• 한국응급구조학회지
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• 제12권1호
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• pp.5-15
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• 2008

Purpose : Centering on users(patients) who are offered the patient transport service by the emergency medical service system in our country, the use and satisfaction are analyzed with the transport service in 119 Emergency Medical Service System and Private transport agent. Results : 1. As for personnel in ambulance cars, 119 emergency staff showed a higher boarding rate of the first-class emergency medical technicians than private transportation centers : 48.4% and 17.7%, respectively. 2. Private transportation centers showed higher user satisfaction with transportation service than 119 emergency staff, which was not statistically significant. 3. As for the case that needs to receive the transport service in the future, the ratio with the will to use 119 Emergency Medical Service System(70.9%) was indicated to be much higher than the ratio of the private transport agent(29.1%). Suggestions : First, Centers transporting first-aid patients should essentially secure a sufficient number of first-class emergency medical technicians as professional emergency medical staff to reinforce qualitative improvement in emergency medical service. Second, It is necessary to establish a systematic monitoring system and develop educational programs in order to enhance satisfaction with the use of 119 emergency staff. Third, the government or the local government needs to positively support and guide the private transport agent, which is in charge of the public medical service.

• 사회복지연구
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• 제43권1호
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• pp.249-273
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• 2012

본 연구는 응급구조원, 사상 사고를 경험한 지하철승무원, 아동보호전문기관 사회복지사를 대상으로 직종, 심리적 고통, 대리 외상, 일반적 특성에 따른 외상 후 성장을 비교 분석한 연구이다. 분석 결과 첫째, 대리 외상은 세 집단 모두 위험 수준으로 높게 나타났고 특히 지하철승무원의 대리 외상이 높았으며, 외상 후 성장은 사회복지사가 가장 높고 지하철승무원이 가장 낮았다. 둘째, 대리 외상과 외상 후 성장은 상관관계가 유의한 것으로 나타났으며 특히 침습과 회피의 하위항목이 외상 후 성장과 상관관계가 높았다. 셋째, 외상 후 성장에 영향을 미치는 요인은 직종, 침습, 회피, 종교, 성별의 순서로 크게 나타났다. 본 연구에서는 이 결과를 바탕으로 대리 외상 위험 직종에 대한 정신건강서비스 제공과 외상 후 성장의 치료적 적용을 제언하였다.

• 한국컴퓨터정보학회논문지
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• 제23권1호
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• pp.103-109
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• 2018

The purpose of the study is to investigate the effect of a simulation training of BLS in paramedics in pre-hospital situation. This a nonequivalence control quasi-experimental study. The study subjects were 8 paramedics of experimental group and 8 paramedics of control group in K fire department. An informed consent was written by the subjects after explaining of the purpose of the study. The study methods consisted of conventional education and practice training. The conventional education was done for 30 minutes and the practice training was taken by four trainees of one group and the instructor demonstrated Basic Iife Support (BLS) performance for three minutes. Each trainer peformed BLS for ten minutes. In the beginning of the course, two paramedics got off from the ambulance and performed BLS including 5 cycles of Cardiopulmonary Resuscitation (CPR). Soon after the BLS, another two paramedics performed pre-hospital BLS survey. The education was guided by two professors of emergency medical technology, two Basic Iife Support instructors, and two emergency rescue directors. Pre-hospital BLS was measured by a 5-point Likert scale. Higher score means higher performance skills. The data were analyzed using SPSS/WIN 22.0 program set at significance level of p<05. The effect of simulation education was much more significant than the conventional education in BLS. The simulation education is very important and effective in improving the clinical performance skills of paramedics than the conventional education. The simulation education can provide the virtual environment of cardiac arrest to the paramedics. In conclusion, the simulation education can provide the effective teaching methods for various practice performance skills and solution by critical thinking in the paramedics and healthcare providers in the future.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2016년도 추계학술대회
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• pp.293-296
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• 2016

