• Title/Summary/Keyword: First Responders

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Review of the necessity of first responders in industrial sites - Focusing on the industrial accident in the construction site - (산업현장의 최초반응자 필요성에 대한 검토 - 건설업 산업재해를 중심으로 -)

  • Youngseok, Bak;Jun, Ho, Kim;Seung-Hak, Cho
    • The Korean Journal of Emergency Medical Services
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    • v.26 no.3
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    • pp.201-208
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    • 2022
  • Purpose: The purpose of this study is to analyze the current status of disasters and initial first aid in the construction industry, and to suggest the deployment of emergency medical technicians and reinforcement of first aid training in the construction industry. Methods: Among industrial accidents in 2020, the accident characteristics and initial first aid that occurred at construction sites were analyzed, and the emergency dispatch of 119 paramedics was analyzed through the SPSS method. Results: The incidence of serious accidents was high at small and medium-sized construction sites with less than 50 workers, and the incidence of falls was high, and there were few first responders who could provide first aid in the beginning. Therefore, it is necessary to improve first aid response capabilities at small construction sites. Conclusion: In order to improve the ability to respond to first aid at construction sites, it is necessary to deploy first responders and strengthen first aid education.

Analysis on the efficacy of CPR training for first responders (최초 반응자를 대상으로 한 심폐소생술 교육결과의 분석)

  • Baek, Mi Lye
    • The Korean Journal of Emergency Medical Services
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    • v.4 no.1
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    • pp.83-93
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    • 2000
  • This survey is mainly focus on identifying the efficacy of CPR training for 92 first responders who participated in the first aid and emergency rescue program dated on November 22 and November 24, 2000. First responders are trained and evaluated using AHA guideline for 4 hours. Data are analyzed by Percentage, Mean, T-test, F-test using SPSS program. The results for this study are as follows: 1. An average score for CPR evaluation is high as 1.71 of total score 2.0. 2. Between adult CPR and infant CPR, an average score for adult CPR is higher than infant CPR. The highest item of adult CPR and infant CPR is checking for unresponse(1.95 and 1.93), the lowest items are checking for circulation and chest compression position in the adult CPR and location of chest compression in the infant CPR 3. There are statistically significant differences in the evaluation score of CPR according to age, education level, occupation, job experience and emergency accident situation in the past.

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A retrospective analysis of the follicle-stimulating hormone starting dose in expected normal responders undergoing their first in vitro fertilization cycle: proposed dose versus empiric dose

  • Lee, Dayong;Han, Soo Jin;Kim, Seul Ki;Jee, Byung Chul
    • Clinical and Experimental Reproductive Medicine
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    • v.45 no.4
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    • pp.183-188
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    • 2018
  • Objective: The purpose of this retrospective study was to evaluate the appropriateness of various follicle-stimulating hormone (FSH) starting doses in expected normal responders based on the nomogram developed by La Marca et al. Methods: A total of 117 first in vitro fertilization cycles performed from 2011 to 2017 were selected. All women were expected normal responders and used a recombinant FSH and flexible gonadotropin-releasing hormone antagonist protocol. The FSH starting dose was empirically determined (150, 225, or 300 IU). The FSH starting dose indicated by La Marca's nomogram was determined using female age and serum $anti-M{\ddot{u}}llerian$ hormone or basal FSH levels. If the administered dose was exactly the same as the proposed dose, the cycle was assigned to the concordant group (34 cycles). If not, it was assigned to the discordant group (83 cycles). Optimal ovarian response was defined as a total of 8-14 oocytes, hypo-response as < 8 oocytes, and hyper-response as > 14 oocytes. Results: Between the concordant and discordant group, ovarian response (optimal, 32.4% vs. 27.7%; hypo-response, 55.9% vs. 54.2%; and hyper-response, 11.8% vs. 18.1%) and the number of total or mature oocytes were similar. Ovarian hyperstimulation syndrome was rare in both groups (0% vs. 1.2%). The implantation rate, clinical pregnancy rate, miscarriage rate, and live birth rate were all similar. Conclusion: The use of the proposed FSH starting dose determined using La Marca's nomogram did not enhance the optimal ovarian response rate or pregnancy rate in expected normal responders. Individualization of the FSH starting dose by La Marca's nomogram appears to have no distinct advantages over empiric choice of the dose in expected normal responders.

Does the placement of automated external defibrillators affect first responders' willingness to perform cardiopulmonary resuscitation in high-rise residential buildings?

