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Posttraumatic Stress by Work in Firefighters (소방공무원의 직무별 외상 후 스트레스)

  • Baek, Mi-Lye
    • Journal of the Korean Society of Hazard Mitigation
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    • v.9 no.3
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    • pp.59-65
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    • 2009
  • To investigate a posttraumatic stress, social support and work burden and to identify high risk group and related factors which were exerted influence on posttraumatic stress of firefighters. Data were gathered from total 264 firefighters consisting of 85 fire distinguishers & rescue workers, 96 emergency medical personnel and 83 in ambulance & fire truck drivers in C province and were analyzed 22 items by IES-R, 20 work burden items by Choi(2000), 8 social support items by Oh(2006) using SPSSWIN 14.0 program. Posttraumatic stress of general characteristics by work was showed significant difference in age, marriage status, education, position, office duration, mobilization frequency and experience of traumatic events. Posttraumatic stress were showed significant difference in 3 groups and fire distinguishers & rescue workers is the highest group. Posttraumatic stress was correlated with work burden(r=.317, p<0.01) for fire distinguishers & rescue workers, social support(r=-.331, p<0.01) and work burden(r=.522 p<0.001) for emergency medical personnel and work burden(r=.454, p<0.01) for ambulance & fire truck drivers. The high risk groups are fire distinguishers & rescue workers(60%), emergency medical personnel(55.2%)and ambulance & fire truck drivers(45.8%). Related factors are the experience seeing victim's danger for fire distinguishers & rescue workers(odds ratio=1.216, 95% confidence interval:1.068-1.383), and are work burden(odds ratio=1.100, 95% confidence interval:1.043-1.159) and office duration(odds ratio=1.010, 95% confidence interval 1.001-1.018) for emergency medical personnel, and are the experience seeing victim's danger(odds ratio=1.178, 95% confidence interval:1.010-1.373), age(odds ratio=1.129, 95%confidence interval:1.020-1.249), work burden(odds ratio=1.103, 95% confidence interval:1.034-1.177) for ambulance & fire truck drivers.

A Study in an Effective Programs for Emergency Care Delivery System (응급의료 전달체계의 충실 방안)

  • Kwon Sook Hee
    • Journal of Korean Public Health Nursing
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    • v.9 no.1
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    • pp.83-102
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    • 1995
  • As the society is being industrialized, the fast-paced economic development that has caused substantial increase in cerebrovascular and coronary artery diseases and the industrial development and increased use of means of transportation have resulted in the rapid rise of incidents in external injuries as well. So the pubic has become acutely aware of the need for fast and effective emergency care delivery system. The goal of emergency care delivery system is to meet the emergency care needs of patients. The emergency care delivery system is seeking to efficiently satisfy the care needs of people. Therefore the purpose of this study is designed to develop an effective programs for emergency care delivery system in Korea. The following specific objectives were investigated. This emergency care delivery system must have the necessary man power, for transfering the patients, communication net work, and emergency care facilities. 1) Man power Emergency care requires n0t only specialized traning in the emergency treatment but also knowledge and experience i11 other related area, so emergency care personnel traning program should be designed in order to adapt to the specific need of emergency patients. It will be necessary to ensure professional personnel who aquires the sufficient traning and experience for emergency care and to look for legal basis. We have to develop re-educational programs for emergency nurse specialist. They should be received speciality of emergency nursing care so that they will work actively and positively in emergency part. Emergency medical doctor and nurse specialist should be given an education which is related in emergency and critical care. Emergency care personnel will continue to provide both acute and continuing care as partner with other medical team. 2) Transfering the patients. Successful management of pre-hospital care requires adequate traning for the emergency medical technician. Traning program should be required to participate in a actual first aids activites in order to have apportunities to acquire practical skills as well as theoretical knowledge. The system of emergency medical technician should be remarkablly successful with first responder firefighters. Establishing this system must add necessary ambulances operating at any given time. It will be necessary to standardize the ambulance size and equipment. Ambulance should be arranged with each and every fire station. 3) Communication net work. The head office of emergency commumication network should be arranged with the head office of fire station in community. It is proposed that Hot-line system for emergency care should be introduce. High controlled ambulance and thirtial emergency center should simultaneously equip critical-line in order to communication with each other. Ordinary ambulance and secondary emergency facility should also simultaneously equip emergency-line in order to communication with each other. 4) Emergency care facilities. Primary emergency care facilities should be covered with the ambulatory emergency patients-minor illness and injuires. Secondary emergency care facilities should be covered with the emergency admission patients. Third emergency care center should be covered with the critical patients who need special treatments and operation. Secondary and third emergency care facilities should employ emergency medical doctor and emergency nurse specialist to treat in-patients with severe and acute illness and multiple injuires. It should be fashioned for a system of emergency facilities that meets emergency patients needs. Provide incentives for increased number of emergency care facilities with traning in personal/clinical emergency care. 5) Finance It is recommended to put the finance of a emergency care on a firm basis. The emergency care delivery system should be managed by the government or accreditted organizations. In order to facilitate this relevant program the fund is needed for more efficient and effective emergency researchs, service, programs, and policy. 6) Gaining understanding and co-operation of pubic It is also important to undertake pubic education to improve understanding of first aids and C. P. R of individuals, communities and business. It is proposed that teachers and health officers be certified in C. P. R. The C. P. R education can be powerful influence save lives. Lastly appropriate emergency care information must be provided to the pubic for assisting them in choosing emergency care.

