• 한국임상보건과학회지
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• 제2권2호
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• pp.133-147
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• 2014

Purpose. Radiation therapy for oncologic emergencies is an important modality in the management of cancer patients. The aim of the present study was to review the roles of RT in oncologic emergencies based on literature review. Methods. The oncologic emergencies requiring rapid treatment include superior vena cava syndrome, spinal cord compression, brain metastasis, and bone metastasis. We reviewed the literatures on the pathophysiology, diagnosis, and treatment of oncologic emergencies. Results. In this literature review, radiation therapy among treatment modalities for oncologic emergencies has been shown to be fast and very effective treatment modality for oncologic emergencies. Conclusions. Based on this review, we conclude that the literature provides support for the role of radiation therapy in the situation of oncologic emergencies. As the number of cancer patients increase, the prevalence of oncologic emergencies will increase. In the future, the development of RT techniques will provide the improvement of not only patient's quality of life but also the survival.

• Korean Journal of Radiology
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• 제23권1호
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• pp.124-138
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• 2022

Gastrointestinal (GI) emergencies in neonates and infants encompass from the beginning to the end of the GI tract. Both congenital and acquired conditions can cause various GI emergencies in neonates and infants. Given the overlapping or nonspecific clinical findings of many different neonatal and infantile GI emergencies and the unique characteristics of this age group, appropriate imaging is key to accurate and timely diagnosis while avoiding unnecessary radiation hazard and medical costs. In this paper, we discuss the radiological findings of essential neonatal and infantile GI emergencies, including esophageal atresia and tracheoesophageal fistula, hypertrophic pyloric stenosis, duodenal atresia, malrotation, midgut volvulus for upper GI emergencies, and jejunoileal atresia, meconium ileus, meconium plug syndrome, meconium peritonitis, Hirschsprung disease, anorectal malformation, necrotizing enterocolitis, and intussusception for lower GI emergencies.

• 대한치과의사협회지
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• 제53권8호
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• pp.530-537
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• 2015

Conceptually, the emergency is classified as an urgency and an emergency. The Urgency is not immediately life threatening, but could become so if not resolved promptly. So, it requires prompt patient care same as in the emergency situation. However, the emergency is immediately life threatening and requires immediate action, such as calling 119 and basic life support. Most medical emergencies in the dental clinic cases are urgencies. The incidence of true emergencies is approximately 1/1,000,000. Adequate managing medical urgencies are important because the chance of encountering medical emergencies in the dental clinic is high and higher these days especially because of rapidly aging Korean society. Many dentists indicate that many dentists feel difficulties to recognize and treat medical problems. This paper reviews the concept of medical emergencies and how to cope with commonly occurring urgencies in the dental clinic such as loss of consciousness, hypoglycemia, hyperventilation syndrome. The best treatment for medical urgencies and emergencies in the dental clinic is prevention. Also, it is required to make preparation for emergency situations such as CPR education for dentists and being well-acquainted with equipment and drugs for the emergency care as well as to systemic medical evaluation, patient monitoring, and sedations for controlling patient's anxiety and pain. In this paper, simple algorithms based on guidelines for common urgencies in the dental clinic are suggested. In conclusion, every dentist has competencies to do the urgency care adequately and basic life support. Also, advanced cardiac life support is strongly recommended when sedation is performed in the clinic.

• Restorative Dentistry and Endodontics
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• 제48권3호
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• pp.31.1-31.11
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• 2023

