• 한국응급구조학회지
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• 제25권1호
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• pp.205-221
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• 2021

Purpose: This paper is to determine whether automatic defibrillators (AEDs) deployed across communities make a contribution to prevent death in patients with acute cardiac arrest out-of-hospital. Methods: A total of 30,179 cases of cardiac arrest investigation data from the Korea Centers for Disease Control and Prevention was matched to those on emergency medical statistics drawn from annual report for the 2018 Central Emergency Medical Center, and statistics from the National Statistical Office in 2018. Results: Multiple logistic regression analyses revealed that availability of emergency medical resources across associated with different survival rates at emergency room after taking variability of the patient's personal characteristics and episodic situational characteristics held constant. The survival rate was 1.71 times higher for patients living in communities with more than 105 AEDs avaiable per 100,000 inhabitants than for those living in communities with less than 55 AEDs. Conclusion: The survival-related factors of patients with acute cardiac arrest that occurred out-of-hospital were found to be associated with patients' and episodic situational characteristics. The hospital stage were found to be associated with patients characteristics and episodic situational characteristics, The variability of AED available in a community has an impact on survival rate after emergency room treatment.

• 한국응급구조학회지
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• 제25권1호
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• pp.57-72
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• 2021

Purpose: The purpose of this study was to provide basic data for developing strategic programs based on the types of perception to aid in the coping strategy of 119 emergency medical technicians who experienced have violence. Methods: The subjects were 119 emergency medical technicians working out of hospitals in Korea. Data were collected from March 10, 2019, to June 30, 2019. Q samples of 37 statements and P samples of 36 persons were taken using PC QUANL software. Results: As a result of the study, four types of coping with violence experiences were identified; these four types explained 53.79% of all variables from the examination. The types were labeled as the cooperation seeking and manual emphasis type, emotional suppression and stability seeking type, active response and business continuation type, communication empathy and recovery effort type. Conclusion: The Fire Department requires institutional measures to lower violence during field activities, and it will be necessary to develop a policy according to the type of perception of coping behaviors.

• 대한조선학회논문집
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• 제54권4호
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• pp.301-311
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• 2017

Safety operational envelope (SOE) is the area which guarantees the safety of a submarine from the accident such as jamming and flooding. The maximum safe depth is set to prevent the damage to the hull from increasing water pressure with depth. A minimum safety depth is set to prevent a submarine from the exposure above the free surface and collision against surface ship. The prediction method for the SOE in the design phase is needed to operate the submarine safely. In this paper, the modeling and calculation methods of the SOE are introduced. Main ballast tank blowing modeling and propeller force modeling are conducted to simulate the accidents and the recovery process. The SOEs are established based on the crash stop and emergency rising maneuver simulation. From the simulation results, it can be known that the emergency rising maneuver is more effective recovery action than the crash stop.

• 융합보안논문지
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• 제17권3호
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• pp.103-114
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• 2017

테러리즘은 개인적 법익에서부터 국가적 법익에 이르기까지 포괄적인 법익의 침해가 가능하다는 점에 있어 그 심각성이 크다. 그리고 이러한 법적 가치가 훼손될 경우에는 원상회복될 가능성이 매우 희박하므로 제도적 개선 및 대안적 정책을 제시하는 것 못지 않게 사전 예방적 활동의 중요성을 인식하는 것이 선행되어야 한다. 사전 예방적 작용과 절차적 합법성을 담보하기 위해서는 형사사법기관의 역할이 무엇보다 중요한데 구체적 절차 및 법적 접근이 이루어지기 전에 이들의 테러리즘 본질에 대한 인식은 어떠한지 살펴보는 것은 의미가 있을 것이다. 이 연구에서는 이러한 문제 인식을 바탕으로, 대테러리즘 인식을 살펴보기 위한 다양한 기준 중 포괄적 위기관리 모형(Comprehensive Emergency Management Model)에서 제시하고 있는 위기발생의 시차별 진행과정을 기준으로 예방과 완화, 준비, 대응, 복구 등 4단계로 분류하여 인식의 차이를 분석해 보고자 하였다.

• 대한임상독성학회지
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• 제5권2호
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• pp.126-130
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• 2007

Metformin is antihyperglycemic, not hypoglycemic. It causes neither insulin release from the pancreas nor hypo glycemia, even when taken in large doses. But, there are several reports of metformin-associated lactic acidosis (MALT). We present a case report of severe lactic acidosis most probably resulting from high doses of metformin in a patient with no known contraindications for metformin. A 43-year-old female was admitted to the emergency department due to a metformin overdose. She had diabetes for 6 years, well-controlled with metformin and novolet. One hour before admission, she impulsively took 50g metformin (100 mg or 100 tablets). Physical examination for symptoms revealed only irritability, and laboratory evaluation revealed only mild leukocytosis. After one hour the patient was drowsy, and arterial blood gas analysis showed severe lactic acidemia Seven hours after ED arrival, she commenced hemofiltration treatment and was admitted to the intensive care unit. Continuous venovenous hemodiafiltration was initiated. Forty-eight hours later, full clinical recovery was observed, with return to a normal serum lactate level. The patient was discharged from the intensive care unit on the third day. A progressive recovery was observed and she was discharged from the general word on the thirteenth day.

• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2018년도 춘계 종합학술대회 논문집
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• pp.73-74
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• 2018

This paper presents the incorporation of still-alive access points (SAPs) and helper access points (HAPs) that can be utilized as anchor nodes for position estimation of a First Responders (FRs) for rapidly deployable Emergency Communication Systems (ECS) in disaster recovery. In addition, the localization environment has is formulated and initially examines the use of a distributed Gauss-Newton algorithm (GNA) as optimization technizue. A simulation has been conducted and compared with the commonly used trilateration approach in position estimation.

• 한국응급구조학회지
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• 제26권1호
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• pp.37-56
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• 2022

Purpose: This study aimed to identify and present suitable recognition types of policy alternative for before and after response, according to the recognition types of problems in response to violence. Methods: This study investigated 36 EMT's of 17 cities and provinces nationwide. The study was approved by the Kongju National University Institute Review Board (KNU_IRB_2021-17). Data were collected from May 1, 2021 to August 30, 2021 and analyzed by Q factor analysis using the PC-QUNAL program. Results: Recognition types of the problem in 119 EMT's response to violence were described as "I type; lack of professional manpower," "II type; inadequate policy on violence," and "III type; lack of awareness on the emergency field." Recognition types of policy alternative on response to violence by 119 EMT's were described as "Itype; training and public relations oriented," "II type; work environment improvement," "III type; violence handling specialization demand," and "IV type; recovery support seeker." Conclusion: This study provides the foundation required to develop and implement the policies regarding the response to violence; therefore, contributing to EMT's provision.

• 한국재난정보학회 논문집
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• 제9권4호
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• pp.521-531
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• 2013

재난 대비 임시거주시스템 활용을 위한 비상대응 시나리오 설계를 통하여 신속한 비상사고 유형 파악과 그에 따른 적절한 비상대응절차의 적용은 사고 피해를 최소화하기 위하여 매우 중요하다. 따라서 본 연구에서는 재난 발생 시 예상되는 비상사고의 잠재 가능성을 분석하여 발생 가능한 비상사고 시나리오를 도출하였고 이러한 재난 대비 임시거주 비상 시나리오를 기본으로 하여 시나리오에 따른 비상대응 및 복구 방안을 도출 하였다. 또한 비상대응시나리오의 각 이벤트별로 비상대응 시 취해져야할 비상대응에 필요한 요구사항을 행동 주체별 대응 단계별로 정의하였다. 또한 비상대응 주체별 단계별 시나리오 구성을 통해 재난 발생 시 신속하고 종합적인 비상대응이 이루어 질 수 있는 기반을 마련하였다.

• 한국재난관리표준학회지
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• 제2권3호
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• pp.25-30
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• 2009

기후변화 동에 따른 세계 재해의 발생빈도 및 규모가 증가함에 따라 UN 등 국제사회에서는 피해지역에 대한 재해 복구 지원과 원조를 확대해 나가고 있다. 또한 저개발국가의 재해경감을 위한 다양한 지원프로그램을 추진하고 있어, 우리나라에서도 KOICA 프로그램의 활성화 및 체계적인 국제지원체계구축의 필요성이 대두되고 있다. 본 연구는 국제적 재해에 대한 UN 국제기구, 선진국가의 체계를 분석하여 우리나라가 효과적으로 지원할 수 있는 체계를 제안함으로써 국제사회의 재해경감 노력에 참여하고 국제 사회에서의 국가위상을 제고하고자 하였다.

• 한국방재학회:학술대회논문집
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• 한국방재학회 2008년도 정기총회 및 학술발표대회
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• pp.605-608
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• 2008

Storm and flood damage management systems in national disaster management system(NDMS) were organized into three operation systems. They are prevention, preparation, response, and recovery systems. Disaster resources in each system must be promptly and exactly applied to minimize casualties and loss of properties. However, the disaster resources in current management system can not be immediately used in calamity situation due to the lack of efficiency in statistical data. Therefore, it is necessary to classify the emergency restoration equipment for efficient management and mobilization of disaster resources in disaster situation. In this study, field survey was executed to appropriately classify the emergency restoration equipment. Problems and reformation points of the disaster resources system were also presented to improve the classification technique and to construct the data base.