• 대한안전경영과학회지
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• 제17권1호
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• pp.33-43
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• 2015

Modern systems development becomes more and more complicated due to the need on the ever-increasing capability of the systems. In addition to the complexity issue, safety concern is also increasing since the malfunctions of the systems under development may result in the accidents in both the test and evaluation phase and the operation phase. Light rail transit(LRT) with passenger capacity between bus and subway is driven by an unmanned control, so safety issues of LRT in emergency shall be considered more carefully than other rolling stock. Modern railway system is a complex system and many actions in emergency are required. In this view, interoperability approach is effective to identify the related elements in emergency. In this paper, we propose the method to generate the fire response scenario of unmann ed LRT based on the outputs of systems engineering architecture design methodology. The proposed method is could be contributed to establish more reliable and applicable fire response scenario.

• 디지털산업정보학회논문지
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• 제7권1호
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• pp.19-29
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• 2011

The u-Healthcare system, a new paradigm, provides healthcare and medical service anytime, anywhere in daily life using wired and wireless networks. It only doesn't reach u-Hospital at home, to manage efficient personal health in fitness space, it is essential to feedback process through measuring and analyzing a personal vital signs. MBAN(Medical Body Area Network) is a core of this technology. MBAN, a new paradigm of the u-Healthcare system, can provide healthcare and medical service anytime, anywhere on real time in daily life using u-sensor networks. In this paper, an ontology-based context-awareness in MBAN proposed system development methodology. Accordingly, ontology-based context awareness system on MBAN to Elderly/severe patients/aged/, with measured respiratory rate/temperature/pulse and vital signs having small variables through u-sensor network in real-time, discovered abnormal signs and emergency situations which may happen to people at sleep or activity, alarmed and connected with members of a family or medical emergency alarm(Emergency Call) and 119 system to avoid sudden accidents for early detection. Therefore, We have proposed that accuracy of biological signal sensing and the confidence of ontology should be inspected.

• 한국응급구조학회지
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• 제16권2호
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• pp.75-89
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• 2012

Purpose : This research was designed to provide basic data for advanced pre-hospital airway management by comparing the time to ventilation and success rate for tracheal intubation performed with Macintosh laryngoscope and intubating Laryngeal Mask Airway(ILMA) in a manikin. Methods : All participants were novice users among EMT-Paramedic students and were divided into two groups: (1) the group for Macintosh laryngoscope guided tracheal intubation(MLG-TI) (2) the group for ILMA guided tracheal intubation(ILMA-TI). After an introductory lecture and demonstration, each group made an attempt ten tracheal intubation to compare the ventilation time and success rate for tracheal intubation. Results : 1) There was significant difference in the time to ventilation through MLG-TI, the time to first and second ventilation through ILMA-TI of the 10 attempts. 2) The time to first ventilation through ILMA-TI was significantly shorter than that of ventilation through MLG-TI. 3) There was no significant difference between the time to ventilation through MLG-TI and the time to second ventilation through ILMA-TI. 4) The success rates of ILMA-TI were significantly higher than those of MLG-TI. Conclusion : ILMA-TI can be an alternative method for MLG-TI in advanced pre-hospital airway management.

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 2023년도 학술발표회
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• pp.384-384
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• 2023

To enable the government and local authorities to anticipate the public's response to emergency measures, it is crucial to formulate theories on residents' behavioral reactions and establish appropriate evaluation models that cater to local conditions. However, prior research has primarily relied on simple surveys to assess individual disaster preparedness progress, while in the United States, the National Household Survey explores the behavior, attitudes, and motivations of citizens. Nonetheless, relying on simple survey analyses presents limitations. Therefore, our study aims to develop a social science behavioral analysis model that includes risk perception and emergency preparedness evaluation items for drought. We will achieve this by examining both domestic and foreign behavioral models. The ultimate goal is to present an effective response strategy for managing drought risk that incorporates the developed model. The drought risk perception and behavioral model employed in this study involves evaluating individual risk perception of drought disasters, individual effectiveness, and motivation analysis for drought disasters, government satisfaction with drought disaster management, and individual acceptance of drought prevention policies.

• 한국응급구조학회지
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• 제28권2호
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• pp.77-98
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• 2024

Purpose: This study aimed to derive detailed insights into emergency medical technicians' (EMTs) perceptions regarding continuing education. Methods: We conducted a descriptive survey. The interview participants were 20 EMTs, divided into four groups: six Fire Department EMTs, five Hospital EMTs, five Clinical EMTs (excluding the ER and Fire Department), and four Non-Clinical EMTs. Data were collected through focus group interviews (FGIs) and semistructured questionnaires. The interview periods were March 25, 2022, and March 27, 2022. Results: Continuing education was primarily field-oriented, leading to lower satisfaction among non-field EMTs. To enhance satisfaction, training should be tailored to the specific roles and experiences of the EMTs. Additionally, quality management of lectures, instructor selection, and video quality require reconsideration. Key factors that enhance satisfaction include a wider variety of courses, up-to-date information, and relevant course content, regardless of job role or experience. Conclusion: Incorporating feedback into EMTs' perceptions of continuing education can lead to the development of more effective curricula and improved quality management. This approach is expected to enhance both educational satisfaction and job performance.

