• 한국응급구조학회지
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• 제16권3호
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• pp.91-102
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• 2012

Purpose : This study was designed to examine the effects of self-esteem and adjustment to college life on career preparation behavior in 209 paramedic students attending two colleges in G Metropolitan City and provide the basic materials of career development program. Methods : Data were collected from Sep. 7 to 12, 2011 and SEI Form B made by Coopersmith, adjustment to college life by Baker and Siryk, and career preparation behavior by Kim were adopted and revised. Results : There was significant difference in self-esteem and adjustment to college life between gender, but there was no difference in career preparation behavior. Self-esteem and career preparation behavior were graders difference, but there was no in adjustment to college life. There were positive correlations between self-esteem and adjustment to college life. The most significant influence on career preparation behavior of paramedic students was academic adjustment, followed the social and emotional adjustment. Conclusion : For the effective career preparation behaviors, career guidance methods and programs that induce academic, social and emotional adjustment to be available in adjustment to college life of gender and grade.

• 대한임상독성학회지
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• 제9권2호
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• pp.71-76
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• 2011

Purpose: The Rumack-Matthew nomogram cannot be applied in managing overdose by extended release (ER) preparation acetaminophen (AAP). This study analyzed the clinical characteristics of ER preparation AAP overdose in order to develop a treatment recommendation. Methods: We retrospectively reviewed the medical records of patients presented to the emergency department as a result of AAP overdose from Jan 2008 to Dec 2010. Only those patients who ingested an ER preparation of AAP were included in the study. Their blood AAP concentrations were measured at 4 and 8 hours after ingestion. Clinical variables related to AAP intoxication were analyzed. Results: Of the total 108 AAP overdose patients identified during the 3-year period, 20 suffered specifically with ER preparation AAP overdose. The mean estimated ingestion amount was 167.5 mg/kg. Treatments including gastric lavage, activated charcoal, and N-acetyl cysteine (NAC) were performed on 10, 14, and 11 patients, respectively. Hepatotoxicity was diagnosed in only one patient who was then successfully treated with NAC. In another case, blood AAP concentration continued to increase until at least 11-hours after ingestion. Conclusion: This study suggested that blood AAP concentrations associated with ingestion of ER formulations of AAP, may increase in an extended manner. Therefore, multiple sampling and longer periods between samples assessing AAP blood concentration may be required for incidences of extended release overdose.

• 디지털융복합연구
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• 제15권12호
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• pp.359-367
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• 2017

본 연구는 응급구조(학)과 대학생을 대상으로 진로준비행동에 영향을 주는 요인을 파악하여, 진로 지도 및 상담을 위한 기초자료 제공과 취업지도 프로그램을 개발하는데 기초자료를 제공하고자 진행되었다. 연구대상자는 J도, G도, B와 G광역시에 소재한 응급구조(학)과 대학생을 임의선정 및 편의표집을 통하여 450명으로 하였다. 조사기간은 2017년 8월 7일부터 9일까지 참여 동의를 받은 후 구조화된 자기기입식의 설문지를 이용하여 조사하였다. 수집된 자료는 SPSS ver. 14.0 for Window를 이용하여, 420부를 최종 분석에 사용하였다. 진로정체감은 진로준비행동에 통계적으로 유의한 정적(+) 영향을 미쳤다. 그러므로, 적극적인 진로준비행동을 할 수 있도록 진로정체감을 확립하고, 전공과 직업선택에 있어서 적극적인 진로준비행동을 할 수 있도록 동기부여 및 지원이 요구된다.

• 한국응급구조학회지
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• 제25권2호
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• pp.71-97
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• 2021

Purpose: This study aimed to examine the development and improvement direction of university education according to job type and investigate the types of knowledge required for employment after graduation for departments of emergency medical technology in preparation for the era of the fourth industrial revolution in a converged society. Methods: From June 3 to June 10, 2019, data were collected through structured questionnaires from 90 paramedics working in firefighting, hospitals, different industries, and emergency patient transportation. Data were analyzed using the software SPSS version 18.0. Results: For employment after graduation in departments of emergency medical technology, character and sincerity education should be strengthened. To prepare for the fourth industrial revolution, educational innovations such as improving the field practice system and devising a convergence curriculum are needed. Preparation for the fourth industrial revolution should be accomplished through the development of convergence subjects such as forensic science, information and communications technology, and safety engineering. Ninety percent of the study respondents indicated their need for convergence subjects. Conclusion: The demands of future society should be responded to flexibly by holding and conducting convergence subjects. Furthermore, preparations should be made in anticipation of a shortage of 120,000 college freshmen for the 2024-2025 school year by increasing the competitiveness of departments of emergency medical technology.

• Clinical and Experimental Emergency Medicine
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• 제5권4호
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• pp.240-248
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• 2018

Objective Determine differences between faculty, residents, and nurses regarding night shift preparation, performance, recovery, and perception of emotional and physical health effects. Methods Survey study performed at an urban university medical center emergency department with an accredited residency program in emergency medicine. Results Forty-seven faculty, 37 residents, and 90 nurses completed the survey. There was no difference in use of physical sleep aids between groups, except nurses utilized blackout curtains more (69%) than residents (60%) and faculty (45%). Bedroom temperature preference was similar. The routine use of pharmacologic sleep aids differed: nurses and residents (both 38%) compared to faculty (13%). Residents routinely used melatonin more (79%) than did faculty (33%) and nurses (38%). Faculty preferred not to eat (45%), whereas residents (24%) preferred a full meal. The majority (>72%) in all groups drank coffee before their night shift and reported feeling tired despite their routine, with 4:00 a.m. as median nadir. Faculty reported a higher rate (41%) of falling asleep while driving compared to residents (14%) and nurses (32%), but the accident rate (3% to 6%) did not differ significantly. All had similar opinions regarding night shift-associated health effects. However, faculty reported lower level of satisfaction working night shifts, whereas nurses agreed less than the other groups regarding increased risk of drug and alcohol dependence. Conclusion Faculty, residents, and nurses shared many characteristics. Faculty tended to not use pharmacologic sleep aids, not eat before their shift, fall asleep at a higher rate while driving home, and enjoy night shift work less.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2015년도 추계학술대회
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• pp.296-299
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• 2015

