• Title/Summary/Keyword: Lifesaving

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Clinical Evaluation of Empyema Thoracis (농흉의 임상적 고찰)

  • 박종호
    • Journal of Chest Surgery
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    • v.25 no.3
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    • pp.271-275
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    • 1992
  • One hundred forty patients with empyema thoracis were managed under the general anesthesia at the Seoul National University Hospital between 1980 and 1990. The patients, who were managed by thoracentesis or intercostal tube drainage alone, were excluded in this study. There were 92 males and 48 females, ranging from 8 to 80 years of age. Underlying pathologic lesions of empyema thoracis were primary bronchopulmonary infection [84%], postoperative empyema[11%], malignancy, paragonimiasis, spontaneous pneumothorax and so on. A single causal organism was isolated only in 17 patients[the most common being staphylococcus aureus, pseudomonas, & streptacoccus pneumoniae], multiple organism in 31, and no growth in 32. Surgical treatment modalities were decortication[75], pleuropneumonectomy[30], decortication with lobectomy[10], empyemectomy[9], open drainage[13], Clagett procedure [6], thoracoplasty with or without muscle transposition[9]. Hospital mortality were in 2 cases[1.4%], one empyema related and the other nonrelated. In this study, bacteriologic findings were nonspecific and often polymicrobial. We conclude that early thoracotomy can be lifesaving in the presence of a benign clinical course.

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A Study on emergency equipments for accidents of rail infrastructure and rolling-stock (철도 시설 및 차량 분야 사고 발생에 따른 비상대응 설비 환경 분석 연구)

  • Yang, Doh-Chul;Seo, Young-Min
    • Proceedings of the KSR Conference
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    • 2007.11a
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    • pp.1817-1823
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    • 2007
  • In this study, we have studied rail infrastructure related to emergency action to manage the risk when emergency caused by faults of facility or rail vehicle during operation happens. Especially we have compared the effect of emergency action with examining the structure of vehicle, tunnel, bridge and access road, etc which are related to emergency action. Also, we have tried to analyze effects of radio and communication equipment, lifesaving and refuge which could be used for rolling stock, station, control room, tunnel, bridge and etc, and we have presented the way of reporting the emergency to the train driver or crew, control room, outside networks which could be used by passengers in vehicle, station, railroad line. Based on these, we have analyzed the conduct of emergency action in length of time when emergency happens in railway and high-speed railway, and studied the method of which passengers could be guided safely and escape from the scene of the accident.

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Lifesaving System Construction using Pixhawk and Drone-Kit (PIXHAWK와 DRONEKIT을 활용한 인명 구조 시스템 설계 및 구축)

  • Hyun, Manseok;Choi, Kwanghoon;Kim, Jai-Hoon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2016.10a
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    • pp.71-74
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    • 2016
  • 재난지역의 영상 촬영 및 물품 조달 등 인간이 직접 수행하기 어려운 임무를 대신하기 위해 드론이 사용된다. 시중에 판매되고 있는 드론들은 비행과 영상촬영 기능을 모두 제공하지만 firmware 및 응용프로그램 소스코드가 제한적으로 공개되어 있어 일반 개발자가 드론의 firmware를 수정하거나 센서 및 카메라를 직접 제어할 수 없다는 단점이 있다. 하지만 개발자의 목적에 맞는 드론의 비행 시스템을 구축하기 위해서는 시스템 내부의 제어코드를 직접 수정할 필요성이 있다. Pixhawk는 firmware 및 관련 application의 개발에 대한 소스 코드가 공개되어 있고, 일반 개발자들의 접근이 상대적으로 용이하다는 장점이 있다. 본 프로젝트에서는 Pixhawk와 3D Robotics 사에서 제공하는 Drone-Kit Platform을 활용하여 조난 상황에 대한 인명 구조 시스템을 설계하고, 응급상황에 대한 드론 제어 시스템을 구현하였다.

