• 한국응급구조학회지
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• 제10권2호
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• pp.35-42
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• 2006

Purpose: We studied that EMT took care in prehospital care of cardiac arrest patients by "the chain of survial", we need the data about treatment of EMT in prehospital care of cardiac arrest patients. and then we want to educate EMT for their emergency skill and knowledge of prehospital care of cardiac arrest patients. Method: We studied 162 cardiac arrest patients were transported by EMT in Jecheon province, Chingbuk. Results: 1. Stage of Early Access 96.9% of people who related the cardiac arrest patients used the Jecheon 119 Rescue at their emergency situation. 2 Stage of Early CPR The EMT supported keeping of airway to 148 of 162 cardiac arrest patients. Artificial respiration was 120 of 162 cardiac arrest patients and chest compression was 119 of 162 cardiac arrest patients. 3. Stage of Early AED There were shocked 6 cardiac arrest patients but weren't shocked 156 victims of 162 cardiac arrest patients by AED. 4. Stage of Early ACLS There were reported 3 of 162 cardiac arrest patients. to Doctor or Hospital Emergency Center for medical direction to EMT in prehospital area. There is no advanced airway, IV insertion and medication to the prehospital cardiac arrest patients.

• 한국응급구조학회지
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• 제25권3호
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• pp.189-200
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• 2021

Purpose: We aimed to provide effective emergency medical services (EMS) response strategies for coping with high acuity patients during the pandemic by analyzing the influence of the COVID-19 and social distancing on EMS. Methods: In this retrospective observational study, we analyzed the distribution of high acuity patients transported by Daejeon 1-1-9 EMS during the COVID-19 pandemic period, between February 1, 2020 and October 31, 2020 and the same period in 2019, as well as the level 3 social distancing enforced period, between July 27, 2020 and October 31, 2020. Results: The EMS dispatches decreased by 17% during the observed COVID-19 pandemic period compared to the same period in 2019. The number of cases with cardiac arrest and positive prehospital stroke scale rose by (p<.001). Patients with cardiac arrest, trauma, and positive prehospital stroke scale increased by during the level 3 social distancing period. Conclusion: Unlike the decreased EMS call volume and patient transports during the COVID-19 pandemic, cardiac arrest cases and the severity of high acuity patients tended to increase. We suggest that EMS systems should contrive a response strategy considering the collateral effect of major epidemics on the incidence rate of high acuity patients.

• 한국재난관리표준학회지
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• 제4권1호
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• pp.39-47
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• 2011

우리나라의 재난및안전관리기본법에서는 표준현장지휘체계는 긴급구조활동에 대한 지휘에 대한 것으로 국한하고 있다. 본 연구에서는 표준현장지휘체계를 다양한 재난에 범용적으로 적용가능하도록 개선방안을 제시하였다. 또한 대규모 재난피해 발생시 모든 대응자원을 신속히 동원하여 재난현장에 제공 지원할 수 있도록 재난안전대책본부의 자원 응원조정 역할의 명확화 등 개선방안을 제시하였다.

• 산업경영시스템학회지
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• 제44권3호
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• pp.146-164
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• 2021

This study examines the effects of the public's perception of emergency medical service (EMS) on the public health system's brand equity and the moderating effect of governance on this relationship using Keller's customer-based brand equity model. It uses four EMS functions: rescue/first-aid and transfer activities; disaster prevention, preparation, and response activities; educational activities in urgent situations; and medical treatment in emergency rooms to examine the effects of them on brand meaning of the public health system. Our findings are important for understanding the public as customers of the public health system and devising and/ or adapting healthcare policies and marketing strategies to develop brand equity and increase customers' loyalty to the public health system.

• 한국응급구조학회지
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• 제24권3호
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• pp.41-53
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• 2020

Purpose: This study tests the validity of a standard evaluation tool of ambulance ride practices with new evaluation items and supports its application by 119 preceptors. Methods: We tested the validity of standard evaluation items collected from 19 on-site professionals assessing ambulance ride practices. New evaluation items, 'understanding of emergency rescue equipment' and 'ability to communicate', were added as additional criteria. The modified Delphi technique was used to test the three evaluation areas and ten evaluation items. We used the analytic hierarchy process to analyze the weighting value of the reconstructed evaluation tool model. Results: All three evaluation areas and 10 evaluation items within the standard evaluation tools used for ambulance ride practices corresponded with the consistency index, degree of convergence, and agreement in the modified Delphi panel. Conclusion: These results provide evidence of the consistency and usefulness behind preceptors' use of this standard evaluation tool in ambulance ride practice.

