• 한국응급구조학회지
• /
• 제25권1호
• /
• pp.147-158
• /
• 2021

Purpose: This study was conducted as a direct investigation of the data in the dispatch logbooks and status of patient transportation provided by private emergency transport companies in Busan. Methods: This study was conducted using SPSS 23.0 version for a total of 1,000 processed records of private emergency ambulance services in Busan from September 23, 2017 to November 5, 2019. Results: First, 100% of the emergency patient transfers by private emergency ambulances were carried out between medical institutions; 76.4% of all transfer patients had emergency conditions, and 86.0% had serious diseases. Second, 59.3% of the emergency patients were located at distances less than 10 km and 43.2%, at more than 10 km from the medical institutions. Third, 63.5% of the passengers were accompanied by first-class emergency rescuers according to the severity of the condition. Fourth, 92.7% of the reasons for the selection of medical institutions were transferred to places where professional care was available, accounting for most of the reasons for the selection. Finally, the medical institutions were selected according to the severity of the patient's condition; 76.5% patients were transported to institutions with a large number of doctors, and 42.9% of those were transported to specialized care institutions. Conclusion: This study collected data from 1,000 dispatch records of private emergency transport companies in Busan; these records reflect the government's policies to improve the emergency patient transfer system. The current status of emergency patient transfer offered by private transport companies was analyzed. All of the emergency patient transfers were carried out between medical institutions, and 76% of the transferred patients had emergency conditions.

• 방사성폐기물학회지
• /
• 제22권1호
• /
• pp.91-104
• /
• 2024

Safe radiation management is essential not only for operational nuclear power plants but also for nuclear plants to be decommissioned. When spent nuclear fuel is present on-site, meticulous radiation emergency plans are necessary to ensure safety. In Korea, numerous radiation emergency plans have been established for operational nuclear reactors. These plans delineate distinct response mitigation measures for white, blue, and red emergencies. However, clear regulations are yet to be devised for radiation emergency plans for reactors to be decommission. Therefore, this study investigated the decommissioning plan and status of Kori unit 1 to comprehensively analyze the current status of decommissioning safety in Korea. In this study, radiation emergency plans of decommissioning nuclear power plants abroad were reviewed to confirm radiation emergency action levels. Furthermore, radioactive waste treatment facilities, to be used for decommissioning reactors in Korea were evaluated. Moreover, the study assessed emergency plans (especially, emergency initiating conditions) for operational nuclear power plants in Korea for potential use in the decommissioning phase. This study proposed an emergency initiating condition that can be used for decommissioning reactors in Korea. Considering the anticipated introduction of plasma torch melting facility in Korea, this study examined the conditions of radiation emergency plans can be altered. This study identified effective measures and guidelines for managing radiological emergency initiating conditions, and effective decommissioning of nuclear power plants in Korea.

• 전자공학회논문지
• /
• 제51권6호
• /
• pp.50-59
• /
• 2014

모바일 헬스케어 서비스에서 환자의 응급 상태를 정확하게 응급 감지하고 신속히 알리는 것이 매우 중요하다. 기존의 헬스케어 서비스에서는 전달된 생체 정보를 의료진 또는 의료 서비스 공급자가 항시 모니터링을 하여 환자의 상태를 판단하게 된다. 하지만 의료진이 항시 모니터링을 해야 하기 때문에 다수 환자를 실시간으로 동시에 모니터링하기에는 어렵다. 더구나, 환자마다의 고유한 환자의 건강 상태의 특징 (나이, 성별, 병력 기록 등)들이 있기 때문에 통계적인 의료 지식으로 환자의 상태를 진단하는 것은 더욱 힘든 일이다. 이러한 기존의 문제점을 해결하기 위해서 본 논문에서는 사용자 맞춤형 응급관리를 위한 모바일 헬스케어 시스템을 제시한다. 제안된 모바일 헬스케어 시스템의 특징은 환자의 고유한 건강 상태의 특징을 정책으로 정의하고 이를 기반으로 환자로부터 측정된 생체 정보에 대해 응급 상태를 판단하는 것이다. 제안된 모바일 헬스케어 시스템의 개념을 입증하기 위해 프로토타입을 구현하였다.

