• The Korean Journal of Emergency Medical Services
• /
• v.14 no.3
• /
• pp.41-56
• /
• 2010

Purpose: To compare and analyze current state of domestic and foreign educational program to develop a program and provide basic information for qualitative improvement of the program. Method: Referred to records and used various methods as searching on the Internet. Analyzing methods and standards are as follow : 1) As for the current status of domestic educational program, find out about organizations that conduct the program 2) As for the current status of foreign program, find out about United States, Canada and United Kingdom. 3) As for comparison and analysis, find out about curriculum, subject, the number of people, content, cost and time. Results: In comparison and analysis of subjects and program, United States, Canada and U. K. specified the subjects according to occupations to offer various programs appropriate for special occupational situations whereas domestic program only provide education of CPR and usage of AED. Foreign countries provide sufficient time from 5.5 to 40 hours according to occupations. In contrast, Korea only provide 2-4 hours of educations, which is insufficient to master techniques of first aid. In addition, foreign countries precisely regulate organizations that fulfill the qualification and specific guidelines for content of education. However, Korea doesn't have any standards of qualification or guidelines. Discussion: It is necessary to specify first aid education according to occupations to provide diverse programs. Furthermore, it is necessary to establish nationwide regulations for subjects and content of the programs of the first responder.

• The Korean Journal of Emergency Medical Services
• /
• v.9 no.1
• /
• pp.79-87
• /
• 2005

Purpose: Investigates the results of CPR operation in visited patients with arrest state, and element to affect the results, and it is checks a problem, and it is made to promote. Methods: As for this study, analysis studied the results that operation CPR with the object arrest patients of 69 visited Jecheon Seoul hospital emergency center for during the period from January 2002 to February 2005. It was played writing partly changed In-hospital Utstein Style, and to stick a record in it. Paramedic which participated in CPR directly did the record of a variable, As for the data processing, use SPSS Version 12.0 for Windows. Results: It was male 68.1% female 31.9% for 69 people, and the sex ratio didn't affect return of spontaneous circulation, with female 8 people to male 16 people for ROSC(Return of spontaneous circulation) 24 people. with female 14 people to male 31 people for NROSC(Non-return of spontaneous circulation) 45 people(p>0.05). The initial EKG rhythm was asystole 34.8%, VF 31.9%, The case that initial EKG was VF compared it to a patient of asystole, and a survivor had a lot of VF and there were a lot of survivors(p<0.05). The wasn't relativity between VF and PEA(p>0.05), The CPR lead time was short in ROSC with NROSC $25.0{\pm}15.0$ minutes, ROSC $11.9{\pm}10.7$ minutes(p<0.01). Epinephrine administer time was NROSC $3.0{\pm}4.1$ minutes, ROSC $2.1{\pm}1.9$ minutes(p>0.05). It was survivor 18 people(21.1%) than 24 hours and the PAM Index affected in ROSC. with $9.0{\pm}1.2$ points NROSC, with $1.6{\pm}1.7$ points ROSC(p<0.01). A correlation was high between a CPR lead time and PAM Index(p<0.02), a correlation was examined by being high between ROSC and a CPR lead time, PAM Index(p<0.01).

• Journal of the Korea Convergence Society
• /
• v.8 no.10
• /
• pp.397-405
• /
• 2017

This study was to identify hardiness, social support, burnout which might influence burnout in emergency department nurses. Data were collected by self-reporting questionnaires from 115 nurses in 8 emergency department. Data analysis was done with SPSS/Win 21.0 program. Burnout showed significantly negative correlations with hardiness(r=-.390, p<.001), social support(r=-.400, p<.001) and hardiness showed significantly positive correlations with social support(r=.351, p<.001). As results, key factor was hardiness, social support, that continuing to work in emergency department, were significant predictors and accounted for 30.6%. Based on these results, burnout showed statistically significant differences depending on hardiness, social support and wanted department state. It is needed to develop a program in order to improve hardiness and social support of emergency department nurses.

• Journal of Trauma and Injury
• /
• v.24 no.2
• /
• pp.118-124
• /
• 2011

Purpose: The incidence of multiple trauma is increasing nowadays and is the leading cause of death among young adults. Initial treatment is well known to be crucial in multiple trauma victims. However, many indiscriminate transfers occur due to the lack of a well-organized trauma system in Korea. The objective of this study is to demonstrate the current serious state in which major trauma patients are transferred to the Emergency Medical Center of a university hospital from another medical center. Methods: From November 2009 to October 2010, we performed a retrospective study to analyze the characteristics of patients who visited the Ajou University Medical Center located in Gyeonggi-do. We evaluated the ISS (injury severity score), and a score over 15 point was identified as major trauma. The major trauma patients were separated into two groups according to the visit route, and the characteristics of each group were analyzed. Results: Among the 88,862 patients who visited to the Emergency Medical Center, trauma patients accounted for 19,950, and 343 of them were evaluated as major trauma patients. Among the 343 patients, 170 patients had been transferred from other medical centers. The proportion of males to females was 3.3:1, and the mean ISS was 22.7. The leading cause of trauma was motor vehicle accidents. Of the total 170 patients, 77.6% were admitted to the Intensive care unit and 36.3% underwent surgery. The 170 patients that had been transferred to our medical center, 78.8% were transferred from Gyeonggi-do, 15.3% were transferred from other regions, and 5.9% were miscellaneous. Conclusion: Almost half of the major trauma victims treat at our medical center had been transferred from other medical centers. Establishing a traumatic system, supported by well-organized trauma centers and emergency medical services, that can reduce inappropriate transfers among medical facilities is essential.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.14 no.12
• /
• pp.6373-6386
• /
• 2013

