpose of this study was to examine the relationship of goal orientation, flow experience and self-accomplishment among students who received lifeguard education. The findings of the study were as follows: First, the task-involvement of the college students receiving lifeguard education, which was one of the sub-variables of goal orientation, had an impact on cognitive flow and behavioral flow, and ego-involvement affected cognitive flow. Second, the task-involvement of the college students receiving lifeguard education, which was one of the sub-variables of goal orientation, exercised an influence on their self-realization, display of ability and development of ability, which were the task-involvement of self-accomplishment. Besides, ego-involvement impacted on self-realization. Third, the cognitive flow and behavioral flow of the college students receiving lifeguard education, which were the sub-variables of flow experience, exerted an influence on self-realization, display of ability and development of display, which were the sub-variables of self-accomplishment. Fourth, the goal orientation of the college students receiving lifeguard education had a firsthand relationship to flow experience and self-accomplishment, and that had a secondhand causal relationship to self-accomplishment through flow experience as well.

Potential as a Geological Field Course of Mt. Geumdang located in Gwangju, Korea (광주광역시에 위치한 금당산의 지질학습장으로서 활용성)

  • Ahn, Kun Sang
    • Journal of the Korean earth science society
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    • v.34 no.3
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    • pp.235-248
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    • 2013
  • The purpose of this study is to investigate a feasibility of a small mountain as a field work site on geological features in Earth sciences classes at all levels. Mt. Geumdang with the height of 305 meters from the sea level is located in the metropolitan city of Gwangju, southern part of Korea. The study reviews the human and natural geography, geological features, geomorphic resources, landscapes, and conveniences of the mountain for a possibility of meaningful field work. The population within the distance of 5 km from the mountain stands at about 620,000 and 170,000 of them are students and teachers. Mt. Geumdang has a warm temperature climate with low rainfall throughout the year, so it seems suitable for a field survey. Road network and public transportation system around the area are well-developed and easily accessible. Mt. Geumdang shows various rock type and geological structures. The basement rock is Gwangju granite, which is plutonic body of the Jurassic period. Also, granophyre (micrographic granite) and various volcanic rocks distributed as bedded tuff, lapilli tuff, and rhyolite of the Cretaceous period. Many andesitic and felsic dykes were intruded into the rock by joint system. In Mt. Geumdang, many geomorphic resources are found such as U shaped mountain, joint, fault, lamination, gnamma, tor, cliff, groove, block stream and block field, regolith, and saprolite. It has a beautiful mountain scenery including the view of whole shape of Mt. Mudeung, panoramic view of the town, Pungam lake, World Cup stadium and sunrise and sunset. Furthermore, the area has ecologic study facilities related to geology, emergency medical and convenience facilities for field works. In conclusion, Mt. Geumdang is highly feasible for geological field studies at all levels.

A Study on the Improvement of Survival Rate of the Passengers and Crews according to FDS Analysis (FDS 분석을 통한 승객 및 선원 생존율 향상에 대한 연구)

  • Kim, Won Ouk;Kim, Jong Su;Park, Woe Chul
    • Journal of Advanced Marine Engineering and Technology
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    • v.39 no.3
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    • pp.312-317
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    • 2015
  • Seafarers can confront to evacuate from the ship with many reasons such as collision, grounding and fire accident. It believes that evacuation time from ship is very important element in order to increase survival rate in the contingency circumstance, however narrow and complex structure of ship is one of obstacle element against prompt evacuation. Taking into consideration the unique structure of ship compared to the structure of other facilities, speed of fire propagation on board ship is faster than the same size of other type facilities. Therefore, measures to prompt evacuation are required. But it comes with the behavioral constraints of the crews and passengers of the nature of operating in a complex structure with narrow vessels. Therefore, in this study, we propose a formula to be analyzed by theoretical approach and simulation methods to improve the survival rate for the crew and passenger of the ship through the ship's structural modification. We analyzed the temperature rise and visibility which are the most influential effects on the life safety in the event of fire by using a three-dimensional analysis of sight-only program Fire Dynamic Simulator (FDS) as analytical tools.

Effects of Sowing Method on Growth of Directed Seeding Cultivation Ginseng in Paddy Fields (인삼 논 직파 재배시 파종방법이 출아 및 생육에 미치는 영향)

  • Seong, Bong-Jae;Jee, Moo-Geun;Lee, Ka-Soon;Kim, Sun-Ick;Kim, Hyun-Ho;Cho, Jin-Woong
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.65 no.2
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    • pp.151-155
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    • 2020
  • This study was conducted to determine the effects of the selection of an appropriate sowing method in on ginseng growth, and the results are as follows. SAS (semi-automatic sower), commonly used by direct seeding farms, provides fast operation speed but results in high labor cost, while (Hooper Seeder Sowing) offers fast operation speed and high germination rate, but leads to increased laborer's fatigue. Daily working area per sower was 6,611 ㎡ for a motor type, and the operation time to sow 3,305 ㎡ was 15 hours for broadcast planting, and 8 hours for SAS. The germination rate of 1-year-old ginseng according to direct seeding was 69.1% for the treatment plot under broadcast planting, followed by 66.4% and 67.3% for manual sower and hoop sower, respectively, and the germination rate of SAS was the lowest at 64.2%. In addition, there were no differences in shoot and root growth of 1-year-old ginseng among the sowing methods. Therefore, the sowing method can be chosen depending on the economic size of ginseng farmers. That broadcast sowing (BS) is appropriate for small scale farmers, while motor-driven seeder sowing (MDS) for direct seeding is more suitable for large scale farmers.

Clinical Analysis of Coronary Artery Bypass Surgery for Ischemic Heart Disease (허혈성 심질환의 치료에서 관동맥우회술의 임상적 고찰)

  • Jung, Tae-Eun
    • Journal of Yeungnam Medical Science
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    • v.13 no.2
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    • pp.225-233
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    • 1996
  • From August 1992 to July 1996, 63 consecutive patients underwent coronary artery bypass surgery. The mean age of these patient was 57 years(range form 30 to 71years). There were 44 men and 19 women. Preoperative 12 patients had stable angina pectoris and 23 patients were unstable angina pectoris. 8 patients had previous myocardial infarctation history and emergency or urgent myocardial revascularization were performed in 9 cases. In the risk factors of coronary atherosclerosis, 25 patients(40%) were hypercholesterolemia, 38 patients(60%) have smoking history and 19 patients(30%) have hypertension history. In the patterns of disease, 9 patients were single vessel disease, 18 patients were two vessele disease and 33 patients were three vessel disease. We performed total 284 distal anastomosis(mean 3.5 anastomosis per patient) and performed one case of ascending aorta graft interposition, two cases of mitral valve replacement, one case of aortic valve replacement, one case of ventricular septal defect repair and one case of atrial septal defect repair and the mean aortic cross clamp time was 115.3 minutes. The common complications were arrhythmia(7cases), wound infection(5cases), perioperative myocardial infarction(4cases), reoperation for bleeding control(4cases) and stroke(4cases). There were six hospital deaths due to low cardiac output syndrome, ventricular arrhythmia and respiratory failure. In the evaluation of operative risk factors, preoperative intravenous nitroglycerin requirement and prolonged aortic cross clamp tirne(>2hours) were found to be predective factor of morbidity and old age(>65years) was found to be predective factor of mortality.

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