• 드라이브 ㆍ 컨트롤
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• 제8권3호
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• pp.44-47
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• 2011

• 한국화재소방학회논문지
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• 제20권4호
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• pp.77-90
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• 2006

119구급대원의 응급구급활동과 관련하여 형사법적으로 문제되는 영역은 크게 세 가지이다. 첫째는 구급 요청을 거절하는 행위이며, 둘째는 요구호자를 이송하지 않는 미이송 행위이고, 셋째는 응급처치행위이다. 이러한 일련의 구급대원의 행위들이 '응급의료에 관한 법률'이나 관련 법규의 규정에 위반되어 이루어진 경우에는 이들 법률들에 규정된 범죄행위가 성립한다. 특히 정당한 이유 없이 구급요청을 거절한 행위는 응급의료법상 응급의료거부죄가 성립하고, 적법한 절차에 의하지 아니한 응급처치는 무단 응급처치죄가 성립한다. 또한 구급요청거절과 미이송 행위 그리고 응급처치나 미응급처치 등으로 인해 요구호자가 사망하거나 상태가 악화된 경우에는 형법상 살인죄나 업무상과실치사죄 또는 중상해죄가 성립할 수 있다. 이처럼 구급대원의 경우에는 구급활동과 관련하여 형사적 책임으로부터 자유로울 수가 없다. 즉 구급대원들도 직무의 소홀과 과실로 인해 발생하는 법익침해적 결과에 대해서는 당연히 형사적 책임을 져야 한다. 그러나 긴급상황에서 불가피하게 국민의 생명과 건강을 침해한 경우에는 이들을 보호할 수 있는 법적 방안도 마련되어야 하며, 특히 열악한 근무환경에서 구급대원에게만 그 책임을 전가할 수 없는 게 현실이다. 현재 구호자보호법 제정문제가 논의되고 있는데, 이 법률에 구급대원의 형사면책부분이 합리적으로 규정되어 궁극적으로 구급대원들이 국민의 생명과 건강을 지키는 파수꾼으로서 그 역할에 충실할 수 있도록 하여야 한다.

• 한국농공학회논문집
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• 제61권3호
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• pp.101-112
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• 2019

This study developed selection criteria of small-scales reservoirs, having under $300,000m^3$ storage capacity, for the Emergency Action Plan(EAP) establishment in order to reduce the disaster risks of the reservoir's failures. Those reservoirs are out of ranges of Korean EAP establishment standard, but have potential risk of disasters as they have often failed by the recent extreme rainfall events and earthquakes, causing economical and life losses. The problem of reservoir aging is also one of the reasons of them. In this study, the developed selection criteria of small reservoirs for EAP establishment are storage capacity, embankment height, reservoir age, heavy rain factor and earthquake factor. These criteria were selected based on the review of the existing EAP establishment guidelines, analysis of the past dam failure cases, and the previous related studies. The quantification of these criteria were conducted for the practical applications in the fields, and applied to 67 previous failures in order to investigate the relation of each criteria with these failures. The earthquake factor found to be the highest relations followed by heavy rain factors, combination of earthquake and heavy rain factors, and reservoir age. The classification was made as observation and review groups for EAP establishments based on overlapping numbers of each criteria. This classifications applied to 354 reservoirs designated as having the potential disaster risk by MOIS, and showed 38.4% of observation and 11.9% of review groups. Anticipatory monitoring and regular inspection should be made by professional facility managers for the observation group, and necessity of EAP establishment should be assessed for the review group based on the downstream status and financial budget.

• International Journal of Advanced Culture Technology
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• 제5권1호
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• pp.90-97
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• 2017

Nowadays, the most of commercial buildings are build-out with complex architecture and decorated with more complicated interiors of buildings so establishing intelligible escape routes becomes an important case of fire or other emergency in a limited time. The commercial buildings are already equipped with multiple exit signs and these exit signs may create confusion and leads the people into different directions under emergency. This can jeopardize the emergency situation into a chaotic state, especially in a complex layout buildings. There are many research focused on implementing different approached to improve the exit sign system with better visual navigating effects, such as the use of laser beams, the combination of audio and video cues, etc. However the digital signage system based emergency exit sign management is one of the best solution to guide people under emergency situations to escape. This research paper, propose an intelligent evacuation route GUIDE that uses the combination centralized Wireless Sensor Networks (WSN) and digital signage for people safety and avoids dangers from emergency conditions. This proposed system applies WSN to detect the environment condition in the building and uses an evacuation algorithm to estimate the safe route to escape using the sensor information and then activates the signage system to display the safe evacuation route instruction GUIDE according to the location the signage system is installed. This paper presented the prototype of the proposed signage system and execution time to find the route with future research directions. The proposed system provides a natural intelligent evacuation route interface for self or remote operation in facility management to efficiently GUIDE people to the safe exit under emergency conditions.

