• Title/Summary/Keyword: Emergency operation

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Suggestion and Application of Emergency Simulation Educatin using Real-time Video Observation for Inactive Nurses

  • Park, Jung-Ha;Lee, Yun-Bok
    • International Journal of Advanced Culture Technology
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    • v.10 no.1
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    • pp.180-186
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    • 2022
  • This study is a pilot study to confirm the effectiveness of training after applying emergency simulation training for inactive nurses and to present a new model of simulation training operation method. In this study, the control group is a group that directly participates in the simulation activity, and the experimental group is the group that observes the control group's simulation activity. Experimental group and control group were matched 1:1 to experience all the roles of the resuscitation team. The study participants were 5 inactive nurses in the experimental group and 5 inactive nurses in the control group, and the total training time was 5 hours. The emergency simulation operation composition consists of theory education, skill education, and simulation. The interview was conducted. The educational satisfaction of the participants was 4.65 points for theory education and 4.70 points for practical education based on 5 points. Participants' performance confidence improved from 3.60 points before operation to 7.20 points after operation. Emergency simulation operation consisted of pre-test, theory education, skill education, simulation implementation, debriefing, and post-test. Participants expressed that the choice of group greatly reduced the burden and anxiety about performing the role of the resuscitation team. However, difficulties and inexperience in the operation of the defibrillator were reported in the experimental group. The control group reported that the simulation activity of the experimental group was not significantly different from theirs. Through the results of this study, it was confirmed that emergency simulation education not only reduced the burden and anxiety of inactive nurses, but also had an effect of education. Based on the research results, it is proposed to expand the participants and verify the effectiveness of education through specific variables such as learning commitment, learner confidence, simulation satisfaction, and team effectiveness.

Improvement Strategies of Arriving Time to the Scene by Enhancing EMTs' Recognition of Triage (구급출동지령서 개선을 통한 구급대원 현장 도착시간 단축방안)

  • Oh, Won Sin;Joung, Suck Hwan;Yoon, Myong Oh
    • Journal of the Korea Safety Management & Science
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    • v.17 no.1
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    • pp.45-52
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    • 2015
  • The purpose of this investigation is to enhance the survival rate of patients by transporting them to the hospital within the golden hour through the operational improvement of emergency dispatch instruction. To this end, problems and improvements of current operating system were derived by carrying out a survey against paramedics of Incheon city in 2012 and analyzing the current emergency dispatch instruction. This study analyzed the emergency activity daily reports for one year from January 1 through December 31, 2012 and researched the consciousness of 119 emergency medical technician. According to the analysis of the survey, there were no meaningful differences in the on-site arrival times per triage. Therefore, the item of 'Emergency Classification' specified in the emergency dispatch instruction needs to be integrated in the scheme of "triage". Also, the feedbacks of the emergency action log and the emergency dispatch instruction are necessary for 'duty for operation' to review the adequacy to the severity after the end of emergency operation. Finally, the improvement of the system for the continuous communication between the paramedics and the command staff is necessary. This improvements as stated above are expected to contribute to raise survival rate of patients.

A Case of Congenital Diaphragmatic Eventration Requiring Emergency Operation (응급 수술을 요하는 선천성 횡경막 내번증 1예)

  • Lee, Seock-Yeol;Lee, Seung-Jin;Park, Hyung-Joo;Lee, Cheol-Sae;Lee, Kihl-Rho
    • Advances in pediatric surgery
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    • v.10 no.2
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    • pp.142-144
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    • 2004
  • A one day old female infant was brought to the emergency room suffering from shortness of breath. An x-ray revealed the gastrointestinal tract in the right thoracic cavity. An emergency operation demonstrated eventration of the diaphragm, and a plication was performed. The baby was discharged without complication and has been followed up in the out patient clinic. Congenital diaphragmatic eventuation requiring emergency operation is rare.

