• The Korean Journal of Emergency Medical Services
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• v.17 no.1
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• pp.41-50
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• 2013

Purpose : This study intended to improve the quality of prehospital emergency care for patients with dyspnea by figuring out the current situations and problems based on run-sheets of 119 emergency medical technicians (EMTs). Methods : A total of 336 dyspnea patients were transferred to G university hospital by 119 ambulances from January 1, 2011 to December 31, 2011. Results : The data were analyzed by SPSS 19.0. Patients over 60 years old accounted for 57.2% and 48.4% had the history of heart disease. Among the heart disease patients, 31.7% complained of dyspnea and chest pain. The vital sign measurement performance by 119 EMTs increased compared to previous study. The number of prehospital treatment by 119 EMTs significantly increased depending on the mental state of the patients. Conclusion : 119 EMTs should remind the heart disease and other past history of the patients when they perform the dyspnea patient care.

• The Journal of the Korea Contents Association
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• v.16 no.9
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• pp.12-21
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• 2016

The emergency evacuation support system supports evacuation assistance when an urgent disaster occurs. We have implemented evacuation route search algorithm to assist people's escape when a disaster occurs such as fires or terrorism in the building. The algorithm will guide the escape route at the fastest emergency exit of each region at the emergency state. The algorithm calculates the escape route by applying the weighting factor of age groups and population density around the emergency exit and of other regions. So the system helps escape to bypass the crowded emergency exit and the disaster area, and reduces the congestion of emergency exit and overloading of evacuation route.

• The Korean Journal of Emergency Medical Services
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• v.15 no.3
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• pp.19-30
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• 2011

Purpose : The purpose of this study is to identify the correlations between the ego-states of the 119 emergency medical technicians(119 EMTs) and the burnout and help them grow as a profession. Method : This is a descriptive study and the subjects of this study were 81 EMTs in 119 fire station in G City. This study tried to reveal the burnout in 119 EMTs in accordance with ego-state. Results : The highest score of 119 EMTs was the Nutrition Parent(NP) which showed $32.90{\pm}2.07$. The second highest was of the Critical Parent(CP), $31.95{\pm}2.79$. The Ego-gram profile of 119 EMTs was slope N type. The burnout was $78.90{\pm}13.19$, the physical burnout was highest($28.86{\pm}4.14$) in the low rank territory. The ego state according to level, the comparison of the degree of burnout, Free Child(FC) all but the type of ego-states burnout of the high groups appeared to be much higher. The correlations between their ego-states and the burnout of 119 EMTs appeared to be related to the 'plus(+)' correlation for the Free Child(FC ; r=0.243, p=0.029) and the Adapted Child(AC ; r=0.567, p=0.000), and CP, NP and Adult(A) appeared to be unrelated to the correlation. Results of the regression analysis show that the personal characteristic that has the biggest effect on the burnout of 119 EMTs was the AC(0.717), which seems to have a measurable effect on the statistics(p<0.01). Conclusion : Understanding the personality of 119 EMTs and its the application in the workforce will increase the human resources management system for the fire station officials.

• Fire Science and Engineering
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• v.26 no.5
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• pp.54-60
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• 2012

This study is the analysis of the actual state of hospital-based training in level 1 emergency medical technicians (EMTs) in fire station. The survey was carried out to 42 fire fighters having level 1 emergency medical technician certification from May 11 to 12 in 2012. The results showed 56.5 %, that the level 1 EMTs of roles had direct experienced. Level 1 EMTs performance frequency of clinical practice that endotracheal intubation 66.9 %, laryngeal mask airway 8.4 %, intravenous access 76.6 %, nitroglycerin sublingual 61.2 %, bronchodilator inhalation 50.0 %, fluid loading 73.8 %, ventilator apply 57.6 %, dextrose injection 57.6 %. It is necessary to investigate the continuous study on the education among the level 1 EMTs and the continuous evaluation and analysis of problems, supplemented of guidebook, practical education programs and regulation upon the operation and management of a hospital-based skill training.

