• 한국전기전자재료학회논문지
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• 제28권7호
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• pp.473-479
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• 2015

Hybrid supercapacitors with high power density and long cycle life are widely used for emergency power source of LED emergency luminaires. In this paper, we designed and fabricated a hybrid capacitor cell and a module for the LED emergency luminaires. Using hybrid supercapacitor cells (1,000 F, 2.8 V), we designed a module in a 10-year warranty considering aging and ESR. Considering the ESR and efficiency has been designed to module with 1,000 F 5.6 V design results in 2 series and 2 parallel combination. Module was used to confirm that the operation 77.5 minutes at room temperature, discharge LED emergency luminaires with 2 W. As a LED emergency luminaires of emergency power supply that we can support more than 10 years of life was confirmed the applicability of hybrid supercapacitor.

• 한국응급구조학회지
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• 제17권1호
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• pp.21-39
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• 2013

Purpose : The purpose of this study is to provide the basic data to improve pre-hospital phase emergency care for acute myocardial infarction (AMI) patients by analyzing AMI patients' clinical characteristics and emergency care situations. Methods : Data were collected through medical records of 385 AMI patients including ambulance records of 107 AMI patients transferred to the emergency medical center for three and a half years. Results : Regarding emergency care for AMI patients in pre-hospital phase, 47% of the care revealed moderate level or higher, and appropriateness of pre-hospital phase emergency care for cardiopulmonary complaints practiced by paramedics showed statistically significant improvement in recent years (p<.001). The time from onset of symptom to ballooning intervention by 119 emergency services was shorter than that in other cases. However, emergency care by paramedic was mainly basic life support. Conclusion : Since prognosis of AMI shows vast differences depending on prompt detection and medical intervention, cooperation between pre-hospital and in-hospital phase is highly required. 119 paramedics should be trained focusing on the accurate assessment and emergency care, and medical direction should be activated. In addition, regulation on 12-lead EKG, cardiac enzyme analysis, use of analgesics and thrombolytic agents should be legally implemented.

• 한국응급구조학회지
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• 제20권1호
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• pp.57-70
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• 2016

Purpose: This study aims to analyze the current state of emergency care for patients with anaphylaxis and to identify problems and areas for improvement in prehospital care. Methods: This study was conducted using 119 emergency running sheets and medical records of 109 patients diagnosed with anaphylaxis. Questionnaires were also given to emergency medical technicians (EMTs) and emergency physicians. The data were analyzed using SPSS 21.0. Results: Prehospital emergency care included oxygen administration in 64.2%, an intravenous line in 15.6%, and medication injection in 11.0%. The most commonly administered medications were antihistamines in 66.7% and epinephrine in 8.3%. Of EMTs surveyed, 47.0% suggested an epinephrine injection and using direct medical control, while 53.8% of the emergency physicians suggested an epinephrine injection and using indirect medical control. Most emergency physicians 88.8% responded that epinephrine could be administered by EMTs. Conclusion: The data support epinephrine injection of patients with anaphylaxis by EMTs, but a larger sample size of EMTs is required. Education about the treatment of anaphylaxis should be improved for EMTs. The scope of paramedic responsibilities should also be redefined.

• 한국응급구조학회지
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• 제13권1호
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• pp.73-85
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• 2009

Purpose : The purpose of this study was to analyze the nursing care needs which can properly cope with patients' needs in emergency room, and grasp the patients' satisfaction level which can assess the care quality. It was aimed to check the level of today's care and provide basic data for care performance and care standard. Method : Data were collected from 192 patients in general hospitals in Daegu. The results are as followed. Results : First, the result of analysis conducted on the degree of overall patients' need for nursing care revealed that the need for nursing information (4.21+57) was the highest, followed by the order of information of patient's condition (4.05+53), emotional support (3.98+47), and nursing participation (3.65+54). Secondly, our study revealed that there was a significant negative correlat interrelation between care need and care satisfaction (r=.516, p<.01), indicating the higher the overall emergency room patients' nursing care need, treatment and nursing information, patient's condition, emotional support and nursing participation were, the lower the actual feeling of their satisfaction turned out. Conclusion : The study shows that treatment and nursing related information is the most highly needed and the patients' satisfaction level relies on actual care participation.

