• 제목/요약/키워드: Emergency Guide

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Analysis of Predicted Instructions about Shockable Cardiac Arrest Patients by Dispatcher at 119 Emergency Situation Management Center (제세동이 가능한 심정지 환자를 119구급상황관리센터 상황요원이 예측한 지령 분석)

  • Jeong, Eun-Kyung;Jeong, Ji-Yeon
    • Fire Science and Engineering
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    • v.27 no.6
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    • pp.122-128
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    • 2013
  • This study analyzed the emergency activity daily reports and emergency instruction sheets of the research subjects and proceeded with the shockable cardiac arrest cases transported to 119 emergency units for two years before the hospital from January 1, 2010 through December 31, 2011. The most frequently predicted instruction by the dispatchers at the 119 Emergency Situation Control Center was 74 cases of fainting (33.3%). Among varied types of predicted instructions, 112 cases (50.5%) like fainting, chest pain, general prostration and others were not able to be predicted while predictable instructions involved with cardiac arrest such as consciousness disorders, difficult breathing, cardiac attacks and convulsion were 110 cases (49.5%). In such cases, success rates of cardiopulmonary resuscitation (CPR) trials by eyewitnesses at predictable instructions involved with cardiac arrests were significantly higher. As mentioned, situation agents must categorize types of cardiac arrests accurately by posing questions over assessments regarding patients' consciousness and respiration in detail. The patients categorized by such methods must guide eyewitnesses to be able to do CPR. Moreover, not only emergency medical technicians who receive predictable instructions involved with cardiac arrests given by dispatchers (49.5%) but also filed emergency medical technicians who are not able to reach a precise conclusion to non-cardiac arrests on unpredictable instructions on cardiac arrests (50.5%) must prepare for situations related to cardiac arrests before being dispatched to the field.

The Effects of Balloon-Guide Catheters on Outcomes after Mechanical Thrombectomy in Acute Ischemic Strokes : A Meta-Analysis

  • Ahn, Jun Hyong;Cho, Steve S.;Kim, Sung-Eun;Kim, Heung Cheol;Jeon, Jin Pyeong
    • Journal of Korean Neurosurgical Society
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    • v.62 no.4
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    • pp.389-397
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    • 2019
  • Objective : Mechanical thrombectomies with balloon-guide catheters (BGC) are thought to improve successful recanalization rates and to decrease the incidence of distal emboli compared to thrombectomies without BGC. We aimed to assess the effects of BGC on the outcomes of mechanical thrombectomy in acute ischemic strokes. Methods : Studies from PubMed, EMBASE, and the Cochrane library database from January 2010 to February 2018 were reviewed. Random effect model for meta-analysis was used. Analyses such as meta-regression and the "trim-and-fill" method were additionally carried out. Results : A total of seven articles involving 2223 patients were analyzed. Mechanical thrombectomy with BGC was associated with higher rates of successful recanalization (odds ratio [OR], 1.632; 95% confidence interval [CI], 1.293-2.059). BGC did not significantly decrease distal emboli, both before (OR, 0.404; 95% CI, 0.108-1.505) and after correcting for bias (adjusted OR, 1.165; 95% CI, 0.310-4.382). Good outcomes were observed more frequently in the BGC group (OR, 1.886; 95% CI, 1.564-2.273). Symptomatic intracranial hemorrhage and mortality did not differ significantly with BGC use. Conclusion : Our meta-analysis demonstrates that BGC enhance recanalization rates. However, BGC use did not decrease distal emboli after mechanical thrombectomies. This should be interpreted with caution due to possible publication bias and heterogeneity. Additional meta-analyses based on individual patient data are needed to clarify the role of BGC in mechanical thrombectomies.

Internet of Things-Based Command Center to Improve Emergency Response in Underground Mines

  • Jha, Ankit;Verburg, Alex;Tukkaraja, Purushotham
    • Safety and Health at Work
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    • v.13 no.1
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    • pp.40-50
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    • 2022
  • Background: Underground mines have several hazards that could lead to serious consequences if they come into effect. Acquiring, evaluating, and using the real-time data from the atmospheric monitoring system and miner's positional information is crucial in deciding the best course of action. Methods: A graphical user interface-based software is developed that uses an AutoCAD-based mine map, real-time atmospheric monitoring system, and miners' positional information to guide on the shortest route to mine exit and other locations within the mine, including the refuge chamber. Several algorithms are implemented to enhance the visualization of the program and guide the miners through the shortest routes. The information relayed by the sensors and communicated by other personnel are collected, evaluated, and used by the program in proposing the best course of action. Results: The program was evaluated using two case studies involving rescue relating to elevated carbon monoxide levels and increased temperature simulating fire scenarios. The program proposed the shortest path from the miner's current location to the exit of the mine, nearest refuge chamber, and the phone location. The real-time sensor information relayed by all the sensors was collected in a comma-separated value file. Conclusion: This program presents an important tool that aggregates information relayed by sensors to propose the best rescue strategy. The visualization capability of the program allows the operator to observe all the information on a screen and monitor the rescue in real time. This program permits the incorporation of additional sensors and algorithms to further customize the tool.

