• 한국응급구조학회지
• /
• 제15권3호
• /
• pp.57-70
• /
• 2011

Purpose : The purpose of this study was to reveal some factors of ROSC & survival for cardiac arrests from sport & leisure activities(CASLs). Methods : A retrospective study of the 1,341 out of hospital cardiac arrests(OHCAs) treated by EMS in Gyeonggi Provincial Fire and Disaster Headquarters from January to December in 2008 was conducted. The primary end-point was admission to emergency room. To clarify the factors through comparison of CASLs(n=58) with ROSCs & survivals(n=58), Answer Tree analysis for data mining with the CHAID algorithm was performed and alpha was set at .05. Mean, median, and percentile of time intervals, distances, and age on the 58 CASLs, 75 ROSCs, and 27 survivals(patients admitted to emergency room) were analysed. Results : Fourteen CASLs(24.1%), 41 ROSCs(54.7%), 16 survivals(59.3%) were treated with CPR within 5 min., and only 2 CASLs(3.4%), 11 ROSCs(14.7%), 10 survivals(37.0%) were treated with defilbrillation within 10 min. from arrest. If time recording from arrest to defilbrillation, the patients were classified 81.0%($X^2=9.83$, p=.005) into ROSCs & survivals. And the patients with no history, 100.0%($X^2=5.44$, p=.020). The other patients with no intention, 87.5%($X^2=7.00$, p=.024). Whereas the other patients with intention, treated with CPR after 4 min. from arrest were classified 67.2%($X^2=3.99$, p=.046) into CASLs. Conclusion : CPR within 4 minutes was the most important factor that discriminates between CASLs and ROSCs & survivals to record cardiac arrests-defilbrillation time. CPR within 4 min. from arrest, no history, and no intention were factors for improved ROSC & survival.

• Journal of Trauma and Injury
• /
• 제26권1호
• /
• pp.26-29
• /
• 2013

We describe the case of a 56-year-old man who had been shot by a pneumatic nail gun in the chest during work. He had removed the nail by himself immediately at the accident field. He visited to the emergency department of a local hospital and, after a simple dressing and simple history had been taken, he was referred to our emergency department for penetrating thoracic injury. Immediately, Transthoracic echocardiography were done and showed moderate hemopericardium. Patient had been hydrated and transported to the operating room. After cardiac wound repaired by midsternotomy, the patient was discharged on the 13th postoperative day without complications except mild mitral valve regurgitation.

• 대한임상독성학회지
• /
• 제13권1호
• /
• pp.33-35
• /
• 2015

A 24 year-old man attempted suicide by injection of 1 cc of thinner into his left antecubital vein; 3 hours later, he visited our emergency room because of left chest pain. We suspected a chemical pneumonitis based on the abnormal findings of his chest X-ray and computed tomography. On the 3rd day after admission, a cellulitis also occurred at the injection area. His symptoms were relieved after supportive care for 2 weeks. There is significant experience with intoxication of thinner inhalation, whereas intoxication of intravenous thinner is rare.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제19권4호
• /
• pp.435-446
• /
• 1997

본 교실에서는 1992년 1월 1일부터 1996년 12월 31일 까지 최근 5년간 전남대학교병원 응급실에 내원한 구강악안면외과 환자에 대한 실태조사를 시행하여 다음과 같은 결과를 얻었다. 남녀의 성비는 2.5 : 1의 비율로 남성에서 호발하였으며, 하발연령층은 20대, 30대, 9세 이하의 순이었다. 응급실에 내원한 환자의 수는 9월과 10월에 11%로 가장 많았다. 응급실에 내원한 원인으로는 교통사고, 추락사고, 구타사고 순이었다. 손상내용은 악안면열상, 악안면골절, 치아손상 순이었다. 악안면골절은 하악골 단독골절이 가장 많았으며 관골-상악골 복합골절, 하악골-상악골 복합골절 순이었으며 하악골 골절시 정중부, 과두부, 우각부 순으로 발생하였다. 저녁 6시부터 새벽 3시 사이에 응급실에 내원한 환자가 전체의 57%를 차지하였다. 주소 발생에서 응급실 내원까지는 8시간에서 12시간 사이가 가장 많았다. 이상의 결과는 구강악안면외과 영역의 응급환자가 비교적 많이 발생하고 있으므로 이를 전담할 수 있는 구강악안면외과 분양가 시급히 개설되어야 할 것임을 시사하였다.