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A Study on Design of Medical Advice Support System in Emergency using Agent System (에이전트를 활용한 응급의료지도 지원시스템 설계에 관한 연구)

  • Kim, Kyoung-Hwan
    • The Journal of Information Systems
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    • v.19 no.3
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    • pp.263-278
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    • 2010
  • Emergency Medical Service(EMS) requires a system that supports the communication between emergency medical technicians (EMT)s and the doctor in the emergency department. Because the rapid triage and on-site treatment of patients need doctor's medical advice. However, a system to assist the doctor assign for medical advice does not exist in Korea. This paper suggests a medical advice support system that focuses on appropriate doctor assign and real-time communication among the ambulance, the Emergency Medical Information Center (EMIC), and the doctor using an agent system. We expect that the system can help to solve the problems affecting prehospital EMS and improve its general quality.

A Study on Remote Medical Emergency System Development for Ambulance (구급차용 응급 원격의료 시스템에 관한 연구)

  • Kwon, Jang-Woo;Kim, Gyu-Dong;Hong, Jun-Eui;Lee, Dong-Hoon;Kim, Su-Jin
    • Proceedings of the Korea Information Processing Society Conference
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    • 2007.05a
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    • pp.657-660
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    • 2007
  • 구급차에서는 위급한 상황의 환자를 이송할 시에 적절한 응급조치가 필요로 하고 환자의 상태에 맞는 조치를 취하여야 한다. 그러나 모든 구급차에 의사가 상주 할 수 없음으로 CDMA 망을 이용하여 원격지의 의사가 원격의료가 가능한 시스템을 제안한다. 낮은 전송속도에서 효율적으로 중요한 의학적 정보를 전송할 수 있는 원격 응급 의료 시스템이 개발된다면 의료기관에 상주하는 의사와 데이터를 송수신하는 시간도 단축할 수 있으며, 응급상황 발생시 대처를 하지 못하거나 하는 경우를 예방할 수 있어 환자 이송 시에 상당한 효과가 있으리라 판단된다.

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A Application Method of Engine-Generator Power System in Ambulance (긴급 구난차량의 발전시스템에 관한 연구)

  • Jung, Won-Seok;Lee, Bong-Seok;Sim, Han-Sub
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.11 no.3
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    • pp.187-192
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    • 2012
  • Recently, the electric device has been launching owing to the development of industry. That development also can maximize the efficiency of generator. The emergency rescue vehicle operation differs from ordinary vehicles in engine life and usage distances. For the application of this system, this research proposes the ways to operate the emergency rescue vehicle operations more efficiently. Currently, many power systems, especially motors, developed with a large output of power. It is possible to produce electricity in the engine room with enough space and to operate all equipment within the rating load capacity.

