• 한국응급구조학회지
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• 제8권1호
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• pp.127-139
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• 2004

This study aims to examine the relative importance of various tasks of EMT and to examine knowledge level and problems associated with AED. It is based on the survey of paramedics and 119 rescures. The results for this study were as follows ; Among the tasks of EMT, 'foreignbody removal from mouth' were rated as the most important, followed by '$O_2$ supply', 'CPR', 'Intubation for CPR', '$O_2$ supply' were rates as the most necessary, followed by 'foreignbody removal from mouth', 'external bleeding control'. In terms of the knowledge level about AED, survey respondents are most knowledgeable about 'role of other rescures during the preparation for AED' and 'treatment after 3 AEDS. The most important reason that the uses of AED is delayed is 'unclear boundary of treatment directed by medical control'. The results of the study suggest that we need guideline for EMT's tasks, efficient communication system between 119 and emergency health are center for prompt AED, and training and education program for AED.

• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2015년도 춘계 종합학술대회 논문집
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• pp.9-10
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• 2015

Purpose : The purpose of this study was to report the incidence of drowning accident in order to prevent and decrease the accidents of drowning. Methods : Data were obtained on all accidents of drowning accidents occurred were identified by using the Emergency Activity Daily Report Data from the National Emergency Management Agency (NEMA). Results : The age, location, days, season of the drowning accident were examined. The Chi-square test was used to compare each group. All comparisons were made at the p<0.05 level of significance. The result show that the age of drowning accidents for victims aged 20-29 was 27.9%, and for victims aged 30-39 years, 18.7%. In reguard to the age group, drowning accidents was age 20-39; 51(44.8%). In reguard to the locations, the number of drowning accidents in a lake or reservoir was 62(53.4%). The number of drowning accidents in a lake or reservoir during etc was 51(58%). In reguard to the days, the number of drowning accidents on Saturday was 30(25.8%), on Sunday 32(27.6%). The weather of drowning accidents was sunny 60(51.8%), rainy 40(34.4%), cloudy 16(13.8%). The season of drowning accidents was summer 53(45.7%). In reguard to season, two groups are significantly different. Conclusion : Drowning is a leading cause of injury related accidents. Understanding the characteristics of drowning is the first step to developing prevention strategies that may be beneficial for people of all ages and under nearly all circumstances are increased swimming ability, lifeguard staffing, providing life jackets, and public education activities.

• 스마트미디어저널
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• 제4권3호
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• pp.24-30
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• 2015

갑자기 마주친 응급상황에 대해 대부분의 사람들은 당황하게 되고, 신고 시 정확한 메시지 전달이 되지 않는 경우가 많다. 최근 일상화된 스마트 소프트웨어 환경에서 개인의 응급상황을 정확하고 구조화된 형태로 전송하여 최적의 서비스를 받을 수 있도록 하거나, 주위의 여타 응급상황에 실시간으로 대처할 수 있도록 하는 효율적인 응급 의료 서비스 시스템을 제공하는 것이 중요하다. 본 논문에서는 효율적이고 구조화된 응급의료 서비스를 제공할 수 있도록 빠르고 정확한 XML-기반 메시지 전송 기술에 대한 표준 프로토콜을 설계하고, 이를 이용하여 효율적이고도 신속하고, 정확한 처리를 할 수 있는 환경을 제공한다.

• 한국임상보건과학회지
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• 제2권2호
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• pp.133-147
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• 2014

Purpose. Radiation therapy for oncologic emergencies is an important modality in the management of cancer patients. The aim of the present study was to review the roles of RT in oncologic emergencies based on literature review. Methods. The oncologic emergencies requiring rapid treatment include superior vena cava syndrome, spinal cord compression, brain metastasis, and bone metastasis. We reviewed the literatures on the pathophysiology, diagnosis, and treatment of oncologic emergencies. Results. In this literature review, radiation therapy among treatment modalities for oncologic emergencies has been shown to be fast and very effective treatment modality for oncologic emergencies. Conclusions. Based on this review, we conclude that the literature provides support for the role of radiation therapy in the situation of oncologic emergencies. As the number of cancer patients increase, the prevalence of oncologic emergencies will increase. In the future, the development of RT techniques will provide the improvement of not only patient's quality of life but also the survival.

