• 제목/요약/키워드: Fire Services

검색결과 475건 처리시간 0.025초

인천국제공항건설 사업관리 경험 (Introduction to CM Experience from Incheon International Airport (IIA) Construction Project)

  • 박대원
    • 한국건설관리학회:학술대회논문집
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    • 한국건설관리학회 2004년도 제5회 정기학술발표대회 논문집
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    • pp.20-25
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    • 2004
  • 2003년 7월 18일 인칠공항공사는 동북아의 중추공항(Hub-Airport)건설을 목표로 단계적으로 추진되는 인천국제공항 2단계건석사업에 필요한 전문적인 사업관리 기술을 지원 받기 위하여 KIDS 컨소시엄(건원, ITM, 도화, 공간으로 구성된 컨소시엄)과 2단계 건설사업관리 기술지원용역계약을 체결하였다. 2단계 건설사업은 250만 평의 부지조성, 제3활주로, 계류장,원격탑승동, 무인자동열차, 고속수하물처리시설, 화물터미널. 등과 필요한 시설물을 2008년 말까지 완료하는 것으로 계획되어 있으며 CM계약자는 기 구축된 공항공사의 각종 사업관리 Tool을 이용하여 공정관리를 포함한 종합사업관리, 건축/전럭시설의 설계감리. IAT/BHS 등의 설계관리. 품질 및 시운전관리 등의 업무에 국내외 전문인력을 공항공사의 사업관리 조직에 투입하여 공사직원들과 함께 사업목표 달성을 위해 매진하고 있다. 본 고에서는 인천공항공사에서 수행하고 있는 건설사업관리사례를 주요업무 중심으로 소개해 보고자 한다.

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1급 응급구조사의 직무분석에 관한 연구 (A study on the job description of paramedics)

  • 손인아
    • 한국응급구조학회지
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    • 제9권1호
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    • pp.43-53
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    • 2005
  • The purpose of this study was to survey a perception of frequency & importance level of job performance, from 249 paramedics who were working at fire station. The job related activities of 4 duties, 18 tasks and 145 task elements were checked by 4 rating scale. The data were analyzed using a SPSS program for descriptive statistics. The results of the study were as follows ; 1. Some of the most frequent tasks were medical tx, managing people & organization, trauma care, pt assessment, general coping skill 2. Some of the most frequent task elements were preparation of written reports, operation of pt lifting supplies, transportation of patients on stretchers, administration of cervical collar and utilization of scoop stretcher. 3. Some of the highest level of importance in task were resuscitation of circulation, surgical tx, safety & infection control, environmental emergency care, trauma care. 4. Some of the highest level of importance in task elements were administration of cervical collar, adult CPR, infant CPR, child CPR, and AED. 5. The highest level of task elements in perception of frequency & importance were administration of cervical collar, infection control after pt care, utilization of long back board, disinfection of ambulance after ride a long, care of chest pain pt, care of unconscious pt, tx of asthma. 6. A difference between frequent & importance score were due to lack of supplies(41%), structural problems(30%) and medical control system(16%), lack of skills(10%), Suggestion; 1. This paper would be more reliable and confirm through wilder range of survey. 2. It would be necessary of more depth survey through dacom study from paramedic. 3. Development of field oriented protocol & curriculum that based on task elements which have high score of both frequency & importance level is required.

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응급구조사의 직무분석에 따른 업무개선과 삶의 질 향상을 위한 문제점 해결 방법에 관한 연구 (A study on problem solution method for works improvement and advancement quality of life on Job analysis of Emergency Medical Technicians)

