• Journal of Trauma and Injury
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• 제18권2호
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• pp.119-126
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• 2005

Background: Blunt thoracic trauma in children has a high morbidity and mortality. In this study, we assessed the significance of the injury pattern, mechanism and initial status in emergency department on severity and prognosis in pediatric blunt thoracic trauma patients. Method: We retrospectively reviewed medical records and chest X-ray and CT images of 111 pediatric blunt thoracic trauma patients from October 2000 to June 2005. Data recorded age, gender, season, injury mechanism, injury pattern, associated injury, length of hospital stay and cause of death. Result: Of all 111 patients, 68 patients were injured by motor vehicle accidents, 30 were falls, 5 were motorcycle accidents, 3 were sports accidents and 5 were miscellaneous. In thoracic trauma, single injury of lung contusion were 35 patients and 32 patients had multiple thoracic injuries. Hospital stay in school age group were longer than preschool age group. The causes of death were brain injury in 9, respiratory distress in 4, and hypovolemic shock in 2 patients. Emergently transfused and mechanically ventilated patients had higher mortality rates than other patients. Patients required emergency operation and patients with multiple thoracic injuries had higher mortality rates. Conclusion: In this study, patients with combined injury, emergency transfusion, mechanical ventilation, emergency operation, multiple injuries in chest X-ray had higher mortality rates. Therefore in these pediatric blunt thoracic trauma patients, accurate initial diagnosis and proper management is required.

• 한국ITS학회 논문지
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• 제21권2호
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• pp.152-166
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• 2022

본 연구에서는 본 연구에서는 사고원인 및 예방이론을 적용하여 사업용 화물자동차의 운행특성과 위험운전행동 및 교통사고 위험성 간의 인과관계를 분석하였다. 사업용 화물자동차 운전자 303명을 대상으로 운전자별 근무특성, 운전경력, 운전능력, 운전심리, 차량특성(크기), 위험운전행동, 교통사고와 관련된 자료를 수집하였으며 근무특성 및 위험운전행동에 관한 자료는 운전자가 제출한 디지털운행기록을 활용하고 교통사고 자료는 실제 교통사고를 반영하기 위해 보험사고 자료를 활용하였다. 다수의 독립변수와 종속변수 간의 인과관계를 동시에 분석하기 위해 구조방정식 모형을 구축하고 모형 적합도 지수를 활용하여 모형을 검증하였다. 4가지 위험운전행동(급감속, 급가속, 급추월, 급정지)이 교통사고와 연관성이 높은 그룹으로 분석되었다. 소형 화물자동차, 운전능력이 부족한 운전자, 위험운전행동이 많은 운전자에 대한 안전관리 대책 마련 및 집중관리가 필요한 것으로 판단된다.

• Journal of Trauma and Injury
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• 제32권3호
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• pp.143-149
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• 2019

Purpose: No previous study has assessed elderly pedestrian traffic accidents based on a nationwide database. This study aimed to help primary physicians who examine patients in emergency departments to determine and make prompt and accurate treatment decisions. Methods: This study used data from the Emergency Department-based Injury Indepth Surveillance from 2013 to 2017, managed by the Korea Centers for Disease Control and Prevention. Pedestrians aged ${\geq}65years$ were included, and using multivariate logistic regression multiple factors were analyzed to determine their relationship with injury severity. Results: Of 227,695 subjects, 6,498 were included, of whom 2,065 (31.8%) were severely injured. There were more female than male patients in all severity groups. Most accidents occurred in the afternoon and on general roads. In the multivariate analysis, the odds ratio (OR) of injury severity for male pedestrians was 1.165 (95% confidence interval: 1.034-1.313, p=0.012). Older age of patients and the use of ambulances were associated with greater injury severity. The accident time affected the degree of injury severity; i.e., compared to dawn, injury severity increased in the morning (OR: 1.246, p=0.047) and decreased at night (OR: 0.678, p<0.001). A significant difference was noted in the correlation between the type of vehicle causing the accident and the accident severity; i.e., motorcycle accidents had lower severity than bicycle accidents (OR: 0.582, p=0.047). Conclusions: Injury severity was correlated with sex, age, transportation to the ED, TA onset time, and type of vehicle. The study results suggest that injury severity may be positively reflected in initial assessments and overall integrated treatments by physicians and in the related policies.

