• 한국응급구조학회지
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• 제26권3호
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• pp.121-135
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• 2022

Purpose: The purpose of this study was to develop a training protocol to standardize the management of mass casualties as part of the disaster response, and to verify the effectiveness of the training protocol. Methods: The study was conducted as a quasi-experimental study with a non-equivalent control group and pretest-posttest design. The protocol was divided into 5 parts, the first for the advance party, the second for the rescue team, the third for the paramedic team, the fourth for the ambulance team, and the fifth for the 119 EMS team. This study was conducted on November 15, 2021 and consisted of 21 subjects in the final experimental group and 23 subjects in the control group. In this study, the prior homogeneity test was analyzed using the χ²-test, intragroup comparisons were analyzed using the paired t-test, and intragroup comparisons were analyzed using the independent t-test. Results: The protocol was developed in five parts: advance party, rescue team, paramedics team, ambulance team, and 119 EMS team. In verifying the effectiveness of the protocol, it was found that there were significant differences in self-efficacy (t=-0.941, p=0.001) and self confidence within the group (t=-0.025, p=0.001) after the implementation of the mass casualty incident response training program. However, there was no significant difference between the experimental and control groups. Conclusion: Based on the findings of this study, it is believed that disaster response personnel can experience lower levels of anxiety and tension in disaster situations if they receive practical and realistic education and training. In the future, it is necessary to enhance protocol based practical education that can improve the knowledge and skills of each team and individual.

• 보건행정학회지
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• 제33권4호
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• pp.440-449
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• 2023

Background: This study aimed to analyze the prehospital process and reperfusion therapy process of acute ischemic stroke in Busan metropolitan area and examine the impact of living arrangement on the early management and functional outcomes of acute ischemic stroke (AIS). Methods: The patients who diagnosed with AIS and received reperfusion therapy at the Busan Regional Cardiovascular Center between September 2020 and May 2023 were selected. We investigated the patients' hospital arrival time (onset to door time) and utilization of 119 emergency ambulance services. Additionally, various time matrices related to reperfusion therapy after hospital were examined, along with the functional outcome at the 90-day after treatment. Results: Among the 753 AIS patients who underwent reperfusion therapy, 166 individuals (22.1%) were living alone. AIS patients living alone experienced significant delays in symptom detection (p<0.05) and hospital arrival compared to AIS patients with cohabitants (370.1 minutes vs. 210.2 minutes, p<0.001). There were no significant differences between the two groups in terms of 119 ambulance utilization and time metrics related with the reperfusion therapy. Independent predictors of prognosis in AIS patients were found to be age above 70, National Institutes of Health Stroke Scale score at admission, tissue plasminogen activator, living alone (odds ratio [OR], 1.785; 95% confidence interval [CI], 1.155-2.760) and interhospital transfer (OR, 1.898; 95% CI, 1.152-3.127). Delay in identification of AIS was shown significant correlation (OR, 2.440; 95% CI, 1.070-5.561) at living alone patients. Conclusion: This study revealed that AIS patients living alone in the Busan metropolitan region, requiring endovascular treatment, face challenges in the pre-hospital phase, which significantly impact their prognosis.

• 한국방재학회 논문집
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• 제9권3호
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• pp.59-65
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• 2009

본 연구에서는 소방공무원의 직무형태별 외상 후 스트레스와 사회적지지 및 업무부담감을 알아보고 직무별 고위험군을 확인 하고 외상 후 스트레스에 영향을 주는 변수들을 알아보고자 하였다. 자료는 C도에 근무하는 소방대원 중 구급 96명, 구조 및 화재진압 85명, 기관 83명인 총 264 명이 수집되었다. SPSS WIN 14.0 program을 이용하여 총 22문항으로 구성된 외상 후 스트레스 검사 도구 (IES-R), 20문항으로 최은숙(2000)이 수정하여 개발한 업무 부담감 측정도구와 오진환(2006)의 연구에서 수정보완 한 사회적지지도구로 분석하였다. 직무별 일반적 특성에 따른 외상 후 스트레스증상의 결과는 나이, 결혼, 학력, 직급, 재직기간이 세 직무집단 간에서 유의한 차이를 보였다. 직무별 외상 후 스트레스는 구조 및 화재 진압에서 가장 높았으며 세집단 간에 유의한 차이를 보였다. 직무별 세 변수와의 상관관계에서 구조 직무군에서 업무부담감(r=.317, p<0.01)이 많을수록 외상 후 스트레스는 높았고, 구급 직무군에서는 사회적 지지(r=-.331, p<0.01)가 낮을수록, 업무부담감(r=.522 p<0.001)이 많을 수록 외상 후 스트레스가 높았고, 기관 직무군에서는 업무부담감(r=.454, p<0.01)이 많을수록 외상 후 스트레스가 높게 나타났다. 고위험군에 속한 군은 구조 및 화재 진압 군에서는 51명(60%) 구급은 53명(55.2%), 기관은 38명(45.8%)으로 전체 264명 중 142명(54%)이었고 직무별 외상 후 스트레스 고위험군에 영향 주는 변수로는 구조 및 화재 진압군은 요구조자 위험을 경험시 느끼는 충격이었으며(odds ratio=1.216, 95% 신뢰구간: 1.068-1.383) 구급직무군은 업무부담감과(odds ratio=1.100, 95% 신뢰구간: 1.043-1.159) 재직기간(odds ratio= 1.010, 95% 신뢰구간 1.001-1.018)으로 나타났고 기관 직무군에서는 요구조자의 위험을 경험시 느끼는 충격(odds ratio=1.178, 95% 신뢰구간: 1.010-1.373), 나이(odds ratio=1.129, 95% 신뢰구간: 1.020-1.249), 업무부담감(odds ratio= 1.103, 95% 신뢰구간: 1.034-1.177)이었다.

• 한국보건간호학회지
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• 제9권1호
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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.

• 한국정보시스템학회지:정보시스템연구
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• 제19권3호
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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.

• 한국기계가공학회지
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• 제11권3호
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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.

• 한국응급구조학회지
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• 제11권1호
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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%).

• International Journal of Fuzzy Logic and Intelligent Systems
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• 제3권2호
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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.

• 대한전자공학회:학술대회논문집
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• 대한전자공학회 2004년도 ICEIC The International Conference on Electronics Informations and Communications
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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.

• International Journal of Computer Science & Network Security
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• 제22권3호
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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.