• 대한안전경영과학회지
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• 제24권3호
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• pp.1-14
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• 2022

This study is a plan on the way to strengthen the survival ability by increasing the use time of air respirator by applying emergency breathing method in the situation where firefighter has to wait for RIT (Rapid Intervention Teams) because it is impossible to escape by himself or emergency escape during isolation during field activities. The research procedure first drew problems by conducting a survey on fire fighters under the Seoul Fire and Disaster Headquarters, and conducted an experiment to compare normal breathing and emergency breathing with 20 members of the Seoul 119 Special Rescue Team, and suggested emergency breathing method and training process modeling that can be applied to each field situation based on the data obtained. The experiment was conducted over 9 weeks, and it was divided into three categories: field activity situation, movement (emergency escape assumption) situation, and place (assume waiting for RIT). In the field activity situation experiment, it was confirmed that the application of skip breathing method was appropriate and the use time of air respirator increased about 1.6 ~ 1.9 times. In the moving situation or the in-situ situation, wheel breathing method was appropriate and the use time of air respirator increased about 1.6 ~ 2.4 times. However, when conducting intense activities in the field activity situation, it is recommended to use it limitedly because it is difficult to apply the emergency breathing method. If emergency breathing is not clearly learned in the body, it is difficult to use in the field, so I think systematic and continuous training is necessary. This study suggests that the application of emergency breathing method is effective enough to strengthen the survival ability of firefighters in the field.

• 한국건설관리학회논문집
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• 제20권3호
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• pp.46-53
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• 2019

최근 화재나 지진 등의 대규모 재난에 대한 위험이 증가함에 따라 효율적인 재난의료대응을 위한 자원관리체계가 요구된다. 이를 위해 행정안전부에서 재난관리자원 공동활용시스템 구축을 완료하였으나, 응급의료시설관련 자원은 에어텐트와 음압텐트가 장비로 분류되어 관리되는 등 투입시점, 존치기간, 운송 및 설치 방법과 같은 시설특성을 반영한 관리체계는 구축되어 있지 않고 있는 실정이다. 따라서 본 연구에서는 현재 재난관리 공동활용시스템에서 자재와 장비로 구분하여 관리하고 있는 재난관리자원의 효율적 관리를 위해 응급의료 시설자원을 고려한 응급의료 시설자원 관리 개선방안을 제시하고자 한다. 재난현장 응급의료 시설자원은 장비로 분류되는 의료자원과의 복합적인 연계를 통해 관리되어야 하므로, 현재 자재와 장비로 분류되어 관리되고 있는 재난관리자원 공동활용시스템에서의 반영이 요구되며, 재난관리자원 투입에 따른 금액을 고려한 시설구축방안에 대한 연구가 추진되어야 할 것으로 판단된다.

• 대한간호학회지
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• 제26권1호
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• pp.194-222
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• 1996

Various accidents and injuries are currently occurring in Korea at increasingly high rates. Good quality emergency care service is urgently needed to cope with these various forms of accidents and injuries. In order to develop a sound emergency care system, there need to be a plan to educate and train professionals specifically in emergency care. One solution for the on going problem would be to educate and train emergency clinical nurse specialists. This study on a strategy for curriculum development for emergency clinical nurse specialist was based on the following five content areas, developed from literature related to the curriculum of emergency nursing and emergency care situation : 1. Nurses working in the emergency rooms of three university hospitals were analyzed for six days to identify categories of nursing activities. 2. Two hundreds and eleven nurses working in the emergency rooms of 12 university hospitals were surveyed to identify needs for educational content that should be included in a curriculum for the clinical nurse specialist. 3. Examination of the environment in which emergency management was provided. 4. Identification of characteristics of patients in the emergency room. 5. The role of emergency clinical nurse specialist was identified through literature, recent data, and research materials. The following curriculum was formulated using the above mentioned process. 1. The philosophy of education for emergency clinical nurse specialist was established through a realistic philosophical framework. In this frame, client, environment, health, nursing, and learning have been defined. 2. The purpose of education is framed on individual development, social structure, nursing process and responsibility along with the role and function of the emergency clinical nurse specialist. 3. The central theme was based on human, environment, health and nursing. 4. The elements of structure in the curriculum content were divided to include two major threads, I, e., vertical and horizontal : The vertical thread to consist of the client, life cycle, education, research, leadership and consultation, and the horizontal thread to consist of level of nursing (prevention to rehabilitation), and health to illness based on the health care system developed by Betty Neuman system model. 5. Behavioral objectives for education were structured according to the emergency clinical nurse specialist role and function as a master degree prepared in various emergency settings. 6. The content of the curriculum consisted of three core courses(9 credits), five major courses(15 credits), six elective courses(12 credits) and six prerequisite courses (12 credits). Thus 48 credits are required. Recommendations : 1. To promote tile quality of the emergency care system, the number of emergency professionals, has to be expanded. Further the role and function of the emergency clinical nurse specialist needs to be specified in both the medical law and the Nursing Practice Act. 2. In order to upgrade the qualification of emergency clinical nurse specialists, the course should be given as part of the graduate Program. 3. Certification should be issued through the Korean Nurses Association.

