• 한국산학기술학회논문지
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• 제14권6호
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• pp.2908-2914
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• 2013

본 연구는 대전,충남 소재 대학병원에 근무하는 응급의료종사자 122명을 대상으로 병원 내 응급구조사를 조사하여 응급구조사의 역할과 법적 업무규정의 현실적 제고 및 병원 내 응급구조사의 업무에 관한 인식을 보다 명확히 하기 위한 기초자료를 제공 하고자 연구를 실시하였다. 연구 대상자들의 병원 내 응급구조사의 업무인식을 살펴본 결과, 전체 40문항에 대해 $3.23{\pm}0.67$점으로 나타나 병원 내 응급구조사에 대한 업무인식정도는 중간 보다 다소 높은 것으로 나타났다. 영역별로는 외상처치가 가장 높게 나타났으며, 약물투여가 가장 낮았다. 응급의료종사자가 응급구조사의 업무를 바르게 인식하게 하기 위해서는 응급구조사가 고유 업무와 역할을 충실히 해 낼 수 있어야 할 것이다. 그러므로 보다 명확한 교육과정이 이루어져야 하며 보다 명확한 업무가 법적으로 규정되어져야 한다. 응급구조사에 대한 홍보와 지속적인 모니터링이 필요할 것으로 사료된다.

• 대한응급의학회지
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• 제29권5호
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• pp.399-407
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• 2018

Objective: Regionalization is one of the principal subjects for the advancement of rural emergency medical service systems in South Korea. This study shows the characteristics of interhospital transfer and status of the incidence of three major emergency disorders (acute myocardial infarction [AMI], acute stroke, and severe trauma) in one local province. Methods: A retrospective study was conducted for patients with three major emergency disorders who visited emergency medical facilities in one local province from January 2013 to December 2015, on the basis of the National Emergency Department Information System (NEDIS) data. Results: The incidence of three major emergency disorders had increased annually. Patients with each of these disorders tended to choose distinguishing methods of visiting emergency medical facilities. AMI patients tended to visited emergency medical facilities using private cars or on foot, while severe trauma patients usually visited by 119 ambulance, and acute stroke patients used 119 ambulance and private car in similar amounts. Overall, 65% of AMI patients were treated in intraregional medical facilities, but about 70% of acute stoke and severe trauma patients were transferred outside of the region. Conclusion: Because each of these disorders has an individual characteristic, it is difficult to expect a solution for the problems associated with emergency disorders just by assuring the availability of medical resources. Based on regionalization, a policy to provide the optimal treatment for those emergency disorders should be developed by planning public medical service systems based on the individual characteristics of emergency disorders, the standardized transfer plans of emergency patients and the assurance for mobilization and sharing of confined medical resources.

• 한국응급구조학회지
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• 제2권1호
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• pp.58-72
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• 1998

This study is implemented in the Department of Emergency Medical Technology of the Cheju Halla College in to evaluate behavioral changes in the recognition of the importance of the first aid, coping ability in the field, and competence of the first aid skills after taking the in-service program. The in-service program was hold from December 14 to December 22, 1998 under the title of "1998 First Aid and Emergency Rescue Training" for 176 drivers. The Questionnaire was distributed to 176 drivers, among them, 88 drivers took in-service program and 88 ones did not. After the data analysis, following conclusions we re made. 1. There are no significant statistical differences among demographic factors such as the level of education, age, career, and marital state of the subjects in the recognition of the importance of the first aid and competence of the first aid skills. 2. The drivers, who were the in-service program, significantly higher score in educated in represented all the area of recognition of the importance of first aid than non-educated drivers. 3. The drivers, who were educated in the in-service program, showed also significantly high score in competence of the first aid skills. According to the conclusions, there were significant change made In the recognition of the importance of the first aid and competence of the first aid skills after the in-service program. Therefore, nationwide emergency training program should be considered to improve emergency care ability of the nation. To make the program more effective for drivers, the in-service program should be required to newly licensed drivers during orientations or licence issuing.