• 한국재난정보학회 논문집
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• 제7권2호
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• pp.110-122
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• 2011

본 연구에서는 서울시 지하공간에서 화재발생시 재난관리 및 재난의료 개선방안을 지하상가를 중심으로 기술하였다. 먼저 지하공간에서의 법령 및 제도를 건축법관련, 안전관련, 소방관련, 피난관련으로 고찰해 보았다. 서울시 지하상가의 분류는 공간 및 형태적 유형에 따라 나눌 수 있으며, 유형별 형태에 따라 관리주체가 다르게 나타난다. 이러한 개별관리체계로 인하여 화재 및 재난발생 시 현장의 통합지휘체계와 현장 응급구조에 문제가 발생할 우려가 있어 향후 통합관리를 위한 대책 및 시설관리주체의 개선이 필요하다. 재해 발생 시 이송이 실제 현장에서 이루어지려면 의료진과 응급구조사가 존재하고, 현장지휘본부와의 협조가 원활해야 가능하기 때문에 평소에 재해정보와 응급의료정보가 실시간으로 파악되어야 한다. 따라서 수용의료기관 분포와 진료능력등을 고려하여 재해 발생 시 효율적인 대처방안 수립이 필요하다.

• 한국응급구조학회지
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• 제19권2호
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• pp.7-17
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• 2015

Purpose: This study aimed to compare the effects of rescue ventilation maneuvers on the quality of two-rescuer cardiopulmonary resuscitation (CPR). Methods: We implemented mouth to mouth (MMV), mouth to pocket mask (MPV) and bag-valve mask ventilation (BMV) maneuvers. Each team of two-nurses was randomized to perform three consecutive sessions of two-rescuer CPR by using three artificial ventilation maneuvers. Results: The subjects were 26 teams of nurses (female: 96.2%, male: 3.8%, age: 26.6 years). Failed ventilation was more frequent in BMV ($2.23{\pm}2.21$, p <.001) than MMV ($0.31{\pm}0.74$) and MPV ($0.38{\pm}0.64$). BMV had more compressions per minute ($93.7{\pm}5.7$) than MMV ($87.0{\pm}7.2$, p = .001) and shorter total compression pause time ($46.1{\pm}5.8sec$) and compression pause fraction ($23.3{\pm}2.2%$) than MMV ($54.8{\pm}10.3sec$, p = .001, $25.5{\pm}3.5%$, p = .001, respectively) and MPV ($53.1{\pm}7.1sec$, p =. 006 and $25.8{\pm}2.6%$, p = .006, respectively). Conclusion: In our simulation study, BMV reduced the compression pause time and increased the number of compressions per minute, thus indicating CPR provided to patients was effective. However, considering the high rate of ventilation failure, we recommend periodic training.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2014년도 춘계학술대회
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• pp.338-340
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• 2014

본 연구는 산악에서 발생되는 비상응급 상황에 대한 응급 구조 헬리콥터의 착륙 지점 및 착륙 불가시 강하 지점을 선정하는 것으로 지리정보시스템(GIS)을 이용하여 비상응급 구조 체제의 의사결정을 지원하는데 목적이 있다. 연구지역은 경기도 포천시 일대로 한정하였다. 산악 내 헬리콥터의 착륙 지점 및 강하지점 2가지 결과 값으로 분류하였으며 수치지형도, 임상도, 산림입지토양도를 기초 자료로 활용하였다. 착륙지점은 경사, 지형특성, 식생특성 및 헬리콥터 제원에 따른 헬리콥터 착륙지점 면적값을 요인으로 하였고, 강하지점은 경사, 식생특성을 요인으로 분류하여 GIS의 중첩기능 기법을 활용하여 분석하였다. 다만, 본 연구는 풍향 및 풍속 요인 등의 인자값을 배재하고 수행되었다. 향후, 기상청 DB와 연계함으로써, 좀 더 분석의 효율을 높일 필요가 있다.

• 한국화재소방학회:학술대회논문집
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• 한국화재소방학회 2007년도 춘계학술논문발표회 논문집
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• pp.194-201
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• 2007

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2018년도 춘계학술대회
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• pp.200-202
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• 2018

구급 활동은 초기에 환자에 대한 1차적인 치료와 안정을 주어 병원에서 치료하기까지 환자의 생명을 구하고 위험을 최소화하는 것이다. 최근 시간적, 공간적, 의료기술 적용의 한계를 극복하기 위하여 의료 기술과 IT 기술의 융합을 시도하고 있다. 본 연구에서는 응급 의료 서비스에 적용할 수 있는 구급 정보 서비를 위한 환경을 구축하였다. 이 환경은 응급 환자의 상황 파악 및 응급처치 등을 쉽게 지원하고, 이를 원격지 의료 지도 의사에게 전달하여 응급처치 및 병원 대응이 신속하게 이루어질 수 있도록 할 수 있다.