• Title/Summary/Keyword: Emergency System

Search Result 2,800, Processing Time 0.027 seconds

Review of Pediatric Patients visiting Emergency Center used Clinical Classification System (환자 분류체계를 이용한 응급실 방문 환아에 대한 고찰)

  • Moon, Sun-Young;Kim, Shin-Jeong
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.6 no.3
    • /
    • pp.375-388
    • /
    • 2000
  • This study was attempted to help in explore new direction about Clinical Classification System of the pediatric patients visiting emergency center. Data were collected from 276 patients who visited emergency center of E University Hospital during 3 months period form March 1, to May 31, 1999. The results were as follows: 1. Distribution of pediatric patients according to Clinical Classification System, class I(59.9%) topped followed by class II(23.9%), class III(14.1%), class IV(2.0%). Average score of pediatric patients according to Clinical Classification System showed class I.00, class II .02, class III .05, class IV .07. and total mean score of items lowed averaged .01. 2. With the resepect to the Clinical Classification System according to the pediatric patients visiting emergency center, there were stastically significant difference in visiting time($x^2=27.839$, P=.023), experience of admission($x^2=11.365$, p=.010), disease classification($x^2=89.998$, p=.000), state of airway patency($x^2=18.781$, p=.000), consciousness level($x^2=59.774$, p=.000), period of symptom manifestation($x^2=34.112$, p=.000), pediatric patients protector's thinking about pediatric patients state($x^2=49.998$, p=.000), treatment outcome($x^2=72.278$, p=.000), duration of stay at emergency center($x^2=103.062$, p=.000). 3. There were significant correlation between the state of pediatric patients and Clinical Classification System(r=.530, p=.000).

  • PDF

Globalization Development Plans of the Convergence Systems and Policies for Domestic Fire Industry (화재피해자의 긴급복구를 위한 민·관 융합형 지원시스템 방안)

  • Ku, Jae-Hyun
    • Journal of the Korea Convergence Society
    • /
    • v.7 no.2
    • /
    • pp.85-91
    • /
    • 2016
  • This study is related with support system plans of public-private convergence for emergency recovery services to fire victims. The current issues are analysed from the condition and problem analysis results of emergency recovery activities for fire victims. And building plans of an integrated support system based on the government and private sector cooperation are proposed. Overall, the system shows that the government is responsible for the functionality of management and supervision for the system operation, and the private is responsible for the functionality of specialized agencies for practical emergency recovery. Consequently, support system plans include with infrastructure maintenance of laws and regulations, contracting-out of the support system, stable supply of operating budget and function strengthening of public-private convergence for emergency recovery. Especially, plan for stable supply of operating budget in detail including with establishment of the fund and self-financing composition of private corporations for emergency recovery services is proposed. The results of this study will lead strengthening of fire safety welfare and social safety nets at future.

Conceptual Design of Emergency Communication System to Cope with Severe Accident in Nuclear Power Plants (중대사고를 대비한 원전비상통신시스템 개념설계)

  • Son, Kwang Seop
    • Journal of the Institute of Electronics and Information Engineers
    • /
    • v.51 no.5
    • /
    • pp.58-69
    • /
    • 2014
  • To cope with sever accident like Fukushima accident, the emergency response system is needed. It consist of the hardened I&C system and the mobile control station. The hardened I&C system monitors the state in the nuclear power plant and controls the emergency equipment such as valves, pumps and the mobile control station placed at 30km away from nuclear power plant receives the status information from the hardened I&C system and transmits the control data to the hardened I&C system. In this paper, we design the emergency communication system connecting the hardened I&C system to the mobile control station and analyze the performance of the system. This system consists of the terrestrial communication system and the satellite communication. The performance such as a communication link budget, throughput and delay time is analyzed for each system.

