• 한국응급구조학회지
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• 제3권1호
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• pp.7-19
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• 1999

Background : We are in the edge of some human made disasters such as hazardous materials and air pollution, for example, the world news reported that the city of Bhopal, India had serious victims related with a leaking out of the chemical materials, Methyl Isocyanate and many people in India were killed by. These situations many people who live in this world are world are worrying about are not others, but just ours and people consider about that kind of the disasters are the possible situation to happen to all the people. Therefore, we performed this basic study to recognize the risk of Methyl Isocyanate leak accident and to prepare local disaster plan with EMS system. Method : Trace 8.0, a simulation software made by the U.S. company Safer System was used as a tool to estimate the diffusion distance, area and its victims at the concentrations of 0.02ppm, 0.2ppm 5ppm respectively for an assumed B-city of 2 hundred thousands population count in which was presumed 500kg Methyl Isocyanate gas to leak out. Results : 1. During 1 hour, maximum diffusion distances of 0.02ppm 0.2ppm and 5ppm were 5.41km, 1.61km and 0.29km respectively on the plume impact. 2. Maximum population counts influenced by Methyl Isocyanate gas at the concentrations of 0.02ppm 0.2ppm and 5ppm were 40838, 4346 and 222 on the plume impact, while those were 138238, 17261 and 1588 on the vulnerability impact, respectively. 3. Therefore, 17261 persons must put on respiratory device and 138283 persons must be evacuated to safety place within 1 hour. Conclusions : Only small amount leak of Methyl Isocyanate may cause tremendous chemical disaster in urban area, so its disaster plan must be prepared with an accident simulation program and Material Safety Data Sheets(MSDS). Especially, nearby emergency center of an industrial complex must have a strong position about preparation of chemical disaster plan and perform a disaster dill of hazardous material accident annually.

• 한국재난정보학회 논문집
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• 제3권1호
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• pp.87-101
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• 2007

The definition and concept of disasters and their preparedness have been changing according to the modern situation. The basic change is that the concept of absolute standard and prevention of hardware damage in the past have been changing to the concept of relative standard and mitigation of direct damage to human. For achieving the purpose, advanced countries developed and used their own analysis method of hazard and vulnerability for disaster ; ASHE hazard and vulnerability evaluation method, hazard matrix method by CDC, FEMA model method and SMUG hazard priority method. Because each analysis method cannot evaluate the hazard and vulnerability for specific disaster, the advantages and disadvantages should be applied for specific situation of disaster in Korea and new analysis method should be extracted in the future.

• 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.

• 한국방재학회:학술대회논문집
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• 한국방재학회 2010년도 정기 학술발표대회
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• pp.16-24
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• 2010

This paper introduces the applications of Taiwan Earthquake Loss Estimation System (TELES), which is developed by the National Center for Research on Earthquake Engineering (NCREE). Seismic disaster simulation technology (SDST) integrates geographical information system to assess the distribution of ground shaking intensity, ground failure probability, building damages, casualties, post-quake fires, debris, lifeline interruptions, economic losses, etc. given any set of seismic source parameters. The SDST may integrate with Taiwan Rapid Earthquake Information Release System (TREIRS) developed by Central Weather Bureau (CWB) to obtain valuable information soon after large earthquakes and to assist in decision-making processes to dispatch rescue and medical resources more efficiently. The SDST may also integrate with probabilistic seismic source model to evaluate various kinds of risk estimates, such as average annual loss, probable maximum loss in one event, and exceeding probability curves of various kinds of losses, to help proposing feasible countermeasures and risk management strategies.

• 산업경영시스템학회지
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• 제44권3호
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• pp.146-164
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• 2021

This study examines the effects of the public's perception of emergency medical service (EMS) on the public health system's brand equity and the moderating effect of governance on this relationship using Keller's customer-based brand equity model. It uses four EMS functions: rescue/first-aid and transfer activities; disaster prevention, preparation, and response activities; educational activities in urgent situations; and medical treatment in emergency rooms to examine the effects of them on brand meaning of the public health system. Our findings are important for understanding the public as customers of the public health system and devising and/ or adapting healthcare policies and marketing strategies to develop brand equity and increase customers' loyalty to the public health system.

• 한국응급구조학회지
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• 제14권3호
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• pp.5-11
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• 2010

Purpose: This study was to clarify correlation between en route distance and role time on call received hours. Methods: Data on en route distance(dependent variable), role time(independent variable) from 387 prehospital care reports documented by EMS in Kyonggi Provincial Fire and Disaster Headquarters and Seoul Metropolitan Fire and Disaster Department between 21 and 10 June 2010 were randomly chosen for simple regression analysis using Windows SPSS 12. OK. This analysis was conducted nine times on unit hour divided to eight call received and overall. Results: Statistically significant regression equations( Y=2.414+1.206X for 09:00~11:59, Y=3.753+.662X for 12:00~14:59, Y=2.215+1.458X for 15:00~17:59, Y=2.600+.822X for 21:00~23:59, Y=5. 445+.263X for overall) were derieved from the data. Conclusion: These equations having linear relationship may be utilized as a method for system status management to effectively response to emergency call.