• 한국산학기술학회논문지
• /
• 제21권7호
• /
• pp.218-223
• /
• 2020

본 연구의 목적은 대구광역시의 인구밀집과 거리에 따른 응급실 접근성을 분석하여 메디시티를 지향하는 대구광역시의 응급의료 접근성 문제점 개선 및 질적 수준 향상에 기여하고자 했다. 지리적인 요건을 보기 위해 3km 반경을 기준으로 읍면동 인구수와 이용가능 응급실수, 인구 대비 이용가능 응급실수를 통계청의 S-GIS를 통해 Mapping하여 데이터 시각화했다. 대구광역시 구군별 명확한 응급실 접근성의 차이를 파악하기 위해 ANOVA와 사후검정인 Scheffe을 시행했다. 반경 3km 이내 대구광역시 구별 이용가능 평균 응급실수를 보면 중구 5.7개, 남구 5.0개, 북구 1.6개, 동구 0.4개, 서구 2.4개, 수성구 0.9개, 달서구 3.5개, 달성군 0.1개였고, 유의한 차이가 있었다(p<.001). 3km 반경 이내의 이용가능 응급실수와 인구 천명당 이용 가능한 응급실수는 중앙에 집중되어 있었다. 중앙에서 먼 곳의 시민들에게 응급의료 제공을 위해 중간 허브역할을 하는 지점을 설정하여 도시 응급의료 연계망 구축이 필요할 수 있다.

• 한국정보처리학회:학술대회논문집
• /
• 한국정보처리학회 2017년도 춘계학술발표대회
• /
• pp.728-730
• /
• 2017

The proposed application design for emergency medical system includes the functions that help securing the window of opportunity for the patients in an emergency situation and efficiently link rescue agency, emergency medical treatment center and patients together. First, the treatment time can be saved at the emergency room by understanding the patient's condition by entering his/her health information such as anamnesis, family history, social history and blood type together with an identification number. Also, if the siren function which signals whereabouts of patients to the rescue crew is used, it will be much easier to find the location of the patient in need. The design allows rescue crew to call the patient to check whether he/she is conscious or not. Just by receiving the call, he/she will be deemed conscious.

• 한국조명전기설비학회:학술대회논문집
• /
• 한국조명전기설비학회 2009년도 춘계학술대회 논문집
• /
• pp.321-323
• /
• 2009

When power failure occurs at multi-housing complex, auxiliary generator or emergency generator starts to provide power to households. This power is connected to emergency power ELB(Earth Leakage Breaker) at home distribution panel board and supplies power only for emergency light in living room but for heating system, refrigerator and other inevitable apparatuses that are in need of uninterruptible power. Since those domestic appliance are fed from common power line, they are inoperable during power failure. Our research is to resolve this problem by developing compatible relay-drive common/emergency-power ATS (automatic transfer switch) for home distribution panel board. In case of power failure, it transfers automatically and commences to provide power from emergency generator. Through this, Consumers can reach satisfaction where common power loads operate without any problem under both ordinary and power failure condition.

