• 한국안전학회지
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• 제30권2호
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• pp.83-89
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• 2015

In Korea for 20 years(1993-2012), total number and average annual number of oil spills were 6,608 cases and total volume and average annual volume of oils spilt were $57,328k{\ell}$ and nearly $2,866k{\ell}/year$, respectively. The annual number of oil spills and annual amount of oil spilt tended to decrease with the lapse of year in Korea. As oil transportation worldwide continues to increase, many communities are at risk of oil spill disasters and must anticipate and prepare for them. Factors that influence oil spill consequences are myriad and rage from the biophysical to the social. In this paper, we analysed the emergency response systems and recovery apparatuses for oil spill accident in marine and proposed a developed oil diffusion apparatus which can be used to initial response stage by crew, and to extend golden times. This system can be minimized casualties for rescued people in disaster.

• 대한임베디드공학회논문지
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• 제10권5호
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• pp.281-296
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• 2015

This paper describes a novel disaster evacuation system using embedded systems such as smart devices for crisis and emergency management. In indoor environments deployed with the Bluetooth Low Energy(BLE) beacons, smart devices detect their indoor positions from beacon messages and interact with Map Server(MS) and Route Server(RS) in the Internet over the LTE and/or Wi-Fi functions. The MS and RS generate an optimal path to the nearest emergency exit based on a novel graph generation method for less route computation, called the Disaster Evacuation Graph(DEG), for each smart device. The DEG also enables efficient processing of some constraints in the computation of route, such as load balancing in situation of different capacities of paths or exits. All data interfaces among three system components, the MS, RS, smart devices, have been defined for modular implementation of our disaster evacuation system. Our experimental system has been deployed and tested in our building thoroughly and gives a good evidence that the modular design of the system and a novel approach to compute emergency route based on the DEG is competitive and viable.

• 한국안전학회지
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• 제29권1호
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• pp.21-24
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• 2014

In this study, we have investigated the maximum smoke density and the initial stage smoke density in order to see the characteristics of smoke release of the architectural surface materials and the architectural adhesives, using smoke density chamber. As a result of the study, polyurethane foam showed the highest smoke density index, 206.55 within 10 min. In the case of the other samples, reinforced styrofoam was followed as 39.90, general styrofoam 33.73, and glass fiber 5.40, respectively. In the intial stage of a fire, it is forecasted actually to give hardship at the clear visibility. In the case of architectural adhesives, the highest ranking was those for windows and doors 509.64, stone 275.63, wood 232.25, tile 18.65, and styrofoam 6.44 were followed, respectively. This result is an early research to show characteristics of smoke release through experiment. However, it is meaningful that this study can be used as a basic for further study on architectural fire hazard prediction.

• 간호행정학회지
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• 제17권1호
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• pp.66-73
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• 2011

Purpose: The purpose of this study was to demonstrate effects of a critical pathway (CP) for stroke patients seen in emergency rooms (ER). Method: The CP developed by the CP committee consisted of 8 criteria: behavior of doctors and nurses, laboratory tests, Image testing, medication, treatment, activity, and nutrition. According to application of CP, a control group (n=17) and experimental group (n=17) were defined. Time was checked by the electronic medical records. Result: Use of CP for stroke patients in the ER, resulted in a decreased length of stay in ER (t=2.341, p=.026), and time required for image testing (t=2.623, p=.021), and an increased number of patients using rtPA ($x^2$=4.802, p=.049). Time required for neurology doctor contact, for neurology doctor to see patient in the ER, and for report of blood tests decreased, but there were no statistical significance. Conclusion: Quick responses are most important in the ER, so CP for these patients is a very effective patient management tool. To reduce delay in stroke diagnosis, continuous education programs for similar symptoms are necessary. CPs for other patients in the ER should be developed, and studies on cost and satisfaction, as well as length of stay, should be done.

