• 제목/요약/키워드: Triage Investigation

검색결과 10건 처리시간 0.029초

디지털 수사 초동조치 대응인력 및 예비분석관들이 갖추어야 할 요건 (Digital Investigation First Responder and Preliminary Analyst Requirements)

  • 조슈아 제임스;장윤식
    • 한국인터넷방송통신학회논문지
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    • 제16권5호
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    • pp.49-54
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    • 2016
  • 디지털 증거를 다루는 범죄 사건 수사가 증가함에 따라 초동조치를 할 수 있는 인력과 개선된 수사절차 모델의 필요성이 증가하고 있다. 최근 들어 디지털 포렌식 분류(triage)와 예비분석 등의 개념이 수사 연구기관에 각광을 받고 있다. 하지만 초동조치 대응인력 및 예비분석관들이 구체적으로 어떤 훈련을 받아야 하는지에 대한 연구는 그다지 주목받지 못했다. 오히려 많은 조직에서 초동조치 대응인력이 전문적인 디지털 포렌식 분석관과 같은 실력을 갖추어야 한다고 여기고 있다. 본 연구에서는 '이상적인' 상황에서 디지털 수사의 초동조치 대응인력과 예비분석관들이 어떤 능력을 갖추어야 하며, 하드웨어 및 소프트웨어 측면에서의 필요사항과, 어쩌면 가장 중요하다 할 수 있는 교육훈련 조건에 대해 논하고자 한다.

중증도 분류체계를 이용한 중증도분류(Triage) (Severity of Emergency Patient classified by Triage System)

  • 배정희;손수경
    • 한국간호교육학회지
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    • 제7권2호
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    • pp.264-274
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    • 2001
  • About the patients who visited the emergency department of a hospital, investigative study was performed to assess and to classify them with triage tool, and to estimate the characteristics of them. 210 patients older than 15 years were investigated. Among them 11 patients who had responded inappropriately were excluded and remaining 210 patients were chosen as study subjects. Investigation had been performed for 30 days from Jan. 10, 2001 to Feb. 9, 2001. The triage tool was designed through the modification of triage tools developed by Kim and Choi. The data were analyzed with the SPSS program using mean, standard deviation, frequency, percentage, ANOVA and Scheffe's test. The results were as follows: 1. Of the characteristics of the study subjects, mean age of patients were 55.76 years and 70-79 years group which included 41 patients(20.6%) were most numerous. 101 (51.8%) patients visited emergency room by 119 emergency service and 91(45.7%) patients walked with assistance. 127 patients were cared in internal medicine department. 2. The distribution of triage scores were from minimum 6 points to maximum 18 points with mean $13.76{\pm}2.58$ points. 3. Triage scores had significant relationship with age(F=13.349,P=0.000), visiting method (F=8.832, P=0.000), walking status(F=28.185, p=0.000), care department(F=2.596, P=0.019), and preexisting disease(F=12.012, P=0.000). 4. After trage there were no urgent patient, 35 emergent patients(17.6%),109 subemergent patients(54.8%), and 55 nonemergent patients (27.6%). The result of emergency care were 80 admission(40.2%), 59 discharge (29.6%), 34 ICU admission(17.1%), 14 transfer to other hospital(7%), 10 operation (5%), and 2 death (2%). 5. About the time required for triage, mean duration to triage were $7.54{\pm}2.28$ mins in emergent patients, mean $7.23{\pm}2.50$ mins in subemergent patients and mean $6.49{\pm}2.19$ mins in nonemergent patients. There were no differences in duration to triage according to the severity of triage. 6. Time required in emergency treatment were mean $116.23{\pm}88.10$ in emergent patients mean $101.61{\pm}73.27$ in subemergent patients and mean $81.56{\pm}61.01$ in nonemergent patients. There were no significant difference among groups. This study depicted that triage scores were below the middle level and there were many geriatric patients in this hospital. Among the characteristics of patients, age, visiting method, walking status, care department, and accompanying disease could be data for triage of emergency patients. With triage score of a patient, the outcome of emergency care of a patient could be anticipated and this could be basal data in determining the priority of emergency nursing.