• 한국응급구조학회지
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• 제8권1호
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• pp.19-32
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• 2004

This study was conducted to identify an initial fire station experience of EMT students, so to better understand their' practice experience in fire station. The subjects were 28 EMT students of C department of Emergency Medical technology in C city, who were demonstrating at the fire station in C 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, 201 significant statements were organized into 93 formulated meanings. From the formulated meanings, 30 themes were identified, organized into 16 theme clusters, and then 7 categories. EMT students got experienced 'tension' in resulting from new training situation and at the field practice, 'comport and gratitude', in feeling of identity and a bond sympathy with senior EMT, in training environment and heartfelt care, 'stress' from lack of knowledge and skill, difficulties in field practice for 24 hours, in dealing with making interpersonal relationship with patient and staffs and from the insufficiency of instruction, 'confidence feeling' from the participation of field treatment, in improving of learning, in self-esteem of EMT job, 'confusing feeling' of conflict of the path in work, 'disappointment and doubt' by the discrepancy between learning and actuality, and disappointment of actuality, 'feeling of lack' based on the passive attitude. The results of this study are to use as basic data for students attending fire station experience for the first time.

• 인터넷정보학회논문지
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• 제23권3호
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• pp.87-95
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• 2022

최근 스마트기술의 발달로 의료정보플랫폼에서 환자의 생체데이터가 실시간으로 측정 및 데이터베이스에 축적되며, 환자의 응급상황을 판단할 수 있다. 또한, 의료진은 이동단말기를 이용하여 간단한 인증 이후 환자정보에 쉽게 접근이 가능하다. 그러나 이동단말기를 이용한 의료정보 접근에 있어 환자상황과 이동단말기를 고려한 인증에 대한 연구가 필요하다. 본 논문에서는 응급상황에서 의료진의 이동단말기를 이용한 의료정보 접근허가를 위해 빅데이터 처리 및 에지컴퓨팅 기반의 자동인증지원 의료정보플랫폼에 대해 연구하였다. 기 연구된 자동인증 시스템은 응급상황에서 사용자인증과 이동단말기인증을 동시에 수행하며, 상위 의료정보 접근권한을 인증된 의료진과 이동단말기에 부여하는 인증 시스템이다. 환자의 고혈압, 당뇨와 같은 환자상태를 고려한 응급상황을 판단하기 위해 빅데이터 처리 및 분석기법을 제안한 플랫폼에 적용하였다. 또한 환자의 빠른 응급상황 판단을 위해 에지컴퓨팅을 의료정보 서버 앞단에 두어 의료정보 서버 대신 에지컴퓨팅에서 응급상황을 판단하도록 하였다. 의료정보 서버는 입력된 환자정보와 축적된 생체데이터를 이용하여 응급상황 판단수치를 도출하고, 에지컴퓨팅에 전달하여 환자 맞춤형 응급상황을 판단하도록 하였다. 결론적으로, 제안한 의료정보플랫폼은 빅데이터 처리와 에지컴퓨팅을 통해 환자상태를 고려하고 응급상황을 빠르게 판단하였으며, 자동인증을 통해 응급상황에서의 신속한 인증과, 환자상황과 의료진의 역할에 따른 접근권한 부여를 통해 환자정보를 보호하였다.

• 한국응급구조학회지
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• 제12권3호
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• pp.17-26
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• 2008

Purpose : This study aimed to make comparison before and after CPR training for health college students (departments of visual optics, occupational therapy, and health welfare administration). The questionnaire consisted of self-efficacy, knowledge, and attitudes toward CPR affect performance ability. Through this study, the researchers tried to provide basic data in developing of cardiopulmonary resuscitation training programs and training methods for health college students. Methods : This study was applied to 83 health college students (departments of visual optics, occupational therapy, and health welfare administration) in G Province. Data were collected from September 22 to October 9, 2008. Analysis was performed by using SPSS WIN 12.0 Version program. Frequency analysis, t-test, ANOVA, and Pearson's correlation coefficients were used. Statistical significance was based on p < .05. Results : 1. There was an increase with(${\rightarrow}$ in) 1.69 point before education and 3.01 after education of artificial ventilation(p < .001). There was an increase in 1.46 point before education and 3.24 after education of airway(p < .001). There was an increase in 1.54 point before education and 2.84 after education of chest compression location(p < .001). There was an increase in 1.97 point before education and 3.13 after education of chest compression(p < .001). 2. The difference between self-efficacy, knowledge, and attitude before and after CPR education, the self-efficacy increased from 2.08 point before education(p < .001 to 3.18 point after education. Knowledge increased from 2.09 point before education(p < .001) to 3.28 point after education. Attitude increased from 1.75 point before education(p < .001 to 3.05 point after education. 3. The correlation between self-efficacy, knowledge, and attitude toward CPR), was not changed before education. After education, knowledge showed quantitative correlation(r = .219, p < .05) with attitude. 4. In regression analysis with the aim of examining influence of self-efficacy, knowledge, and attitude upon performance ability, the effect wasn't given to performance ability before education. After education, the self-efficacy was indicated to have significant effect on performance ability(p < .05).

