• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.12
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• pp.254-264
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• 2019

This study is a descriptive correlation study investigating the effects of stress disorder symptoms, resilience, and social network on post-traumatic growth in traffic accident patients. The participants were 158 traffic accident cases enrolled from five 100-bed hospitals situated in city C. Data were collected from July 1 to August 31, 2018, and analyzed by t-test, ANOVA, Pearson's correlation coefficients, and multiple regression using SPSS / Win23. The explanatory power of post-traumatic growth was determined to be 36.9%, and the factors affecting post-traumatic growth were social network and post-traumatic stress disorder. In addition, social networks completely established the relationship between resilience and post-traumatic growth. Our results confirmed that a wider social network and increased symptoms of post-traumatic stress disorder of the traffic accident patient are associated with higher post-traumatic growth. Therefore, it is necessary to explore approaches that improve the social networks and resilience to help post-traumatic growth of traffic accident patients. Additional research is required through repetitive and long-term observation of the accident victims.

• The Korean Journal of Emergency Medical Services
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• v.4 no.1
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• pp.63-71
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• 2000

Exceptive clause of ambulance stated in Road Traffic Laws of ambulance car accidents is not properly applied and emergency staffs who transfer over 85% of emergency cases are to be forced to start out to the emergency field with unstable conditions which they may be punished on the criminal and civil laws. Hereby this study makes the following suggestions to activate the duties of transferring emergency cases by emergency staffs, promote their morale and diminish the victim of emergency staffs due to traffic accidents. 1) It is prescribed that ambulance car drivers should be protected legally by applying the exceptive clauses thoroughly regulated in special case clauses because ambulance cars are used for the purpose of saving the human life. 2) On the traffic accidents occurred during the transfer of emergency cases, the special insurance system is created for treating the ambulance car accidents, not to bind the emergency staff's mistake to traffic law and the victims are compensated by the nation on the basis of insurance system and emergency staffs have the systematic security. 3) On the road over six lanes, emergency lane is set on the center and ambulance car should be used as the exclusive lane. 4) Ambulance car drivers must have the habit of transferring emergency cases rapidly within the range of legal operation.

• Journal of the Ergonomics Society of Korea
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• v.35 no.5
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• pp.465-472
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• 2016

Objective:This study is on the characteristics of motorcycle accidents occurring in the mail delivery process by skill level. Background: The tendency of delivery postmen's driving in a hurry may become the cause of accidents since there is a constraint that delivery should be completed within a limited time. Method: This study analyzed the traffic accident data of 259 delivery postmen, who had been approved as occupation-related industrial accident victims from 2009 to 2012, by their work experience in view of season, day of the week of an accident occurrence, accident occurrence time, accident cause, collision type, and driving situation. Results: Accident characteristics of delivery postmen show that the ratio of accidents occurring to those who had less than 10 years of work experience was high. There were many motorcycle collisions in winter and summer by season and an unexpected object, along with road condition, took up 70.7% of the accident sources. There were no differences in accident occurrence time, the day of the week, season, accident source, and collision type between the group of delivery postmen with less than 10 years of work experience and those with 10 years or more of work experience. However, there was a difference in distribution of driving condition. Conclusion and Applications: The results of this study can be used to present the policies or guidelines for the accident prevention of delivery postmen since the results show the characteristics of the injured and accident occurrence characteristics in relation with the delivery postmen's motorcycle collisions.