• 융합정보논문지
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• 제7권1호
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• pp.17-24
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• 2017

최근 의료 분야에서는 증강 현실이 수술 및 의료 교육용으로 많이 활용되고 있다. 그러나, 응급 환자의 경우 의료 분야의 특성으로 인하여 증강 현실 기술이 적용되고 있지 못하고 있는 상황이다. 본 논문에서는 증강현실 기반의 IT 장치를 통해 응급 환자에게 신속한 의료 서비스를 지원할 수 있는 의료 서비스 지원 모델을 제안한다. 제안 모델은 증간현실 기반의 IT 기기를 통해 단순히 응급 조치에 필요한 정보를 수집하는 기능 이외에 응급 상황에 적절한 응급 조치 방법을 의료진에게 전달받아 서비스를 지원하는 기능이 있다. 또한, 제안 모델은 AHP(Analytic Hierarchy Process) 기반으로 응급 환자 신상 정보 조회, 응급 환자 상태 및 응급 치료와 관련된 정보를 계층적으로 수집한다. 수집된 정보들은 정보들 간의 애매성을 보완하기 위해서 쌍대비교 행렬을 이용한다. 특히, 수집된 정보는 의료진이 있는 병원 서버에 저장되어 수집된 정보의 고유 정보 이외에 추가적으로 수집된 정보를 반영하여 의료진이 의료 서비스에 반영할 수 있도록 한다.

• 한국방재안전학회논문집
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• 제9권1호
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• pp.39-45
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• 2016

세월호 참사 등 각종 재난에 있어 재난의료대응체계의 문제점이 노출되었는데, 이 중 현장응급의료지원팀의 현장대응 불가, 현장에서의 소방, 의료진의 협업 곤란, 현장의료지원 및 부상자의 수용, 진료를 위한 체계적이고 세부적인 매뉴얼 미비가 중요한 사항이었다. 따라서 2014년 5월부터 중앙응급의료센터 내 재난응급의료상황실 설치 운용에 따른 기존의 비공식적으로 흩어져 있던 재난의료대응 매뉴얼 수집, 수정 및 이에 대한 교육이 필요한 상황이 되었으며, 재난응급의료상황실을 중심으로 한 재난 초기 의료대응체계를 확립할 필요성이 대두되었다. 중앙응급의료센터의 재난의료대응 개선 방안은 신속대응반 중심의 빠른 출동 체계 수립이나, 실제 적용할 체계가 미흡하여, 2014년 2월 응급의료법 개정 시행규칙에 따라 국가와 지자체에 재난대응 매뉴얼을 개발하고 기본안을 마련하기로 하여, 본 연구진은 학술적, 실무적으로 적절한 국가재난의료 매뉴얼을 국내 최초로 개발하였으며, 이를 훈련 및 시뮬레이션을 통하여 적용하였고 그 과정을 정리 분석하였다.

• 한국응급구조학회지
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• 제2권1호
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• pp.26-35
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• 1998

This study was to exhibit the effective emergency care method for the drowning and non-drowning who are reached two-thousand peoples every year in our country. For investigate the effective emergency care, this study was discussed as follows ; Pathophysiology of the water submersion, Fresh-water & sea-water drowning, Factors affecting survival, and Prehospital management. The conclusions from this study were summarized as follows; 1. Remove the patient from the water. If you suspect neck or spinal injuries, Always support the head and neck level with the back and, begin rescue breathing. 2. Maintain the airway and support ventilation in the water use the jaw-thrust technique to avoid farther injury to the neck or spine. We might encounter more resistance to ventilations than you expect because of water in the airway. Once you have determined that there are no foreign objects in the airway, apply ventilations with more force; adjust ventilations until you see the patient's chest rise and fall but not until you see gastric distention. Do not attempt to remove water from the patient's lungs or stomach. 3. If there is no pulse, begin CPR. 4. Administer high-flow supplemental oxygen; suction as needed. 5. Once the patient is breathing and has a pulse, assess for hemorrhage; control any serious bleeding that you find. 6. Cover the patient to conserve body heat, Handle the patient very gently, and, Transport the patient as quickly as possible to Emergency Department, Continuing resuscitative measures during transport. If the patient have the hypothermia, follow hypothermia management.

