• 제목/요약/키워드: Emergency Response Team

검색결과 56건 처리시간 0.022초

Dynamic Analysis of Sand-Clay Layered Ground Considering Viscous Effect of Clay

  • Kim, Yong-Seong
    • 한국농공학회논문집
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    • 제48권7호
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    • pp.45-52
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    • 2006
  • A cyclic viscoelastic-viscoplastic constitutive model for clay is incorporated into an effective stress based seismic response analysis to describe viscous effect of clay layer to sand layer during earthquake. The seismic response against main shock of 1995 Hyogoken Nambu Earthquake is analyzed in the present study. Acceleration responses in both clay layer and just upper liquefiable sand layer are damped due to viscous effect of clay. A cyclic viscoelastic-viscoplastic constitutive model for clay was implemented into a FEM code, and $Newmark{\beta}$ method was employed for the time discretization in the finite element formulation. Seismic responses were simulated by numerical method with recorded data at Port Island, Kobe, Japan. As results of this study, it was found that a cyclic viscoelastic-viscoplastic constitutive model can give good description of dynamic behavior characteristics including viscoelastic effect.

119 구급대를 이용하여 야간에 응급실로 내원한 환자 현황 분석 - 전남대학교병원 응급의료센터를 중심으로 - (The present condition analysis of patients who transferred to the emergency room by 119 Rescue service at night - Focused on the Emergency Center of Chonnam National University Hospital -)

  • 윤종근;김건남;김경완;정용태
    • 한국응급구조학회지
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    • 제8권1호
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    • pp.117-126
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    • 2004
  • In general, the patients who transferred to the hospital by 119 rescue service at night go to the emergency room(ER) of general hospital rather than that of their nearby the 1st(clinic) and 2nd(local hospital) hospital. And the hospital is mainly selected not by 119 EMST but by patients or his/her conservators. Therefore we had studied retrospectively with emergency situation diary and medical chart for 697 patients of being transferred to one emergency medical center for 6 months since January 2004, and results are as follows. 1. The 280 patients(42.5%) of being transferred hospital at night by 119 rescue service were not emergency case and their average staying time in hospital was about $7.15{\pm}10.06$ minutes. 2. Transfer time was distributed in each time intervals of 1819, 2021, 2223, and 2401 and patients ratio in each intervals were 15.1%, 17.8%, 16.4%, and 15.2%. 3. In response of ambulance, the average time from the spot to the hospital was $14.53{\pm}9.27min$. and average distance of that was $7.95{\pm}9.21km$. 4. Diseases rather than traffic accidents or traumatic injury were main causes of ambulance calling and its value was 533(76.5%), and accidents were mainly occurred in patients' house and its value was 479(68.7%). 5. In time of transfer by 119 rescue service, hospital was mainly selected by patient/conservator and its value was 648(93.0%). In result. the hospital was selected not by EMST but by patient/conservator. 6. The case that the 1st grade EMT was rode in ambulance was 161(23.1%), and the case that 2nd EMT and emergency team member who educated for emergency were rode in ambulance were 504(72.3%). So the number of the 1st grade EMT was short in fire station of Kwangju metropolitan city than other city. 7. The first aids for patients before reaching hospital were limited to oxygen inhalation, airway control, and BLS for maintaining limbs and spine. So it seems to be a simple patients transfer. Consequently, to establish an efficient emergency medical system, it has been thought that it should be advanced a moderate education and public information about the appropriate use of emergency medical system toward citizen, and also need the hospital selection by the patients categorizing standards for 119 rescue service member, securing the 1st grade EMT, appropriate first-aids education, and securing professional human power in emergency room of the Ist(clinic) and 2nd(local hospital) hospital at night.

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염산 탱크로리 운송 중 누출에 따른 신속 방재방안 연구 (Research on Rapid Disaster Prevention Measures due to Leakage During Transport of Hydrochloric Acid Tank Lorry)

  • 문병찬
    • 한국재난정보학회 논문집
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    • 제20권1호
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    • pp.213-221
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    • 2024
  • 연구목적: 유해화학물질인 염산수용액 운송 탱크로리 누출사고 발생 시 신속하게 누출을 차단하고, 효과적으로 방재작업을 진행하여 누출로 인한 피해를 최소화하는 최적의 방안을 찾고자 하는 데 있다. 연구방법: 염산에 대한 전반적인 특성과 운송 도중 발생했었던 사고사례를 사고 유형별, 원인별로 정리하고, 염산 탱크로리의 누출 상황을 가정하여 실험할 수 있는 소형 탱크를 만들어 누출 상황과 비슷한 환경을 구성하여 여러 가지 방법으로 누출 차단 방법을 실험하여 정리하고자 한다. 연구결과: 실험을 통하여 효과적인 누출 차단 방법을 확인하였다. 누출사고 발생 시 신속하게 차단하는 방안을 정리하여, 사고현장에서 적용할 수 있는 최적의 방재방안을 제시하고자 한다. 결론: 누출 차단은 접착테이프와 자석을 조합하여 사용하는 편이 차단에 효과적인 것으로 확인됐다. 사업장 비상 출동팀 및 제품 운송기사들에게 누출 차단 장비를 적절하게 선택하여 대응하도록 반복 훈련하면 신속한 대응이 가능하다. 향후 다양한 누출 차단 방안에 관한 추가적인 연구의 진행이 필요하다.

