• Health Policy and Management
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• 제31권4호
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• pp.399-408
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• 2021

The emergency medical service system in Korea was built upon the Emergency Medical Service Act, 1995 to respond adequately to be much in demand for emergency medical services. In addition, the government recognized the importance of the trauma care system and set out to plan for the designation and establishment of the regional trauma center by 2012. This study aimed to investigate features of quality management and trauma fee schedule on better understanding of trauma care system. First, quality management of the regional trauma center has been implemented by several quality programs involved in quality assessment, committee on trauma quality management, and mortality and morbidity conference. Second, the trauma fee schedule has reflected a specific quality of severe traumatic conditions and added the result to it, which are graded A, B, and C according to quality assessment. Although the government has contributed to instituting a trauma quality assessment program and trauma fee schedule for the regional trauma center, it could not lead to such a fixed standard for quality management of them. Therefore, it will promote discussion on the sustainability of the regional trauma center that requires reducing preventable trauma death rate and the way to apply comprehensive quality management.

• Journal of the Korean Society of Hazard Mitigation
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• 제7권2호통권25호
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• pp.25-33
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• 2007

In most developed countries, Extreme heat alter system operates every summer and the response plan to be issued according to this system is composed of some government agencies sub-plans. The National Emergency Management Agency in Korea develops response plan but it is not composed of the definition of the heat vulnerability and the concrete agency roles. Therefore, this study analyses foreign cases in three processing: preparedness, response, recovery and reviews the status of heat response plan. As a conclusion, the study suggests two ways of Extreme heat management into Korean heat response plan such as strengthening its institutional position and complementing its context.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• 제22권1호
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• pp.143-160
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• 2023

It is important to secure the golden time of emergency vehicles for quick responses in disaster situations, such as fire, rescue, and first aid. This study proposes plans Emergency Vehicle Preemption (EVP) based on the analysis of emergency vehicle operation to secure the golden time of emergency vehicles and increase driving safety. The emergency vehicle dispatch statistics, emergency vehicle traffic accident statistics, and survey were used for the analysis. As a result of the analysis, the frequency of dispatch of emergency vehicles and traffic accidents are increasing gradually, but the rate of securing the golden time of emergency vehicles is approximately half, indicating that improvement measures are urgent. In the questionnaire survey, most citizens consent to the necessity of introducing EVP. In addition, the criteria for the range of emergency vehicles that could provide EVP and the allowable time for waiting were derived. These results could be used to prepare EVP operation strategies, and it is expected to contribute to improving emergency vehicle operation safety and increasing the golden time securing rate through a rapid expansion of EVP.

• Proceedings of the Korea Water Resources Association Conference
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• 한국수자원학회 2006년도 학술발표회 논문집
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• pp.1726-1731
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• 2006

Hydraulic and numerical models were applied to design the emergency spillway of ImHa multipurpose Dam. For the numerical model, FLOW-3D was used to evaluate the three-dimensional flow in the spillway. The results of hydraulic model were compared with those of the numerical model which were separated into four zones such as approaching zone, weir zone, transition & tunnel chute zone, and dissipator zone. Moreover, for optimum design of the spillway, the hydraulic and numerical models were performed for the basic plan. Solving the problems of the basic plan, the optimized alternative design was proposed. The numerical models for various conditions of the spillway were performed, which is not always feasible in the hydraulic models. Verified by using the hydraulic models, the optimum alternative design was proposed.

• The Korean Journal of Emergency Medical Services
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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.

• Quality Improvement in Health Care
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• 제5권2호
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• pp.216-223
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• 1998

We surveyed the discordance rate of principal diagnosis made at emergency room(ER) & made at ward on discharge of the patients. Subjects were four hundred eighty cases who came to the ER of one third-line hospital from January 1, 1998 to January 31, 1998. The discordance rate was higher in patients admitted to medical department(8.2%) than surgical department(1.5%). If the patients were transferred to other department during hospital stay, discordance rate increased from 3.3% to 6.3%. In conclusion, discordance rate of principal diagnosis made at ER and made at ward was higher in patients with complicated problems. Medical record department should keep these findings in mind if it has a plan to support the management of ER record.

• Journal of the Korea Convergence Society
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• 제7권2호
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• pp.85-91
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• 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.

• Korean Journal of Construction Engineering and Management
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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.

• Journal of The Korean Society of Clinical Toxicology
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• 제19권2호
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• pp.93-99
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• 2021

Purpose: Nutritional status and support in critically ill patients are important factors in determining patient recovery and prognosis. The aim of this study was to analyze the early nutritional status and the methods of nutritional support in critically ill patients with acute poisoning and to evaluate the effect of nutritional status on prognosis. Methods: A retrospective study was conducted in tertiary care teaching hospital from January 2018 to December 2020. in an emergency department of university hospital, 220 patients who were stayed more than 2 days of poisoning in intensive care unit were enrolled. Results: 155 (70.5%) of patients with acute poisoning had low-risk in nutritional risk screening (NRS). Patients with malignancy had higher NRS (low risk 5.2%, moderate risk 18.5%, high risk 13.2%, p=0.024). Patients of 91.4% supplied nutrition via oral route or enteral route. Parenteral route for starting method of nutritional support were higher in patients with acute poisoning of herbicide or pesticide (medicine 3.2%, herbicide 13.8%, pesticide 22.2%, p=0.000). In multivariate logistic regression analysis, herbicide or pesticide intoxication, higher risk in NRS and sequential organ failure assessment over 4.5 were affecting factor on poor recovery at discharge. Conclusion: NRS in patients intoxicated with herbicide or pesticide were higher than that in patients intoxicated with medicine intoxication. Enteral nutrition in patients intoxicated with herbicide or pesticide was less common. Initial NRS was correlated with recovery at discharge in patient with intoxication. It is expected to be helpful in finding patients with high-risk nutritional status in acute poisoning patients and establishing a treatment plan that can actively implement nutritional support.

• Nuclear Engineering and Technology
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• 제27권4호
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• pp.571-581
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• 1995

The generation, verification and validation of Emergency Procedures for Nuclear Power Plant is a difficult and complex process. Atomic Energy Control Board(AECB) requires that emergency procedure and plan be produced before obtaining the Operating License, that is, detailed plans and procedures to handle emergency situations for both on-site actions and off-site actions be developed. In this report Emergency Operating Procedures Standard for Canadian Nuclear Utilities which makes reference to U. S. practices and the current direction of emergency procedures for CAN-DU reactors are reviewed and compared based on scope(events covered), methodology (event-oriented or symptom-oriented or hybrid) and format(method of presentation) preponderantly, and an attempt is made to integrate these procedures and as a result the recommended strategy for Wolsong unit 2, 3, & 4 is presented as event-specific procedures, generic procedures(when event is not diagnosed) and whose format is combination of logic diagram and text.