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A Study on Developing the Training Program for the Emergency Response against Railroad Emergency Accidents (철도 비상사고 비상대응 훈련 프로르갬 개발에 관한 연구)

  • Park, Min-Kyu;Kim, Si-Gon
    • Journal of the Korea Safety Management & Science
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    • v.11 no.2
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    • pp.33-40
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    • 2009
  • The Railroad Safety Act was implemented in 2005 due to the increased concerns regarding railroad safety since the Daegu subway fire in 2003. In line with this, the Act became a standard to build the total railroad safety systems which has been overlooked compared to the quantitative growth of the railroad business. The minister of the ministry of Land, Transportation and Maritime Affairs lays down the Act for railroad Companies to conduct emergency programs in response to the emergency occurring on the railroad such as fire, explosion, derailment, etc. By enacting the Safety Act, the nation's construction of the contingency management system for railroad emergency increased", and it made the railroad company prepare the Emergency SOP by establishing 'The guideline on the Establishment of the railroad Emergency Plan' in order to support the efficiency of the Act. In line with this, I would like to analyze a matter of system development and the main function of the "railroad Emergency Training Program" for activation improvement of standardized operation procedure developed through the 'Total capitalize Safety Technology development'.

An Operation Grouping and Its Maximum Allowable Conductor Temperature Considering Facility-conditions of Transmission Lines (송전선로의 설비특성을 고려한 운영그룹 분류 및 최고허용온도)

  • Sohn, Hong-Kwan;Kim, Byung-Geol;Park, In-Pyo;An, Sang-Hyun;Jang, Tae-In;Choi, Jang-Kee
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.57 no.11
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    • pp.1922-1928
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    • 2008
  • The thermal rating of a conductor are maximum continuous current capacity and short time emergency current capacity. The overload operation for a faults have an effect on a conductor lifetime. Its time duration and overload level are limited to facility conditions of transmission lines. The short time emergency current capacity in KOREA observe the KEPCO's DESIGN RULE 1210, but its rules are not included to concept of an allowable short time duration. This papers are described to the calculation concept of short time emergency current capacity considering a time duration and an overload level. And we suggested a operation grouping and its maximum conductor temperature considering facility conditions - conductor lifetime, stability of connection points, conductor height above ground and clearance, in the operating and new T/L.

A Study on the Safety Performance Suitable for Eire Fighting of Emergency Elevator (비상용승강기의 소방활동에 적합한 안전성능 향상방안에 관한 연구)

  • Park Jae-Sung;Yoon Myong-O;Kim ong-Hyup
    • Fire Science and Engineering
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    • v.19 no.3 s.59
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    • pp.37-43
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    • 2005
  • When a fire breaks out in a high-rise building, the firefighters must swiftly arrive at fire area with his equipments ready and use the emergency elevator for a more effective operation. In spite of the legal regulations about the emergency elevator, the ones currently installed show various problems and require improvements related to the fire fighting. This research work in to review the regulations on emergency elevator in Korea and other nations, and to conduct a questionnaire survey on the operation of emergency elevators to the fire officer, and finally to provide new standard and operation methods.

Optimization of the Design of Large Ducts with the Space Constraint in 500MW Power Plant (500MW 발전소에서 협소 공간 내 대형 덕트 설계의 최적화)

  • Hwang, Woo-Hyeon;Lee, Kyung-Ok;Cho, Yong-Ki
    • Journal of Environmental Science International
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    • v.18 no.7
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    • pp.755-765
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    • 2009
  • Some sections of the exhaust system to determine the shape of the duct is to suffer the difficulties by space constraints to install new equipment of the environment post-treatment for existing operation of the power plants. In this paper the large duct in flue gas desulfurization equipments of the 500MW coal-fired power plant on the current operation is numerically analyzed from induced draft fan exit to booster up fan inlet section which is in the narrow space of the exhaust system with four times bending and is connected to emergency duct to bypass the exhaust gas on the emergency operation. The procedure and method using computational fluid dynamics are proposed to maintain the stability of the guide vane with the uniform flow and a minimum pressure loss of exhaust gas in the case of normal and emergency operation between the direction of the flow of exhaust gas duct at different.