Development of a Framework of Emergency Action Plan for Domestic Water Front Critical Infrastructure (국내 주요 수변시설물 EAP 프레임워크 개발)

  • Park, Su-Yeul;Choi, Soo-Young;Oh, Eun-Ho;Kim, Jin-Man
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.125-134
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    • 2017
  • Unusual precipitation caused by typhoons and severe rain stormscan threaten human life and property. Thus, various organizations prepare emergency action plans (EAPs) to provide proper guidelines for operators, experts, and emergency response personnel to protect and enhance critical infrastructure. For example, FEMA and DHS have various types of EAPs for dams, levees, and other structures to protect people and property. FEMA defines EAPs as official documents to decrease the damage and impact in emergency situations and to reduce casualties. These documents should consider all possible situations in an emergency and can reduce problems in facility management. This study analyzes EAPs for infrastructure from the USA, Japan, and Korea in order to suggest an ideal EAP framework. EAPcontent can include how to guide experts and operators in disaster stages (mitigation, preparedness, response, and recovery), how to operate emergency equipment, and how to protect critical infrastructure and life. The suggested EAP framework performed very well in a test location. It can therefore be used for infrastructure organizations in Korea and to inform of the appropriate processes and methods for risk reduction in flood disasters.

The Clinical Investigation of Drug Intoxication in the North-Youngseo District of Kangwon Province (강원 영서 북부 지역의 약물 중독 실태)

  • Ok, Taek-Gun;Cho, Jun-Hwi;Park, Chan-Woo;Kim, Sung-Eun;Choi, Ki-Hoon;Bae, Ji-Hoon;Seo, Jeong-Yeul;Chung, Jae-Bong;Ahn, Hee-Cheol;Ahn, Moo-Eob;You, Ki-Cheol
    • Journal of The Korean Society of Clinical Toxicology
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    • v.2 no.2
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    • pp.83-89
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    • 2004
  • Acute poisoning is one of the diseases which need the most fastest emergency measures at the very beginning. However, at present, The Korea doesn't manage the toxication all over the country, and in particular, there is no guide to medical cure paying due regard to the traits of each area. This paper focused on the issue that the necessary data in preparing the facilities for the treatment of the poisoned patients and materials for medical treatment including antidote would have to be collected, after finding the special features of the symptoms by searching the present conditions of the poisoning in small towns next to farm villages in the North area of Youngseo, Kangwon province. This study was based on the questionnaires from 111 patients who were carried into the emergency room by the poisoning in two university hospitals of the North area of Youngseo, Kangwon, for one year, 2002. Upon investigation, the patients(111) visiting emergency room by the acute poisoning during the research period was found to be 0.37 percent of all patients(30,085) visiting emergency room. Among them, the most high percentage was given in their twenties and thirties at the rate of $39.6\%$, and the ratio($40.5\%$) of the poisoned patients after their fifties was much higher than a research($10\%$) of other areas. Many poisoned patients came to their rescue in an emergency room generally in spring and in winter, from 7 a.m. to 3 p.m. Agricultural chemical of the toxic materials had a majority at a ratio of $57.7\%$, and paraquat of the agricultural chemicals was found to have a lot of toxicity by $31.7\%$. As the trace of the toxication, the oral poisoning was common by $89.2\%$, and $55.9\%$ in the case of operating gastric lavage and nasogastric irrigation, but only $14.4\%$ for prescribing antidote. The mortality of the acute poisoned patients was $17.2\%$, and the toxication by paraquat held a majority. As a result, the acute poisoning of the North area in Youngseo, Kangwon had both of the characteristics of the rural and the city, and the patients over their fifties by the population aging had more attack of the disease than other regions. Also, with the high ratio of the toxication by the agricultural chemicals, especially, the lethal agricultural chemical was used frequently. Therefore, these dangerous situations need to find the ways to cope with.

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KAIST-CIWH Computer Code and a Guide Chart to Avoid Condensation-Induced Water Hammer in Horizontal Pipes

  • Chun, Moon-Hyun;Yu, Seon-Oh
    • Nuclear Engineering and Technology
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    • v.32 no.6
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    • pp.618-635
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    • 2000
  • A total of 17 experimental data for the onset of slugging, which is assumed to be the precursor of the condensation-induced waterhammer (CIWH), have been obtained for various How rates of water Incorporating the most recent correlations of interfacial heat transfer and friction factor developed for a circular geometry and using an improved criterion of transition from stratified to a slug flow, two existing analytical models to predict lower and upper bounds for CIWH have been upgraded. Applicability of the present as well as existing CIWH models has been tested by comparison with two sets of CIWH data. The result of this comparison shows that the applicability of the present as well as existing models is reasonably good. Based on the present models for CIWH, a computer code entitled as“KAIST-CIWH”has been developed and sample guide charts to find CIWH free regions for a given combination of major flow parameters in a long horizontal pipe have been presented along with the results of parametric studies of major parameters (D, P, $T_{f,in}$, and L/D) on the critical inlet water flow rate($W_{f,in}_crit$ for both lower and upper bounds. In addition, two simple formulas for lower and upper bounds that can be used in an emergency for quick results have been presented.