• 한국응급구조학회지
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• 제8권1호
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• pp.117-126
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• 2004

In general, the patients who transferred to the hospital by 119 rescue service at night go to the emergency room(ER) of general hospital rather than that of their nearby the 1st(clinic) and 2nd(local hospital) hospital. And the hospital is mainly selected not by 119 EMST but by patients or his/her conservators. Therefore we had studied retrospectively with emergency situation diary and medical chart for 697 patients of being transferred to one emergency medical center for 6 months since January 2004, and results are as follows. 1. The 280 patients(42.5%) of being transferred hospital at night by 119 rescue service were not emergency case and their average staying time in hospital was about $7.15{\pm}10.06$ minutes. 2. Transfer time was distributed in each time intervals of 1819, 2021, 2223, and 2401 and patients ratio in each intervals were 15.1%, 17.8%, 16.4%, and 15.2%. 3. In response of ambulance, the average time from the spot to the hospital was $14.53{\pm}9.27min$. and average distance of that was $7.95{\pm}9.21km$. 4. Diseases rather than traffic accidents or traumatic injury were main causes of ambulance calling and its value was 533(76.5%), and accidents were mainly occurred in patients' house and its value was 479(68.7%). 5. In time of transfer by 119 rescue service, hospital was mainly selected by patient/conservator and its value was 648(93.0%). In result. the hospital was selected not by EMST but by patient/conservator. 6. The case that the 1st grade EMT was rode in ambulance was 161(23.1%), and the case that 2nd EMT and emergency team member who educated for emergency were rode in ambulance were 504(72.3%). So the number of the 1st grade EMT was short in fire station of Kwangju metropolitan city than other city. 7. The first aids for patients before reaching hospital were limited to oxygen inhalation, airway control, and BLS for maintaining limbs and spine. So it seems to be a simple patients transfer. Consequently, to establish an efficient emergency medical system, it has been thought that it should be advanced a moderate education and public information about the appropriate use of emergency medical system toward citizen, and also need the hospital selection by the patients categorizing standards for 119 rescue service member, securing the 1st grade EMT, appropriate first-aids education, and securing professional human power in emergency room of the Ist(clinic) and 2nd(local hospital) hospital at night.

• 한국항공운항학회지
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• 제30권2호
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• pp.55-60
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• 2022

A PSU (passenger service unit) is mounted on passenger seats in a cabin on an aircraft and consists of a crew call lamp, a reading lights, an information display lamp, an emergency oxygen generator, and an emergency oxygen mask. It is a safety device for providing convenience to passengers and providing oxygen to passengers in an emergency. This paper is a study on emergency oxygen supply systems and light systems of aircraft PSUs and a control device was developed to operate the system by analyzing the B767-300 aircraft's PSU circuit diagram. And the temperature generated by the B777-200ER aircraft's emergency oxygen generator was also measured by operating it directly. Through this, precautions for explaining the operation of an oxygen mask in an emergency were described and improvements were presented. Data acquired in these research processes can be used in the future to develop aircraft PSU (passenger service unit) and emergency oxygen generators.

• International Journal of Contents
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• 제16권1호
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• pp.75-86
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• 2020

As the elderly population is becoming an aging society, the elderly are experiencing many problems. Social security costs for the elderly are increasing and the un-linked social phenomenon is emerging. Thus, the social infrastructure and welfare system established in the past economic growth period are in danger of not functioning properly. People socially isolated or with chronic diseases among the elderly are exposed to various accidents. Thus, an active healthcare management service is imperative. Additionally, in the event of a dangerous situation, the system must have ways to notify guardians (family or medical personnel) regarding appropriate action. Thus, in this paper, we propose the smartphone-based healthcare and emergency response service platform. The proposed service platform aggregates movement of relevant data in real-time using a smartphone. Based on aggregated data, it will always recognize the user's movements and current state using the human motion recognition mechanism. Thus, the proposed service platform provides real-time status monitoring, activity reports, a health calendar, location-based hospital information, emergency situation detection, and cloud messaging server-based efficient notification to several subscribers such as family, guardians, and medical personnel. Through this service, users or guardians can augment the level of care for the elderly through the reports. Also, if an emergency situation is detected, the system immediately informs guardians so as to minimize the risk through immediate response.