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구급출동지령서 개선을 통한 구급대원 현장 도착시간 단축방안 (Improvement Strategies of Arriving Time to the Scene by Enhancing EMTs' Recognition of Triage)

  • 오원신;정석환;윤명오
    • 대한안전경영과학회지
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    • 제17권1호
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    • pp.45-52
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    • 2015
  • The purpose of this investigation is to enhance the survival rate of patients by transporting them to the hospital within the golden hour through the operational improvement of emergency dispatch instruction. To this end, problems and improvements of current operating system were derived by carrying out a survey against paramedics of Incheon city in 2012 and analyzing the current emergency dispatch instruction. This study analyzed the emergency activity daily reports for one year from January 1 through December 31, 2012 and researched the consciousness of 119 emergency medical technician. According to the analysis of the survey, there were no meaningful differences in the on-site arrival times per triage. Therefore, the item of 'Emergency Classification' specified in the emergency dispatch instruction needs to be integrated in the scheme of "triage". Also, the feedbacks of the emergency action log and the emergency dispatch instruction are necessary for 'duty for operation' to review the adequacy to the severity after the end of emergency operation. Finally, the improvement of the system for the continuous communication between the paramedics and the command staff is necessary. This improvements as stated above are expected to contribute to raise survival rate of patients.

디지털 증거 선별 조사의 효율성을 위한 Digital Evidence Container 설계 및 구현 (A New Design and Implementation of Digital Evidence Container for Triage and Effective Investigation)

  • 임경수;이창훈;이상진
    • 전자공학회논문지CI
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    • 제49권4호
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    • pp.31-41
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    • 2012
  • 최근 국내외 수사 기관은 초동 수사 시 현장에 컴퓨터가 있을 경우, 사이버 범죄 수사가 아닌 경우에도 시스템을 압수 또는 확보하는 것이 필수적인 단계로 자리 잡고 있다. 이렇게 확보한 시스템으로부터 용의자의 범죄 사실 입증을 위한 정황 증거를 확보하여 수사에 활용되고 있다. 하지만 사이버 범죄가 아닌 일반 범죄 사건에서 확보한 시스템에서 디스크 이미지를 확보한 후, 면밀히 조사하는 것은 시간이 많이 소요되며 신속한 사건 대응이 필요한 납치, 살인사건과 같은 범죄 유형에는 더욱 어려움이 따른다. 또한 기업 수사에서도 대용량 데이터베이스나 파일 서버 조사에서 나아가 클라우드 환경에서는 디스크 단위의 복제는 불가능하므로 선별 수집한 디지털 증거를 분석에 이용해야 한다. 하지만 다양한 종류의 디지털 증거를 선별 수집하더라도 이를 저장 및 보관하기 위한 표준화된 데이터 포맷이 존재하지 않아 법정에서 증거력을 증명하기 어려운 것이 현실이다. 따라서 본 논문에서는 선별 수집된 다양한 디지털 증거를 보관하기 위한 새로운 증거 보관 포맷을 제시한다. 본문에서 제시하는 디지털 증거 포맷은 다양한 디지털 증거 자료에 활용할 수 있도록 범용성과 확장성에 중심을 두었으며, 일반적인 XML 기술과 압축 파일 포맷을 이용하여 기존 시스템에 적용하기 쉽도록 설계하여 기존 연구들보다 활용하기 쉬운 장점이 있다.

흉부 단독손상 환자의 임상적 고찰 (Clinical Investigation of Isolated Chest Injury)