• 한국응급구조학회지
• /
• 제24권1호
• /
• pp.25-36
• /
• 2020

Purpose: We analyzed the characteristics and differences in patients' medical benefits and health insurance based on disease severity classification. Methods: We examined 29,139 patients who visited the emergency medical center of K Hospital from January 1,2016 to December 31, 2016. Survey items included the Korean Triage and Acuity Scale (KTAS) classification of emergency and non-emergency situations ratio and type of insurance. Results: According to KTAS classification, 76.2% of patients exhibited an emergency condition and 23.8% exhibited a non-emergency condition. Emergency patients exhibited more trauma than non-emergency patients. According to the type of insurance coverage, the duration of stay in the emergency room was longer for patients with medical care than for patients with health insurance. Additionally, 119 ambulances use was significantly higher among patients with medical care. Conclusion: Policy discussions should address alternative ways to replace the 119 ambulances used by patients in this study. Additionally, health care administrators should identify alternative care agencies as potential alternatives to emergency room visits.

• 대한안전경영과학회지
• /
• 제5권4호
• /
• pp.13-20
• /
• 2003

The purpose of this study is to know the status of prevention on health obstacle in industries with confined space. Total 190 respondents, 95 safety or health managers and 95 confined space workers from 95 industries with confined space are surveyed by hygienists from April 2003, to July 2003. The contents of survey include health-work program in confined space, instrument of oxygen sampling, equipment of ventilation, safety and health education, watching manager, head count, awakening of risk, air condition and emergency training. The results are as follows: 1. It is found 38% of respondents established health-work program in confined space. The percentage of respondents with instrument of oxygen sampling and equipment of ventilation, operation of safety and health education, posting of watching man and operation of head count are 42%, 35%, 75%, 46% and 56%, respectively. 2. The percentage of awakening of risk, confirm of air condition and operation of emergency training are 36%, 25% and 15%, respectively.

• 인터넷정보학회논문지
• /
• 제19권6호
• /
• pp.31-40
• /
• 2018

최근 IT 기술의 발전과 함께 클라우드 서비스, IoT 기술 및 모바일 애플리케이션을 통해 통합적인 u-헬스케어 환경기반의 의료정보시스템이 구축되고 있다. 이러한 의료정보시스템에서는 응급 처치나 치료를 목적으로 의료진에게 환자의 의료정보를 접근할 권한이 제공되어야 한다. 따라서 의료정보시스템에서 의료진이 담당하는 환자의 생체정보 및 개인 의료정보에 접근하기 위해서는 신뢰적이고 신속한 인증과정이 필요하다. 그러나 현재 시스템 환경에서는 의료진의 ID/PWD만을 이용하는 단순하고 정적인 사용자 인증기법으로 의료정보시스템을 접근하고 있다. 이러한 이유에서 본 논문에서는 환자가 응급상태조건을 고려한 다양한 인증 요소를 포함한 의료정보접근의 투명성을 제공하는 동적상황인증기법과 이를 지원하는 동적상황인증시스템을 제안하였다. 본 동적상황인증은 사용자 인증과 이동 단말기 인증을 결합한 인증으로, 기존의 사용자 인증 뿐 아니라 의료진이 사용하는 이동 단말기의 인증을 위해 환자의 응급상태, 의료진의 역할, 근무시간, 근무위치 등과 같은 다양한 인증요소 속성들을 사용하였다. 우리는 응급상태판별, 동적상황인증, 인증지원 DB 구축을 포함한 동적상황인증시스템을 설계 및 구현하였다. 마지막으로 제안한 동적상황인증시스템의 서비스 수행성 검증을 위해, 의료진으로 하여금 동적상황인증과정과 그 이후 담당환자에 대한 의료정보접근 허가와 함께 의료정보서버로부터 의료진 자신의 이동 단말기에 모바일 애플리케이션을 내려 받아 실행함으로써 의료정보의 인증 및 접근과정을 보였다.