• 한국응급구조학회지
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• 제15권2호
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• pp.67-84
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• 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.

• Korean Chemical Engineering Research
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• 제52권6호
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• pp.743-749
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• 2014

화학공장에서 사고를 예방하려는 많은 연구가 수행되었음에도 불구하고 지속적으로 사고가 발생하고 있다. 이러한 사고들은 규모가 크고, 초동 대응의 결과에 따라 인명, 재산 피해 규모가 달라진다. 따라서 사고 발생 이후 피해를 최소화하기 위한 사고대응 가이드라인이 필요하다. 본 연구에서는 기존에 존재하던 사고대응 가이드라인 작성법과 국내 법령 등에서 제시하는 가이드라인의 요구사항에 대하여 조사하고, 기존 사고대응 가이드라인 작성 방법에 BCP 기법을 적용하여, 가이드라인의 개발을 위한 구성 요소, 대응단계, 개선 절차 등을 제시하였다.

• 한국융합학회논문지
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• 제7권2호
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• pp.85-91
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• 2016

본 연구는 국내 화재피해자의 긴급복구를 위한 민 관 융합형 지원시스템 방안에 대한 것으로, 화재피해자의 긴급복구활동에 대한 현황과 문제점 분석을 통하여 정부와 민간 협력기반의 통합적 지원시스템 구축방안을 제시하였다. 전체적으로 국가는 시스템 운영의 관리 감독기관의 기능을 담당하고 민간에서 실질적 긴급복구 전담기관의 기능을 담당하는 시스템을 의미한다. 결과적으로, 화재피해 긴급복구 지원을 위한 법제도 정비, 지원사업의 민간위탁 시스템 구축, 소요재원의 안정적 조달 및 민 관 긴급복구의 융합기능 강화를 위한 지원시스템 방안을 도출하였다. 특히, 긴급복구 소요재원의 안정적 조달 방안은 긴급복구를 위한 기금의 신설 및 민간 수탁법인의 자체 재원 조성의 세부방안을 논의하였다. 본 연구결과는 향후 국가 소방안전복지와 사회안전망의 강화에 기여할 것이다.

• 한국건설관리학회논문집
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• 제10권5호
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• pp.148-157
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• 2009

When an emergency situation happens in buildings, the top priority is to ensure the occupant from danger as soon as possible. Achieving that goal is a multifaceted and difficult task. However, current evacuation systems have many deficiencies in dealing with the emergency in multi-level structures. The shortage of abilities to continuously update database, predict the future situation and provide the information to users with contextual information is the limit in current systems. Thus, it is very crucial to introduce Evacuation Information System (EIS), which is able to respond quickly to the emergency, and transfer the information to both the administrator and the occupant. The main purpose of this paper is to build EIS on the basis of the indoor Geographical Information System (GIS). When the emergency happens, EIS gives the instruction to Emergency Response Model (ERM) at once. ERM carries out the order and calculates the optimal evacuation routes, then sends the result to EIS. At last, EIS transmits evacuation messages to the occupant who implements evacuation plan. This paper highlights the benefits of EIS in two aspects. One is that EIS can update the data continuously to support evacuation strategy-making. The other is that it can transmit evacuation messages to both the administrator and the occupant.

• 대한임상독성학회지
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• 제12권2호
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• pp.39-45
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• 2014

Purpose: The purpose of this study is to review the evidence comparing the efficacy and safety between L-carnitine and extracorporeal elimination therapy in the management of acute valproic acid L-carnitine vs Extracorporeal Elimination for Acute Valproic acid Intoxication Methods: PubMed, Embase, Cochrane library, Web of Science, KoreaMed, KMbase, and KISS were searched, using the terms carnitine and valproic acid. All studies, regardless of design, reporting efficacy or safety endpoints were included. Reference citations from identified publications were reviewed. Both English and Korean languages were included. Two authors extracted primary data elements including poisoning severity, presenting features, clinical management, and outcomes. Results: Thirty two articles including 33 cases were identified. Poisoning severity was classified as 3 mild, 11 moderate, and 19 severe cases. Nine cases were treated with L-carnitine while 24 cases received extracorporeal therapy without L-carnitine. All patients except one expired patient treated with hemodialysis recovered clinically and no adverse effects were noted. A case report comparing two patients who ingested the same amount of valproic acid showed increased ICU stay (3 vs 11 days) in case of delayed extracorporeal therapy. Conclusion: Published evidence comparing L-carnitine with extracorporeal therapy is limited. Based on the available evidence, it is reasonable to consider L-carnitine for patients with acute valproic acid overdose. In case of severe poisoning, extracorporeal therapy would also be considered in the early phase of treatment.