  • 이경무;김동수;이석우;김훈
    • Journal of Trauma and Injury
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    • 제19권1호
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    • pp.35-40
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    • 2006
  • Purpose: Injuries are the third leading cause of death in Korea. Isolated chest injury is not uncommon and shows high mortality and morbidity. Several scoring systems are used for triage and stratification for trauma patients, but no standard system is accepted. We aimed to analyze the accuracy of identification of isolated chest injury by using several scoring systems. Methods: We reviewed a total of 75 patients admitted with isolated chest injury between January 2005 and October 2005. Medical records were reviewed by using the Injury Severity Score (ISS), the Revised Trauma Score (RTS), and the Trauma and Injury Severity Score (TRISS). The scoring systems were compared by using statistics methods. Results: The overall predictive accuracy of the TRISS was 12.5%, 12.0% greater than those of the RTS and the ISS. By using the area under the receiver operating characteristic (AUROC) curve, the TRISS showed an excellent discriminative power (AUROC 0.931) compared to the ISS (AUROC 0.926) and the RTS (AUROC 0.872). Conclusion: Compared with the RTS and the ISS, the TRISS is an easily applied tool with excellent prognostic abilities for isolated chest trauma patients. However, the TRISS, the ISS, and the RTS showed high specificity and low sensitivity, so another scoring system is required for triage and stratification of isolated chest injury patients.

클라우드 환경에서 수사 실무와 법적 과제 (Practical and Legal Challenges of Cloud Investigations)

  • 조슈아 제임스;장윤식
    • 한국인터넷방송통신학회논문지
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    • 제14권6호
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    • pp.33-39
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    • 2014
  • 클라우드 컴퓨팅 서비스의 확산으로 범죄수사를 위한 증거수집의 관점에서 불확실성으로 인한 다양한 실무적이고 법적인 문제가 제기되고 있다. 이 논문은 클라우드 환경에 대한 일반적인 수사상의 논점을 개관하고, 관할과 국제공조를 비롯한 문제점을 진단한다. 실무적으로 직접적으로 수사관이 접속하는 경우와 서비스제공자의 협조를 받는 경우의 장단점을 비교하여 실무적 개선방안을 논의하고 이에 따른 관할의 중복과 서비스 약정 및 포렌식적으로 무결한 데이터 수집 등 법률적 쟁점을 정리한다.

Biomarkers and Associated Immune Mechanisms for Early Detection and Therapeutic Management of Sepsis

  • Alissa Trzeciak;Anthony P. Pietropaoli;Minsoo Kim
    • IMMUNE NETWORK
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    • 제20권3호
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    • pp.23.1-23.20
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    • 2020
  • Sepsis is conceptually defined as life-threatening organ dysfunction that is caused by a dysregulated host response to infection. Although there has been significant advancement in recent decades in defining and understanding sepsis pathology, clinical management of sepsis is challenging due to difficulties in diagnosis, a lack of reliable prognostic biomarkers, and treatment options that are largely limited to antibiotic therapy and fundamental supportive measures. The lack of reliable diagnostic and prognostic tests makes it difficult to triage patients who are in need of more urgent care. Furthermore, while the acute inpatient treatment of sepsis warrants ongoing attention and investigation, efforts must also be directed toward longer term survival and outcomes. Sepsis survivors experience incomplete recovery, with long-term health impairments that may require both cognitive and physical treatment and rehabilitation. This review summarizes recent advances in sepsis prognosis research and discusses progress made in elucidating the underlying causes of prolonged health deficits experienced by patients surviving the early phases of sepsis.

양성 림프절 증식의 세침흡인 세포검사의 감별진단 (Differential Diagnosis of Fine Needle Aspiration Cytology of Benign Lymphadenopathy)

  • 한은미;송동은;엄대운;최혜정;차희정;허주영
    • 대한세포병리학회지
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    • 제17권2호
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    • pp.99-107
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    • 2006
  • In the investigation of superficial lymphadenopathy of unknown cause, fine needle aspiration (FNA) cytology plays an invaluable role. It enables the differentiation of benign lymphadenopathy from lymphoid and non-lymphoid malignancies, obviating the need for open biopsy, and allowing the triage of patients. Cytopathologists should be familiar with the typical FNA patterns of benign lymphadenopathy, and recognize and differentiate among categories. In a minority of cases of benign lymphadenopathy, FNA can render a specific diagnosis. Benign lymphadenopathies are generally categorized into reactive lymphoid hyperplasia (RLH), inflammatory or infectious processes, and benign lymphoproliferative disorders. RLH characteristically presents with a heterogeneous and polymorphous smear composed of normal cellular constituents of lymph nodes, in contrast with the homogeneous or monomorphic smear of most lymphomas. The caveat is that various malignant disorders may also present with polymorphous populations. It is also important to recognize thatbenign lymphoid smears may sometimes contain atypical cells that raise the suspicion of malignancy. Clinical information should always be the integral part of the diagnostic criteria in FNA of lymphadenopathy. If there is any doubt about the benign nature of the smear, it is prudent to suggest biopsy and ancillary studies.