  • 김재갑;고재문;김경완;정용태
    • 한국응급구조학회지
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    • 제11권1호
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    • pp.73-80
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    • 2007
  • This study is a descriptive survey research to know the levels of job satisfaction and influential factors for emergency medical technicians(EMT). This study sampled Level 1 and Level 2 Rescue Members from fire stations and EMT from general hospitals in the Gwangju City and JeollaNamdo area. Interviews for the 75 participants of this convenience sample were conducted for a two month period from July to September 2006. Data was collected on interviewing questionnaires. When looking at the results above internal factions were most influential towards satisfaction and self-responsibility, fulfillment, displays of Aptitude were highest for satisfaction. However, organizational factors were the lowest. There is a need for reform in promotion term periods and policy as well as promotion opportunities. Influential factors for job satisfaction were Role Performance Ability, Intentions for Changing Jobs, and Job Selection Motivation. Therefore, the more insufficient your ability to perform your job the less satisfied you are with it and the more fear you feel from experiences on the job the less satisfied you are with your job. Henceforth, there is a need to reform the educational programs offered to EMT for job training emphasizing job performance ability and the ability to judge for oneself on emergency situations, and reform the promotional system. Finally, there is a need for psychological consultation to offer stability to those after treating an emergency situation and encouragement for personal religion.

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실내공간의 연결성 분석을 통한 고립지역 탐색 (Finding Isolated Zones through Connectivity Relationship Analysis in Indoor Space)

  • 이슬지;이지영
    • 한국측량학회지
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    • 제30권3호
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    • pp.229-240
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    • 2012
  • 유비쿼터스 환경을 구축하기 위하여 우리나라에서는 IT 기반 신도시 건설의 프로젝트인 u-City 사업이 추진되고 있지만, u-City에서 제공해주는 u-service는 USN(Ubiquitous Sensor Network)기반으로 모니터링에 치중하여 공간분석에 관한 서비스가 부재하다. 특히 대규모 복합 건물이 증가로 실내공간에서의 활동시간이 늘어남에 따라 단순한 모니터링이 아닌 3차원 실내 공간분석이 필요하다. 따라서 위상학적 데이터 모델을 기반으로 하여 실내 공간에서의 연결성을 분석하였다. 실내공간에서는 실외공간과 달리 공간 객체간의 연결이 제한적이기 때문에 환경변화에 따라 연결성이 바뀔 수 있고, 이에 따라 공간분석 결과 또한 달라질 수 있다. 본 연구에서는 연결성을 변화시키는 긴급 상황의 대표적인 예로 화재가 발생하였을 경우 연결성을 분석하고, 연결성 변화를 통해 생성될 수 있는 고립지역을 탐색하는 알고리즘을 개발하였다. 개발한 알고리즘을 적용하여 분석 결과를 도출하기 위하여, 실내공간의3차원 구조뿐만 아니라, 고립지역을 가시화하는 시스템을 구현하였다.

병원 전 심정지 환자의 자발순환 회복에 관한 병원전 처치 - 하트세이버 수상자를 중심으로 - (Prehospital care after return of spontaneous circulation in out-of-hospital cardiac arrest patients: Based on Heart Saver laureate)

  • 고봉연;홍성기;김진영
    • 한국응급구조학회지
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    • 제18권2호
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    • pp.125-136
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    • 2014
  • Purpose: We aimed to improve the survival rates of out-of-hospital cardiac arrest patients. Methods: We analyzed data regarding cardiopulmonary resuscitation (CPR) outcomes and clinical characteristics of out-of-hospital cardiac arrest patients. The data included prehospital emergency medical service reports of 207 patients, 135 patients of Heart Saver, who survived over 72 hours after return of spontaneous circulation (ROSC) in Gyeonggi-do from January, 2012 to December, 2013. Data were analyzed using SPSS 18.0 descriptive statistics. Results: Among patients who achieved ROSC, 87.6% were men and 73.6% were aged 41-70 years; 86.7% were cases of witnessed cardiac arrest, and cardiopulmonary resuscitation was performed by bystanders in 65.9% of cases. The initial electrocardiogram showed ventricular fibrillation or pulseless ventricular tachycardia in 96.3% of patients. The call time was 1.0 minutes, arrival time was 6.3 minutes, time spent at the scene was 8.0 minutes, hospital arrival time was 10.0 minutes, and total CPR duration was 9.6 minutes. The certificate of them was paramedics in 89.6%. Conclusion: To improve the survival rates of out-of-hospital cardiac arrest patients, standard prehospital care for these patients and educational programs regarding CPR for lay rescues should be developed.

