• 제목/요약/키워드: Emergency Room

검색결과 891건 처리시간 0.035초

Using nasal cannula for sevoflurane deep sedation in emergency dental treatment

  • Kim, Jongbin;Yoo, Seunghoon;Kim, Jongsoo;Kim, Seungoh
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제15권1호
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    • pp.11-15
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    • 2015
  • Background: Emergency room doctors run into difficulties in treating injured pediatric patients because usually they fell into panic after trauma. In these situation, deep sedation with sevoflurane is fully recommendable method. The conventional way can interrupt common dental treatment procedure. Methods: In the present study, nasal cannula was used for sevoflurane deep sedation in 11 dental emergency treatment. Age ranged from 0 to 3 years old (average of 1.8 years). Results: Treatment duration was from 10 to 35 minutes (average of 16.7 minutes). Average duration of sedation was 25.5 minutes ranging from 15 to 45 minutes. Conclusions: It has advantages to use nasal cannula for sevoflurane deep sedation rather than conventional intubation; saves time and secures good operation field.

응급구조과 학생의 첫 임상 실습 경험에 대한 연구 (An Initial Clinical Experience of EMT Students)

  • 백미례
    • 한국응급구조학회지
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    • 제7권1호
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    • pp.95-108
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    • 2003
  • This study was conducted to identify an initial clinical experience of EMT students, so to better understand their' experience in clinical training. The subjects were 30 EMT students of C department of Emergency Medical technology in C city, who were demonstrating at the emergency room in C, T, S, W city. This study was approached by phenomenological method, collected data were analyzed by Colaizzi's method. the results were as a follows. From the protocol, significant statements were organized into 34 formulated meanings. from the formulated meanings, 21themes were identified, organized into 8 theme clusters, and then categories. EMT students got experienced 'tension resulting from new situation', 'fear in contacting with patients', 'lack of knowledge and skill', 'confidence feeling from being adapted', 'facing up to Paramedic role', 'experience of death' and 'stress'. The results of this study are to use as basic data for students attending clinical experience for the first time.

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멀티모달 정보를 이용한 응급상황 인식 시스템 (Emergency situations Recognition System Using Multimodal Information)

  • 김영운;강선경;소인미;한대경;김윤진;정성태
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2008년도 하계종합학술대회
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    • pp.757-758
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    • 2008
  • This paper aims to propose an emergency recognition system using multimodal information extracted by an image processing module, a voice processing module, and a gravity sensor processing module. Each processing module detects predefined events such as moving, stopping, fainting, and transfer them to the multimodal integration module. Multimodal integration module recognizes emergency situation by using the transferred events and rechecks it by asking the user some question and recognizing the answer. The experiment was conducted for a faint motion in the living room and bathroom. The results of the experiment show that the proposed system is robust than previous methods and effectively recognizes emergency situations at various situations.

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응급 수술을 요하는 선천성 횡경막 내번증 1예 (A Case of Congenital Diaphragmatic Eventration Requiring Emergency Operation)

  • 이석열;이승진;박형주;이철세;이길노
    • Advances in pediatric surgery
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    • 제10권2호
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    • pp.142-144
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    • 2004
  • A one day old female infant was brought to the emergency room suffering from shortness of breath. An x-ray revealed the gastrointestinal tract in the right thoracic cavity. An emergency operation demonstrated eventration of the diaphragm, and a plication was performed. The baby was discharged without complication and has been followed up in the out patient clinic. Congenital diaphragmatic eventuation requiring emergency operation is rare.

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작업도중 발생한 시안화 수소흡입중독으로 내원한 환자 1례 (A Case of Hydrogen Cyanide Inhalation at Working -A Case Report-)

  • 김양원;엄영진
    • 대한임상독성학회지
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    • 제4권1호
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    • pp.55-57
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    • 2006
  • Cyanides and Hydrogen cyanide are used in production of chemicals, electroplating, photographic development, making plastics, fumigating ships, and some mining processes. We experienced of Hydrogen cyanide inhalation injury. A 45-year-old man worked at electroplating. As soon as he mixed sodium cyanide with acid, cyanide produced hydrogen cyanide, occasionally he inhaled Hydrogen cyanide and he lost his consciousness. He was moved to near hospital and took emergency treatment and then was transferred to our hospital. On arrival he had severe dyspnea, metabolic acidosis, and tachycardia. After he was treated with supportive method he recovered his consciousness in 20 hours at emergency room.

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응급실에서 소아외상환자의 치과적 처치를 위한 케타민 진정법의 사용 현황 (Use of Ketamine Hydrochloride for Pediatric Dental Patient at General Hospital)