  • Lee, Dong Eun;Ryoo, Hyun Wook;Ahn, Jae Yun;Moon, Sungbae;Kim, Jong Kun;Kim, Yun Jeong;Park, Jung Bae;Kim, Jung Ho;Lee, Kyung Woo;Jin, Sang Chan
    • Journal of The Korean Society of Emergency Medicine
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    • v.29 no.6
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    • pp.557-567
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    • 2018
  • Objective: The increasing number of people living in high-rise apartments may result in a delayed response from emergency medical technicians called out for an out-of-hospital cardiac arrest, making the role of apartment managers as the first responders extremely important. This study investigated whether automated external defibrillator (AED) placement influences the willingness of apartment managers to perform cardiopulmonary resuscitation (CPR) and use an AED. Methods: A cross-sectional target population-based survey was conducted in Daegu, July 2016. Questionnaires were sent to apartment managers working in apartments with more than 500 households. The general characteristics of the respondents, status of CPR education, and knowledge about and willingness to perform CPR and use an AED were investigated. Results: Of the 1,445 respondents, 758 (52.5%) worked in apartments with AEDs, of which 77.8% and 70.8% were willing to perform CPR and use an AED, respectively, compared with 68.1% and 60.0% of respondents who worked in apartments without AEDs. After adjusting for potential confounders, AED placement was associated with the willingness to perform CPR (odds ratio [OR], 1.33; 95% confidence interval [CI], 1.04-1.71) and use an AED (OR, 1.39; 95% CI, 1.10-1.75). Prior CPR training and accurate knowledge of CPR skills were also associated with the willingness to perform CPR and use an AED. Conclusion: Placing AEDs in high-rise apartment buildings and providing refresher CPR education for maintaining CPR skills will be necessary to support apartment managers in their role as first responders.

Indoor Position Estimation of First Responders for Rapidly Deployable Emergency Communication Systems in Disaster Recovery (재난 복구시 신속 배치 가능한 응급통신시스템에서 긴급구조원의 실내위치측정)

  • Cabacas, Regin A.;Ra, In-Ho
    • Proceedings of the Korea Contents Association Conference
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    • 2018.05a
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    • pp.73-74
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    • 2018
  • This paper presents the incorporation of still-alive access points (SAPs) and helper access points (HAPs) that can be utilized as anchor nodes for position estimation of a First Responders (FRs) for rapidly deployable Emergency Communication Systems (ECS) in disaster recovery. In addition, the localization environment has is formulated and initially examines the use of a distributed Gauss-Newton algorithm (GNA) as optimization technizue. A simulation has been conducted and compared with the commonly used trilateration approach in position estimation.

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Digital Investigation First Responder and Preliminary Analyst Requirements (디지털 수사 초동조치 대응인력 및 예비분석관들이 갖추어야 할 요건)

  • James, Joshua Issac;Jang, Yunsik
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.16 no.5
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    • pp.49-54
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    • 2016
  • As investigations dealing with digital evidence increase, so to does the need for skilled first responders and improved investigation process models. Recently the concept of digital forensic triage and preliminary analysis has been gaining popularity in investigation laboratories. At the same time, however, there has been little focus on specific training needs of first response and preliminary analysts. Instead, many organizations consider these responders to need the same skills as full digital forensic analysts. In this work we describe the 'ideal' digital investigation first responder and preliminary analyst, hardware and software requirements and most importantly, required training.

Needs and Demands Assessment on the First Aid Education of General Teachers in Elementary Schools (초등학교 일반교사의 응급처치 교육 필요도 및 교육 요구도에 관한 연구)