복잡한 도심의 도로 상황에서 긴급 상황 발생 시 이동하는 특수목적 차량(경찰, 소방, 구급 등)에 대한 신속한 양보가 필요하다. 이러한 긴급 차량의 이동 상황을 도로 인프라가 인지해 교통 신호 제어기 및 일반 차량들에 WAVE나 TPEG 등 무선 네트워크를 통해 먼 곳까지 메시지를 전달한다면 일반 차량들이 길을 양보하기 위한 사전 준비 작업이 가능해져 특수목적 차량들이 훨씬 더 신속하게 이동할 수 있게 된다. 본 논문에서는 마크 인식 알고리즘을 통해 특수차량의 지붕에 설치한 루프 마크를 활용하여 마크의 투영 변환 및 정보 디코딩으로 마크를 검출하고 내부의 정보를 획득한다. 실험 결과 마크의 크기가 $88cm{\times}88cm$ 이상일 때 50Km/h의 속도에서 100% 인식이 되고 마크 내부의 디지털 데이터도 93.3% 인식 가능함을 확인하였다.

• 한국응급구조학회지
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• 제25권2호
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• pp.19-38
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• 2021

Purpose: This study aimed to investigate the relationship between emergency medical service accessibility in different regions and the sudden death rate in elderly patients with ischemic heart disease using data analysis techniques and suggest improvements in regional emergency medical services. Methods: The study collected data from the NEDIS database and Statistics Korea. Data on a total of 75,867 patients aged ≥65 years were reviewed among patients with ischemic heart disease who visited emergency medical institutions in 2018. Frequency analysis, chi-square test, multiple logistic regression analysis, and simple logistic regression analysis were performed using SPSS PC Window 25.0. Results: With an emergency medical resource per 100km², there was a concomitant reduction in the risk of death. There was a decrease in the death rate by 0.967, 0.970, 0.997, and 0.391 times with the increase in the presence of a fire department, an ambulance, a paramedic, and a regional medical center, respectively. Furthermore, a decrement in the death rate was witnessed 0.844, 0.825, and 0.975 times with the initiation of a local emergency medical center, a local emergency medical institution, and an angiography device, respectively(p <.001). Conclusion: To improve the accessibility of emergency medical services, the population and geometric area of the region should be considered essential factors when deploying emergency medical resources.

• Clinical and Experimental Emergency Medicine
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• 제5권4호
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• pp.272-277
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• 2018

Objective While the effect of typhoons on emergency medicine has been evaluated, data are scarce on their effects on the emergency medical service (EMS). This study evaluated the effect of typhoons on EMS patients and performance. Methods The study period was January 2010 to December 2012. Meteorological data regarding typhoons were provided by the Korean Meteorological Administration. EMS data were retrieved from the EMS database of the national emergency management agency. The database includes ambulance run sheets, which contain clinical and operational data. In this case-crossover study, the cases and controls were EMS calls on the day of typhoon warnings and calls one week prior to the typhoon warnings, respectively. Results During the study period, 11 typhoons affected Korea. A total of 14,521 cases were selected for analysis. Overall, there were no obvious differences between the case and control groups. However, there were statistically significant differences in age, place, and time requests. There were fewer patients between 0 and 15 years of age (P=0.01) and more unconscious patients (P=0.01) in the case group. The EMS operational performance, as measured by the times elapsed between call to start, call to field, and call to hospital did not differ significantly. There was also no significant difference in the time from hospital arrival between the cases (28.67, standard deviation 16.37) and controls (28.97, standard deviation 28.91) (P=0.39). Conclusion Typhoons did not significantly affect the EMS system in this study. Further study is necessary to understand the reasons for this finding.

• International Journal of Computer Science & Network Security
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• 제21권4호
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• pp.284-288
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• 2021

Human-computer interaction is a discipline concerned with the design, evaluation, and implementation of interactive systems for human use. In this paper we suggest designing a smart deaf emergency application based on Human-Computer Interaction (HCI) principles whereas nowadays everything around us is becoming smart, People already have smartphones, smartwatches, smart cars, smart houses, and many other technologies that offer a wide range of useful options. So, a smart mobile application using Text Telephone or TeleTYpe technology (TTY) has been proposed to help people with deafness or impaired hearing to communicate and seek help in emergencies. Deaf people find it difficult to communicate with people, especially in emergency status. It is stipulated that deaf people In all societies must have equal rights to use emergency services as other people. With the proposed application the deafness or impaired hearing can request help with one touch, and the location will be determined, also the user status will be sent to the emergency services through the application, making it easier to reach them and provide them with assistance. The application contains several classifications and emergency status (traffic, police, road safety, ambulance, fire fighting). The expected results from this design are interactive, experiential, efficient, and comprehensive features of human-computer interactive technology which may achieve user satisfaction.