응급구조학과 학생의 건강행위와 생명윤리의식의 관계에서 생활스트레스의 매개효과 (The mediating effect of life stress on the relationship between paramedic student's health behavior and bioethics awareness)

  • 이은영;김정선;이효철;고대식;강광순;김철태
    • 한국응급구조학회지
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    • 제23권3호
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    • pp.97-110
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    • 2019
  • Purpose: This study aimed to investigate the role of life stress in the relation between health behaviors and bioethics awareness among paramedic students. Methods: This study recruited 238 paramedic students in F and R areas as participants. Multiple regression analysis was performed using Baron and Kenny's three-step procedure. Results: In the first stage, health behaviors had a significant effect on life stress (β=-.202, p<.01). In the second stage, health behaviors had a significant effect on bioethics awareness (β=.240, p<.001). In the third stage, life stress had a significant influence on bioethics awareness (β=-.167, p<.01). In the fourth stage, the regression coefficient of the third stage (β=.137) was less than that of the second stage (β=.159). In addition, when controlling for life stress, health behavior was shown to affect bioethics awareness (β=.206, p<.01). The mediating effect of life stress was found to be significant in the relation between health behavior and bioethics awareness (Z=2.04, p<.05). Conclusion: As health behavior is a factor that affects bioethics awareness through the mediation of living stress, universities should prepare training programs to improve the health behavior and reduce the life stress among students.

심폐소생술 시 구조자의 hand technique에 따른 가슴압박의 질 및 피로도 비교 (Comparisons of the quality of chest compression and fatigue levels of the rescuer for different hand techniques used in cardiopulmonary resuscitation)

  • 박유진;정지원;김병우
    • 한국응급구조학회지
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    • 제23권3호
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    • pp.67-81
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    • 2019
  • Purpose: The purpose of this study was to compare the difference in compression quality and fatigue levels in a rescuer for three different hand techniques used in cardiopulmonary resuscitation (CPR). Methods: The participants were paramedic students at the basic life support provider level. The hands-only CPR was performed for 10 minutes for each of the three hand techniques without disruption, and the quality of chest compressions and fatigue levels were analyzed. Results: There was no difference between the sexes in the chest compression quality and the physiologic parameters before and after compression. Among the quality indexes of chest compression with each of the techniques performed for 10 minutes, the mean depth (p<.01) and mean accuracy (p=.000) of the compression were found to be higher in the five finger fulcrum technique, while the mean compression rate and relaxation accuracy showed no significant differences. Regarding fatigue levels, the five finger fulcrum technique caused lesser subjective fatigue as compared to other techniques (p<.05), although the heart rate and blood pressure revealed no difference. Conclusion: The five finger fulcrum technique was found to be better than the other techniques in terms of chest compression quality and subjective levels of fatigue, indicating that it should be used in CPR education.

병원 전 응급의료종사자의 감염관리 실태 연구 - 전북지역 중심으로 - (A Study on the Actual Profile of Emergency Medical Personnel's Pre-admission Infection Control - Based on Jeollabuk-do provincial area -)

  • 신상열;정태오
    • 한국응급구조학회지
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    • 제11권2호
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    • pp.19-27
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    • 2007
  • Purpose: By identifying the actual profile of emergency medical personnel's pre-admission infection control practices, this study intended to provide a basic reference material for the improvement and reorientation of pre-admission infection control measures, and thereby help establish an effective plan for pre-admission infection control activities. Methods: Total 119 EMT's working for Jeollabuk-do Provincial Fire Defense HQ were asked to join a structured questionnaire survey from June to August 2006. Results: 1. It was found that 56.1% respondents answered no guideline available on the prevention of infection. Out of our rescue brigade members who knew about relevant guideline available, 34.2% respondents answered that their department conducted quality control program for the guideline. 2. For protective outfit in emergency practice, it was found that most respondents put on gloves or nothing at all(38%), which was followed by sterile gloves(29.2%), disposable mask(26.9%), gown(4.3%) and protective goggle(1.6%). And it was noted that all respondents(100%) washed out any clothing contaminated with somatic secretion on their own. 3. For a question about any experience in emergency activities exposed to infectious diseases, it was found that most of all respondents(77.9%) answered 'No', which was followed by 'Don't Know'(18.6%) and Yes(3.9 %). 4. For a question about any experience in inquiring of patients about infectious diseases, it was found that most respondents(49.4%) answered 'Yes' and 'Sometimes'(9.1%). It was noted that 20.2% respondents had extra medical examination in medical institution in terms of whether they were exposed to infectious diseases, apart from regular medical examination. Conclusions: In order to protect 119 EMT's from infectious diseases, it will be necessary to acquire emergency medical staffs specializing in infection control and organize corresponding personnel training units to keep providing reorientation and evaluation. In addition, it will be also necessary to supply them with a full set personal protection apparatuses and other equipments required for disinfection and sterilization.