The Level of Awareness and Practice in Prehospital Emergency Patient Assessment and Emergency Care of Paramedic in Fire Station (1급 응급구조사의 병원 전 응급환자평가와 응급처치시행에 대한 인식과 실천정도)

  • Kang, Yong-Ju;Choi, En-Sook
    • The Korean Journal of Emergency Medical Services
    • /
    • v.15 no.2
    • /
    • pp.67-84
    • /
    • 2011
  • Purpose: The aim of this study is to present the basic data for qualitative improvement of emergency care for emergency patient by paramedic in fire station by understanding the level of awareness and practice in prehospital and transfer step, and understanding the level of emergency care and improvement of clinical knowledge through hospital clinical training. Methods: The researchers explained the objective for 143 persons who completed hospital clinical training from June 2nd, 2006 to October 23rd, 2009 among paramedic in fire station. The questionnaire in this research consisted of 80 questions. In the reliability for the awareness of emergency patient assessment, cronbach's $\alpha$ was 0.95, and in the reliability for emergency care fulfillment, cronbach's $\alpha$ was 0.93. reliability for clinical knowledge improvement is cronbach's $\alpha=.95$, and reliability for emergency care fulfillment is cronbach's $\alpha=.82$. Collected data was analyzed through SPSS 18.0 statistics program for frequency, percentage, average, standard deviation, Paired t-test, t-test, Correlation Coefficient, and internal consistency reliability was analyzed by cronbach's $\alpha$. Results: 1) The paramedic awareness and practice difference for emergency patient is statistically signification for general patient assessment(t=14.159, p=.000), trauma patient assessment(t=11.288, p=.000), internal medicine patient assessment(t=10.898, p=.000), and it shows the level of practice is lower than the level of awareness. 2) The paramedic difference between the level of awareness and practice according to whether or not they have clinical career is not signification on awareness(t=3.119, p=.125), and is high on practice(t=3.119, p=.002). 3) The correlation between paramedic awareness and the level of practice shows positive correlation(r=.61, p=.000). The higher the awareness of emergency patient assessment is, the higher the level of practice is. 4) The difference between paramedic clinical knowledge improvement and the level of emergency care practice is statistically significant(t=3.351, p=.001). 5) 89.6%(128 persons) of paramedic replied hospital clinical training experiences are helpful for field activity. 92.3%(133 persons) replied they apply well for clinical knowledge learned during hospital clinical training and emergency care skills in the field. Conclusion: Paramedic in fire station must evaluate the patient's initial assessment and activate the transfer system to the emergency department. It is necessary to develop and implement the effective education program continuously. The education program should systemize currently operated hospital clinical training. emergency disease and symptoms emergency care method, and practice mainly skill education should be progressed. In the prehospital and transfer management, high quality of medical assessment is required to the emergency medical service system. Medical direction from the doctors can feedback the paramedic continuously and continuing education must be provided to the paramedic in fire station.

A Management Strategy for Emergency Medical Facilities in Domestic Disaster Sites (국내 재난현장 응급의료시설 관리방안에 관한 연구)

  • Suh, Sangwook
    • Journal of The Korea Institute of Healthcare Architecture
    • /
    • v.25 no.4
    • /
    • pp.17-25
    • /
    • 2019
  • Purpose: Despite the fact that the needs for disaster emergency medical facilities to minimize casualties are increasing, research for emergency medical facilities is insufficient compared to research for DMAT investment. A management strategy for emergency medical facilities in disaster site needs to be proposed. Methods: Recently there was introduction of mobile hospital system using unit modular method, but it was found out to be used only in disaster emergency training. Emergency medical facilities in disaster site require various tasks. Examination for our research was carried out through consultations with emergency medical and mobile hospital expert because there is no practical use case to apply Emergency Medical Facilities in Korea. Result: In this research we proposed a management strategy to manage and operate emergency medical facilities composed of tent, unit module and container in the aspects of management efficiency. Implications: It is highly expected to establish a foundation for fast and accurate disaster emergency medical facilities deployment by applying the results of our research to Emergency response manual of disaster emergency medical service.

Expert System for Emergency Decision Making for Metro Water Supply Systems (광역상수도 시설의 비상시 의사결정을 위한 전문가시스템)

  • Kim, Eung Seok;Kim, Joong Hoon;Baek, Chun Woo;Lee, Jung Ho
    • Journal of Korean Society on Water Environment
    • /
    • v.23 no.1
    • /
    • pp.103-110
    • /
    • 2007
  • An efficient operational strategy using expert system for metro water supply systems in case of emergency situations is developed in this study. The emergency situations of the water supply systems are classified into three categories : pipeline system accident, machinery and electric facility accident and water quality accident. A PC-based expert system is developed using CLIPS for Seoul metro water supply system, Phase 1 & 2 system and Phase 3 & 4 system. Broad professional knowledges and experiences from the experts in the water supply systems have been collected systematically to construct the knowledge base. Decision-making in case of an emergency is based upon the professional knowledge so that a rational and efficient operational management can be available even in the absence of experienced expert. Especially the expert model developed in this study also provides a guide for pumping operation in case of pipeline accident to confirm that the proper pressure to all nodes in the system is supplied. The pipe network simulator KYPIPE has been consecutively executed by trial and error fashion for each pipeline in the system. The results from KYPIPE were included in the knowledge base to supplement the knowledge of the field engineers.