출동 거리에 따른 병원 전 심장정지 환자의 자발순환회복률 분석 (Return of spontaneous circulation rate according to dispatch distance in out-of-hospital cardiac arrest)

  • 김종호;전윤철;문준동
    • 한국응급구조학회지
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    • 제21권2호
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    • pp.51-61
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    • 2017
  • Purpose: This study measured return of spontaneous circulation (ROSC) in relation to dispatch distance in patients with out-of-hospital cardiac arrest. Methods: Of 2,347 out-of-hospital cardiac arrest patients transported by emergency medical technicians in J Province between January 1 and December 31, 2015, those under age 18, those with reserved resuscitation, and those with traumatic cardiac arrest, leaving 855 patients in the study sample. ROSC was compared between those with dispatch distance ${\leq}4km$ (short dispatch distance, 465 patients) and those with dispatch distance >4 km (long dispatch distance, 390 patients). Results: The mean was 2.17 km in the short dispatch group and 9.87 km in the long dispatch group (p=.000). Mean distance from was 6.49 km and 13.39 km in the two groups, respectively (p=.000). ROSC differed significantly between the short and long dispatch distance groups (7.1% for short dispatch distance, 3.6% for long dispatch distance, p=.025). The length of time from to cardiopulmonary resuscitation also differed significantly between the short and long dispatch distance groups (8.77 minutes and 14.63 minutes, respectively, p=.000). Conclusion: ROSC was lower in areas of long dispatch distance compared to those of short dispatch distance. We expect this was most likely due to differences in response time by age and dispatch distance to the scene of cardiac arrest. However, no significant differences were found between the groups in the factors affecting ROSC.

비상시 열원중단에 따른 데이터센터의 냉각시스템 열성능 평가에 관한 사례연구 (A Study on Thermal Analysis for a Data Center Cooling System under Fault Conditions at a Chilled Water Plant)

  • 조진균;강호석
    • 설비공학논문집
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    • 제28권5호
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    • pp.178-185
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    • 2016
  • This study describes the analysis of a 20 MW chilled water plant used for the IT cooling of a recently constructed data center in Korea. The CFD model was developed with the aim of evaluating the impact of problems such as chiller failure on the water and air temperatures in the cooling system. The numerical model includes the chilled water hydraulic network and individual water-to-air CRAC units. The coupling between the IT server room air temperature levels and the cooling plant has enabled a full assessment of the cooling system design in response to system fault conditions to be performed. The paper examines an emergency situation involving the failure of the cooling plant, and shows how the inherent thermal inertia of the system along with additional inertia achieved through buffer systems allowed a suitable design to be achieved.

환자 및 보호자로부터 구급대원이 경험한 병원 전 응급의료현장 폭력실태 (From Patients and Caregivers 119 Rescue party's Experiences for Violence in the Pre-Hospital Emergency Medical Field)

  • 신상열
    • 한국산학기술학회논문지
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    • 제10권12호
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    • pp.3870-3878
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    • 2009
  • 본 연구는 119 구급대원들이 경험하는 폭력실태와 그에 따른 반응을 조사하기 위해 2009년 1월 1일부터 3월 2일까지 전라북도 지역의 구급대원 226명을 대상으로 설문조사한 결과이다. 첫째, 병원 전 응급의료 현장의 구급대원 모두가 주 1회 이상의 폭력을 경험하고 있으며, 62%의 구급대원이 물리적 폭력에 노출되어 있다. 이러한 폭력발생의 환자측 요인으로는 약물 또는 음주가 56.2%를 차치하였으며, 구급대측 요인으로는 응급의료인력 부족이 36.3%였다. 둘째, 구급대원의 42%가 5년 이내에 폭력예방과 대처방법에 대한 교육 경험이 없으며, 77.4%의 구급대원이 향후 폭력예방과 대처 방법에 대한 교육을 원하였다. 셋째, 폭력반응 점수는 감정적 반응 3.20점, 사회적 반응 2.22점, 신체적 반응 2.17점으로 조사되었고, 전체 폭력 반응의 평균은 2.53점으로 조사되었다. 넷째, 일반적 특성에 따른 폭력 반응 점수는 신체적 반응(t=-2.08, p=.038)과 감정적 반응(t=-7.13, p=.000), 전체반응(t=-4.764, p=.000)에서 통계적으로 유의한 차이를 나타냈으며, 연령에 따른 감정적 반응(t=4.257, p=.006)과 전체(t=2.932, p=.034)에서 통계적으로 유의한 차이를 나타냈다. 또한, 현재의 보유 자격별 점수는 사회적 반응(t=3.661, p=.000), 전체(t=8.130, p=.000)에서 유의한 차이를 나타냈고, 소방서별 폭력 반응 점수는 신체적 반응(t=9.987, p=.000), 감정적 반응(t=2.433, p=.012), 사회적 반응(t=6.738, p=.000), 전체(t=5.943, p=.000)에서 유의한 차이를 보였다.