• 한국재난정보학회 논문집
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• 제11권2호
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• pp.191-202
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• 2015

본 연구의 목적은 의용소방대원들의 재난에 대한 인식이 자원봉사활동 지속성에 미치는 영향을 규명하기 위하여 강원도 시 군에 거주하고 의용소방대원으로 활동하고 있는 의용소방대원 남녀 163명을 대상으로 조사하였다. 수집된 자료는 Windows용 20.0을 사용하여 빈도분석, 상관관계 및 다중회귀분석을 실시하였다. 모든 통계분석은 유의수준 p<.05로 설정하였다. 결과는 다음과 같다. 첫째, 의용소방대원들의 재난에 대한 인식, 만족, 자원봉사활동 지속성 간의 상관관계는 재난대책과 만족 및 참여정도에서 부적 상관을 보였고, 재난훈련, 재난준비, 지역재난, 지속시간, 지속의지 등은 정적 상관관계를 나타났다. 둘째, 의용소방대원들의 재난에 대한 인식도에서는 재난대책을 부분적으로 알고 있다고 가장 많이 답했으며, 재난훈련 교육경험 및 중증도 분류에 질문에 대체적으로 있었음으로 가장 높았다. 또한, 재난 시 비상연락체계 및 비상근무시간표에 대한 질문에 대체적으로 잘 알고 있는 것으로 나타났고, 인적 재난발생에 대한 질문에 대체적으로 보통이 가장 높았다. 셋째, 의용소방대들의 만족도가 자원봉사활동 지속성에 미치는 영향으로 만족도의 하위요인인 중 경험욕구, 사회접촉, 사회인정이 지속시간에 영향을 미치는 것으로 나타났고, 지속의지에는 사회접촉, 성취욕구, 지속정도에는 경험욕구 및 성취욕구만 영향이 미치는 것으로 나타났다.

• 농촌의학ㆍ지역보건
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• 제43권2호
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• pp.63-73
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• 2018

본 연구는 우리나라 보건소의 재난대응 관련사업의 실태와 향후 방향에 대한 의견을 파악하고자 전국의 5개 보건소를 대상으로 개방형 설문지를 활용하여 연구자가 직접 2017년 9월 1개월 동안 방문하여 심층 면담을 통한 조사결과 다음과 같은 결과를 얻었다. 조사대상 보건소는 재난대비 대응에 있어서 시 군 구의 협조기관으로 생각하는 경향이 있었고, 구급지원, 감염병 위기관리 및 방역실시, 을지훈련참여, 재난훈련 및 연수 등이 활동의 전부로 수동적인 활동이었으며, 보건소 자체 프로그램은 필요하다고 생각하고 있었다. 보건소가 시 군 구의 협력기관으로 활동하는 것도 중요하지만, 재난발생 시 보건활동의 중심적인 역할을 위해서는 보건기관 자체의 총괄보건 활동체계가 구축되어야 할 것이다. 재난은 언제 닥칠지 모르는 것이므로, 이를 위해 필요한 매뉴얼의 개발이 시급한 것으로 보인다. 총괄보건활동체계를 구축하기 위해서는 먼저 보건소를 시 군 구의 협력기관으로만 생각하는 시각을 변화시킬 필요가 있다. 시각의 변화가 쉽지는 않겠지만 관 학 협력으로 일부 가능할 것으로 생각한다. 재난 시에 지역주민에게 필요한 것은 의료지원이나 감염병위기 관리에 국한되지 않는다. 주민의 생활지원은 물론 건강관리 및 영양지원, 정신보건의료, 대피소 환경관리 및 봉사자 관리 등 보건의료 전반에 대한 지원이 필요하다. 보건소의 인력별 역할 및 기능에 따라 운영될 수 있는 시스템이 준비되어야 할 것이다.

• 한국응급구조학회지
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• 제6권1호
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• pp.185-197
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• 2002

Today, the basic problem of functional safe management of Korean Disaster Control system was separately administrated 33 acts that are relating to safe management in 13 ministries. Because of the facts that the fire service is not provided practically, the control system and risk management for safe administration are not operated, the information can not be shared with each other, and the various laws have the lacks of linkage, the National Safe System was appeared unsteady. The roles and functions of fire service have started with restriction to operate structurally and institutionally, which operational structure of fire service is becoming weak. As a result, the federal and local fire organizations have not reached yet to the institutionalization and the local fire service agencies have bias with the task regarding the fire service because of the relation between organizational structure and the local fire agency. With the enforcement of the federal and local fire system, professionality and autonomy for making policy, and dealing with changes of fire service positively, the national fire service on the policy performance can be established. Promotion of research and development and education training to strengthen innovation in technology and competition in fire industry will contribute to the firmly establishment of control system to prevent from fire, flood, terror and national disaster. This article proposed that (a) the established law and administration, agency are required efforts to effectively operate fire service system; (b) the national fire service agency, national college of fire, national institute of science fire, and national fire service hospital should be early established to make firmly policy to operate effectively and practically. These kinds of innovational acts are known the best ways of operating solid policy of national fire service system.

• 한국응급구조학회지
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• 제18권2호
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• pp.137-145
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• 2014

Purpose: The emergency medical service (EMS) system in Japan is similar to that in Korea. This study reviewed the development of paramedics who are major personnel in the respective EMS system of their country. Methods: We searched law for paramedics and publications in J-stage, MEDLINE and the webpage of Japan's Fire and Disaster Management Agency. Results: Paramedic training had started in Japan in 1991, and most paramedics were employed in fire departments. In Japan, ambulances belonging to fire department are staffed by a three-person unit, including at least one paramedic. Medical control advisory boards were established in all Japanese prefectures in 2003 with the purpose of upgrading the activities of ambulance personnel, including paramedics. The scope of paramedics' work has been widened owing to the continued efforts of medical control advisory boards. This allows them to perform invasive procedures including tracheal intubation, intravenous line placement, and epinephrine administration under medical control of a physician. Conclusion: As paramedics' responsibilities expand, further development of the paramedic role and an effective medical control advisory board system are imperative both Korea and Japan.