선천성 심질환으로 고식적 수술을 시행 받은 영아의 홈모니터링의 성과 (Outcomes of Home Monitoring after Palliative Cardiac Surgery in Infants with Congenital Heart Disease)

  • 김상화;엄주연;임유미;윤태진;박정준;박천수
    • 대한간호학회지
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    • 제44권2호
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    • pp.228-236
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    • 2014
  • Purpose: Common conditions, such as dehydration or respiratory infection can aggravate hypoxia and are associated with interstage mortality in infants who have undergone palliative surgery for congenital heart diseases. This study was done to evaluate the efficacy of a home monitoring program (HMP) in decreasing infant mortality. Methods: Since its inception in May 2010, all infants who have undergone palliative surgery have been enrolled in HMP. This study was a prospective observational study and infant outcomes during HMP were compared with those of previous comparison groups. Parents were trained to measure oxygen saturation, body weight and feeding volume and to contact the hospital through the hotline for emergency situations. Telephone counseling was conducted by clinical nurse specialists every week post discharge. Results: Forty-one infants were enrolled in HMP. Nine hundred telephone counseling sessions were conducted. Seventy-three infants required telephone triage with the most common conditions being gastrointestinal (50.7%) and respiratory symptoms (32.9%). With HMP intervention, interstage mortality decreased from 18.6% (8/43) to 9.8% (4/41) (${\chi}^2$=1.15, p=.283). Conclusion: Results indicate that active measures and treatments using the HMP decrease mortality rates, however further investigation is required to identify various factors that contribute to hemodynamic complications during the interstage period.

서울시립병원의 코로나19 대응을 통해 본 공공병원의 시사점 고찰 (The Response of the Seoul Municipal Hospitals against COVID-19 and Its Implications for Public Hospitals)

  • 손창우
    • 한국병원경영학회지
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    • 제25권3호
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    • pp.38-52
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    • 2020
  • Purpose: The purpose of the study is to suggest the main functions and implications of public hospitals to effectively respond to the future epidemic crisis based on analyzing the accessibility to designated Coronavirus Disease 2019 (COVID-19) medical institutions of Seoul and examining the main features of the quarantine of Seoul municipal hospitals. Method: To analyze the response and function of Seoul municipal hospitals, we reviewed the Infectious Disease Control and Prevention ACT, 258 articles of Seoul Metropolitan Government press releases from January to the end of April, 48 articles of Seoul Metropolitan Government's daily newsletters, 2019 Health Bureau Budget report. We also referred to internal data of Seoul Children's Hospital, Seoul Seobuk Hospital, and Seoul Eunpyeong Hospital during the same period. Besides, the accessibility to medical institutions was analyzed by using the COVID-19 data which was announced daily basis. Results: The accessibility of COVID-19 patients living in the Southeastern part of Seoul to a medical institutions was 16.2km on a distance basis, and it was the lowest accessibility among four regions of Seoul since it took about 40 minutes by car. On the other hand, patients living in the Northeast part had the highest accessibility, as the access to medical institutions was 10.7km and 27 minutes by car. Also, the main functions of the municipal hospital of Seoul against COVID-19 were to shift the public hospital function to COVID-19 patients only hospitals, to perform the epidemiological investigation by medical doctors, and to support the operation of self-isolation facilities, community treatment centers and triage rooms of community health centers. Conclusion: Through the experience of COVID-19, we suggested that the functions of public hospitals will be reorganized as the reinforcement of infectious disease treatment and mental health for quarantined patients, cooperation with private hospitals, supporting for strengthening community health capacity and preparation for another epidemic.