국가 화재조사 자료 활용에 관한 연구 (A Study on the Application of National Fire Investigation Data)

  • 김인태
    • 한국화재소방학회논문지
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    • 제20권4호
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    • pp.105-109
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    • 2006
  • 소방서는 재난관리의 대응기관으로서 각종 현장에 출동하여 현장상황에 대한 많은 경험과 자료를 축적하여 화재예방 및 진압활동 등에 활용할 수 있음에도 불구하고 사고의 기록, 분석, 정보관리 등이 미흡한 실정이다. 이러한 사항을 보완하기 위하여 소방방재청에서는 화재조사팀을 주축으로 "국가 화재조사분류체계"를 혁신적으로 개선하였다. 본 연구에서는 소방서에서 수행하고 있는 기존의 화재조사 과정과 자료 취득 및 분석 과정을 살펴보고, 활용 방안을 제시함으로서 "국가 화재조사분류체계"의 운영에 필요한 기초 자료를 제공하고자 한다.

안티 패턴 기반의 안드로이드 애플리케이션 취약점 분석기법 (Vulnerability Analysis Scheme of Android Application based on Anti-patterns)

  • 이재용;최종석;박상진;신용태
    • 한국정보처리학회:학술대회논문집
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    • 한국정보처리학회 2012년도 추계학술발표대회
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    • pp.1057-1059
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    • 2012
  • 스마트폰이 대중화되면서 안드로이드 애플리케이션의 보안문제가 대두되고 있다. PC환경의 소프트웨어는 개발단계에서부터 시큐어코딩을 통해 안전성을 확보하고 있으나 안드로이드 애플리케이션의 경우는 연구가 더 필요한 상황이다. 본 논문에서는 CWE(Common Weakness Enumeration)의 취약점 분류 체계와 CAPEC(Common Attack Pattern Enumeration and Classification)의 공격 패턴 분류 체계와 CERT(Computer Emergency Response Team)의 취약점 발생 예방을 위한 정책들을 통해 안드로이드 애플리케이션의 최신화된 취약점 목록을 도출하고 카테고리별로 분류하여 취약점을 효율적으로 분석하는 기법을 제안한다.

근로시간 단축에 따른 병원경영 영향 분석 (The Effect of Working Time Reduction in Hospital Management)

  • 조우현;이선미;이학선;구본석;박찬근;권순창
    • 한국병원경영학회지
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    • 제9권1호
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    • pp.46-65
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    • 2004
  • The study was designed to investigate what effect of working time reduction which will be gradually expanded to corporate size from June, 2004 could give to medical industries, and to provide basic information for hospitals and government to prepare the policy. 276 hospitals were surveyed about medical service income and manpower realities during the first half of 2003, using a structured survey tool. Response rate was 8% and 20 hospitals were finally analyzed. The effect of working time reduction in hospital management was different to the size of hospitals and the alternative. Income to existing service income was decreased by $2.2{\sim}4.6%$ in tertiary hospitals, by $3.2{\sim}5.7%$ in general hospitals with more than 300 beds, and by $3.7{\sim}6.0%$ in general hospitals with less than 300 beds. In preparation against such decrease in income, government is required to raise insurance payment, to calculate added service charge for day-off on Saturday forenoon, to retain emergency care payment, to expand emergency care facilities, to secure duty doctors, and to support middle and small sized hospitals. Hospitals are required to give self improving efforts such as fortifying of weekday care, development of weekend care program, strengthening of care capacity and function of emergency care center, and making manpower operation efficient.

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119구급서비스 품질관리가 병원 전 심정지 환자의 생존율에 미치는 영향 (The Effectiveness of Quality Control of 119 Emergency Medical Services on Survival Rate of Cardiac Arrest Patients)

  • 정은경;윤형완
    • 보건의료산업학회지
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    • 제7권1호
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    • pp.21-34
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    • 2013
  • Hospitals in Korea are enforcing a quality control over 119Emergency Medical Services to increase the survival rate of Out of Hospital Cardiac arrest patients. This study is to analyze the factors that effect the survival rate of Out of hospital Cardiac arrest patients by comparing the results of before and after the quality control enforcement. Cardiac arrest patients can be assorted into pre-decision group and decision group. The study analyzed the survival factors which was based on the adequate use of 119 BLS and ACLS usage rates, response time of 119EMS, qualification of ambulance worker, number of EMS team members, and adequate use of AED according to ECG diagnosis. The analyzation was done over total 1,233 of Cardiac arrest patients from January 1, 2010 to December 31, 2011 After the enforcement of the quality control, the usage of Vital sign check and BLS showed a big difference. Especially, as the usage of ECG showed a significant difference, Shockable rhythm, which is the most important to Cardiac arrest patients, also showed a significant difference. After the enforcement of quality control, the performance of ACLS showed a significant difference in IV. The study showed 119 ambulance workers provided better service in Vital sign and BLS and ACLS after the enforcement of quality control. It is considered a 119 ambulance service effects the survival rate of Cardiac arrest patients. Therefore, it can increase the survival rate and it is necessary to continue a quality control.