Blind nasal intubation as an alternative to difficult intubation approaches

  • Yoo, Hwanhee;Choi, Jae Moon;Jo, Jun-young;Lee, Sukyung;Jeong, Sung-Moon
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.15 no.3
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    • pp.181-184
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    • 2015
  • Airway difficulties are a major concern for anesthesiologists. Even though fiberoptic intubation is the generally accepted method for management of difficult airways, it is not without disadvantages-requires patient cooperation, and cannot be performed on soiled airway or upper airways with pre-existing narrowing pathology. Additionally, fiberoptic bronchoscopy is not available at every medical institution. In this case, we encountered difficult airway management in a 71-year-old man with a high Mallampati grade and a thick neck who had undergone urologic surgery. Several attempts, including a bronchoscope-guided intubation, were unsuccessful. Finally, blind nasal intubation was successful while the patient's neck was flexed and the tracheal cartilage was gently pressed down. We suggest that blind nasal intubation is a helpful alternative in difficult airway management and it can be a lifesaving technique in emergencies. Additionally, its simplicity makes it a less expensive option when advanced airway technology (fiberoptic bronchoscopy) is unavailable.

Emergency Reexploration for Bleeding after Open Heart Surgery wth Cardiopulmonary Bypass -A Report of 16 Cases- (개심술후 출혈로 인한 응급개흉술의 임상적 고찰)

  • 유재현
    • Journal of Chest Surgery
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    • v.24 no.11
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    • pp.1068-1073
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    • 1991
  • Bleeding after open heart surgery with cardiopulmonary bypass was a cause of concern. requiring reexploration of the chest in approximately 8 percent of patients who have had operations on the heart. From April., 1983 to October, 1991, 16 patients[2%] out of 777 patients who underwent open cardiac surgery had emergency reexploration with bleeding at the Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital. In 12 cases[75%], reexploration was performed for continuous bleeding and the reminder[4 cases] were performed for suspected tamponade & hypotension. There were 9 cases[56%] of congenital heart disease and 7 cases of acquired heart disease. The mean blood loss were 997$\pm$472ml /sq. M in total cases and 1442$\pm$ 647ml /sq. M in cases repair of cyanotic heart disease. The mean interval till reoperation was 16.6hr [1hr~72hr] and 41 hr[12~72hr] in tamponade cases and 8.4hr[1hr~24hr] in continuous bleeding cases. The bleeding sites were identified in 7 cases: aortotomy site in 2 cases, ventriculotomy site, SVC, thymus, pleura and sternum wiring site in each other case. But no specific sites was found in the remaining 9 cases. The 8 cases had complications but all except 1 cases with hypoxic brain damage were recovered without sequale. We conclude that emergency thoractomy after open heart surgery may be lifesaving and-/or diminishing complications with bleeding if performed promptly with excessive bleeding, tamponade and unexpected hypotension.

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A Study on a Radio System for Lifesaving in Case of a Falling Accident of the Sea (해상추락 인명구조용 무선시스템에 관한 연구)

  • Choi, Byung-Ha;Kim, Gu-Chol
    • Journal of Advanced Navigation Technology
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    • v.6 no.1
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    • pp.62-68
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    • 2002
  • Mother ship must be able to know accident occurrence information rapidly to rescue crew who fall in sea. In this paper, designed and manufactured transceiver of prescribed 447 MHz is operating as low power radio station specified in Radio Regulation. So, it is available without special permission proceedings getting form probation so that the use of this system may be easy. the system has been started for operation when the sensor get in touch with water. The system transmits with modulation by 500Hz square wave, and the receiver alarms when the transmitted signal is received. Therefore, the system can be used for not only saving a life, but also for low speed of data transmission below 2,400 bps, and other purposes.