• 한국산학기술학회:학술대회논문집
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• 한국산학기술학회 2011년도 춘계학술논문집 2부
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• pp.1061-1063
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• 2011

본 연구는 병원전 단계 기도기 시뮬레이션 교육에 대한 연구로 연구대상은 응급구조학과 4학년 학생 22명으로 구성하였다. 교육시간은 10분 동안 3개의 기도유지기에 대한 전체 강의가 있었고, 10분 동안 마네킹을 이용하여 세 가지 기도기의 사용방법을 교육하고 실습을 시행하였다. 응급구조학과 학생을 대상으로 Airway management trainer Simman를 이용한 기도 내 이물 제거 모델에서 매킨토시후두경과 GlideScope and the AWS$^{(R)}$, McGrath$^{(R)}$ 비디오 후두경의 기관내 삽관 성공률과 삽관 시간, 시행자의 선호도를 비교한 결과 의미 있는 차이를 보였다. 마네킨을 이용한 병원전 기도기인 1차 시도에서는 유의한 차이를 보였지만 2차에서 숙련이 된 경우이라서 큰차이를 보이지 않았다. 기관내 삽관 기구의 선호도 조사에서는 Pentax AWS를 가장 선호하였다.

• 융합보안논문지
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• 제17권3호
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• pp.103-114
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• 2017

테러리즘은 개인적 법익에서부터 국가적 법익에 이르기까지 포괄적인 법익의 침해가 가능하다는 점에 있어 그 심각성이 크다. 그리고 이러한 법적 가치가 훼손될 경우에는 원상회복될 가능성이 매우 희박하므로 제도적 개선 및 대안적 정책을 제시하는 것 못지 않게 사전 예방적 활동의 중요성을 인식하는 것이 선행되어야 한다. 사전 예방적 작용과 절차적 합법성을 담보하기 위해서는 형사사법기관의 역할이 무엇보다 중요한데 구체적 절차 및 법적 접근이 이루어지기 전에 이들의 테러리즘 본질에 대한 인식은 어떠한지 살펴보는 것은 의미가 있을 것이다. 이 연구에서는 이러한 문제 인식을 바탕으로, 대테러리즘 인식을 살펴보기 위한 다양한 기준 중 포괄적 위기관리 모형(Comprehensive Emergency Management Model)에서 제시하고 있는 위기발생의 시차별 진행과정을 기준으로 예방과 완화, 준비, 대응, 복구 등 4단계로 분류하여 인식의 차이를 분석해 보고자 하였다.

• 보건의료산업학회지
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• 제1권1호
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• pp.110-124
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• 2007

Currently, we have seen sudden increase of demand for emergency medical services by reason for high-speed economic development increase of traffics, etc. in this society. Consequently the government enforced & operated emergency medical system in 1991 as a link of more positive countermeasure against it, but many problem; still remain in reality. In particular, the regional emergency medical center designated by the Ministry of Health and Welfare falls short of our expectations for its essential role by the reason of such as insufficiency in professional manpower and institutions concerned in small-scale hospital, matters with transportation system, preference of large hospital, etc. Therefore, this study was conducted grasp for the actual conditions of emergency medical system based upon literature research & the preceding studies and interview research the motive of coming hospital, satisfaction & understand to the subject of 150 persons of patients and their guardians who used regional emergency center of Pusan National University Hospital, thereby examining & analysing the cause of emergency room overcrowding by non-emergency cases, one of the problem; enumerated from preceding studies. The main result of this study is as follows. First the actual condition of non-emergency patients coming hospital for examining overcrowding of emergency medical center showed that, of the patients who used the emergency medical center, non-emergency patients accounted for 49.3%, which acted as the main cause of delaying medical care for emergency cases, cases of which medical person or first-aid man decided to come hospital accounted for 36.1 %, thereby suggesting essential need for re-education & wide public information to even the professional manpower besides patients & guardians for their using emergency medical system. Second, as the result of researching patient acknowledgement with reference to their using emergency medical center, the rate of their giving right answer is no more than 60%, which means that non-emergency cases' using as such is due to the shortage of their knowledge of the said emergency medical center, which suggests us that wider P.R for emergency medical system to common people who may be one of the patients of it at any time is still in need. Third, the result of researching for finding out a future remedy of emergency medical system showed that the users who know well of the way of using emergency medical center had relatively high satisfaction of it, ones who have lesser knowledge of it lower satisfaction and users who feel in need of emergency specialized manpower feel the necessity of public information of emergency medical information center(1339) at the same time. The finding of examining the subject of study, in conclusion, showed that the degree of the patients & their guardians' understanding of emergency medical system is lower and the medical persons concerned also had no distinct difference in their understanding of it from the common people's, which suggests us for extensive enforcement of systematic education and public information in aspect of the government via various media for the purpose of effective operation of emergency medical center.