• 한국항행학회논문지
• /
• 제15권5호
• /
• pp.906-912
• /
• 2011

본 논문에서는 건물에 산재되어 있는 비상등을 효과적으로 관리하기 위하여 별도의 통신선을 포설하지 않고 지능형 클러스터 감시망을 구성한다. 또한, 비상등의 위치에 구애받음 없이 감시장치를 설치할 수 있고, 감시망을 구성함에 있어 게이트웨이로 지정된 감시장치가 고장나더라도 사각지대 없이 비상등의 상태를 감시 및 관리가 가능하며, 비상등을 항시 점검 및 관리할 수 있는 비상등감시장치와 비상등관리시스템을 구현하였다. 실험결과, 구현 시스템은 설계 규격대로 동작하였고, 감시망 구성, 상태정보 측정 및 초기화가 안정적으로 구성됨을 확인하였다.

• 대한안전경영과학회:학술대회논문집
• /
• 대한안전경영과학회 2003년도 추계학술대회
• /
• pp.65-69
• /
• 2003

The study was purposed to know the status of prevention on health obstacle in industries with confined space. The results were as follows: 1. It was found 38% of respondents established health-work program in confined space. The percentage of respondents with instrument of oxygen sampling and equipment of ventilation, operation of safety and health education, posting of watching man and operation of head count were 42%, 35%, 75%, 46% and 56%, respectively. 2. The percentage of awakening of risk, confirm of air condition and operation of emergency training were 36%, 25% and 10%, respectively.

• 간호행정학회지
• /
• 제15권4호
• /
• pp.491-505
• /
• 2009

Purpose: This study was to develop an algorithm for emergency nursing care of dyspneic patients. Methods: This methodological study was done through reviews of medical records and literatures, checklists of emergency nursing care for dyspneic patients, interviews with nurses, and experts' validity. Results: Firstly, the initial assessment confirmed the identification of airway patency, accessory muscle usage, RR, $SpO_2$, v/s, skin color, and mental status. Immediate emergency care provided oxygen, checked ABG, EKG, and chest X-ray, established a semi-fowler position, maintained IV routes, administered medication orders, and conducted careful monitoring. Secondly, if the patient exhibited $SpO_2$ of less than 90%, the nurse considered the patient's condition to be aggravated. Thirdly, if the patient showed improvement of more than 90% $SpO_2$, the nurse administered secondary assessment and carried out specific nursing care. However, if the patient continuously showed $SpO_2$ of less than 80%, the nurse assisted the intubation and then executed ventilator therapy. Conclusions: This study suggests that the algorithm is an effective decision tool and utilizing the algorithm is expected to improve the emergency nursing care for dyspneic patients.

• 한국정보통신학회논문지
• /
• 제22권12호
• /
• pp.1625-1630
• /
• 2018

응급 상황에서 응급 구조사는 외상 평가와 치료가 주요 업무이다. 하지만 응급 처치를 할 수 있는 범위가 협소하며 병원의 응급실로 이송하는 일을 주로 수행하고 있다. 응급 상황에 맞는 전문의를 연결하여 원격 의료 지도를 통한 응급 처치가 이루어진다면 정확한 진단과 적절한 치료에 도움을 줄 수 있다. 본 논문에서는 응급 의료 서비스를 위한 원격 의료 지도를 지원하기 위한 앱을 개발하였다. 개발된 스마트 앱은 응급 구조사가 원격지에 있는 의사를 호출하여 응급 환자의 상태를 생체 신호와 영상으로 실시간 전송할 수 있다. 이를 통하여 환자의 상태를 정확하게 진단하는데 도움을 줄 수 있다. 또한 응급 치료를 지도할 수 있으며 응급실에서의 대응이 신속하게 이루어질 수 있도록 할 수 있다.