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A Study on method to construct system for u-Safe fire management support (u-Safe 소방대응지원 시스템 구축방안에 관한 연구)

  • Jeon, Jai-Pil;Yang, Hae-Sool
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.9 no.5
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    • pp.1201-1209
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    • 2008
  • In Seoul, there are lots of skyscrapers that have above 60 stories and buildings that have more than 8 basement levels, as well as massive distribution complex region which is connected to subways, departments, malls, hotels, and exhibition halls. When an accident, such as fire and explosion, happens in these areas or structures, if we can't find where fire-fighters are, who go into the building to suppress the fire, we couldn't be sure of their safety as well as effective command. Actually, it may cause much more damage itself and restrict either fire suppression or lifesaving. To protect people's life and properties as much as possible, this study will show the method to construct system of disaster-management supports with effective operation of fire force and scientific fire strategy in the scene by using Ubiquitous technique to enormous disasters.

Categorizing Safety Management Elements for Fire Preparation and Assessemnt of Fire Hazard (화재에 대비한 지하공간의 안전관리 요소분류 및 화재위험성 평가방안)

  • Bae, Yoonshin;Park, Jihye
    • Journal of the Society of Disaster Information
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    • v.7 no.2
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    • pp.96-109
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    • 2011
  • In this study, risk categorized five safety management elements(equipment and structure, evacuation, lifesaving and fire extinguishing, performance based fire safety plan, operations management) were classified in order to establish safety system of underground space. Using classified safety management elements, assessment of fire hazard was performed. After calculating the grade of evaluation categories, assessment of fire hazard was suggested. The three grades of evaluation categories are classified as to importance and four criteria of evaluation are classified as to check result based on subdivisions.

The Survey for Environmental Management of Korea Detector Dog (국내 탐지견의 환경 및 위생 관리 현황 조사)

  • Lee, Eun-Chae;Jeong, Ha-Jeong;Hwang, Seong-Gu;Lee, Sang-Rak
    • Journal of Animal Environmental Science
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    • v.20 no.4
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    • pp.177-182
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    • 2014
  • This research was conducted to grasp the present condition of environmental management relating to Korea detector dogs that performed their duties such as detection and lifesaving. We directly conducted a survey throughout visit to five government agencies. In environmental management case, average length and width of kennels were 1.78 m and 3.50 m, respectively. Types of floor were searched as coating cement, tile, ucrete and concrete. Most of government agencies ventilated kennels using ventilation fan systems with natural ventilation. But there were differences between government agencies in frequencies of the sanitary management items. On the other side, major diseases of the German shepherd breed as a major detector dog were in order of arthritis, measles, earache, and dermatosis. And their daily training time was average 4 hours. Finally, it is thought that these results could be used as a basic data of standard breeding management manual of Korea detector dog.

Comparisons of the qualities of chest compression according to various positions of rescuer to patient at the in-hospital cardiopulmonary resuscitation model (병원내 심폐소생술 모형에서 환자와 구조자의 거리 및 위치에 따른 가슴압박의 질 비교)

  • Kim, Geon-Nam;Choi, Seong-Woo;Jang, Jin-Yeong;Ryu, So-Yeon
    • The Korean Journal of Emergency Medical Services
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    • v.18 no.1
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    • pp.7-15
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    • 2014
  • Purpose: The purpose of the study is to evaluate the distance and location of the rescuer to patient for the effective chest compressions qualities. Methods: The subjects were 42 students who earned the basic lifesaving technique and had informed consents to participate in the study from May 1 to 20 in 2013. The position of the rescuers included model-0(reference point), model-1(10 cm distance), model-2(20 cm distance), and model-kn(kneeling up). Results: The mean depth of compression was $50.6{\pm}6.6mm$ in Model-0, $48.7{\pm}8.2mm$ in Model-1, $44.2{\pm}10.4mm$ in Model-2, and $51.8{\pm}6.0mm$ in Model-kn. There were statistically significant differences between each Model(p<.001). Conclusion: The closer distance between rescuer and patient could provide more effective chest compressions. Kneeling on the bed stance provided the deeper chest compression consistently than the stool stance.