• 보건행정학회지
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• 제19권2호
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• pp.71-84
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• 2009

Objectives : The purpose of this study is to analyze the proportion of admission via the emergency room(the rest is ER) in an emergency medical center and to examine the factors related to admission. Methods : This study used 2005 National Health Insurance claims data for admitted patients of 112 hospitals having emergency medical centers in Korea. The study sample had 2,335,610 patients. The data was classified into emergency admission and non-emergency admission. To investigate the factors affecting the type of admission, the following were included as independent variables: type of health assurance_(national health insurance beneficiaries or medical aid beneficiaries), demographic characteristics_ (sex, age), cause of admission_ (disease or injury), whether an operation was performed or not, DRG severity level, the number of beds, and the location of the hospital. Data were analyzed using the Chi-square test for the differences in emergency admission rates for each variables, and multiple logistic regression analysis was used for identifying the factors affecting admission type. Results : The proportion of admission via the ER accounted for 40.6% of the total admission among hospitals having emergency medical centers. The risk of admission via ER was relatively high for patients who were male, the aged, the injured, the surgical patients, the patients having more severe symptoms, and the patients admitted the hospitals located in metropolitan areas, and the patients admitted the hospitals having 300-699 beds. Medical aid patients were more likely admitted through the emergency room than health insurance patients after other variables ware adjusted. Conclusions and Discussion : We analyzed the proportion of admission via the ER for the total admission rate of hospitals having an emergency medical center in Korea. And we explored the factors related to admission via the ER. This proportion may be used as an indicator of the adequacy of medical utilization or low accessibility to hospitals of patients with low socioeconomic status.

• Journal of Contemporary Eastern Asia
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• 제14권2호
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• pp.45-55
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• 2015

This article assesses factors that affect the ability of local fire branch heads in Taiwan to mobilize volunteer organizations in local emergency responses. Data from a survey of local fire branch heads in Taiwan is analyzed by using an OLS model to test three hypotheses regarding the relationship between the dependent variable, perceived ability to mobilize volunteer organizations in emergency response, and three explanatory variables: organizational capacity, quality of communication, and the quality of citizen engagement ex-ante to emergency response. The model indicates a positive relationship between the ability to mobilize volunteer organizations in emergency response, the quality of communications, and the quality of citizen engagement in preparedness. The research suggests that local fire branch heads and volunteer organizations should begin the process of emergency response mobilization in the preparedness stage. The quality of the citizen engagement in preparedness stages should increase the ability of local fire branch managers to mobilize external resources in emergency response.

• 한국응급구조학회지
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• 제26권2호
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• pp.73-85
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• 2022

Purpose: The purpose of this study is to understand currently active Korean paramedics' disaster response abilities, including immediate response, severity classification, patient treatment, and patient transfer, in a disaster situation with multiple casualties. Methods: A structured questionnaire consisting of a total of 25 questions was used, including 5 questions on the subject's general characteristics and 20 questions on disaster-related emergency response abilities. Results: Among the disaster response abilities of the participants, the patient transport ability scores were high and the cooperative support ability scores were low. In terms of general characteristics, there was a significant difference in age, and it was high in the 40s, and there was a significant positive correlation between each competency. Conclusion: These results suggest that there is an urgent need to develop a systematic and specialized educational system with components inside and outside fire departments related to multiple casualty disasters to improve overall abilities.