• 한국화재소방학회논문지
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• 제29권5호
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• pp.79-87
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• 2015

우리나라의 소방행정력은 도심지역에 집중 배치되어 지역적 불균형을 나타내고 있는 실정이다. 모든 시민들에게 균등한 서비스가 공급되는 것이 가장 이상적인 형태이나 지역적 여건이나 예산 등과 같은 문제로 인해 이를 실현하기에는 한계가 있다. 부산시의 경우 전체 건축물의 절반가량이 구조대가 5분 이내에 도달이 어렵다는 결과가 도출되었는데, 특히 관할면적이 상대적으로 넓은 권역은 구조대의 접근성이 더욱 더 취약했다. 기존 119구조대의 접근 취약성을 평가한 결과, 현재 구조대 권역의 지리적 위치 때문에 관할 권역의 조정에 따른 개선 효과는 사실상 미비할 것으로 예측되었는데, 이에 따라 본 연구에서는 추가적인 구조대의 신설을 제시하였다. 구조대 증설을 통해 접근 취약성을 해결한 권역은 북부, 강서, 금정, 기장, 해운대 순으로 나타났는데, 해당지역 내 건축물 수는 총 53,546개소로 나타났다.

• 지역사회간호학회지
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• 제11권2호
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• pp.411-422
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• 2000

The purpose of this study is to identify the difference of emergency care conditions where the nurse is posted in the 119 relief squard or not. The data composed a total of 777 cases of emergency activity of one police stand in Seoul during March, June. September and December in 1998. The results of this study were as follows: 1. The age of the subjects was 20-60 age 54.3%, over 60 age 35.4% with an average age of 50.2. Among them men were 55.0%, the unemployed were 60.8%. The place of the occurrence of an accident was the house, 49.7% and the cause as illness was 59.6%. 2. The main symtom was pain the 36.2% the main consciousness state was alert 76.9%: The state of the patients as chronic was 59.6%. 3. The consulting hospital of the 119 relief squad as a third medical center was 79.9%. The distance to the medical center as less than 5 km was 77.2%, and an average transfer distance was 5.38 km. The cases of doctor guided emergency care was 0.9%, the cases that had posted nurses in 119 relief squads was 48.6%. 4. The case of the best emergency care operation was difficulty in breathing, 62.1% and the second was unconsciousness, 46.1 %. The more serious the consciousness state, the higher the rate of emergency care operation. There wasn't any difference in emergency care operation concerning transfer distance. 5. The cases that had the posted nurses was 19.1%, the cases of no nurse was 11.7% among the cases of emergency care operation during transfering; the cases that had posted nurses had the higher emergency care operation. (p<0.05). Airway maintenance was 14.8% in cases that had the posted nurses, while in the cases of no nurse, 10.9%; and oxygen inspiration was 16.0% in cases that had the posted nurses while in the cases of no nurse 7.6% (p<0.01); spinal fixation was 6.6% in cases that had the posted nurses while in the cases of no nurse 4.6%(p<0.05). With these results, we can conclude that the cases that had the posted nurse showed higher emergency care operation.