• The Korean Journal of Emergency Medical Services
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• v.13 no.3
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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.

• Korean Journal of Construction Engineering and Management
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• v.22 no.5
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• pp.29-38
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• 2021

Governments and companies are trying to reduce occupational accidents in the construction industry; however, the number of disasters are not decreasing significantly. This study aims to identify the correlation between factors affecting construction disasters quantitatively. To this end, 1,197 cases of serious disasters provided by Korea Occupational Safety and Health Administration (KOSHA) were analyzed using affinity analysis, one of the data mining techniques. The data from KOSHA were preprocessed and analyzed with variables of accident type, project type, activity type, original cause materials, sensory temperature, time of the accident, and fall height, and the association rules were derived for fall accidents and the others. For fall accidents, 64 association rules with lift ratios of 1.38 or greater were derived, and for the other accidents, 59 association rules with lift ratios of 1.54 or greater were derived. After analyzing the derived association rules focusing on the relationship among accident factors, this study presented the significance of applying the affinity analysis to address the study's limitations. The significance of this study can be found in that the correlation among factors affecting construction accidents is presented quantitatively.

• Korean Journal of Construction Engineering and Management
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• v.22 no.5
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• pp.73-85
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• 2021

This study proposes an efficient management direction for Korean construction accident cases through a deep learning-based text data classification model. A deep learning model was developed, which categorizes five categories of construction accidents: fall, electric shock, flying object, collapse, and narrowness, which are representative accident types of KOSHA. After initial model tests, the classification accuracy of fall disasters was relatively high, while other types were classified as fall disasters. Through these results, it was analyzed that 1) specific accident-causing behavior, 2) similar sentence structure, and 3) complex accidents corresponding to multiple types affect the results. Two accuracy improvement experiments were then conducted: 1) reclassification, 2) elimination. As a result, the classification performance improved with 185.7% when eliminating complex accidents. Through this, the multicollinearity of complex accidents, including the contents of multiple accident types, was resolved. In conclusion, this study suggests the necessity to independently manage complex accidents while preparing a system to describe the situation of future accidents in detail.

• Safety and Health at Work
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• v.4 no.1
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• pp.46-51
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• 2013

Objectives: Load carrying tasks are recognized as one of the primary occupational factors leading to slip and fall injuries. Nevertheless, the mechanisms associated with load carrying and walking stability remain illusive. The objective of the current study was to apply local dynamic stability measure in walking while carrying a load, and to investigate the possible adaptive gait stability changes. Methods: Current study involved 25 young adults in a biomechanics research laboratory. One tri-axial accelerometer was used to measure three-dimensional low back acceleration during continuous treadmill walking. Local dynamic stability was quantified by the maximum Lyapunov exponent (maxLE) from a nonlinear dynamics approach. Results: Long term maxLE was found to be significant higher under load condition than no-load condition in all three reference axes, indicating the declined local dynamic stability associated with load carrying. Conclusion: Current study confirmed the sensitivity of local dynamic stability measure in load carrying situation. It was concluded that load carrying tasks were associated with declined local dynamic stability, which may result in increased risk of fall accident. This finding has implications in preventing fall accidents associated with occupational load carrying.

• Journal of IKEEE
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• v.17 no.1
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• pp.22-28
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• 2013

According to a survey, more than 50% of the elders fall which is the most frequent daily safety accident of the elders takes place at home. Furthermore, the elders fall is anticipated to increase as more elderly people are expected to live alone since, 67.1% of the elders of 65 or more do not hope to live with their children. This research aims to verify the fall by measuring and analyzing the floor vibration, and the hardware system was also designed was Piezo Film Sensor, Op-Amp, and DAQ. The system is consists of signal processing part for measuring floor vibration and alarm part for identifying the consciousness of the user when the fall occurs. The fall detection by vibration signals verified by k-Nearest Neighbor verification, and the results showed the error rate of 3.8%.

• Journal of Trauma and Injury
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• v.31 no.3
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• pp.117-124
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• 2018

Purpose: This study was to analyze clinical and epidemiological characteristics of elderly patients who were admitted to the emergency department (ED) due to falls by separating male and female. Methods: We retrospectively analyzed the fall patients aged 65 years or older from the data of the in-depth surveillance study of injured patients visit to the ED under the supervision of the Korea Centers for Disease Control and Prevention (KCDC) from 2011 to 2016 by separating male and female. Results: A total of 361,588 elderly fall patients were analyzed and, among them, 14,429 (37.3%) were males and 24,208 (62.7%) were females. Male and female showed similar frequency of damage happening season. However, they showed falling accident mostly on winter. The time of injury occurrence is mostly from 12:00 to 18:00 with 4,949 (34.3%) male and 8,564 (35.4%) female. Most falls occurred in daily activities, accounting for 7,614 (52.8%) in males and 14,957 (61.8%) in females, respectively. Unintentional damage accounted for the most part and 7,395 (51.2%) of male and 15,343 (63.4%) of female were injured indoors. Head and neck were the most common site of injuring, with 8,392 (58.2%) in males and 7,851 (32.4%) in females. According to ED examination outcomes, most of the patients were discharged, while the majority of the hospitalized patients were admitted to the general patient room. Conclusions: The elderly falls occurred mostly from 12:00 to 18:00, during winter and to elderly women. Also, they happened unintentionally indoors in everyday life, mostly. Proved clinical, epidemiological characteristics from this research will be used as useful indicator at validity research of development of prevent program of falling accident for elderly people.

