• 제목/요약/키워드: State of Emergency

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A Survey of Prevention of Drowning Accidents in Korea

  • Brienen, Marten;Cho, Byungjun;Moon, Taeyoung;Kim, Jeehee;Kim, Jinwoo
    • 한국콘텐츠학회:학술대회논문집
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    • 한국콘텐츠학회 2015년도 춘계 종합학술대회 논문집
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    • pp.9-10
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    • 2015
  • Purpose : The purpose of this study was to report the incidence of drowning accident in order to prevent and decrease the accidents of drowning. Methods : Data were obtained on all accidents of drowning accidents occurred were identified by using the Emergency Activity Daily Report Data from the National Emergency Management Agency (NEMA). Results : The age, location, days, season of the drowning accident were examined. The Chi-square test was used to compare each group. All comparisons were made at the p<0.05 level of significance. The result show that the age of drowning accidents for victims aged 20-29 was 27.9%, and for victims aged 30-39 years, 18.7%. In reguard to the age group, drowning accidents was age 20-39; 51(44.8%). In reguard to the locations, the number of drowning accidents in a lake or reservoir was 62(53.4%). The number of drowning accidents in a lake or reservoir during etc was 51(58%). In reguard to the days, the number of drowning accidents on Saturday was 30(25.8%), on Sunday 32(27.6%). The weather of drowning accidents was sunny 60(51.8%), rainy 40(34.4%), cloudy 16(13.8%). The season of drowning accidents was summer 53(45.7%). In reguard to season, two groups are significantly different. Conclusion : Drowning is a leading cause of injury related accidents. Understanding the characteristics of drowning is the first step to developing prevention strategies that may be beneficial for people of all ages and under nearly all circumstances are increased swimming ability, lifeguard staffing, providing life jackets, and public education activities.

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국내·외 최초반응자 교육프로그램 분석 (Analysis of domestic and foreign educational program of the first responder)

  • 탁양주;김재익;박시은;김현희;김수태;신동민;이인수
    • 한국응급구조학회지
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    • 제14권3호
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    • pp.41-56
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    • 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.

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In-Hospital Utstein Style에 의한 응급의료센터의 심폐소생술 결과 분석 - 심정지 상태로 내원한 환자를 대상으로 - (Results Analysis of CPR in Emergency Center by In-Hospital Utstein Style)

  • 노상균;박진옥
    • 한국응급구조학회지
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    • 제9권1호
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    • pp.79-87
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    • 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).

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응급실 간호사의 강인성, 사회적지지 및 소진간의 관계 (Relationship among Hardiness, Social Support and Burnout of Nurses Working in Emergency Department)

  • 박미경
    • 한국융합학회논문지
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    • 제8권10호
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    • pp.397-405
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    • 2017
  • 본 연구의 목적은 응급실 간호사의 강인성과 사회적 지지 및 소진의 정도를 파악하고 소진에 미치는 영향 요인을 확인하고자 시도되었다. 연구방법은 자가보고식 조사연구이며, 연구대상은 일지역 종합병원 응급실에서 6개월 이상 근무하고 있는 간호사를 선정하였다. 자료수집은 강인성, 사회적 지지, 소진 측정도구 설문지를 활용하였고, 수집된 설문지 중 115개를 SPSS/Win 21.0 program을 이용하여 분석하였다. 연구결과, 강인성 점수는 평균 2.59점(1.80-3.67점), 사회적 지지 3.29점(1.00-5.00점), 소진 3.16점(1.73-4.63점)이었다. 소진은 강인성 (r=-.390, p<.001), 사회적 지지(r=-.400, p<.001)와 부적 상관성이 있었고 강인성은 사회적 지지(r=.351, p<.001)와 정적 상관성이 있었다. 소진에 영향을 미치는 요인은 강인성(${\beta}=-.325$, p<.001), 사회적 지지(${\beta}=-.213$, p=.023), 응급실 계속희망 여부(${\beta}=-.295$, p=.001)였고 소진에 대한 설명력은 30.6%였다. 따라서 응급실 간호사의 소진 감소를 위해 응급실 근무자는 희망자로 배치하고 강인성과 사회적 지지를 높일 수 있는 프로그램을 개발하고 운영할 것을 권한다.

