• 한국재난정보학회 논문집
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• 제15권3호
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• pp.440-449
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• 2019

연구목적 : 소방조직은 재난현장에서 가장 우선적으로 대응하는 기관으로 신속하고 체계적인 대응을 하기 위하여 긴급구조훈련을 실시하고 있다. 하지만 형식적인 훈련, 지역적 특성이나 환경적 특성이 고려되지 않는 훈련 등 긴급구조훈련의 한계점에 대한 변화와 개선의 필요성이 제기되고 있다. 연구방법 : 본 연구에서는 긴급구조훈련과 관련된 이론적 검토를 실시하고 강원지역 소방조직의 의식조사를 통하여 긴급구조훈련 개선방안을 제시하였다. 연구결과 : 긴급구조 활동 시 어려움이 있는 시설은 위험물 저장 및 처리시설이 가장 많았으며 긴급구조 대응업무의 수준은 응급복구가 미흡하다고 응답한 의견이 가장 많았다. 또한 긴급구조훈련의 효과는 도움이 된다고 응답하였지만 시나리오에 의한 훈련, 보여주기식 훈련, 매년 유사한 훈련, 현실감 없는 훈련, 유관기관의 관심 부족 및 형식적 참여 등으로 도움이 되지 않는다고 응답한 부분도 있었다. 그리고 긴급구조훈련 평가의 적절성은 대부분이 만족한다고 응답하였지만 훈련 유형과 상관없는 평가방식, 필요 이상의 훈련 규모를 설정하게 하는 평가방식, 유관기관의 형식적 참여를 유도하는 평가방식 등으로 만족하지 않는다고 응답하였다. 마지막으로 긴급 구조훈련 개선에 대한 요구도는 다양한 피해 상황을 반영한 훈련이 필요하다는 의견이 가장 많았다. 결론 : 긴급구조훈련 개선방안은 다음과 같다. 첫째, 다양한 훈련내용을 설정하고 지역의 주요 발생재난 등을 검토하여 지역적 특성에 맞게 작성해야 한다. 둘째, 소방서별 적절한 훈련계획을 위하여 긴급구조훈련계획 지침 및 매뉴얼 등을 개정하고 실무자를 대상으로 교육하고 이를 위해 긴급구조훈련에 대한 유형부터 전술, 전략까지 실무적으로 활용할 수 있도록 훈련을 정립해야 한다. 셋째, 실제 재난 발생 시 지원기관 및 유관기관의 참여도를 높이기 위하여 훈련계획단계부터 참여를 유도하고 인센티브 혹은 패널티(penalty)를 줄 수 있는 제도 등을 마련해야 한다. 넷째, 동시다발적으로 발생할 수 있는 재난 상황에 대비하여 소방서간, 권역별 훈련으로 기관별 지원태세 확립, 협조체계를 구축해야 한다. 다섯째, 긴급구조훈련 평가는 결과보다 훈련과정에 중점을 둘 수 있도록 하고 재난상황별 보완사항을 도출해내는데 관심을 두고 개선해야 한다. 특히, 세부절차에 수행여부를 평가하기 보다는 훈련의 종류나 형태 등을 고려하여야 하며 훈련 규모 보다는 훈련의 완성도(숙련도), 역할 수행여부 등을 고려할 수 있는 평가방안이 마련되어야 한다. 여섯째, 효율적인 긴급구조훈련을 위하여 실무자의 요구도를 파악하여 훈련 유형 및 방법에 대하여 소방서별 특성에 맞는 훈련으로 개선되어야 한다.

• 한국응급구조학회지
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• 제22권3호
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• pp.55-66
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• 2018

Purpose: This study was conducted to investigate the disaster response competencies of 119 emergency medical technicians (EMTs). Methods: The subjects of this study were 226 119 EMT's at the fire station located in G province. The questionnaire consisted of 5 sub-factors and 29 items for measuring disaster response competencies and the collected data were analyzed using SPSS program. Results: Disaster response competency comprising immediate response, patient triage, patient treatment, patient transport, and collaboration support were 3.48, 3.64, 3.52, 3.64, and 3.16, respectively. Advanced EMTs scored significantly higher in patient triage (p<.001), treatment (p<.001), and transport (p=.022) competency than basic EMTs. Conclusion: In order to improve disaster response competency, it is necessary not only to enhance individual ability but also to continue disaster management training with related organizations.