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An Analysis of the Architectural Planning Guide Line of the Elementary Schools on the Architectural Planning Books (건축계획 도서에 나타난 초등학교 건축계획 지침에 관한 분석)

  • Oh, Seung-Ju;Jang, Taek-Ju
    • Journal of the Korean Institute of Educational Facilities
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    • v.17 no.1
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    • pp.21-29
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    • 2010
  • This study is the purpose of plan principle establishment of the class room for individualization, oriented information of education and various teaching, learning activity. Since the 1990's, school facilities also need to change the educational environment. The 1990's is the time to prepare for the change such as individualization, an information-oriented society, the world-oriented society. Open education is the new form of school and needs the change that individualization diversification, oriented information. For above the reasons, in order to satisfy the demand of change of the new educational environment deviating from uniform education of the past environment improvement of both school education and studying facilities is the emergency theme. The process of education of Korea studies the character that before modem times after modem times under the Japanese rule. The process of change of act in relation to education process and facilities of Korea arranges and studies after establishing government. The plan principle synthesize and analyses school building refering to plan standard and principle of books of various architecture plan, is general classroom in the educational process of the elementary schools.

Development and strengthening of the nuclear and radiation safety infrastructure for nuclear power program of Bangladesh

  • Islam, Md. Shafiqul;Faisal, Shafiqul Islam;Khan, Sadia
    • Nuclear Engineering and Technology
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    • v.53 no.5
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    • pp.1705-1716
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    • 2021
  • Bangladesh, as a newcomer country, is expecting to start her nuclear power journey by 2022. Due to evident reasons, newcomer nuclear countries face several key challenges concerning the development of national nuclear safety infrastructure. The paper investigates the status of the 7 key safety infrastructure issues out of the 19 and readiness of the supportive organizations, laboratories, and workforces following the International Atomic energy Agency's status evaluation guide at milestone 3 and foreign countries' practice. Much progress has been achieved at phase 3 regarding the establishments of a few Acts, a regulator, and an operator. However, comprehensive regulatory frameworks, skilled workforces, establishments of a few supportive organizations, and laboratories for managing environmental radioactivity, radiological accidents, and radioactive wastes are yet to ready. Several suggestions are made for establishing and expediting radiation monitoring laboratories, a radiological emergency management center, a radioactive waste management company, and technical support organizations for the safety infrastructure. To avoid perceived risks, policymakers and competent authorities need to emphasize creating an optimized safety infrastructure before commissioning and operating the 1st nuclear power plant safely, securely, and cost-sustainably.

Contents Analysis of Textbook Related to Safety Education in Elementary School (안전교육에 대한 초등학교 교과서 내용 분석)

  • Song, Mi-Kyung;Lee, Jung-Eun;Moon, Sun-Young;Yang, Sook-Ja;Kim, Shin-Jeong
    • Research in Community and Public Health Nursing
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    • v.16 no.2
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    • pp.205-220
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    • 2005
  • Purpose: The purpose of this study was to provide basic data to develop safety education programs in elementary school. Method: Analysis is made based on textbooks for $1st-{\sim}6th-grade$ elementary school students published by Korea Ministry of Education & Human Resources Development. Results: 1) Among the textbooks. only , . , and courses dealt with safety education. 2) The contents of safety education included traffic safety, water safety, indoor and outdoor safety, fire, emergency measures, misuse and abuse of drug, smoking, toy safety, sports safety, leasure safety and disasters. However, the contents were theoretical, fragmentary, local and limited. Conclusion: These results suggest that the consents of safety education must be strengthened, and more practical and more behavior-oriented in consideration of activities.

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Analysis of Patient Transport in Taegu Subway Fire Disaster (대구지하철화재 시의 피해자 이송의 분석)

  • 왕순주;정제명
    • Proceedings of the Korea Institute of Fire Science and Engineering Conference
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    • 2003.04a
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    • pp.248-254
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    • 2003
  • According to the analysis of the patient transport in the fire disaster occuring at Taegu Subway Jungangro Station February 18th, 2003, authors concluded as follows. Patients were transported mainly to medical institutes which were larger and that had shorter distance. Because of non-emergenct patient's transport to larger and nearer institutes, some critical patients should be transported to more distant institutes. Dead patients before arrival were transported relatively evenly. An adequate transport according to adequate triage should be performed in the future. Early mitigation and response, correlation with the method of transport, regional guide line of disaster transport and correlation between disaster information and emergency medical information should be corrected and need research in the future.

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