• 한국융합학회논문지
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• 제13권3호
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• pp.265-274
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• 2022

본 연구는 2020년 1년간 수집된 심폐정지환자 세부상황표(2020년, 원시자료) 3,418건을 대상으로 하였다. 또한, 관련 법률과 지침을 조사하여 고찰하는 후향적 서술조사연구이다. 연구 결과, 첫째. '목격자에 의한 심폐소생술' 시행률 30.66%(1,047건)는 주목할 만한 결과로, 관련 법률 및 지침이 짜임새 있게 마련되어 있음을 짐작해 볼 수 있다. 둘째, '목격자에 의한 자동심장충격기 사용은 불과 0.10%(5건)에 불과한 것으로 나타났다. 이는 관련 법률 및 지침이 '구비 및 의무'에 다소 치우쳐 있기 때문으로 사료되며, 지역별 관련 대응 방법 모색의 전략적 차별성을 두어야 함을 시사한다. 셋째, 대구지역의 심정지 발생 장소는 가정이 71.97%(2,640건)로 나타났다. 향후 심정지 대응의 지역별 '맞춤전략' 및 '특별구급대'의 효율적 운영을 위하여, 원시데이터를 활용한 고급통계분석중심의 후속 연구가 필요하다.

• 한국컴퓨터정보학회논문지
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• 제27권12호
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• pp.251-258
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• 2022

본 연구는 응급구조학과 학생들의 전공 교육과정에 대한 수행도, 중요도 및 요구도를 분석하여 응급구조학 전공자의 학습 역량을 강화하는데 기초 자료를 제공하고자 하였다. 연구대상은 충남지역의 3개 대학 응급구조학과 학생 217명으로 자료 수집기간은 2021년 12월 13일부터 12월 24일까지이며 1급 응급구조사의 직무 기반 핵심 역량을 바탕으로 구조화된 설문지에 응답한 자료를 분석하였다. 연구결과 응급구조학과 학생들의 학습 역량 강화를 위해서 Borich 요구도가 높은 '구급차량 관리 교육', '졸업 후 전문성 유지를 위한 교육', '병원 내 환자 감시 교육'과 LF 모델의 최우선 영역에 해당하는 '의료지도, 인계 교육', '내과적 응급환자 처치 교육', '병원 내 환자 감시교육', '병원 내 응급환자 진료보조 교육'에 해당하는 교과과정의 보강이 필요하다고 판단된다.

• Journal of Medicine and Life Science
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• 제19권3호
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• pp.109-115
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• 2022

During emergencies, the time from symptom onset to definitive treatment determines the final outcome. Therefore, the emergency medical service (EMS) system in Korea, aims to transfer patients requiring emergency care to appropriate medical facilities within 30 minutes. This is in an attempt to improve the chances of survival and reduce sequelae. We attempted to locate areas vulnerable to prehospital transportation and identify hot spots with high demand for emergency medical helicopters in Jeju, by using a grid-based geospatial analysis. This retrospective cross-sectional observational study employed EMS data of 119 ambulance run sheets spanning from January 1, 2010 to September 30, 2018 in Jeju. The location data of emergency patients was superimposed on the spatial analysis frame using the geographic information system (GIS). Subsequently, the locations of long-distance transfer and delayed transfers to the hospital were analyzed, to identify hot spots where the demand for helicopter emergency services would be high. Of the total analysis targets, 42.2% (20,288 people) took more than 30 minutes from reporting to 119 dispatchers to hospital transfer. As the transfer time interval increased, the patient occurrence time increased in the city of Jeju, increased in Seogwipo, and the ratio of patients/guardians to select a transfer hospital rose with significant differences. This study identified the characteristics related to time delays in prehospital transfer of emergency patients in Jeju, and the areas vulnerable to prehospital emergency care were derived and visualized through spatial analysis using the GIS.