• 해양환경안전학회:학술대회논문집
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• 해양환경안전학회 2017년도 공동학술발표회
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• pp.38-38
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• 2017

• 한국방재안전학회논문집
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• 제6권1호
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• pp.29-34
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• 2013

최근 자연적 사회적 요인으로 인해 재난의 규모와 복잡성이 점점 증가하는 양상이며, 이로 인해 단일 기관의 대응만으로는 한계가 있다. 다수 기관이 동일한 현장에서 재난대응을 할 경우 유기적인 상호 협력을 위해서는 사전에 합동대응을 위한 대비가 필요하다. 재난대응계획은 재난발생 시 대응기관 간 역할과 책임을 규정한 것으로서, 특히 합동대응을 원활히 하기 위해서는 기관 간에 수평적 수직적 상호협력체계가 명시되어 있어야 한다. 본 연구에서는 현재 수립하고 있는 안전 관리계획, 위기대응매뉴얼 등 다양한 계획과 매뉴얼들의 현황을 살펴보고 문제점을 도출하였으며, 외국 사례의 분석을 통해 실효성 있고, 수직적 수평적 협력이 가능한 재난대응계획의 구조와 내용 등 발전방안을 제시하였다.

• 한국응급구조학회지
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• 제26권1호
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• pp.37-56
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• 2022

Purpose: This study aimed to identify and present suitable recognition types of policy alternative for before and after response, according to the recognition types of problems in response to violence. Methods: This study investigated 36 EMT's of 17 cities and provinces nationwide. The study was approved by the Kongju National University Institute Review Board (KNU_IRB_2021-17). Data were collected from May 1, 2021 to August 30, 2021 and analyzed by Q factor analysis using the PC-QUNAL program. Results: Recognition types of the problem in 119 EMT's response to violence were described as "I type; lack of professional manpower," "II type; inadequate policy on violence," and "III type; lack of awareness on the emergency field." Recognition types of policy alternative on response to violence by 119 EMT's were described as "Itype; training and public relations oriented," "II type; work environment improvement," "III type; violence handling specialization demand," and "IV type; recovery support seeker." Conclusion: This study provides the foundation required to develop and implement the policies regarding the response to violence; therefore, contributing to EMT's provision.

• 한국응급구조학회지
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• 제26권3호
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• pp.121-135
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• 2022

Purpose: The purpose of this study was to develop a training protocol to standardize the management of mass casualties as part of the disaster response, and to verify the effectiveness of the training protocol. Methods: The study was conducted as a quasi-experimental study with a non-equivalent control group and pretest-posttest design. The protocol was divided into 5 parts, the first for the advance party, the second for the rescue team, the third for the paramedic team, the fourth for the ambulance team, and the fifth for the 119 EMS team. This study was conducted on November 15, 2021 and consisted of 21 subjects in the final experimental group and 23 subjects in the control group. In this study, the prior homogeneity test was analyzed using the χ²-test, intragroup comparisons were analyzed using the paired t-test, and intragroup comparisons were analyzed using the independent t-test. Results: The protocol was developed in five parts: advance party, rescue team, paramedics team, ambulance team, and 119 EMS team. In verifying the effectiveness of the protocol, it was found that there were significant differences in self-efficacy (t=-0.941, p=0.001) and self confidence within the group (t=-0.025, p=0.001) after the implementation of the mass casualty incident response training program. However, there was no significant difference between the experimental and control groups. Conclusion: Based on the findings of this study, it is believed that disaster response personnel can experience lower levels of anxiety and tension in disaster situations if they receive practical and realistic education and training. In the future, it is necessary to enhance protocol based practical education that can improve the knowledge and skills of each team and individual.

