• 임상간호연구
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• 제20권2호
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• pp.223-235
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• 2014

Purpose: Resuscitation rooms in emergency department are places for time-critical tasks. This study aimed 1) to develop a resuscitation protocol for dyspneic patients and 2) to evaluate the effect of the resuscitation protocol for dyspneic patients in improving clinical performances. Methods: A panel of experts including emergency physicians and nurses developed a resuscitation protocol for dyspneic patients which included a list of critical interventions and time-limits. The resuscitation protocol was implemented in a emergency medical center for two months. Clinical performances of health care providers were compared by analyzing video-recorded clinical performances. Results: The resuscitation protocol consisted of four steps: Initial treatments within 5 minutes, main treatments within 15 minutes, diagnostic tests within 30 minutes, and disposition within 60 minutes. A total of 43 dyspneic patients (23 patients experimental group, 20 patients control group) were included for the analysis of the clinical performance change. Clinical performance rates were improved significantly from control group (66.71%) to experimental group (82.41%) after implementing the resuscitation protocol (Z=-3.09, p=.004). Conclusion: The resuscitation protocol developed for dyspneic patients improved clinical performance rates of health care providers. Further development of clinical protocols for other emergent cases at resuscitation rooms are strongly recommended.

• 한국응급구조학회지
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• 제4권1호
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• pp.17-29
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• 2000

As technology advances rapidly, emergency medical dispatching systems must also advance. Optimal emergency medical dispatching requires the courage to practice medicine at dispatch. Modern emergency medical dispatch provides appropriate resource responses with the use of an (Advanced Medical priority Dispatch System(AMPDS) in U.S.A. The AMPDS is a systematic protocol for all aspects of the dispatch process. Based on the AMPDS chief complaint list, we initiated a basic design on pre-arrival instruction protocol and completed the scripted pre-arrival instruction protocol, using Cardiopulmonary resuscitation(CPR) protocol. Implementation of this study creates computerized emergency medical dispatching system for future enhancements, such as the AMPDS.

• 한국응급구조학회지
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• 제27권2호
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• pp.79-89
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• 2023

Purpose: This study aimed to develop a standardized protocol of systematic and explicit roles and procedures for paramedics for the maternal and newborn management during prehospital emergency delivery situations. Methods: This study is a methodological study with detailed step-by-step items proposed by an expert group based on evidence from a literature review. The content validity of the proposed preliminary prehospital emergency delivery protocol was verified before the final protocol was confirmed. Results: All 23 detailed items of the preliminary protocol met the reference cut-off (CVI value of 0.8 or higher). After considering, revising, and supplementing expert opinions for each of the 23 items 23 detailed in the proposed protocols, four steps were confirmed. The steps included five items for the management of the imminent mother, 10 items for delivery progress, five items for newborn management, and three items for postpartum management of the mother. Conclusion: This study's findings may serve as reference for developing future specialized training programs for paramedics, to ensure enhanced competence in prehospital emergency delivery situations. The protocol should be reviewed and revised periodically to ensure currency.

• 대한원격탐사학회:학술대회논문집
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• 대한원격탐사학회 2005년도 Proceedings of ISRS 2005
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• pp.608-611
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• 2005

The existing wired emergency call such as 119, 112 have its own location information to serving immediate rescue service. For the case of wireless emergency call by mobile phone, the location information should be provided by wireless network. This paper describes the network architecture and protocol for mobile emergency service referring TIAlEWJ-SID-036-A with reviews about technical issues, legacy factors and related researches. The mobile emergency service is divided into mobile emergency rescue service and mobile emergency alert service. The network reference model for mobile emergency rescue service is released in KOREA. In this paper, the interfaces between elements of the network reference model, and service scenarios, message flows are defined. Supplement to mobile emergency rescue service, the network reference model, interfaces and message flows for mobile emergency alert service are developed. The protocol is described by DID, and the proposed works are on processing for domestic standard of TTA.

• 한국화재소방학회논문지
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• 제24권2호
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• pp.185-193
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• 2010

본 연구는 응급의료의 전문성을 향상시키고자 2007년 3월 1일부터 2008년 8월 30일까지 비외상성 심정지 환자의 심폐소생술에 대한 응급구조사의 현장업무 프로토콜을 개발하였다. 본 연구는 예비항목을 작성하고 이를 근거로 작성, 내용타당도를 검증한 후 최종 현장 업무 프로토콜을 확정하는 방법론적 연구이다. 본 연구에서 개발한 심정지 환자 심폐소생술에 대한 현장업무 프로토콜은 정확하고 신속한 의사결정을 지원할 수 있는 지침으로 활용될 수 있으며 응급의료 서비스 향상을 기대할 수 있다.