• Journal of the Korean Society of Safety
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• v.38 no.3
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• pp.10-19
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• 2023

Fall accidents account for the highest accident fatality rate in the construction industry. In addition, wearing and using a safety belt is the most realistic and important preventive measure to reduce fall accidents. Safety belts are protective devices worn by individual workers; they prevent workers from falling and allow for time to rescue the workers. However, the legal standards for safety belts only stipulate the materials, specifications, and strength of parts; there is no provision for an auxiliary rope fixing method to fix the safety belts safely. Due to this reason, workers in industrial sites arbitrarily fix and use the auxiliary rope. Currently, the most used method to fix the auxiliary rope is to tie a knot, which significantly lowers the strength of the material compared to the standard strength. Moreover, many construction sites are located outdoors, so the strength of the materials used in the auxiliary rope is inevitably reduced due to various external environmental conditions. Therefore, to solve this problem, this study was conducted to evaluate the strength of the material of the auxiliary rope for fixing the safety belt and the knot-tying method for the auxiliary rope. In this study, the exposure conditions for the effects of temperature and moisture were set to reflect the characteristics of the construction industry. The results of this study are expected to be used for standards establishment and the safe use of the auxiliary rope for safety belts in actual field applications.

• Journal of Fisheries and Marine Sciences Education
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• v.29 no.1
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• pp.137-147
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• 2017

An accident during pilotage may cause several problems such as crippling the harbour function, environmental disruption, loss of life. Since the pilot plays an important role in the safe operation of the port, securing their safety is directly connected to the vessel's safety coming into port in Korea. Pilotage service is offered on request without distinction of day and night. And traveling by helicopter and boarding/disembarking using a pilot ladder from and to a pilot boat have a high risk of falling into the sea. So, pilots can fall into the sea while boarding/disembarking from ship which can lead to serious injury by cardiac arrest. A number of pilots have died or severely injured due to fall from the pilot ladder during embarkation and disembarkation up to now. Current safety measures at embarkation and disembarkation required by pilotage act and IMO resolutions could not prevent all the pilot related accidents. Therefore, to prevent pilot accident during boarding/disembarking from ship, it is necessary to include safety training requirement for new pilots under the requirements for licensing of pilotage act. It is also necessary to compel pilots to take necessary personal protective equipment when they use a pilot ladder. In addition, the placement of emergency kit on pilot boats and first-aid training are required in order to deal with emergency situation promptly.

• Journal of the Institute of Convergence Signal Processing
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• v.20 no.2
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• pp.91-98
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• 2019

Accidents of worker that occur in isolated places are difficult to rescue, unlike general construction accidents. There is a problem of communication limitation when an accident occurs in an isolated place. Also, it is difficult to search the accident place due to the absence of CCTV. In order to solve these problems, this paper proposes a device that combines IoT technology with a safety helmet, which must be worn in the workplace. The proposed device additionally designs and implements a real-time PPG(Photoplethysmography) sensor, body temperature sensor, accelerometer sensor and a camera sensor on the helmet. The proposed helmet system allows the user and the control center to monitor the state of the worker. In addition, when an abnormal biological signal or fall occurs to the worker, the image is transmitted to the control center. By using the proposed system, it is possible to check the status of the worker in real time, so that it has an advantage that it can cope with the accident quickly.

• Journal of the Korea Safety Management & Science
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• v.15 no.1
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• pp.31-40
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• 2013

For the matter of elevator, one of the multi-use facilities for unspecified public, the JIS has re-established and reformed to apply to the environment in South Korea for the past 20 years. In the aspect of safety assurance, it was inevitable to suggest improved measures. The government, Ministry of Public Administration and Security has secured the safety by enhancing the safety management functions in the elevator inspection standards and expanding its safety device measures. Further, the international inspection standard has been introduced, which is about unifying inspection standard system into the international standard code. In March 14th 2012, the international standard (EN) has been amended and fully announced. Escalator and passenger conveyor among lift devices have several common danger factor that cause safety accident. First, the accident caused by decreased braking power of brake. Second, the accident caused by the rate difference between handrail and tread-board. Third, the accident caused by defects of contraflow preventing device or carelessness inspection. Fourth, the accident caused by wet tread-board or wet floor of platform which makes passenger slip and fall. As the improvements to prevent and reduce these negligent accidents, the inspection list to check and methods should be subdivided and applied for each accident likelihood cause for safety management enhancement and safety assurance of existing escalator and passenger conveyors. The escalators and passenger conveyors without safety devices in existence should be obliged to modify the part of the system or install additional safety device. With making these measures obligations, it requires to improve the system to be suitable for the international inspection standard and to have measures to prevent safety accidents. It also needs to arrange improvements for skid accident of tread-board by the external environment factors such as snow and rain.