• 한국응급구조학회지
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• 제27권3호
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• pp.17-32
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• 2023

Purpose: We aimed to identify disaster preparedness, disaster response competency, and willingness to participate in disaster response among university students. Methods: Data were collected from the paramedic students after consent to this study through online. The period of data collection was from June 13 to August 3, 2023 and 207 questionnaires were analyzed using SPSS 27.0 program. Results: The subject's disaster preparedness was 7.67±3.10 out of 15, disaster response competency was 2.79±0.69 out of 5, and willingness to participate in disaster response was 6.06±4.59 out of 15. There was a significant difference in disaster preparedness depending on the disaster education experience (p<.001), in disaster response competency depending on the number of courses completed (p<.05), in willingness to participate in disaster response in cases of disaster experience (p<.05) and number of times disaster education was completed (F=3.146, p=.047). In particular, if the number of disaster training courses completed was three or more, disaster response competency and willingness to participate in disaster response were significantly high. There was a significant positive correlation between the subjects' disaster preparedness and disaster response competency (r=.655, p<.001). Conclusion: Three or more sessions of continuous disaster education is important, it will be necessary to develop educational content that matches the characteristics of the target subjects or college.

• 한국방재안전학회논문집
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• 제9권1호
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• pp.39-45
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• 2016

세월호 참사 등 각종 재난에 있어 재난의료대응체계의 문제점이 노출되었는데, 이 중 현장응급의료지원팀의 현장대응 불가, 현장에서의 소방, 의료진의 협업 곤란, 현장의료지원 및 부상자의 수용, 진료를 위한 체계적이고 세부적인 매뉴얼 미비가 중요한 사항이었다. 따라서 2014년 5월부터 중앙응급의료센터 내 재난응급의료상황실 설치 운용에 따른 기존의 비공식적으로 흩어져 있던 재난의료대응 매뉴얼 수집, 수정 및 이에 대한 교육이 필요한 상황이 되었으며, 재난응급의료상황실을 중심으로 한 재난 초기 의료대응체계를 확립할 필요성이 대두되었다. 중앙응급의료센터의 재난의료대응 개선 방안은 신속대응반 중심의 빠른 출동 체계 수립이나, 실제 적용할 체계가 미흡하여, 2014년 2월 응급의료법 개정 시행규칙에 따라 국가와 지자체에 재난대응 매뉴얼을 개발하고 기본안을 마련하기로 하여, 본 연구진은 학술적, 실무적으로 적절한 국가재난의료 매뉴얼을 국내 최초로 개발하였으며, 이를 훈련 및 시뮬레이션을 통하여 적용하였고 그 과정을 정리 분석하였다.

• 수산해양교육연구
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• 제29권3호
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• pp.920-931
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• 2017

Since the export of Korean-type APR 1400 in 2009 to the UAE, Korea has been achieved management performance, quality inspections, training, nuclear fuel exports for the nuclear power plant. Despite this apparent growth, there are lacking of the research on the marine transportation of radioactive waste. And the terrible accident at the Japan nuclear power plant in 2011 has caused another reconsideration such as emergency response training and plan, reinforcement of safety regulation. According to the Korean government aims to rebuild the appropriate regulation, training, education that is necessary in order to ensure the safety of marine transportation of radioactive waste. Therefore, this study analyzed the various problems identified by the team of experts for the radioactive waste and marine field, the investigation of relevant legal basis, the need for emergency response training for the person in charge of radioactive waste and suggested the simulation-based interactive curriculum during the process of safety verification related to the marine transport of mid- and low-level radioactive waste generated at the Yeon-ggwang nuclear power(Hanbit) plant in 2015.

• Journal of Radiation Protection and Research
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• 제41권4호
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• pp.436-441
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• 2016

Background: Although nuclear disaster is considered rare, its effects are serious, and we must prepare a system to enable an effective response. Materials and Methods: Since 2010, we have been offering a two-day seminar to provide current nurses and radiological technologists with basic knowledge and train them in radiation emergency medicine (REM) techniques. This training offers lectures to deepen each specialty from the perspective of REM, as well as exercises on ways to handle irradiated and/or contaminated patients. Participants were expected to treat patients according to the concept of REM. Results and Discussion: All participants learn to assess and decontaminate contaminated wounds through drills. The questionnaire survey for participants indicated that participants were satisfied with this training and wanted to attend again. Conclusion: We believe that this training course will provide a valuable opportunity for medical professionals to gain knowledge and expertise in REM.