• 보건의료산업학회지
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• 제10권4호
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• pp.51-59
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• 2016

Objectives : The purpose of this study was to examine the health service utilization of elderly patients who visited an emergency medical center in the Gyeongbuk region and to provide basic information for the effective management of emergency medical centers. Methods : This study analyzed the characteristics of the hospital visits and the actual situation for the use of emergency medical care of 10,264 elderly patients that visited an emergency medical center in the Gyeongbuk region from January, 2014 to December, 2014. Frequency analysis and chi-square test were done in this study. Results : This study showed that there is a difference in the characteristics of health service utilization which included hospital visits, duration of hospital visits and mode of arrival to the emergency medical center according to age, gender and other characteristics. Conclusions : Providing efficient emergency services is necessary as well as establishing an emergency medical center management plan that takes into consideration the difference in health service utilization of elderly patients.

• 대한방사선기술학회지:방사선기술과학
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• 제43권4호
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• pp.289-295
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• 2020

This study investigated the feasibility of establishing a college of medicine in the western region of Chungnam to fill the gap in the medical doctor in charge of essential medical care in the region. Currently, the level of medical services in Chungnam is low compared to provinces across the country and in particular, 7 cities and towns, which account for 760,000 people, one-third of Chungnam's population, are located in the western regions of Chungnam. Because of this, in the event of an emergency patients, it is necessary to travel to Cheonan, Daejeon, Seoul, etc. where the regional emergency medical center is located for more than 1 hour and 30 minutes. In the case of critically ill and emergency patients transfer, it is a situation that misses the golden time and causes valuable loss of life. In order to improve the medical environment in the western region of Chungnam and improve the lives of residents in vulnerable areas of medical services, it is believed that establishing a college of medicine in the western region of Chungnam is essential.

• 한국통신학회논문지
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• 제34권10A호
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• pp.796-806
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• 2009

본 논문에서는 모바일 자동재난경보방송을 위하여 T-DMB 기반의 재난 정보 운영 방법과 이를 위한 T-DMB AEAS 수신 모델에 대하여 제안한다. 제안한 수신 모델에서는 T-DMB 방송 신호에 포함된 지리 정보와 DMB 신호를 전송하는 기지국의 위치 정보를 비교함으로써 현재 사용자 수신 지역을 재난지역, 인접지역 및 미경보지역으로 구문한 다음 각 지역에 따라 재난경보를 전송한다. 이 때 재난지역의 지리정보는 T-DMB 방송 신호 내에 FIG 5/2 EWS의 AEAS 메시지 내에서 얻어지며, DMB 기지국 위치 정보는 FIG 0/22의 TII 신호 내에 주 식별자와 보조 식별자의 위도 및 경도 정보와 TII 배분표를 이용하여 예측된다. 본 실험에서는 제안한 수신 모델을 화면부, 저장부, 방송 수신 모듈에 해당되는 DMB 모듈 및 제어부로 나누어 구현한 다음, T-DMB 신호발생기를 이용한 테스트 재난경보방송을 수행하였다.

• 한국응급구조학회지
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• 제28권2호
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• pp.157-172
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• 2024

Purpose: Ensuring prompt and consistent 119 emergency services for all citizens is crucial and requires every region to adhere to prescribed deployment standards Methods: This study assessed the compliance with 119 emergency resource deployment standards in 229 districts (si-gun-gu) by analyzing data from 18 fire headquarters as of December 31, 2022. Results: At the Sigun-gu level, 16 areas (7%) did not meet the fire station standards. Among the 229 si-gun-gu, 25 (10.9%) failed operational ambulance standards, and 114 (49.8%) did not meet the 119 first responder standards. Areas lacking fire station standards had lower financial self-sufficiency and higher elderly and single-person elderly household proportions (p<.05). Areas not meeting ambulance standards had lower proportions of these populations, but higher financial self-sufficiency. In addition, areas that did not meet the 119 first-responder standards had greater financial autonomy (p<.05). Areas meeting only basic fire station standards had higher proportions of elderly and single-person households and lower financial self-sufficiency. Areas meeting only ambulance standards had lower financial autonomy, whereas those meeting only emergency medical technician standards had lower financial self-sufficiency and a higher elderly proportions (p<.05). Conclusion: Si-gun-gu, with a large elderly population and poor finances, often fails to meet fire station standards and meets only the basic criteria. Continuous monitoring and targeted management are crucial for reducing disparities in 119 resource allocation and improving the overall deployment.