• 보건행정학회지
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• 제31권1호
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• pp.24-34
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• 2021

Background: The purpose of this study is to identify factors that affect work dissatisfaction and turnover intention for dedicated nurses working in emergency departments of vulnerable areas of health care. The purpose of this study is to identify risk factors related to the working environment that influence job dissatisfaction and intention to turnover among dedicated nurses working in emergency rooms in areas of medical vulnerability. Methods: We conducted a survey of nurses working in emergency rooms in vulnerable areas of medical care, and the survey was conducted for two consecutive years. A logistic regression analysis was performed with the working environment variable as the independent variable and the work environment dissatisfaction and turnover intention as dependent variables, respectively. Results: The variables that significantly affected both dissatisfactions with the working environment and turnover intention at the current institution were age, overlapping work in other departments, and the total work experience of nurses. Annual salary, the average number of double-duty (continuous work) per month, type of work, and work experience of nurses at the current institution had a significant effect only on dissatisfaction with the working environment. Conclusion: The results of this study are thought to be of great help if the government takes reference when establishing medical policies in vulnerable areas in the future.

• 한국응급구조학회지
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• 제25권1호
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• pp.73-84
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• 2021

Purpose: The purpose of this study was to investigate the educational satisfaction of trainees in implementing violence prevention education by workers in the emergency room and insufficient education. Methods: The participants of the study were 65 emergency room employees in S area. Results: First, education was helpful if you actively participated in education, and if you did not actively participate in education, education was shown to be of little or no help (χ²(p)= .000 p-value<.05). Second, formal education (53.3%) was identified as the problem of preventive education currently in place of education, and statistics show that the biggest problem with applying emergency room violence prevention education at worksites is a lack of active support (41.7%) from the police and hospitals. Third, 48.3 percent of the respondents thought that the education methods invited experts were appropriate for emergency room violence prevention education. Conclusion: The problem with the current emergency room violence prevention education is that it is necessary to establish a connection program between hospitals and police stations and give lectures by experts in violence prevention education to apply the contents of the educational curriculum in the workplace with one time and formal education.

• 한국재난정보학회 논문집
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• 제14권4호
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• pp.480-491
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• 2018

연구목적: 서울종합방재센터 재난상황실 재난상황관리능력 제고를 위해서 조직몰입을 높이는 사회적 지원을 구성하는 하위차원의 체계적인 관리적 접근을 제기하는 것이 본 연구의 목적이다. 연구방법: 감정노동을 독립변수로, 조직몰입을 종속변수로 하여 사회적 지원의 매개효과를 분석하였으며, 이에 근거해 재난상황관리 조직몰입을 제고시키기 위한 방안을 도출하였다. 연구결과: 조직지원 차원에서, 재난상황관리업무 객관적 평가, 재난상황관리 감정노동 완화 교육훈련 프로그램 개발, 재난상황관리 모니터링을 통해 상황관리 업무품질 개선과 업무 불균형 완화, 재난상황관리 직원의 업무 동기부여 및 보상책 마련, 재난상황실 소방공무원 감정노동 해결을 위한 체계적 업무 관리를 위해 재난상황 분석실 설치, 현재 상황관리 총괄팀과 재난상황관리 총괄운영 관리자, 재난상황관리 정보 분석가 및 개발자를 전문성을 갖춘 인재 충원이 필요하다. 둘째 관리자 지원 차원에서 역량있는 소방공무원 선발, 재난상황실 소방공무원에 대한 체계화된 단계별 감정노동에 대한 치유대책 마련, 감정노동 소방공무원을 위한 관리자의 상담역량을 갖추어야 한다. 결론: 재난상황실 재난상황관리능력 제고를 위해서는 사회적 지원에 기반한 조직몰입 제고를 위한 교육훈련프로그램의 개발이 이루어져야 한다.