This study examined the relationship between the MBTI character types and heart rate variability. The subjects were 25 students in the department of emergency medical technology in C city, Chungnam, Korea. The heart rate variability was measured under two conditions: a stable state, and in the second week and fourth week in clinical practice. The period of the heart rate variability measurements was from Jun. 21, 2013 to Jul. 26, 2013.The changes in the HRV at the stable state and during clinical practice depending on the MBTI character types, and the HRV at the stable state and during clinical practice according to the distribution chart of four character types showed a significant difference in the nHF and standard deviation of all R-R intervals (SDNN). In the changes in the HRV at the stable state and during clinical practice depending on the preference distribution chart of each indicator, the T-F group and J-P group in the nLF, T-F group and J-P group in the nHF, S-N group in the standard deviation of all R-R intervals (SDNN) and the J-P group in the mHR showed a significant difference.

• Journal of Korean Institute of Industrial Engineers
• /
• v.37 no.2
• /
• pp.96-104
• /
• 2011

Modeling and simulation of human-involved complex systems pose challenges to representing human decision makings into logical systems because of the nondeterministic and dynamic nature of human behaviors. In modeling perspectives, human's activities in systems can increase uncertainty and complexity, because he or she can potentially access all other resources within the system and change the system states. To address all of these human involvements in the system, this research suggests applying the Finite State Automata (FSA)-based formal modeling of human-involved systems that incorporates the ecological concept of affordances to an evacuation simulation, so that human behavioral patterns under urgent and dynamic emergency situations can be considered in the real-time simulation. The proposed simulation methodologies were interpreted using the warehouse fire evacuation simulation to clarify the applicability of the proposed methodology. This research is expected to merge system engineering technologies and human factors, and come out to the new predictive modeling methodology for disaster simulations. This research can be applied to a variety of applications such as building layout designs and building access control systems for emergency situations.

• Journal of the Korea Institute of Military Science and Technology
• /
• v.14 no.3
• /
• pp.458-466
• /
• 2011

In war time, minimizing the logistics response time for supporting military operations is strongly needed. In this paper, i propose the mathematical formulation for minimizing the maximal acquisition completion time in wartime or during a state of emergency. The main structure of this formulation is based on the traveling purchaser problem (TPP), which is a generalized form of the well-known traveling salesman problem (TSP). In the case of the general TPP, an objective function is to minimize the sum of the traveling cost and the purchase cost. However, in this study, the objective function is to minimize the traveling cost only. That's why it's more important to minimize the traveling cost (time or distance) than the purchase cost in wartime or in a state of emergency. I generate a specific instance and find out the optimal solution of this instance by using ILOG OPL STUDIO (CPLEX version 11.1).

• Journal of Institute of Control, Robotics and Systems
• /
• v.21 no.3
• /
• pp.224-232
• /
• 2015

In order to develop an active safety system which avoids or mitigates collisions with preceding vehicles such as autonomous emergency braking (AEB), accurate state estimation of the nearby vehicles is very important. In this paper, an algorithm is proposed using 3 dynamic models to better estimate the state of a vehicle which has various dynamic patterns in both longitudinal and lateral direction. In particular, the proposed algorithm is based on the Interacting Multiple Model (IMM) method which employs three different dynamic models, in cruise mode, lateral maneuver mode and longitudinal maneuver mode. In addition, a Probabilistic Data Association Filter (PDAF) is utilized as a data association algorithm which can improve the reliability of the measurement under a clutter environment. In order to verify the performance of the proposed method, it is simulated in comparison with a Kalman filter method which employs a single dynamic model. Finally, the proposed method is validated using radar data obtained from the field test in the proving ground.

• Convergence Security Journal
• /
• v.7 no.1
• /
• pp.35-43
• /
• 2007

The object of this paper is to design a biomedical signal measure systems based on sensor networks for the patient, integrated with computing technology. Using a combination of zigbee RF, embedded hardware and software technologies, as it allows the healthcare center to receive the information on emergency situations and the ordinary state of the patients individually or simultaneously, the healthcare center can copy with quickly a state of emergency and assist the normal life of the patient. In order to meet the low power and other requirements for the proposed system, we introduce a zigbee based RP which is the most suitable solution for improving the performance of our beeper system.

• Journal of Korean Public Health Nursing
• /
• v.14 no.1
• /
• pp.100-113
• /
• 2000

The purpose of this study is to examine the effect of supportive nursing intervention on patient's response of anxiety in emergency room as the suspected experimental research sequentially designed for the unequal control group. This study collected the data from 100 patients including 50 patients of experimental group and 50 patients of control group in emergency room of the only one university hospital from July 12. to September 30, 1999. This study used questionnaires that Kim, Jung Taek and Shin. Dong Kyun revised the measurement of STAI(State-Trait Anxiety Inventory) of Spielberger(1972) to measure their anxiety with using physical. spiritual. and informative support of the supportive nursing intervention, and measured blood pressure. pulse and respiration by physiological response of anxiety. After then. this study analyzed the frequency and percentage by using SPSS 7.5 program, $x^2-test$, t-test and ANCOVA. The results are as follows: First hypothesis : the point of STAI of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention(F=22.943, p=.000). Second hypothesis : the sistolic blood pressure of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention(F=42.603. p=.000). Third hypothesis. the diastolic blood pressure of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention(F= 18.482, p=.000). Fourth hypothesis: the pulse of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention. Fifth hypothesis : The respiration of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention. In the above-mentioned result. the supportive nursing intervention was considered to be useful intervention that raised the effect on patient's response of anxiety during emergency room staying.