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119무선페이징의 이용실태에 관한 연구 - 일 지역을 중심으로 - (Study of Personal Emergency Response System among Community Residing Elderly)

  • 권혜란;정지연;최길순
    • 한국응급구조학회지
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    • 제11권2호
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    • pp.87-101
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    • 2007
  • Health and disease related characteristics of 226 selected by systematic sampling from 452 personal emergency response system(PERS) beneficiaries and actual conditions of using PERS by them are as follows. Over 86% of PERS beneficiaries have not good health conditions and 70.7% of them have chronic diseases. On social supports family was highest as 52.2% and cases having social workers' assistance were 15.2%, but 53 as 23.7% had not visit or call from anyone and showed very low social supports. 86.2% was given PERS within 3years and 79.1% had it by the recommendation from related agencies and 4.0% was by their demand. On wearing it, 78.3% didn't bring it with them and 92% of them answered they were not sick and then it was found that they didn't use it because they had not special emergency. On satisfaction with paging system's operation, 81.3% answered they were satisfied with it, 48.8% used it for 'acute and emergency diseases' and 29.3% called ambulance for 'appointed medical treatment'. Time required for ambulance to arrive at the field was within 10 min. in 87.8% and after 10 min. in 12.2% and emergency service for beneficiaries by fire service was very good. On satisfaction with use of PERS, 85.4% were satisfied with it, 81.9% who requested repair or replacement of radio paging got it back after one or two days of their request and they answered they were satisfied with A/S. 45.5% answered they powered off it because 'they didn't use it' and 12.1% had 'economical reason of phone charge'.

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직무스트레스가 피로와 직무만족도에 미치는 영향 - 경기소방 일부 119구급대원을 중심으로 - (Influence of Job Stress on Fatigue and Job Satisfaction - with Some 119 Emergency Medical Technician in Gyeonggido -)

  • 박대성;박상섭
    • 한국응급구조학회지
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    • 제12권3호
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    • pp.71-86
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    • 2008
  • Purpose : This study was to examine the influence of job stress of 119 Emergency Medical Technician on fatigue and job satisfaction. Methods : Subjects of this study were 228 Emergency Medical Technicians who worked at 119 Safety Center of total 92 fire stations in 12 cities of Gyeonggido including U, N, H, B, A, S, Y, G, G, G, P and I and the period of data collection was from July 11 to Sep. 10, 2007. Collected data were analyzed with SPSS 14.0 version. Results : Conclusions of this study were as follows. 1) Factor related to organization among job stress factors had the greatest influence on fatigue (B = 0.334, p < 0.01), followed by crisis situation factor (B = 0.2042, p < 0.01), inappropriate treatment factor (B = 0.174, p < 0.05), role conflict factor as special job (B = 0.109, p < 0.05) and professional knowledge and technique factor (B = 0.109, p < 0.05), and the influence of job stress factors on fatigue was explained as $R^2=0.340$. 2) Mental burden factor of job stress factors had the greatest influence on job satisfaction (B = -0.606, p < 0.01), followed by organization factor (B = -0.473, p < 0.01) and interpersonal relation and conflict factor (B = -0.339, p < 0.01), and the influence of job stress factor on fatigue was explained as $R^2=0.308$. Conclusions : Job stress of 119 rescuer is increasing continuously and such an accumulated stress lowers the job efficiency. In order to reduce, job stress, it is important to extend(${\rightarrow}$ have) proper self-development, maintain close relationships and mutual correlations among members of organization in personal dimension and to solve the role conflicts, define the organizational roles and simplify excessive job description into concrete work.

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