• 한국가스학회지
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• 제15권2호
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• pp.69-74
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• 2011

화학공장에서 현실적인 사고피해 최소화 대책수립 방법을 제시하기 위하여 API-581 절차를 이용하여 누출 시 나리오를 설정하고, 정량적 원인분석이 가능한 한국형 위험기반검사(KS-RBI) 프로그램을 사용하여 사고 영향범위를 산출하였다. 그리고 위험성 평가를 실시하였다. 그 결과, 화학공장의 사고피해를 최소화하기 위해서는 4가지 누출공의 크기(소, 중, 대 및 파열)와 검출 및 차단 시스템의 등급에 따른 누출시간을 사용하고, 고장빈도에 의한 가중평균과 최악의 누출의 경우를 동시에 고려한 피해면적을 산출하여 비상조치계획을 수립하는 것이 바람직하였다.

• 한국응급구조학회지
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• 제7권1호
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• pp.65-80
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• 2003

Various disasters have been continuously occurred in Korea from 1990s to now. However, there is no substantial improvement against damages as compared with the past due to various reasons such as lack of fundamental recognition, ineffective response systems and widespread insensitivity to safety. More worse, new types of disasters have been frequently generated due to rapid changes in social structures and industrial development, unusual changes in weather and changes of international situations. These disasters request comprehensive countermeasures. In particular, while material damages by disasters can be recovered, the losses of precious lives cannot be recuperated in any ways. Thus, it is critical to set effective disaster medical plans. The first way to minimize damages by disasters is the prevention and the next is to set the disaster medical plans focusing on preliminarily activating the emergency medical system to rapidly rescue and take appropriate emergency medical services for casualties in the early stage when any disaster occurs. Nevertheless, no sufficient researches or references do not exist up to now. Even worse, effective emergency medical systems that play critical roles in increasing survival rates of casualties in actual disaster areas is not deployed. For the United States, the consistent countermeasure system is established in FEMA through a close cooperative system with relevant organizations for serious accidents including terrorists' attacks or natural disasters. For the emergency medical services in disasters, the disaster medical plan is set to cope with any disasters in perfect order by special area as operating the National Disaster Medical SystemESF#8 Role by FEMA. Accordingly, we need to set the extensive and integrated disaster prevention system for rapid and flexible operation against various kinds of serious accidents. This study identified overall problems in disaster control plans in Korea and suggested how to improve the emergency medical service system in disaster areas. Furthermore, it aims to prepare the basic data to set the effective emergency medical service plans when substantial casualties break out and more reasonable and systematic disaster control plans to cope with the future occurrence of serious disasters.

• 한국응급구조학회지
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• 제11권2호
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• pp.19-27
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• 2007

Purpose: By identifying the actual profile of emergency medical personnel's pre-admission infection control practices, this study intended to provide a basic reference material for the improvement and reorientation of pre-admission infection control measures, and thereby help establish an effective plan for pre-admission infection control activities. Methods: Total 119 EMT's working for Jeollabuk-do Provincial Fire Defense HQ were asked to join a structured questionnaire survey from June to August 2006. Results: 1. It was found that 56.1% respondents answered no guideline available on the prevention of infection. Out of our rescue brigade members who knew about relevant guideline available, 34.2% respondents answered that their department conducted quality control program for the guideline. 2. For protective outfit in emergency practice, it was found that most respondents put on gloves or nothing at all(38%), which was followed by sterile gloves(29.2%), disposable mask(26.9%), gown(4.3%) and protective goggle(1.6%). And it was noted that all respondents(100%) washed out any clothing contaminated with somatic secretion on their own. 3. For a question about any experience in emergency activities exposed to infectious diseases, it was found that most of all respondents(77.9%) answered 'No', which was followed by 'Don't Know'(18.6%) and Yes(3.9 %). 4. For a question about any experience in inquiring of patients about infectious diseases, it was found that most respondents(49.4%) answered 'Yes' and 'Sometimes'(9.1%). It was noted that 20.2% respondents had extra medical examination in medical institution in terms of whether they were exposed to infectious diseases, apart from regular medical examination. Conclusions: In order to protect 119 EMT's from infectious diseases, it will be necessary to acquire emergency medical staffs specializing in infection control and organize corresponding personnel training units to keep providing reorientation and evaluation. In addition, it will be also necessary to supply them with a full set personal protection apparatuses and other equipments required for disinfection and sterilization.