• 한국ITS학회 논문지
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• 제17권1호
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• pp.89-99
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• 2018

대한민국에서 어린이 교통사고 발생 건수는 2014년 이후로 증가하고 있으며 이에 대한 안전대책이 시급한 실정이다. 대부분 스쿨존에서 어린이 교통사고 예방을 위해 안전표지 등을 설치 및 운용하고 있다. 하지만 그 효과성은 미미하여 대안으로 ITS의 구성요소 중 하나인 VMS가 대두되고 있다. 이에 본 연구는 상이한 VMS 메시지 제시 유형이 주행차량 속도에 미치는 효과를 비교 검증하였다. 실험은 서울 소재 2곳의 스쿨존에서 진행되었으며 총 6,676대의 차량의 속도가 측정되었으며 역균형 ABC 다중기저선 설계가 적용되었다. 연구 결과, 두 메시지 유형 모두 주행차량속도 감소에 효과적이었다. 구체적으로, 운전자들에게 적시적으로 제공되는 메시지가 상시적으로 제공되는 메시지보다 주행차량 감속 및 속도 준수에 효과적인 것으로 나타났다. 본 연구 결과를 바탕으로 인적요인을 고려한 VMS 운용방안 및 설계에 대해 모색해 볼 수 있을 것이다.

• Journal of Trauma and Injury
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• 제20권1호
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• pp.47-51
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• 2007

Penetrating chest trauma caused by the components of one's own car is rare in motor vehicle accidents. We experienced two cases of penetrating chest injury caused by the sideview mirror of the patient's vehicle. One was a 25-year-old man. The sideview mirror penetrated the left chest, went through the diaphragm, and ruptured the spleen. He was in shock upon arrival at the emergency room. An emergency thoracotomy and laparotomy were done. The ruptured spleen was resected, the lung and the diaphragm were debrided and repaired, and the chest wall was reconstructed. The other patient was a 57-year-old male, who was transported to our emergency room with the sideview mirror of his truck stuck into his right chest wall as the result of an accident. He also had a right Bennet's fracture and an open fracture of the right tibia. Air had been sucked into the right pleural cavity through the wound. Multiple rib fractures and lung lacerations had also occurred. Removal of the sideview mirror, repair of the lacerated lung, and reconstruction of chest wall were done immediately. Both patients recovered without complication and were discharged.

• Smart Structures and Systems
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• 제24권5호
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• pp.617-630
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• 2019

Currently most of the vision-based structural identification research focus either on structural input (vehicle location) estimation or on structural output (structural displacement and strain responses) estimation. The structural condition assessment at global level just with the vision-based structural output cannot give a normalized response irrespective of the type and/or load configurations of the vehicles. Combining the vision-based structural input and the structural output from non-contact sensors overcomes the disadvantage given above, while reducing cost, time, labor force including cable wiring work. In conventional traffic monitoring, sometimes traffic closure is essential for bridge structures, which may cause other severe problems such as traffic jams and accidents. In this study, a completely non-contact structural identification system is proposed, and the system mainly targets the identification of bridge unit influence line (UIL) under operational traffic. Both the structural input (vehicle location information) and output (displacement responses) are obtained by only using cameras and computer vision techniques. Multiple cameras are synchronized by audio signal pattern recognition. The proposed system is verified with a laboratory experiment on a scaled bridge model under a small moving truck load and a field application on a footbridge on campus under a moving golf cart load. The UILs are successfully identified in both bridge cases. The pedestrian loads are also estimated with the extracted UIL and the predicted weights of pedestrians are observed to be in acceptable ranges.