• Journal of Trauma and Injury
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• v.26 no.3
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• pp.139-150
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• 2013

Purpose: After a traffic accident, first-aid performed within the first few minutes is important for the injured in terms of survival, future health, and quality of life. Taxi drivers have more possibility of witnessing traffic accidents because they spend much time on the road. If taxi drivers are well trained and can perform first-aid in a correct manner, they will play an important role in pre-hospital emergency medical services. We investigated the effect of first-aid training on taxi drivers' willingness to perform emergency care. Methods: We provided first-aid training for 600 deluxe taxi drivers in Busan in 2012. The subjects were given a questionnaire to answer at the beginning and at the end of first-aid training. Results: 427 out of 600 deluxe taxi drivers answer our questionnaire completely. 93 out of 427 deluxe taxi drivers answered that they had first-aid training within past 3 years(21.8%). 323 taxi drivers have witnessed a traffic accident(76%). 45 out of 323 deluxe taxi drivers who witnessed a traffic accident answered that they provided first-aid to victims(14.0%). After first-aid training, taxi drivers' willingness to perform emergency care was increased compared to that before training. The failed group of taxi drivers that had same or decreased willingness after first-aid training had a low level of education than the successful group that had increased willingness after first-aid training. Conclusion: First-aid training increased taxi drivers' willingness to perform emergency care. So Taxi drivers should be encouraged more to undertake and maintain first-aid training. For more volunteering of first-aid training and improvement in the effect of first-aid training, a graded education program for taxi drivers with a low level of education should be developed, and a policy on giving credit for completing first-aid training course and for carrying out first-aid needs to be formulated.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.23 no.1
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• pp.61-81
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• 2024

eCall system assists traffic accident victims by connecting emergency rescue institutions with accurate accident information, helping them to identify the on-site situation in the event of a traffic accident. The purpose of this paper is to develop a Korean eCall system that reflects the requirements of domestic emergency rescue institutions and to analyze the expected effects through an integrated demonstration. The results of an integrated demonstration indicated that the communication success rate between the eCall IVS and the call center was 99.25%, and the average location information error was 1.2 m. In particular, it has been confirmed that the average location information error is less than 21.6 meters, as assessed by the Korea Communications Commission when evaluating the accuracy of domestic emergency rescue location information. When the eCall system was introduced, it was confirmed that the time from traffic accidents to hospital arrival could be shortened by 3 m 38 s for highways and 1 m 22 s for general roads. By it to traffic deaths from 2005 to 2022, it was analyzed that the number of fatalities decreased by 82,662, resulting in a reduction of approximately social costs.

• Journal of Chest Surgery
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• v.30 no.1
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• pp.77-82
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• 1997

Sixty children were admitted to he Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital for the treatment of thoracic injuries for about a 10year period ending in August, 1995. We reviewed the hospital records retrospectively, to see the characteristics of the scope and consequences of childhood chest injuries. Mean age was 9 years and forty-six cases(77%) were male. Fifty children(83%) were victims of a blunt trauma. Among the blunt trauma patients, more than 60% were traffic-related. All victims of penetrating trauma were male. Among the blunt trauma patients, rib fracture was the most frequently found (52%) followed by pneumothorax(42%), although significant intrathoracic injuries occurred without rib fractures in )2% of blunt trauma cases. Associated injuries were present in 42% of children reviewed. Most frequently performed surgical procedure was closed thoracostomy(45% ), and ten children required thoracotomy and fifteen needed assisted ventilation. Modified Injury Severi y Scale(MISS) score was measured in the multiple Injured group. MISS score correlated significantly with the length of stay In the intensive care unit. One child(1.7% ), involved in a traffic accident, died of sepsis.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.20 no.1
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• pp.100-118
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• 2021

In this study, PM accidents (1,603case) and bicycle accidents (14,672case) that occurred in the last three years were analyzed to determine the characteristics of PM traffic accidents. In particular, PM traffic accidents were divided into perpetrators and victims to determine the characteristics in detail. For PM accidents, the analysis was conducted on the status of each road grade, road type, weather condition, accident type, day and night occurrence, and vehicle type. The number of PM accidents that occurred in 2019 increased by 129%, and deaths increased by more than 200% compared to the previous year. The proportion of pedestrian accidents among PM traffic accidents was higher than that of bicycle accidents. Therefore, regulations on PM traffic are necessary. For the 20 deaths of PM, a detailed analysis was conducted to analyze the factors of traffic accidents. PM fatalities occurred in 50% of vehicle accidents, and 7 out of 10 vehicle accidents occurred at night. This is believed to have been caused by falling or overturning due to an obstacle, such as a depression in the road pavement or a speed bump.