Adaptability Analysis of Emergency Preemption System in Field Operation (긴급차량 우선신호시스템 현장운영에 따른 적용성 분석)

  • Kim, Sang-Yeon;Ko, Kwang Yong;Park, Soon Yong;Jeong, Young Gje;Lee, Choul Ki
    • The Journal of The Korea Institute of Intelligent Transport Systems
    • /
    • v.16 no.3
    • /
    • pp.95-109
    • /
    • 2017
  • The golden time of emergency vehicle is directly connected to the public safety. Therefore, national attention has increased to cut down the emergency vehicle's travel time. In order to shorten the intial dispatch time of it, emergency preemption system was installed at five intersections, and after test operation, whether it could be introduced in the country was estimated. We analyzed the effect of the traffic volume, emergency vehicle's travel time, and queue length under preemption and non-preemption. In the verification of the emergency preemption system, it was confirmed that the emergency vehicle's travel time was reduced from 350% to 24% compared to non-preemption system(TOD). In the saturated condition, queue length were remained 15 minutes and near saturated condition was about 30 or 45 minutes. At the non-saturated condition, the queue length's difference between emergency preemption system and general signal was small.

Research on Actual Condition of Emergency Patients in Farming and Fishing Villages - In southwest coast district center - (농어촌지역 응급환자 실태조사 - 서남해안 지역을 중심으로 -)

  • Choi, Gil-Soon;Kwon, Hay-Rran
    • The Korean Journal of Emergency Medical Services
    • /
    • v.10 no.1
    • /
    • pp.13-21
    • /
    • 2006
  • Purpose: This study aims to examine characteristics and actual conditions of patients using emergency room at farming and fishing villages, solve overcrowding of emergency room at the tertiary hospital and activate local emergency clinics. Methods: It examines department of diagnosis and treatment, vehicles used, sex, age, residential area, visit hour, length of stay, presence or absence of trauma, measures after first aid and degree of severity based on medical records of 6,740 patients using emergency room at farming and fishing villages from Jan. 1 to Dec. 31, 2005. Conclusion : 1. Sex distribution of patients of emergency room was male 54.9% and female 45.1% and age distribution between over 40 and below 50 was most as 15.9%. 2. Transport means to emergency room were 91.4 of private car and others (public transport and going on foot), 7.5 of 119, 129 and police car and 1.0% of ambulance. 3. According to distribution of residential areas of emergency patients, 38.9% were Eup area, 42.1% Myeon area, 11.4% distant area and 7.5% adjacent area. 4. According to distribution of emergency patients by department of diagnosis and treatment, internal medicine was most as 35.8% and 55% of patients visited emergency room from 3:31 p.m. to 11:30 p.m.. 5. According to total hours of diagnosis and treatment of subjects, 51.2% were within 30min. and cases of non-trauma disease were 68.2%. 6. According to degree of emergency of emergency patients, non-emergency cases were 65.3%, urgent cases 27.7% and emergency cases 7.0% and 74.2% of patients returned home after first aid and 20.6% of them hospitalized. In conclusion, characteristics and diversification of patients should be examined and efforts by government and local medical institutions which must organize emergency system and facility and personnel levels suitable to regional conditions are needed in order to prevent overcrowding of emergency center of the tertiary hospital and activate local emergency center.

  • PDF

Emergency Scenarios of Rail-mounted Window Cleaning System (유리창 외부 부착형 청소장치의 비상상황 시나리오 도출)

  • Kim, Kyoon-Tai;Jun, Young-Hum
    • Proceedings of the Korean Institute of Building Construction Conference
    • /
    • 2019.05a
    • /
    • pp.244-245
    • /
    • 2019
  • Recently, a variety of window cleaning devices have been developed. There are, however, few cases of anticipated problems and countermeasures that may arise after these devices are installed. Therefore, in this study, the emergency condition was derived and the emergency scenario was derived for the rail-mounted cleaning device. Emergency scenarios and countermeasures derived from this study will be used for continuous improvement and supplementation of cleaning devices through prototyping and testing.

  • PDF