• Convergence Security Journal
• /
• v.19 no.4
• /
• pp.35-41
• /
• 2019

Considering North Korea's strategy, North Korea's top hitting target in the event of a war is likely to be the main goal of the air force runway to neutralize the air force. As a countermeasure, there are emergency runway construction and runway emergency recovery operations. However, emergency runway construction is mainly intended for emergency landing and fueling and rearmament. The emergency runway restoration operation has also several limitations considering North Korea's threatening missile level, recovery time, and so on, so it cannot respond quickly to the North's runway bombing. In this study, we first describe the threat of North Korea's missiles and their air defense capabilities. Then the concept and limitations of the mobile runway, which is the next generation countermeasure, are presented.

• The Korean Journal of Emergency Medical Services
• /
• v.28 no.2
• /
• pp.47-62
• /
• 2024

Purpose: This retrospective study analyzed the effects of advanced life support on the recovery of spontaneous circulation (SC) in patients with out-of-hospital cardiac arrest. Methods: The subjects of this study were out-of-hospital cardiac arrest patients transferred to the hospital by 119 paramedics in Gyeongsangbuk-do from January 1, 2021, to December 31, 2022, amounting to a total of 2,524 patients. Results: The younger the age, the higher the probability of recovery of spontaneous circulation, and it was higher when cardiac arrest occurred in a public place or was witnessed. If the patient's initial electrocardiogram rhythm is defibrillable, the probability of recovery from spontaneous circulation is high. The recovery of the spontaneous circulation rate decreased with time between the time of report and the time of contact with the patient. Recovery of the spontaneous circulation rate was high when mechanical chest compression devices and advanced airways were not used. Additionally, this study had positive effects on defibrillation, peripheral intravenous catheter insertion, and epinephrine infusion. Conclusion: Paramedics should actively perform peripheral intravenous catheter insertion and epinephrine infusion, and it should be possible to clearly determine whether defibrillation should be applied through electrocardiographic education.

• Journal of The Korean Society of Clinical Toxicology
• /
• v.19 no.2
• /
• pp.93-99
• /
• 2021

Purpose: Nutritional status and support in critically ill patients are important factors in determining patient recovery and prognosis. The aim of this study was to analyze the early nutritional status and the methods of nutritional support in critically ill patients with acute poisoning and to evaluate the effect of nutritional status on prognosis. Methods: A retrospective study was conducted in tertiary care teaching hospital from January 2018 to December 2020. in an emergency department of university hospital, 220 patients who were stayed more than 2 days of poisoning in intensive care unit were enrolled. Results: 155 (70.5%) of patients with acute poisoning had low-risk in nutritional risk screening (NRS). Patients with malignancy had higher NRS (low risk 5.2%, moderate risk 18.5%, high risk 13.2%, p=0.024). Patients of 91.4% supplied nutrition via oral route or enteral route. Parenteral route for starting method of nutritional support were higher in patients with acute poisoning of herbicide or pesticide (medicine 3.2%, herbicide 13.8%, pesticide 22.2%, p=0.000). In multivariate logistic regression analysis, herbicide or pesticide intoxication, higher risk in NRS and sequential organ failure assessment over 4.5 were affecting factor on poor recovery at discharge. Conclusion: NRS in patients intoxicated with herbicide or pesticide were higher than that in patients intoxicated with medicine intoxication. Enteral nutrition in patients intoxicated with herbicide or pesticide was less common. Initial NRS was correlated with recovery at discharge in patient with intoxication. It is expected to be helpful in finding patients with high-risk nutritional status in acute poisoning patients and establishing a treatment plan that can actively implement nutritional support.

• The Korean Society of Law and Medicine
• /
• v.19 no.2
• /
• pp.209-233
• /
• 2018

The purpose of this study was to ascertain whether or not to recover the spontaneous circulation of patients with cardiac arrest before arrival in the emergency room for 5 years (2012 to 2016), and try to investigate the factors affecting this. In this research, we used the "raw material for acute cardiac arrest survey" conducted in "Disease management headquarters" from 2012 to 2016 for the whole country of our country as the main material. In this study, 136,212 cardiac arrest patients were analyzed in the study data of the cardiac arrest in the country during the 5 years from 2012 to 2016. We performed a Chi-square analysis to analyze the recovery of spontaneous circulation before arrival in the emergency room according to general characteristics, social·demographic characteristics, and developmental characteristics. and We performed a Binary logistic regression analysis to determine the factors affecting the recovery of spontaneous circulation. The analysis results of this study show that whether CPR sustained transport before endoplasmic reticulum arrival, whether to witness an acute cardiac arrest before arrival in the emergency room, the type of general cardiopulmonary resuscitation, the location of acute cardiac arrest, the acute heart Causes of stoppage cause factor of whether spontaneous circulation recovery recovers before arrival of the endoplasmic reticulum(P<0.001, P<0.01). Therefore, it is necessary to strengthen systematic government health policy implementation and dissemination and health education focusing on factors that affect recovery of spontaneous circulation of cardiac arrest patients.