• Journal of Trauma and Injury
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• 제22권2호
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• pp.212-217
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• 2009

Purpose: To analyze delayed diagnosis, we collected date on pediatric and adolescent patients who had been admitted to the Emergency Department with injuries due to minor trauma Methods: We retrospectively analyzed the age distribution, trauma mechanism, time interval for each affected body region at delayed diagnosis, hospital stay, and outcome for 161 pediatric and adolescent patients who had been admitted to the Emergent Department of Gachon University Gil Hospital from January 2006 to September 2008. Results: The incidence of delayed diagnosis in pediatric and adolescent trauma was 11.8% in our retrospective review of 161 pediatric and adolescent patients. Lengths of hospitalization were longer in patients with delayed diagnosis (p<0.05). Patients with delayed diagnosis were more often transferred to other hospitals than patients with non-delayed diagnosis (p<0.05). The time intervals for each different affected body regions at delayed diagnosis were significantly different, but the hospital stays were not. There were no statistical significance to age on affected body region. Conclusion: From this study, we found that admission result and hospital stay were statistically significant differences between the delayed-diagnosis patient group and the non-delayed-diagnosis patient group. Finally, we must follow up pediatric and adolescent patients with minor trauma, closely considering missed injuries.

• 한국멀티미디어학회논문지
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• 제15권5호
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• pp.615-623
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• 2012

본 논문에서는 재난 지역을 고려한 T-DMB 자동재난경보서비스 수신 모델을 제안한다. 제안한 수신 모델에서는 T-DMB 신호를 수신하고 있는 단말기의 위치를 자동으로 파악한 후, 단말기가 재난이 발생한 지역과 밀접한 위치에 있을 경우에만 재난 메시지를 단말기에 표시한다. 단말기의 위치를 파악하기 위해서는 먼저 T-DMB 전송 프레임 중 동기 채널(synchronization channel, SC)의 널 심볼(null symbol)에 포함된 중계기 정보인 TII (transmitter identification information) 신호로부터 중계기의 식별 정보를 획득한 후, 이 값을 중계기의 위치 정보가 전송되는 FIG 0/22의 데이터 필드에서 찾아 해당 중계기의 위치를 계산한다. 이와 같이 계산된 중계기의 위치를 단말기의 위치로 설정하고, 이를 재난이 발생한 지역과 비교하여 인접한 지역일 경우에만 해당 재난 메시지를 단말기에 표출한다. 이를 검증하기 위한 실험에서는 테스트용으로 제작된 재난 메시지들을 T-DMB 송출기를 통해 실제 송출하여 테스트를 진행하였다.

• 한국응급구조학회지
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• 제14권1호
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• pp.31-46
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• 2010

This study was intended to analyze the clinical characteristic of the patient with hypoglycemia and the status of prehospital treatments by 119 emergency medical technicians well as the cause of inappropriate emergency treatment by 119 emergency medical technicians in a bid to seek the measures for improvement, thereby enhancing the emergency medical services before medical treatment at hospital. Examination of the daily work log on 430 patients suffering with hypoglycemia who were sent to the university hospital in Gyunggi-Province by 119 emergency medical technicians, beginning on Jan 1, 2004 till Dec 31. 2008 was carried out and the survey of 206 119 emergency medical technicians working at the region of Gyunggid-Province was conducted from Sep 19 through Oct 6, 2009. Evaluation of the frequency and percentage and ANOVA analysis using SPSS WIN 14.0 program was carried out. In view of the examination of daily emergency work log and questionnaire, prehospital treatment for the patients with hypoglycemia needs to be further improved in general, and to provide the emergency treatment in accurate and timely manner, improvement of the system such as assignment of licensed rescue members and development of protocol that will replace the medical consultant system, mandatory emergency treatment, constant and efficient training and maintenance of emergency rescue records shall be implemented, and furthermore, social recognition to 119 emergency medical technicians shall be improved to encourage them to perform more positive way and manner.