Construction of e-Emergency Service System Infrastructure in Busan Metropolitan City (부산광역시 e-응급서비스시스템 인프라 구축)

  • Kim, Hyung-Hoi;Cho, Hune;Kim, Hwa-Sun;Cho, Suck-Ju
    • Journal of Korea Multimedia Society
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    • v.11 no.9
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    • pp.1267-1276
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    • 2008
  • The time taken for an ischemic heart disease patient to have a percutaneous coronary intervention because of acute myocardial infarction after arriving at the hospitals (door-to-balloon time) affects the patient's mortality significantly. To improve the emergency service system that has been previously used in the hospitals, this study focused on reducing door-data time and data-to-decision time among three time stages. The newly established e-emergency service system has set up the database of patients that had an emergency operation for acute myocardial infarction in the emergency service system of the hospital and has issued health cards for the patients that regularly visit the Busan National University Hospital. In addition, it has stored prior operation permits in the form of a certified electronic document. The new electronic system will reduce the complex treatment and operation procedures innovatively. Therefore, it is expected that this will make the life save (or the emergency patients easier and reduce the mortality. Moreover, it will also settle down the hospital staff's and patients' predicaments caused by the complex procedure of the legacy system.

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A Study on the Operation Regional Emergency Medical Center and the Using Behavior by Visiting Patients (한 지역 권역 응급의료센터 내원환자의 이용 행태 분석)

  • Ryu, Hwang Gun;Song, Hyun Kyung;Kim, Hye Suck;Kim, Tae Gon
    • The Korean Journal of Health Service Management
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    • v.1 no.1
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    • pp.110-124
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    • 2007
  • Currently, we have seen sudden increase of demand for emergency medical services by reason for high-speed economic development increase of traffics, etc. in this society. Consequently the government enforced & operated emergency medical system in 1991 as a link of more positive countermeasure against it, but many problem; still remain in reality. In particular, the regional emergency medical center designated by the Ministry of Health and Welfare falls short of our expectations for its essential role by the reason of such as insufficiency in professional manpower and institutions concerned in small-scale hospital, matters with transportation system, preference of large hospital, etc. Therefore, this study was conducted grasp for the actual conditions of emergency medical system based upon literature research & the preceding studies and interview research the motive of coming hospital, satisfaction & understand to the subject of 150 persons of patients and their guardians who used regional emergency center of Pusan National University Hospital, thereby examining & analysing the cause of emergency room overcrowding by non-emergency cases, one of the problem; enumerated from preceding studies. The main result of this study is as follows. First the actual condition of non-emergency patients coming hospital for examining overcrowding of emergency medical center showed that, of the patients who used the emergency medical center, non-emergency patients accounted for 49.3%, which acted as the main cause of delaying medical care for emergency cases, cases of which medical person or first-aid man decided to come hospital accounted for 36.1 %, thereby suggesting essential need for re-education & wide public information to even the professional manpower besides patients & guardians for their using emergency medical system. Second, as the result of researching patient acknowledgement with reference to their using emergency medical center, the rate of their giving right answer is no more than 60%, which means that non-emergency cases' using as such is due to the shortage of their knowledge of the said emergency medical center, which suggests us that wider P.R for emergency medical system to common people who may be one of the patients of it at any time is still in need. Third, the result of researching for finding out a future remedy of emergency medical system showed that the users who know well of the way of using emergency medical center had relatively high satisfaction of it, ones who have lesser knowledge of it lower satisfaction and users who feel in need of emergency specialized manpower feel the necessity of public information of emergency medical information center(1339) at the same time. The finding of examining the subject of study, in conclusion, showed that the degree of the patients & their guardians' understanding of emergency medical system is lower and the medical persons concerned also had no distinct difference in their understanding of it from the common people's, which suggests us for extensive enforcement of systematic education and public information in aspect of the government via various media for the purpose of effective operation of emergency medical center.

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Simulation Analysis and Development of Matlab/Simulink Model for Stand-alone Operation of Emergency Diesel Synchronous Generator-based Hybrid Energy System (비상용 디젤동기발전시스템기반 독립운전 하이브리드에너지시스템 모델 설정 및 시뮬레이션 분석에 관한 연구)

  • Hong, Won-Pyo
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.29 no.1
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    • pp.70-79
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    • 2015
  • In this paper, enhanced stand-alone operation and development of Matlab/Simulink model of emergency diesel based hybrid energy system is presented. Simulations based on the remote community or islands were performed for PV-diesel-battery hybrid system. Modeling of PV-diesel-battery integrated system is done to perform under the solar radiation and load conditions on Matlab/Simulink platform. The models of diesel generator unit, battery energy storage system, PV and frequency-power control are developed and simulation studies have been carried out under various conditions using Matlab/Simulink and SimPowerSystem. It is demonstrated that the proposed system can provide reliable and good quality power to the customers in diesel synchronous generator-based hybrid energy systems.