An Analysis of Teacher's Perceptions on Safety Accident in Facilities for Children's Education (일부지역 유아 교육 시설의 안전사고에 대한 교사들의 실태 분석)

  • Park, Sang-Sub;Baek, Hong-Sok
    • The Korean Journal of Emergency Medical Services
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    • v.11 no.1
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    • pp.65-72
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    • 2007
  • The purpose of this study was teacher's perception on young children's safety life, safety accident, and safety education and provided basic data of administrating teacher's education for young children's safety. Subjects of this study were teachers of young children attending for their education. 230 questionnaires were provided and 181 were collected and 170 were used for data analysis. Data collected were analyzed with SPSS WIN 2.0 program. The results of the study were as follows : 1. Regarding teacher's perception on types of young children's safety accident, play accident was high(70.0%). 2. With regard to teacher's perception on causes of accident, lacks of perception was high(64.1%). 3. Of transportation means in accident, 119 ambulance use was high(60.5%) 4. Regarding teacher' perception on accident prevention, direct attention of education by paramedics was high(48.2%).

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Wireless Traffic Light using Artificial Intelligence

  • Hong, You-Sik;Kim, Chong-Soo;Kim, Chang-Kyun
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • v.3 no.2
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    • pp.251-257
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    • 2003
  • In this paper, we wish to construct a optimal traffic cycle using wire remote control. if police vehicle or ambulance suddenly enter the traffic Intersection, it will increase the traffic accident. In this paper, wireless traffic light use the radio traffic control signal and research about the hardware manufacture to check special detectors on urgency vehicles may safety and rapidly enter traffic intersection. Also, this paper present a traffic signal control conditions that analyzes different traffic intersection flows in cases of saturated flows, where the real traffic volume demand is large and the capacity constraints of bottlenecks have significant effects on the flow patterns. Through computer simulation this wireless traffic light has been proven to be much more safety and efficient than fixed traffic signal light which does not consider emergency vehicles for safety escort.

Wireless Traffic Signal Light using Fuzzy Rules

  • Hong YouSik;Lu Wei-Ming;Yi JaeYoung;Yi CheonHee
    • Proceedings of the IEEK Conference
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    • summer
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    • pp.365-370
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    • 2004
  • In this paper, we wish to construct a optimal traffic cycle using wire remote control. if police vehicle or ambulance suddenly enter the traffic intersection, it will increase the traffic accident. In this paper, wireless traffic light use the radio traffic control signal and research about the hardware manufacture to check special detectors on urgency vehicles may safety and rapidly enter traffic intersection. Also, this paper present a traffic signal control conditions that analyzes different traffic intersection flows in cases of saturated flows, where the real traffic volume demand is large and the capacity constraints of bottlenecks have significant effects on the flow patterns. Through computer simulation this wireless traffic light has been proven to be much more safety and efficient than fixed traffic signal light which does not considering emergency vehicles for safety escort.

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Vehicles Auto Collision Detection & Avoidance Protocol

  • Almutairi, Mubarak;Muneer, Kashif;Ur Rehman, Aqeel
    • International Journal of Computer Science & Network Security
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    • v.22 no.3
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    • pp.107-112
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    • 2022
  • The automotive industry is motivated to provide more and more amenities to its customers. The industry is taking advantage of artificial intelligence by increasing different sensors and gadgets in vehicles machoism is forward collision warning, at the same time road accidents are also increasing which is another concern to address. So there is an urgent need to provide an A.I based system to avoid such incidents which can be address by using artificial intelligence and global positioning system. Automotive/smart vehicles protection has become a major study of research for customers, government and also automotive industry engineers In this study a two layered novel hypothetical approach is proposed which include in-time vehicle/obstacle detection with auto warning mechanism for collision detection & avoidance and later in a case of an accident manifestation GPS & video camera based alerts system and interrupt generation to nearby ambulance or rescue-services units for in-time driver rescue.

Analysis of Factors Affecting Satisfaction of 119 Emergency Service Users in Korea

  • Yun, Seong-Woo
    • Journal of information and communication convergence engineering
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    • v.19 no.4
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    • pp.284-289
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    • 2021
  • This study attempted to identify the service satisfaction with the 119 emergency service and the factors that affect it based on the responses of subjects who used the service. Data collection was conducted from February 11 to March 11, 2021, using convenience sampling. A total of 1842 subjects who used emergency medical services using 119 ambulance in 2020 participated. For the collected data, frequency, percentage, mean, and standard deviation were calculated, and t-test, analysis of variance, and multiple regression analysis were performed using SPSS 23.0. Based on these results, to further enhance the satisfaction of users of the 119 emergency service and the quality of emergency medical services, it is important to improve the quality of paramedics through education and systems. In addition, to increase user satisfaction, efficient and systematic communication education is required. The quality of emergency medical services will increase only when communication skills required for explanations and promoting understanding are improved.