• 한국응급구조학회지
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• 제9권2호
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• pp.29-38
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• 2005

The purpose of this study was to provide the basic data for improvement of Emergency Medical Service System in Kwangju. The EMSS can be defined as the complete chain of human and physical resources that provides patient care in cases of sudden illness and injury. To provide effective emergency care through the EMSS in a region, the issue of training especially as it relates to EMT in EMSS delivery is more important than emergency medical equipment and facilities for pre-hospital emergency care. The transport of emergency medical patients carried out almost by 119 Emergency Medical Services. But out of all the employees at 119 EMS only 19.0% have graduated with a major in Emergency Medical Technology. It would seem prudent then that the graduates of EMT programs should gradually replace employees working at 119 EMS that do not have an EMT degree to ensure the best possible pre-hospital care for emergency medical patients. Therefore it can be expected that in the future there should an enormous demand for qualified EMT professionals to meet the growing needs for a superior level of emergency medical care for civilian.

• Journal of Trauma and Injury
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• 제30권4호
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• pp.158-165
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• 2017

Purpose: The purpose of this study was to evaluate the diagnostic accuracy of X-rays in patients with acute traumatic vertebral fractures visiting the emergency department and to analyze the diagnostic value of X-rays for each spine level. Methods: We retrospectively analyzed basal characteristics by reviewing medical records of 363 patients with adult traumatic vertebral fractures, admitted to the emergency center from March 1, 2014 to February 28, 2017. We analyzed spine X-rays and magnetic resonance imaging (MRI) scans to determine distribution according to the vertebral level, and we evaluated the efficacy of X-rays by comparing discrepancies between X-rays and MRI scans. Results: For a total of 363 patients, the mean age was 56.65 (20-93) and 214 (59%) were males. On the basis of X-rays, 67 cases (15.1%) were of the cervical spine, 133 cases (30.0%) were of the thoracic spine, and 243 cases (54.9%) were of the lumbar spine. In particular, the thoracolumbar region (T11-L2) was the most common, with 260 cases (58.7%). In X-rays, fractures were the least in the upper thoracic region (T1-T3), whereas MRI scans revealed fairly uniform distribution across the thoracic spine. Sensitivity of X-rays was lowest in the upper thoracic spine and specificity was almost always greater than 98%, except for 94.7% in L1. Positive predictive value was lower in the mid-thoracic region (T4-T9) and negative predictive value was slightly lower in C6, T2, and T3 than at other sites. Diagnostic accuracy of X-rays by vertebral body, transverse process, and spinous process according to fractured vertebral structures was significantly different according to vertebral level. Conclusions: Diagnostic accuracy of X-rays was lower in the upper thoracic region than in other parts. Further studies are needed to identify better methods for diagnosis considering cost and neurological prognosis.

• 한국응급구조학회지
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• 제1권1호
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• pp.11-19
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• 1997

We have reviewed 2.876 patients who visited the emergency room from May, 1996 to september, 1996 in order to look for a more appropriate management of the emergency medical system. The result were summarized as followings; 1. Considering sexual distribution, male patients were 59.6% more than female patients 40.4% and according to age categories, first decade of life was most frequent. 2. Distribution according to ca use is most common for the disease 79.8%, and next injury and traffic accident is 11.6%, 6.8%, respectively. 3. According to the department distribution, pediatrics accounted for 37.4%, internal medicine 21.1%, and emergency medicine 10.0%, and these three departments was 66.3% of total number of patients. 4. 67.0% of patients visited emergency room were discharged. Arrived time in emergency room, patients of 41.9% was visited from 17 to 1 hours. 5. Among 196 patients of traffic accident, 160 were male(81.5%) and 36 were female (18.5%). Distribution of the age is most common in 3rd and 4th decade for 63.2%, and region of injury were face 33.3%, head 22.2%, and chest 22.2% and follow-up measures after visiting emergency room is most common transfer hospital 40.8%.