• 한국응급구조학회지
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• 제16권2호
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• pp.53-66
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• 2012

Purpose : Emergency medical services in China are increase in demand by people and under the greater pressure than ever before. So it is, necessary to advance the pre-hospital system in order to promote the development of emergency medical services. Methods : This is based on China-related articles, books, journals, reports, statistical data and other literature. Results : First, pre-hospital emergency medical care with the introduction of specialist training program should be established. Second, to strengthen pre-hospital emergency services and to develop the EMS guidelines. Third, the "120" reporting systems unification and awareness activation. Fourth, the preparation of the EMS facilities equipment system. Fifth, the rapid transport system establishment to the selected medical institutions. Conclusion : It is necessary to strengthen the emergency medical personnel at the scene, rapid transport, rapid patient triage and to improve the survival rate of the patients.

• 융합정보논문지
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• 제7권1호
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• pp.17-24
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• 2017

최근 의료 분야에서는 증강 현실이 수술 및 의료 교육용으로 많이 활용되고 있다. 그러나, 응급 환자의 경우 의료 분야의 특성으로 인하여 증강 현실 기술이 적용되고 있지 못하고 있는 상황이다. 본 논문에서는 증강현실 기반의 IT 장치를 통해 응급 환자에게 신속한 의료 서비스를 지원할 수 있는 의료 서비스 지원 모델을 제안한다. 제안 모델은 증간현실 기반의 IT 기기를 통해 단순히 응급 조치에 필요한 정보를 수집하는 기능 이외에 응급 상황에 적절한 응급 조치 방법을 의료진에게 전달받아 서비스를 지원하는 기능이 있다. 또한, 제안 모델은 AHP(Analytic Hierarchy Process) 기반으로 응급 환자 신상 정보 조회, 응급 환자 상태 및 응급 치료와 관련된 정보를 계층적으로 수집한다. 수집된 정보들은 정보들 간의 애매성을 보완하기 위해서 쌍대비교 행렬을 이용한다. 특히, 수집된 정보는 의료진이 있는 병원 서버에 저장되어 수집된 정보의 고유 정보 이외에 추가적으로 수집된 정보를 반영하여 의료진이 의료 서비스에 반영할 수 있도록 한다.

• 한국응급구조학회지
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• 제24권1호
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• pp.103-115
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• 2020

Purpose: This descriptive study investigated the relationship between death awareness and life ethics awareness, according to life stress, among students in the department of paramedics. Methods: General characteristics were identified using means and frequency, and the differences between the two military models were analyzed using the χ²-test and t-test by dividing them into lower and higher groups based on the mean life stress score (99.76 points). Results: Those with high life stress had higher death awareness than those with low life stress at 114.11 points. In contrast, those with low life ethics experienced more severe life stress with a score of 145.61 points (t=-2.609, p=.010)(t=-2.953, p=.003). The death recognition attitude and bioethics according to the degree of living stress-showed a significant correlation between the low and high groups (r=.188, p=.043) (r=.201, p=.042). Conclusion: Paramedic students require education on how to cope with life stress. However, access to education is limited to people living in modern times. As a potential solution to this problem, observing videos on the Internet is recommended. Moreover, we suggest accessing Internet and smart phone applications for advertising/educational purposes.

• 간호행정학회지
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• 제13권4호
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• pp.455-461
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• 2007

Purpose: To examine patient satisfaction with nursing care and the difference of patient satisfaction by the characteristics of emergency care service in the center for emergency medicine. Method: We surveyed 145 patients who visited Pusan-Wide Emergency Medical Center from Nov 01, 2003 to Nov 30, 2003. Patient satisfaction was assessed by asking patients and medical records reviewed to obtain the characteristics of emergency care service. Results: The mean score of patient satisfaction with nursing care was 3.12. For patient satisfaction, 'The nurse seemed earnestly concerned about my pain, fear, and anxiety' represented highest score (3.58). Patient satisfaction according to the general characteristics of patients was revealed as significantly high for the higher educated and the older. Patient satisfaction by the characteristics of emergency care service was significantly higher in no-wait group. Conclusion: Also, the fundamental of nursing, like respect for human, was maintained in emergency setting, the hospital's administration has implemented service for a high level of satisfaction with nursing care up to the expectations of the patients for with the staff and medical equipment.