• 인터넷정보학회논문지
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• 제12권6호
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• pp.129-137
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• 2011

본 논문에서는 ATSC(Advanced Television System Committee) Mobile DTV에서 신뢰성이 보장되고 빠른 시간 안에 재난정보가 수신될 수 있도록 하는 재난방송 시스템을 제안한다. 미국에서 현재 사용되고 있는 Cable용 재난 표준인 EAM(Emergency Alert Message)을 기반으로 프로토콜을 정의 하였으며, 가장 신속하게 재난정보가 전달 될 수 있도록 성능측정을 하여 최적의 방법을 제안하였다. 기존 미국식 방송규격인 ATSC legacy 시스템에 영향을 전혀 미치지 않으며 모바일 방송을 전송할 수 있도록 하는 ATSC Mobile DTV는, 전원에 구애받지 않고 재난방송을 전달할 수 있는 효과적인 매체라는 장점과 함께 미국 전역뿐만 아니라 ATSC규격을 채택한 다양한 국가에서 적용이 가능하다.

• 자동차안전학회지
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• 제14권4호
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• pp.84-90
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• 2022

With the popularization of autonomous driving technology, safety has emerged as a more important criterion. However, there are no assessment protocol or methods for AES (Autonomous Emergency Steering). So, this study proposes AES assessment protocol and scenario corresponding to collision avoidance Car-to-Car scenario of Euro NCAP in order to prepare for obstacles that appear after the emergency steering of LV (Leading Vehicle) avoiding obstacles in front of. Autoware-based autonomous driving stack is developed to test and simulate scenario in CARLA. Using developed stack, it is confirmed that obstacle avoidance is successfully performed in CARLA, and the AES performance of VUT (Vehicle Under Test) is evaluated by applying the proposed assessment protocol and scenario.

• 한국응급구조학회지
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• 제26권1호
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• pp.139-150
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• 2022

Purpose: This protocol aims to improve the simplicity of the existing two-person cardiopulmonary resuscitation (CPR) by focusing on chest compressions and artificial respiration, and classifying the roles within the scope that can be observed. Methods: In this study, the protocol was developed by forming an expert group consisting of a professor from the emergency and rescue department, a professor from the nursing department, and a first aid officer from the fire department. In addition, if the number of panels is 15 and the derived content validity ratio (CVR) value exceeds 0.49, a reference point that satisfies content validity at 95% reliability is presented. Results: All 11 performance items exceeded the CVR value of 0.49 to meet the reference point, and the CVR range of this protocol is 0.625 to 1.000. Conclusion: In order to improve the quality of three-person CPR, verification of simulation models and continuous protocol revision should be conducted by individuals specializing in various fields.

• 대한전자공학회논문지TC
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• 제49권4호
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• pp.26-33
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• 2012

WBAN(Wireless Body Area Networks)은 인체를 기준으로 인체 내 외부로부터 반경 3미터 이내의 무선통신이다. WBAN은 WBAN MAC 프로토콜 요구사항에 적합한 IEEE 802.15.4 MAC 프로토콜을 많이 사용하고 있다. IEEE 802.15.4 MAC 프로토콜은 QoS(Quality of Service)를 요구하는 응용프로그램들의 패킷 전송을 보장하기 위해 비경쟁 접근 방식에 의한 GTS(Guaranteed Time Slot) 할당 기법을 지원한다. 그러나 IEEE 802.15.4 MAC 프로토콜의 GTS 할당 기법은 패킷이 도착한 순서에 따라 채널을 할당하는 FIFS(First In First Service) 큐잉을 사용하여 패킷을 처리함으로서 데이터 전송 신뢰도를 저하시키고, 전송 지연이 발생하여 응급 데이터 전송에 적합하지 않다. 이에 본 논문에서는 응급 데이터 전송을 위한 우선순위 기반 WBAN MAC 프로토콜을 제안한다. 제안하는 MAC 프로토콜은 전송하려는 데이터에 우선순위를 부여하여 응급 데이터의 GTS 요청 처리율을 높이고 GTS 할당 지연시간을 감소시켜 응급 데이터 전송 신뢰도를 향상시킨다.

• ETRI Journal
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• 제33권1호
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• pp.18-26
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• 2011

The necessity for services of emergency communication systems to be uninterrupted and reliable has brought forward strict requirements for express software upgrades of base stations. Based on reconfigurability technology, this paper presents a protocol reconfiguration scheme for emergency communication base stations. By introducing the concept of 'local safe state,' the proposed scheme could make the updating and replacement of the protocol software flexible and maintain interactions during the updating procedure to achieve seamless system upgrades. Further, taking TETRA protocol stack and VxWorks operating system as an example, specific processes and realization methods of reconfiguration are proposed in this paper, along with the measurements of the factors impacting on the system performance. Simulation results show that, compared with traditional technology, the method proposed significantly improves the system efficiency and does not interrupt system services.