돌고래호 사건과 세월호 사건으로 인하여, 선박에서 발생하는 통신에 대한 육지와 구난 시스템과의 비상 통신 문제가 되고 있다. 3면이 바다로 되어 있는 우리나라의 입장에서는 해상 구난과 비상 재난을 위한 연계 통신 시스템에 대한 점검이 필요해졌다. 해상에서 항해하는 선박은 단독으로 재난을 처리해야 하므로 연계 통신 시스템이 보다 완전하게 갖추어 져야 한다. 해상에서 침수되어 침몰하는 선박과 잠수함에 대한 비상 통신에 대한 연구가 필요하다. 육지에서는 해상과 해저의 선박 및 잠수함의 비상 재난에 대비한 육상 연계 통신과 연계 통신 시스템에 대한 연구가 필요하다. 본 논문은 통신 프로토콜과 비상 재난을 대비한 위치 확인 및 육상과 통산을 위한 비행기나 인공위성과의 연계시스템을 연구한다.

• 한국응급구조학회지
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• 제16권2호
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• pp.53-66
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• 2012

Purpose : Emergency medical services in China are increase in demand by people and under the greater pressure than ever before. So it is, necessary to advance the pre-hospital system in order to promote the development of emergency medical services. Methods : This is based on China-related articles, books, journals, reports, statistical data and other literature. Results : First, pre-hospital emergency medical care with the introduction of specialist training program should be established. Second, to strengthen pre-hospital emergency services and to develop the EMS guidelines. Third, the "120" reporting systems unification and awareness activation. Fourth, the preparation of the EMS facilities equipment system. Fifth, the rapid transport system establishment to the selected medical institutions. Conclusion : It is necessary to strengthen the emergency medical personnel at the scene, rapid transport, rapid patient triage and to improve the survival rate of the patients.

• 한국화재소방학회논문지
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• 제22권2호
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• pp.1-8
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• 2008

이명박 정부는 출범과 동시 대국 대과의 원칙을 가지고 정부조직을 15부 2처 체제로 대폭 축소 개편하였고 국가 위기관리 분야도 전시, 평시 대비 업무를 효율적으로 관리하기 위하여 행정안전부로 국무총리실의 비상기획 위원회 기능 등을 통합시켰으나 재난 안전관리, 비상대비, 위기상황 관리는 행정안전부가 소방, 재난관리와 민방위는 소방방재청이 대테러는 국가정보원에서 각각 관장하게 함으로써 행정안전부의 재난총괄, 비상대비, 위기 상황관리 업무가 소방방재청의 재난관리, 민방위, 재난 상황 관리 기능과 유사하게 중복되는 등 비효율적인 체제를 유지하고 있으므로 이에 대한 심도 있는 분석을 통하여 재난 비상대비 민방위 업무에 대한 정부의 바람직한 재난관리 조직 재설계 간을 제시하고자 함.

• Clinical and Experimental Pediatrics
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• 제54권12호
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• pp.477-480
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• 2011

In order to care for an ill or injured child, it is crucial that every emergency department (ED) has a minimum set of personnel and resources because the majority of children are brought to the geographically nearest ED. In addition to adequate preparation for basic pediatric emergency care, a comprehensive, specialized healthcare system should be in place for a critically-ill or injured victim. Regionalization of healthcare means a system providing high-quality and cost-effective care for victims who present with alow frequency, but critical condition, such as multiple trauma or cardiac arrest. Within the pediatric field, neonatal intensive care and pediatric trauma care are good examples of regionalization. For successful regionalized pediatric emergency care, all aspects of a pediatric emergency system, from pre-hospital field to hospital care, should be categorized and coordinated. Efforts to set up the pediatric emergency care regionalization program based on a nationwide healthcare system are urgently needed in Korea.

• 간호행정학회지
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• 제12권3호
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• pp.444-453
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• 2006

Purpose: The purpose of the study was to identify critical indicators for the development of efficient patient classification system in a emergency room. Method: This study involved following five steps. Step 1. Selection of the lists direct nursing services in the ER. Step 2. Measurement of the time of direct nursing services from Aug. 31st to Nov. 30th, 2005. Step 3. Classification of the patients according to the nursing care time. Step 4. The determination the critical indicators for different patient classes. Result: Determinate indicators were as follow: 3 items in the first group (vital sign checking, IV route starting, blood sampling), 3 items in the second group (vital sign checking, fluid infusion, blood sampling), 9 items in the third group (I/O checking, $O_{2}$ inhalation, suction, fluid infusion, IV bolus, Central catheter preparation & management, blood sampling, intubation preparation & management, postmortem management), 7 items in the fourth group (EKG monitoring, BP monitoring, $O_{2}$ inhalation, fluid infusion, using the specific drugs, CPR, postmortem management). Conclusion: This study can help future studies which measure nursing services standard time or assigns value to emergency nursing services.