  • Cho, Keun-Ja
    • The Korean Journal of Emergency Medical Services
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    • v.11 no.3
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    • pp.139-152
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    • 2007
  • Background and Purpose : Emergencies in the school setting occurs frequently. Therefore, the role of first responders is important. General teachers in elementary schools are expected by first responders in school emergencies. This study attempted to assess needs and demands assessment on the first aid education of general teachers in elementary schools. Method : The subjects of this study were 71 general teachers from 8 elementary schools. Data were collected by the questionnaire during the period from March 19 to April 13, 2007. The data were analyzed through frequency, Cronbach's ${\alpha}$, Independent Two samples t-test, paired T-test, One Way ANOVA, Pearson's Correlation by SPSS win 12.0. Result : 1. It showed that 47.9%(34 persons) of general teachers answerd that they experienced emergencies in elementary school setting. Experienced emergencies were wounds(cut, laceration, abrasion etc.) 79.4%(27 persons), bleeding(including epistaxis) 64.7%(22 person), fracture(including dislocation, sprain) 44.1%(15 person), sting or bite 29.4%(10 persons). 2. It showed that 95.8%(68 persons) of subjects answerd that first aid education are necessary. Also 91.5%(65 persons) of subjects answerd that will be educated first aid if opportunities is given. 3. The total mean showed $2.39{\pm}.40$ in necessities of first aid education and $2.17{\pm}.36$ in needs of first aid education by 3 points Likert scale. Ranking 1 in necessities and needs of first aid education was bleeding control. 4. The total mean in necessities and needs of first aid education showed statistically significant differences(t = 3.453, p = .002). 5. The necessities of first aid education showed significant positive correlations with necessities and needs of first aid education(r = .521, p = .002). Conclusion : These results suggest that education program of first aid on elementary general teachers must be developed through necessities and needs assessment of first aid education and instructors must searched methods to increase needs of first aid.

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The Effect of Cardiopulmonary Resuscitation Education for Kindergarten Students

  • Kim, Jae-Ik
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.2
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    • pp.157-162
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    • 2020
  • In this paper, we propose an analyze the effects of CPR education for kindergarten students, to determine their role as first responders, and to use them as basic data for the development and activation of CPR education programs for future kindergarten students. Five CPR training sessions were repeated for 10 weeks for children aged 6 and 7 years in kindergarten in J city, and objective data was collected using feedback equipment. The data were analyzed by t-test and paired t-test using SPSS 23.0 for win statistics program. The results showed that chest compression depth, chest compression velocity, and chest compression hand position increased significantly after repeated training. In conclusion, the cardiopulmonary resuscitation training for kindergarten students was effective, and the kindergarten students could play the role of first responders.

Indoor Location Tracking for First Responders using Data Network (데이터 통신망을 이용한 복수 구조요원 실내 위치 추적)

  • Chun, Se-Bum;Lim, Soon;Lee, Min-Su;Heo, Moon-Beom
    • Journal of Advanced Navigation Technology
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    • v.17 no.6
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    • pp.810-815
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    • 2013
  • In case Wi-Fi network based First responder's position tracking system is used, range measurement must be generated from RSSI finger print database. However, it is impossible to build up finger print database and to perform rescue operation at same time in the scene of rescue. In this paper, improvised Wi-Fi network without finger print database and pedestrian dead reckoning based first responders tracking system is proposed.

Dual trigger in normally-responding assisted reproductive technology patients increases the number of top-quality embryos

  • Sukur, Yavuz Emre;Ulubasoglu, Hasan;Ilhan, Fatma Ceylan;Berker, Bulent;Sonmezer, Murat;Atabekoglu, Cem Somer;Aytac, Rusen;Ozmen, Batuhan
    • Clinical and Experimental Reproductive Medicine
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    • v.47 no.4
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    • pp.300-305
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    • 2020
  • Objective: The feasibility of a gonadotropin-releasing hormone agonist (GnRHa) trigger in normal responders is still a matter of debate. The aim of this study was to compare the number of mature oocytes, the number of good-quality embryos, and the live birth rate in normal responders triggered by GnRHa alone, GnRHa and human chorionic gonadotropin (hCG; a dual trigger), and hCG alone. Methods: A retrospective cohort study was conducted at the infertility clinic of a university hospital. Data from 200 normal responders who underwent controlled ovarian hyperstimulation and intracytoplasmic sperm injection with a GnRH antagonist protocol between January 2016 and January 2017 were reviewed. The first study group consisted of patients with cycles triggered by GnRHa alone. The second study group consisted of patients with cycles triggered by both GnRHa and low-dose hCG (a dual trigger). The control group consisted of patients with cycles triggered by hCG alone. Results: The groups were comparable in terms of demographics and cycle characteristics. The numbers of total oocytes retrieved and metaphase II oocytes were similar between the groups. The total numbers of top-quality embryos were 3.2±2.9 in the GnRHa group, 4.4±3.2 in the dual-trigger group, and 2.9±2.1 in the hCG group (p=0.014). The live birth rates were 21.4%, 30.5%, and 28.2% in those groups, respectively (p=0.126). Conclusion: In normal responders, a dual-trigger approach appears superior to an hCG trigger alone with regard to the number of top-quality embryos produced. However, no clinical benefit was apparent in terms of live birth rates.