대학병원 응급의료센터로 전원되는 중증 외상환자의 현황 및 문제점 (Problems with Transferring Major Trauma Patients to Emergency Medical Center of a University Hospital from Another Medical Center)

  • 한상수;정경원;권준식;김지영;최상천;이국종
    • Journal of Trauma and Injury
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    • 제24권2호
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    • pp.118-124
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    • 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.

MBTI성격유형에 따른 병원 임상실습 중인 응급구조학과 학생의 심박변이도 변화에 관한 연구 (Heart rate variability of students in hospital clinical practice by MBTI character types)

  • 정준호
    • 한국산학기술학회논문지
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    • 제14권12호
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    • pp.6373-6386
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    • 2013
  • 본 연구는 MBTI 성격유형과 심박변이도의 관계를 조사하기 위해 시도된 연구이다. 충청남도 C 시에 소재 한 N대학교 일개 응급구조학과 재학생들을 대상으로 학교 내에서 안정상태로 측정한 심박변이도와 병원 임상실습 중 2주째와 4주째에 측정한 심박변이도를 비교분석하였다. 자료수집기간은 2013년 6월 21일부터 7월 23일까지였으며, MBTI 성격유형에 따른 안정 및 실습기간의 심박변이도의 변화에서 네 가지 성격유형별 분포도에 따른 안정 및 실습기간의 HRV에서는 nHF와 SDNN에서 유의한 차를 보였다. 전체 지표별 선호 분포도에 따른 안정 및 실습기간의 심박변이도의 변화에서 nLF는 T-F, J-P 그룹, nHF에서는 T-F, J-P 그룹, SDNN에서는 S-N, mHR에서는 J-P 그룹에서 유의한 차이가 있었다.

어포던스 기반 FSA모델을 이용한 대피자 행동 모델링 및 시뮬레이션 (Modeling and Simulation of Emergent Evacuation Using Affordance-based FSA Models)

  • 주재구;김남훈
    • 대한산업공학회지
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    • 제37권2호
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    • pp.96-104
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    • 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.

전시 최장 획득완료시간 최소화를 위한 복수 순회구매자 문제 (The Multiple Traveling Purchaser Problem for Minimizing the Maximal Acquisition Completion Time in Wartime)

  • 최명진;문우범;최진호
    • 한국군사과학기술학회지
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    • 제14권3호
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    • pp.458-466
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    • 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).

차량용 레이더센서를 이용한 IMM-PDAF 기반 종-횡방향 운동상태 검출 및 추정기법에 대한 성능분석 (Performance Analysis on the IMM-PDAF Method for Longitudinal and Lateral Maneuver Detection using Automotive Radar Measurements)

  • 유정재;강연식
    • 제어로봇시스템학회논문지
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    • 제21권3호
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    • pp.224-232
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    • 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.

센서 네트워크 기반의 생체 신호 측정 시스템 설계 (The Design of a Biomedical Signal Measure System Based on Sensor Networks)

  • 이진관;이대형;정규철;장혜숙;이종찬;박기홍
    • 융합보안논문지
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    • 제7권1호
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    • pp.35-43
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    • 2007
  • 본 연구에서는 센서 네트워크 기반의 컴퓨팅 기술이 혼합된, 생체 신호 측정 시스템을 제안한다. 지그비 RF 기술과 임베디드 하드웨어 기술의 조합을 통하여, 병원의 환자관리 센터는 환자들의 비상 상황 또는 일상 상태에 관한 정보를 개별적으로 또는 동시에 수신함으로서, 환자의 정상적인 생활 보조 및 응급 상황에 신속히 대처할 수 있다. 또한 제안된 시스템의 저전력 및 기타 요구 사항을 만족시키기 위하여 지그비 기반의 RF를 사용한다. 이는 제안된 호출 시스템의 성능을 향상시키기 위하여 최적의 선택이라 할 수 있다.

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