• 한국임상약학회지
• /
• 제22권4호
• /
• pp.304-315
• /
• 2012

Today, suicide by self-poisoning of prescribed or non-prescribed drugs on purpose has been increasing and is a major cause of mortality. It is very important to treat promptly and properly for saving the lives from those suicides. There is neither an organization such as poison control center nor measurement in S. Korea, though. The object of this study was to evaluate information of frequently used substances for suicide attempt in S. Korea. Our results also can provide healthcare provider including pharmacists and doctors, etc and contribute to increasing health and welfare for Korean. From June $1^{st}$ 2006 to April $30^{th}$ 2012, we retrospectively studied patients visiting emergency room due to suicide attempt. We collected information of underlying disease, history of past medical condition and suicide attempt, ingredient and getting route of ingesting substances, emergency treatment, and outcome by reviewing electronic medical record. We also evaluated actual treatment of self-poisoning and made guide information about antidote medication for S. Korean healthcare provider. Among total 242 cases of suicidal attempts, cases ingesting substances including prescription, non-prescription drugs and agricultural chemicals were 86.4%. The most frequently used drugs for suicide attempt were sedatives-hypnotics (53.6%), followed by analgesics (16.7%) and antidepressants (12.4%). Analgesics including acetaminophen and aspirin were most in teenagers but sedatives-hypnotics including benzodiazepines, non-benzodiazepine (zolpidem) and antihistamine were most in other ages including elderly people. Most frequently used antidote was activated charcoal (62.7%) and specific antidotes for some substances (acetaminophen, aspirin, agricultural chemicals) were also treated properly, accompanying with medication for supportive care. In conclusion, the most used substances for suicide attempt were sedatives-hypnotics and treatments for self-poisoning in emergency room were appropriate based on existing references. Therefore, information of frequently used substances and antidote reflecting these results will be useful for South Korean healthcare provider.

• 한국화재소방학회논문지
• /
• 제29권5호
• /
• pp.96-103
• /
• 2015

본 연구에서는 한국보건사회연구원과 국민건강보험공단의 한국의료패널 2008~2011년 연간 데이터(Version 1.0)을 이용해 노인의 구급 이송 서비스 이용 특성과 관련 요인을 파악하였다. 분석 결과를 요약하면, 첫째, 119 구급차, 민간 구급차 등의 구급 이송 서비스를 이용한 노인은 전체 이용자의 46.8%를 차지하며, 응급실을 방문한 노인의 35.1%가 구급 이송 서비스를 이용했다. 둘째, 노인의 구급 이송 서비스 이용은 성별 중 남성(OR = 2.19, 95% CI = 1.51~3.17), 가구주와의 관계 중 배우자(OR = 2.19, 95% CI = 1.45~3.32), 의료 보장 형태 중 의료 급여(OR = 1.41, 95% CI = 1.10~1.82), 장애가 있는 경우(OR = 1.44, 95% CI = 1.14~1.83), 응급실 방문 이유 중 사고/중독(OR = 1.53, 95% CI = 1.20~1.97), 응급실 이용 후 조치 중 입원/전원(OR = 3.45, 95% CI = 2.80~4.25)이 통계적으로 유의한 영향 요인으로 나타났다. 따라서 고령화 시대에 노인 인구의 증가는 구급 이송 서비스의 수요 급증으로 이어질 것이며, 이에 따른 노인 맞춤형 응급의료 서비스 등의 개발이 필요하다.

• Journal of Trauma and Injury
• /
• 제24권2호
• /
• pp.61-67
• /
• 2011

Purpose: Lawn trimmers are widely used to cut the weeds around graves in South Korea, but they can cause ocular injury. We investigate at the emergency room the incidence and the clinical features of ocular trauma induced by lawn trimmers. Methods:The authors analyzed 106 patients who visited Konyang University Hospital's emergency room from March 1, 2007, to October 31, 2011, because of ocular trauma caused by a lawn trimmer. Patients were sorted into two groups, severe ocular injury and mild ocular injury. Results: Over a 5-year period, 106 patients with ocular trauma caused by a lawn trimmer underwent clinical study. Most of the patient (103 patients) were males, and the average age of the patients was $51.75{\pm}11.66$ years. The incidence of ocular trauma peaked in the sixth decade of life. Most injuries occurred between July and September. Severe ocular injury developed in 46.2% of all patients. As age increased, so did the severity of the ocular injury. The impacting object was a small stone in 43.4% of all patients. Nobody wore protective gear. The most common diagnosis were corneal abrasion, followed by intraocular foreign body, corneal laceration, and sclera laceration. Fifty-four patients were followed up, and thirty-six patients of them had severe injury. The most common complication was a traumatic cataract. Conclusion: Ocular trauma induced by a lawn trimmer is more severe than general ocular trauma. We suggest that everyone using a lawn trimmer should wear protective gear and follow safety guidelines.