• Journal of Society of Preventive Korean Medicine
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• v.11 no.2
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• pp.175-188
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• 2007

The purpose of this study was to confirm the reasons why the medical institutes avoid the traffic accident victims covered by the automobile insurance. For this purpose, a university hospital was sampled to comparatively analyze days of hospitalization, average medical cost per day, ratio of optional medical cost, average cost by injury/age group/department, distribution of MRI photographing, etc., between health insurance and automobile insurance patients. Accordingly, in order to assure automobile patients of a reasonable rights of medical services, it is deemed necessary to arrange a fair system encouraging them reduce the days of their hospitalization as well as a complementary mechanism preventing unnecessary expensive medical services due to the hazard.

• Journal of Korean Society of Transportation
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• v.25 no.5
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• pp.15-21
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• 2007

This paper proposes an improved methodology for estimating traffic accident cost savings in the transport appraisal. Four major problems from the existing framework are identified and their alternatives are suggested. First, casualties in the established approach are classified by just two types of 'killed' and 'injured'. This study supplies the indices of fatality further details. Namely, road victims are regrouped by 'killed', 'seriously injured', 'slightly injured', and 'accident reports'. Those of railways are similarly sorted by 'killed', 'seriously injured', and 'slightly injured'. Second, damage only accidents are not satisfactorily considered in the current arrangement. The accidents should be considered as one of the accident types and the social cost of them should also be evaluated. Third, the unit cost of accidents is given by the total value. The unit cost is consisted of several elements and each loss would be useful for a policy frame. This study breaks down the total figure into four pieces of costs, namely production loss, medical treatment, property loss, and administrative costs. Finally, there is inconsistency in the audit between roads and railways. Road accidents are analyzed by road types. On the other hand, patronage or others is the classification rule of rail accident costs. This paper suggests a way that the accident costs of two modes can be coherently estimated based on the level of services by each mode. The result of this study is expected to help frame more cautious social overhead capital investment policies.

• Journal of Chest Surgery
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• v.10 no.2
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• pp.337-342
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• 1977

A clinical analysis was performed on 383 cases of chest injurjes experienced at Department of Thoracic Surgery, Seoul National University Hospital during 21 year period from 1957 to 1977. Of 383 patients of chest injuries, 209 cases were result from nonpenetrating injuries whereas 175 were from penetrating injuries, and there were 258 cases of hemothorax or/and pneumothorax, 162 of rib fracture, 33 of foreign body, 26 of clavicle fracture, 26 of lung contusion, 17 of diaphragmatic laceration, 14 of hemopericardium, 14 of flail chest and others. Stab wound was the most common in penetrating injuries and followed by gunshot and shell fragments. The majority of nonpenetrating chest injury patients were traffic accident victims. and fails accounted for the next largest group of accidents. Chest injuries were frequently encountered in the age group between 16 and 50 years, and 321 patients were male comparing to 62 of female. In blunt chest injuries the patients with five or more rib fractures had a 85 per cent incidence-of intrathoracic injury and 19 per cent had an intraabdominal organ damage, whereas those with four or less rib fractures had a 69 per cent and a 6 per cent incidence respectively. The principal associated injuries were cerebral contusion on 19 cases, renal contusion on 10, liver laceration on 7, peripheral vessel laceration on 5, spleen laceration on 3 and extremity fracture on 18 patients. The principles of therapy for early complications of chest trauma were rapid reexpansion of the lungs by thoracentesis [46 cases] and closed thoracotomy [125 cases] but open thoracotomy .had to be done on 90 cases [23-5%] because of massive bleeding or intrapleural hematoma, foreign body, cardiac injury, diaphragmatic laceration and bronchial rupture. The over all mortality was 2.87 per cent [11 among 383 cases], 8 cases were from penetrating injuries and 3 from nonpenetrating injuries.