• Journal of Trauma and Injury
• /
• v.23 no.1
• /
• pp.53-55
• /
• 2010

A thyroid cartilage fracture is a rare entity and can be overlooked easily. Such cases are difficult to diagnose, and assessment and treatment guidelines are difficult to determine. CT of the neck region may be useful when acute airway intervention is not required or when more information regarding the neck's anatomy is required for management decisions. We describe a case of a thyroid cartilage fracture with displacement. In the emergency department (ED), neck CT and fiberoptic nasopharyngoscopy were used to assess the status of the patient's (a male) vocal chords immediately. He remained unable to phonate continuously. After an immediate assessment, we decided to use steroid and conservative therapy. The patient had a good recovery and was without symptoms one month after injury. There is no question that early surgical repair of neck injuries affords the best results for airway and voice patency in most cases however, we suspect that surgical repair is not needed in all cases. Early recognition and an accurate therapy plan for a thyroid fracture with displacement are essential. Therefore, the emergency physician's immediate and careful decision based on endoscopy and neck CT is important for the patient's long-term recovery.

• Journal of The Korean Society of Clinical Toxicology
• /
• v.8 no.1
• /
• pp.37-42
• /
• 2010

Purpose: The purpose of this study was to determine the optimal length of time to observe patients with contrast media anaphylaxis in the Emergency Department. Methods: This study included the patients of all age groups who presented with anaphylaxis due to contrast media to the ED of Pusan National University Hospital from January 2006 to August 2009. The medical records were retrospectively reviewed. We analyzed the 100 patients who met the inclusion criteria. Their median age was 55 (46-62), and 38 out of the 100 patients (38%) were male. Results: The most common symptom of patients was urticaria. Corticosteroid and H1 antihistamine were given to most of the patients in the ED. All were discharged after observation in the ED and none were admitted to the ward. The average time from injection of the contrast media to the onset of symptom was 31 minutes (24-39) and the average time to symptom recovery was 127 minutes (89-188). The mean observation time in the ED was 93 minutes (59-153). Biphasic reactions were reported in only one case (1/100, 1%). Conclusion: These results suggest that patients who present with an anaphylactic reaction after radiologic studies that use intravenous contrast media can be safely discharged early from the ED because the symptom recovery time is not long and a biphasic reaction is rare.

• Journal of Broadcast Engineering
• /
• v.19 no.2
• /
• pp.184-194
• /
• 2014

The CBS methodology has been utilized in order to make a rapid broadcast of emergency alert based on cellular systems. We present a synchronous cooperative communication method for the CBS. Especially, we suggest a synchronization scheme and a data recovery approach for high-rate cooperative communications. For the high-rate transfer of emergency alert, the cyclic prefix is added to the preamble for the synchronization. For the data recovery, the Alamouti technique is utilized on frequency domain, which is similar to SC-FDE. The simulation results confirm that our proposed scheme is very suitable for the CBS.

• Journal of Korean Academy of Fundamentals of Nursing
• /
• v.22 no.2
• /
• pp.149-157
• /
• 2015

Purpose: The objectives of this study were to assess the influence of family presence in the PACU (Post Anesthesia Care Unit) on anxiety, emergency delirium, pain and length of stay in the recovery room for elderly patients undergoing surgery for which general anesthesia has been used. Methods: The study was a nonequivalent control group pre-post test design. Eighty elderly patients over 65 years who underwent surgery under general anesthesia were recruited. Forty were assigned to the experiment group, patients together with a family member and 40 to the control group, with no family member present. Patients' anxiety, emergency delirium, pain and length of time in the recovery room were evaluated at 10 minute and 30 minute after arrival in the PACU. Results: Patients with family members in the PACU showed significantly decreased levels of anxiety at 10 and 30 minutes and significantly lower levels of emergency delirium and pain at 30 minutes. However there was no difference between the 2 groups for length of time in the recovery room. Conclusion: The results of this study indicate that being with family members in the PACU after surgery under general anesthesia is effective for reducing elderly patients' anxiety, delirium and pain during time in the recovery room.

• Journal of Aerospace System Engineering
• /
• v.10 no.2
• /
• pp.22-26
• /
• 2016

Whole airplane recovery parachute system(WARPS) is a auxiliary safety system to protect occupants in emergency situation where recovery to normal flight condition is impossible. In this paper, application and certification cases of WARPS for Part 23 small airplane is introduced and considerations in certification of the WARPS installed airplane are provided in terms of performance of parachute, function and operation, loads and strength and protection of occupants.

• The Journal of Society for e-Business Studies
• /
• v.7 no.1
• /
• pp.167-186
• /
• 2002

The encryption of a file on a PC before saving can maintain security of the file. However, if the key for the encrypted file is lost or damaged, the encrypted file can not be decrypted, resulting in serious economical loss to the user or the user group. In order to minimize the economical loss a secure and reliable key recovery technology is required. Presented in this paper is the development and evaluation of PKRS (PC based Key Recovery System) which supports encryption and decryption of file and recovery of the encrypted file in emergency. The encapsulating method, which attaches key recovery information to encrypted file, is applied to the PKRS. In addition, the PKRS is developed and evaluated according to the requirements of Requirements for Key Recovery Products proposed by NIST and requirements of Common Criteria 2.0 to prove the safety and reliability of the information security system. This system is applicable to a PC and can be further extended to internet or intranet environment information system where in encryption and recovery of file is possible.