• 자동차안전학회지
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• 제15권2호
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• pp.35-41
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• 2023

On December 19, 2015, as Article 29-3 (Installation of Accident Recording Devices and Provision of Information) of Motor Vehicle Management Act came into force, In Korea, the EDR (Event Data Recorder) reports are often used for the analysis of various traffic accident cases such as multiple collisions, traffic insurance crimes, and sudden unintended acceleration (SUA), and the others. So many investigators have analyzed the driver's behavior and vehicle situation by comparing the time zero in the EDR report to the actual crash time in dash-cam (or CCTV). Time zero (T0) is defined as the reference time for the record interval or time interval when recording an accident in Article 56-2, Enforcement rule of Performance and Standard for Automobile and Automotive parts. Also in the EDR report, time zero (T0) is defined as whichever of the following occurs first; 1. "wake-up" by an air-bag control system, 2. Continuously running algorithms (by monitoring of longitudinal or lateral delta-V), 3. Deployment of a non-reversible deployment restraint. We have already proposed the "Flowchart & Checklist" to adopt the EDR report for traffic accident investigation and the necessity of specialized institutions or courses to systematically educate or analyze the EDR data. Therefore, in this paper, we report to traffic accident investigators notable points and analysis methods based on some real-world traffic accidents that can be misjudged in specifying time zero (T0).

• Journal of Trauma and Injury
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• 제31권2호
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• pp.66-71
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• 2018

Patients with traumatic aortic rupture rarely reach the hospital alive. Even among those who arrive at the hospital alive, traumatic aortic rupture after high-speed motor vehicle accidents leads to a high in-hospital mortality rate and is associated with other major injuries. Here, we report a rare case of descending midthoracic aortic rupture with blunt diaphragmatic rupture. Successful management with emergency laparotomy after an immediate endovascular procedure resulted in a favorable prognosis in this case.

• Journal of Chest Surgery
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• 제26권1호
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• pp.59-63
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• 1993

A clinical evaluation was performed with a population of 49 patients of chest trauma, who were diagnosed to undergo ventilator therapy, and had gone through ventilator therapy at the Department of Thoracic and Cardiovascular Surgery, Kyungpook University Hospital. One of most common causes of chest trauma was vehicle accidents [77.5%] with the prevalent age group being their forties. The common findings were multiple rib fractures [89.8%], hemopneumothrax [81.6%], lung contusion [61.2%] and flail chest [44.9%]. Their common combined injuries were the orthopedics and neurosugical injuries [86.7%]. Complications caused by chest trauma were pneumonia, respiratory failure, atelectasis, barotrauma and empyema. Pulmonary infections were commonly associated with mechanical ventilation in the long term group and were best prevented by using bronchial hygiene therapy.The mortality rate was 5.8% of the total patients and that was 38.8% of the patients, who needed ventilator therapy. The causes of death were pneumonia, respiratory failure, acute renal failure and hypovolemic shock. Mechanical ventilation has an important place in the treatment of patients with severe chest trauma.

• 보건교육건강증진학회지
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• 제10권1호
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• pp.61-71
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• 1993

Pedestrian injury have been the most important cause of death in children 1 to 14 years of age. This study was attempted to analyze the status and factors of the pedestrian safety education for primary school children. The purpose of this study was to provide the baseline study on pedestrian safety education. The data were collected from 313 respondents of 5th grade elementary school children in Seoul during April 26 through May 6, 1993. The data were cross tabulated for percent distribution and analyzed by multiple regression using SAS for personal computer program package. Major findings are as follows: (1) 50% of the respondents had never received any safety education for Pedestrian. The primary provider of pedestrian safety education was parent. (2) Respondents' knowledge on traffic rules, traffic signals, natures of motor vehicle is high(above 88%). (3) Respondents are very negative to the attitude of playing on the street and transversing under d1e overpass(about 80%). (4) 58% of respondents had never played on the street and 49% of respondents had never run on the street. (5) Factors affecting the knowledge of traffic safety was respondents' sex and job of their mothers(p＜0.05). (6) Factors affecting the attitude of traffic safety was economic status(p＜0.01). (7) Factors affecting the practice of traffic safety was education of respondents' fathers. (8) The multiple regression analysis showed that sex was statistically significant in affecting traffic accident of pedestrians (p=0.05). In order to prevent children's traffic accidents, education for pedestrians' safety by both parents and teachers should be strengthened.