  • 차윤선;김지훈
    • 대한소아치과학회지
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    • 제42권1호
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    • pp.38-44
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    • 2015
  • 어린이는 쉽게 넘어지거나 부딪혀 구강안면부의 손상을 흔히 경험하며, 응급치료를 필요로 한다. 이러한 환자들에서는 공포와 불안으로 인해 협조도가 불량해지게 된다. 케타민은 일반 응급실에서 어린 환자의 치료와 검사를 위한 진정제로 잘 알려져 있다. 본 연구에서는 원주 세브란스 기독병원 응급실에서 케타민을 이용한 진정법을 시행한 현황에 대해 알아보았다. 2010년 1월에서 2014년 5월까지 치과적 응급처치를 위해 의뢰된 만 18세 이하의 환자들의 기록이 수집되었으며, 연령, 성별, 시행된 치과적 치료, 케타민 진정법 시행 여부에 대한 자료를 분석하였다. 총 659명의 소아 환자가 치과적 응급처치를 필요로 하였으며, 이중 118명이 케타민 진정법이 시행되었다. 조사 결과 열상의 봉합을 시행한 환자에서 진정법이 더 많이 시행되었고, 연령이 어릴수록 진정법이 시행되었던 상관성이 확인되었다. 케타민 진정법은 치과의사 단독으로 사용하지 않아야 하지만, 응급실에서 1차 진료를 담당하는 치과의사는 케타민 진정법이 적용된 환자들을 쉽게 접할 수 있다. 따라서, 응급실에서 근무하는 치과의사는 케타민의 임상적 효과, 고려사항, 그리고 발생 가능한 합병증 및 대처 방안에 대해 숙지하고 있어야 할 것으로 사료된다.

대학병원 응급실로 내원한 치과 응급환자에 관한 임상적 연구 (A clinical study on the dental emergency patients visiting an University Hospital emergency room)

  • 장창수;이창연;김주원;임진혁;김좌영;김영희;양병은
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제37권6호
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    • pp.439-447
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    • 2011
  • Introduction: In today's society, the rapid and appropriate care of the dental emergency patients is much more important. So, a retrospective study on the characteristics of emergency dental injuries and diseases will be very meaningful. Materials and Methods: This retrospective clinical study was carried by reviewing the radiographic films and emergency chart of 11,493 patients who had visited the emergency room of Hallym Sacred heart Hospital and were treated in the Department of Oral and Maxillofacial Surgery from January 2006 to December 2010. Results: The male to female ratio was 1.9:1. The highest monthly incidence was observed in May (10.4%) and June (8.9%) and the peak age distribution was the first decade (56.0%), followed by the second decade (16.0%). Trauma was the most common cause in dental emergency patients, followed in order by toothache, odontogenic infection, temporomandibular joint (TMJ) disorder and oral hemorrhage. Soft tissue injury was most prevalent in the trauma group, followed by tooth injury and facial bone fractures. In the tooth injury group, tooth fracture (56.7%) showed the highest incidence followed in order by tooth subluxation (18.2%), tooth concussion (16.9%), tooth avulsion (11.5%) and alveolar bone fractures (3.7%). In the facial bone fracture group, mandibular fractures (81.8%) showed the highest incidence followed in order by maxilla fractures (15.7%), nasal bone fractures (9.0%), zygomaticomaxillary complex fractures (5.4%), orbital bone fractures (2.5%). In mandibular bone fractures, the most common location was the symphysis (70.1%), followed in order by the mandibular angle (33.0%), mandibular condyle (22.8%) and mandibular body (13.6%). In the infection group, a submandibular space abscess (46.2%) was most common followed in order by a buccal space abscess (17.4%), canine space abscess (16.9%) and submental space abscess (12.3%). TMJ dislocation (89.3%) showed the highest incidence in the TMJ disorder group, followed by TMJ derangement (10.7%). In the other group, a range of specific symptoms due to post operation complications, trigeminal neuralgia, chemical burns and foreign body aspiration were reported. Conclusion: For the rapid and appropriate care of the dental emergency patients, well-organized system should be presented in oral and maxillofacial surgery. And it is possible under analysis of pattern and the variation of the dental emergency patients.

와파린 항응고 유지요법 중 발생한 급성출혈의 임상소견과 사망관련 인자 (The Clinical Characteristics and Mortality Factors of Patients with Hemorrhagic Complications after Anticoagulation Therapy with Warfarin)

  • 이세호;김남규;손창환;김중헌;김원;임경수;오범진
    • 대한임상독성학회지
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    • 제7권2호
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    • pp.164-171
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    • 2009
  • Purpose: The number of patients who take warfarin is growing and so is the number of complications. Hemorrhage is the major complication, but the clinical characteristics and outcomes have not been determined for Korean patients. Therefore, we tried to evaluate the characteristics of the patients with hemorrhagic complications after taking warfarin as anticoagulation therapy. Methods: We retrospectively reviewed the medical records of the patients who visited the emergency room with bleeding complications after taking warfarin anticoagulation at the out-patient clinic for 1 year from 1 st January 2008. We compared between two groups (the major hemorrhage group vs. the minor hemorrhage group) according to the clinical criteria, the unstable vital signs that required blood transfusion, transfusion more than 2 units of blood, the need for further laboratory follow-up, the need for interventional treatment and the development of critical complications or death due to bleeding. Results: There were 150 patients who met the criteria and had acute hemorrhagic complications (the major group: 90 patients and the minor group: 60 patients). In the major hemorrhage group, the frequent sites of bleeding were the gastro-intestinal system (40 patients), lung (14 patients) and intracranium (7 patients). At the emergency room, the major group showed a higher initial INR of the activated prothrombin time than did the minor group (p=0.02). The bleeding sites of the fatal cases were the gastro-intestinal system (3 patients), lung (3 patients) and intracranium (3 patients), but the percentage of fatality was the highest for intracranium bleeding. Conclusion: In the major hemorrhage group, gastrointestinal bleeding was the most frequent complication and fatality was the highest for intracranium bleeding. An initially higher INR showed a greater risk of major bleeding, but not more fatalities.

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