• 한국응급구조학회지
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• 제13권3호
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• pp.77-90
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• 2009

Civil complaints and lawsuits filed in the process of providing emergency medical service include fall accident on the way of carrying the patient, transfer consent, refusal and rejection of rescue request, range and behavior restriction of emergency medical technicians, false registry of logbook, neglect of duty and emergency patient, and violation of traffic laws on the way of dispatch to the scene of accident. This study suggested the measures by cases as follows. 1. The accidents on the way of carrying a patient could be divided into fall of patient and fall by paramedic's mistake. In the former case, damages caused by the ambulance's shaking must be notified to the patient and guardian and recommended to fasten seat belt, in the latter case, the plan of patient's posture, route of transport, rescue and equipments should be comfirmed before fixing the patient. 2. Transfer consent must be made as implied when the patient is unconscious under delusion and was not able to consent physically, and paramedic must take an action by his judgment and record details of services on logbook. 3. When a patient refused to transfer, get 'confirmation of transfer refusal' and inform him of refusal. Paramedic should receive the signature. In addition, in case of refusal, transfer request should be made after hearing doctor's opinion and it should be notified to transfer request and superintendent of fire station after making 'confirmation of transfer refusal'. 4. Emergency medical technicians should perform their duties within the range of services prescribed by Article 41 of Law of Emergency Medical Service and Article 33 of Its Enforcement Regulations and shall not make announcement of death. In case of reporting the death to guardian, it is desirable to use record data like ECG results. 5. The best way to have protection from legal problems is making and keeping the exact records of accident and patient. Paramedic should not mention his subjective opinion about the accident-related matter. He must record correctly and keep the original medical records. 6. As emergency medical technicians are responsible for taking care of emergency patients, they must contact a briefing room when they meet a difficult situation suddenly due to vehicle stop or treatment of other patients and then must have support from neighboring hospital and other safety centers. 7. Since the ambulance operator is responsible for safety and careful driving of ambulance, he must be careful when he violates traffic regulations unavoidably. The operator should drive slowly below 10km/h at an intersection and pass it after getting way from general vehicles driving from all directions.

• 한국응급구조학회지
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• 제11권3호
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• pp.47-64
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• 2007

Purpose : This study examines satisfaction of students at the department of Emergency Medical Technology with clinical practice and relationship between motivation of achievement and satisfaction with clinical practice and aims to provide basic materials contributing to the improvement of clinical practice education. Method : It selected 237 students in the second and third grade at the dept. of Emergency Medical and having experience in clinical practice as the subjects, collected data from Sept. 1 to 30, 2007 and analyzed 237 questionnaires collected with SPSS 12.0 program. Result : 1. Degree of motivation of achievement scored 3.46 of full marks of five points and they showed motivation of achievement over average score. Students who entered the dept. of Emergency medical after beginning social career(3.78) showed higher motivation of achievement in the period of entrance and group having will to be volunteer(3.66) showed the highest motivation of achievement in selecting this major. The better personal relationship they have, the greater hospital grade and the higher their transcript, the higher motivation of achievement they have. In the desired area of employment after graduation, first-aid staffs at the field of industry group(3.85) showed the highest motivation of achievement. 2. Degree of their satisfaction with clinical practice scored 3.53 of full marks of five and they showed satisfaction with it over average score. They showed the highest satisfaction in the contents of practice(3.64). 3. There was statistically significant positive correlation between motivation of achievement and satisfaction with clinical practice(r = .165, p < .05). Conclusion : There was statistically significant positive correlation between motivation of achievement and satisfaction with clinical practice. Repeated research through sampling based on probability to generalize relevance of motivation of achievement and satisfaction with clinical practice is needed and further researches on developing program to inspire motivation of achievement in theoretical learning as well as in clinical practice are required.

• 한국응급구조학회지
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• 제20권1호
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• pp.41-55
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• 2016

Emergency statistics for cities and provinces are currently derived using simple results of comparative numerical data, but there is a limit to the ability to analyze and compare deviations relevant to a specific city and province. This study aims to derive various correlations through statistical analysis of emergency and rescue data for Gwangju Metropolitan City and to develop an analytical model that can be applied nationwide. With the new statistical model, further detailed analysis is possible beyond simple evaluation of rescue data, through links to other institutions and analyses using keywords from Internet portal sites and social networks. Second, a system which that can analyze data that are not shared is required. Through this system, a large amount of data can be automatically analysed in real time. Third, the results should flow back for application in various policies. A real-time monitoring and management system should be created for abnormal patterns of disease. In addition, the results should be available to tailor services for individuals, communities, or specific organizations.