• Journal of Intelligence and Information Systems
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• v.10 no.3
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• pp.11-26
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• 2004

Software for analyzing documents on the net to detect specific categories of occurrences is in great demand. In the current world where detecting terrorist threats is critical there is a great need for such systems. One of the critical application areas of such software is the automatic detection of a national infrastructure emergency. In this research an agent-based generic architecture for emergency warning systems is proposed and implemented. This system, called the National Infrastructure Emergency Warning System (NIEWS), is designed to analyze given documents, to detect threats, and to report possible threats with the necessary information to the appropriate users autonomously. In addition, a systematic analysis framework to detect emergencies on the subject of defensive information warfare is designated and implemented through a knowledge base. The developed system along with the knowledge base is implemented and successfully deployed to Strategic Crisis Exercise (SCE) at the United State Army War College (USAWC), saving a good amount of money by replacing human SMEs (subject matter experts) in the SCE.

• Journal of The Korean Society of Clinical Toxicology
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• v.5 no.1
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• pp.61-66
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• 2007

Trichloroethylene (TCE) is an unsaturated chlorinated hydrocarbon in the form of a colorless, volatile liquid, which is used as an industrial organic solvent for spot removal and for metal degreasing. In general, the primary complications of TCE poisoning result from involvement of the central nervous and respiratory systems, including aspiration pneumonia. A case is reported of a 54-year-old man who presented in a comatose state after accidental ingestion of 100 ml of TCE, and who recovered after conservative treatment and mechanical ventilation. We discuss this case and present a literature review.

• Journal of the Korea Safety Management & Science
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• v.19 no.1
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• pp.1-8
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• 2017

The current study aims to propose a reorganization plan for the national emergency management system to improve the current organizational structure for responding to national disasters and emergency situations. As a theoretical framework, the current study identified four key elements of successful disaster response systems: responsiveness, controllability, expertise, and devotedness. On the basis of the four key elements of disaster response systems, this study critically reviewed the current state of the organizational structure of the Korean national emergency response system by discussing the issues inherent in the current structure and by doing a comparative analysis of two high-profile national disaster cases-the Sewol ferry disaster in 2014 and the Gwangsan Rescue of buried people in 2013. Then, this study proposed the reorganization plan for the national disaster response system in which the NEMA is under direct control of the Prime Minister of Korea. It coordinates and controls the related government departments, such as the police, maritime police, and military during the national disaster and emergency situation. This study also proposed a reorganizational plan for the regional disaster response system in Korea. Finally, it was suggested that the status of firefighters should be elevated to the national public servant level in order to achieve organizational efficiency and solve existing problems that come from the current separated systems.

• Journal of Korean Society of Disaster and Security
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• v.6 no.1
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• pp.29-34
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• 2013

Recently, scale and complexity of disaster are increasing by natural social factor, and there is limit for emergency response by single agency thereby. Therefore, when multi-agency conduct a response for disaster together at the scene, they need preparation for joint response in the advance for systematic mutual cooperation. Preparedness consist of various factors such as planning, securing of Organizations and resource, continuous education and training. This paper focus on emergency response plan and examine the existing state and problem of various plans and manuals. Also submit development way for establishing emergency response plan that had effectiveness through the foreign case analysis.

• Journal of Trauma and Injury
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• v.20 no.2
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• pp.72-76
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• 2007

Purpose: The purpose of this clinical trial was to evaluate the fixation method for treating alveolar fractures in an emergency department. Methods: The efficiency of using the fixation method was judged on the basis of clinical criteria. Stability, occlusion state, bleeding amount after fixation, operation time, and difficulties during procedural operation were recorded. Results: Eight patients were enrolled in this study. In all instances, the fixation method was effective in bleeding control. Each patient had a noticeable decrement in bleeding. A wire was used for four of the eight patients, and nylon strings was used for the others. The average operation time was 6.3 minutes for the wire patients and 2.8 minutes for the Nylon string patients. No specific problem was identified during the procedural operation. However, the difference in the fixation material influenced the effectiveness of the procedure, the operation time, and the satisfaction of the doctor. Conclusion: In the emergency department, the fixation method using wire or nylon string in the treatment of alveolar fractures is effective in bleeding control

• Journal of The Korean Society of Clinical Toxicology
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• v.5 no.2
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• pp.135-137
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• 2007

Hydrofluoric acid is a weak inorganic acid used for etching and as rust removals. Systemic toxicity after oral ingestion induces rapid development of hypocalcemia and hyperkalemia, leading to ventricular fibrillation and finally asystole. We report a case of intentional ingestion of hydrofluoric acid producing an altered mental state at the time of the patient's arrival in the emergency department. The patient died approximately 80 minutes after the exposure with asystol.