Objectives: This retrospective cohort study examined the incidence of interappointment emergencies during multiple-visit molar root canal treatments conducted by undergraduate students. Treatments performed without the use of intracanal medicament were compared to treatments that incorporated calcium hydroxide as an intracanal medicament. Materials and Methods: Interappointment emergencies, defined as instances of pain or swelling that required the patient to make an unscheduled follow-up visit, were recorded for up to 2 months after the intervention. To avoid the influence of obturation on the observed incidence of emergency visits, only unscheduled visits occurring between the start and end of the root canal treatment were included. Results: Of the 719 patients included in this study, 77 (10.7%) were recorded as experiencing interappointment emergencies. Of these emergencies, 62% occurred within 2 weeks following the most recent intervention. In the group of patients who did not receive intracanal medicament, the incidence of interappointment emergencies was 11.9% (46 of 385 patients). In comparison, this rate was 9.3% (31 of 334 patients) among those who received calcium hydroxide as an intracanal medicament (odds ratio, 1.33; 95% confidence interval, 0.82-2.15; p = 0.249). Conclusions: Interappointment emergencies may arise at any point during root canal treatment, but they most commonly occur within the first 2 weeks following intervention. The omission of intracanal medicament in multiple-visit molar root canal treatments, performed by undergraduate students, did not significantly increase the incidence of these emergencies.

• Journal of Dental Anesthesia and Pain Medicine
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• 제21권2호
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• pp.179-181
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• 2021

• Nuclear Engineering and Technology
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• 제37권5호
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• pp.491-502
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• 2005

Reliable human performance is a prerequisite in securing the safety of complicated process systems such as nuclear power plants. However, the amount of available knowledge that can explain why operators deviate from an expected performance level is so small because of the infrequency of real accidents. Therefore, in this study, a database that contains a set of useful information extracted from simulated emergencies was developed in order to provide important clues for understanding the change of operators' performance under stressful conditions (i.e., real accidents). The database was developed under Microsoft Windows TM environment using Microsoft Access $97^{TM}$ and Microsoft Visual Basic $6.0^{TM}$. In the database, operators' performance data obtained from the analysis of over 100 audio-visual records for simulated emergencies were stored using twenty kinds of distinctive data fields. A total of ten kinds of operators' performance data are available from the developed database. Although it is still difficult to predict operators' performance under stressful conditions based on the results of simulated emergencies, simulation studies remain the most feasible way to scrutinize performance. Accordingly, it is expected that the performance data of this study will provide a concrete foundation for understanding the change of operators' performance in emergency situations.

• 대한치과의사협회지
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• 제53권8호
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• pp.538-544
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• 2015

In a dental treatment, a dentist has to know the possibility to happen all kinds of the emergency and to prepare for managing that situation. Especially, the cardiac arrest is the most serious emergent problem. If the accident were happened, most dentists got embarrassed. The American Heart Association (AHA) is offering the Basic Life Support (BLS), Advanced Cardiopulmonary Life Support (ACLS) and Pediatric Advanced Life Support (PALS) programs for the healthcare who need to prepare the life threatening situation. The PALS is specialized to someone who participate in pediatric health-care field. This program is composed of three major emergency problems, such as respiratory emergencies, shock and cardiac arrests. The main concepts of the PALS are early recognition and systemic team approach. The purpose of this study was to introduce about PALS and to prepare response system for emergencies in the dental environment.

• Journal of Radiation Protection and Research
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• 제25권2호
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• pp.115-118
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• 2000

With reference to nuclear emergency information concerning the national emergency plan for nuclear accidents, the response plan for the atmospheric nuclear emergencies of the U.S. National Oceanic and Atmospheric Administration (NOAA) was reviewed and described for introducing an overview on it to the Korean Association for Radiation Protection (KARP).

• 한국응급구조학회지
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• 제11권3호
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• pp.139-152
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• 2007

Background and Purpose : Emergencies in the school setting occurs frequently. Therefore, the role of first responders is important. General teachers in elementary schools are expected by first responders in school emergencies. This study attempted to assess needs and demands assessment on the first aid education of general teachers in elementary schools. Method : The subjects of this study were 71 general teachers from 8 elementary schools. Data were collected by the questionnaire during the period from March 19 to April 13, 2007. The data were analyzed through frequency, Cronbach's ${\alpha}$, Independent Two samples t-test, paired T-test, One Way ANOVA, Pearson's Correlation by SPSS win 12.0. Result : 1. It showed that 47.9%(34 persons) of general teachers answerd that they experienced emergencies in elementary school setting. Experienced emergencies were wounds(cut, laceration, abrasion etc.) 79.4%(27 persons), bleeding(including epistaxis) 64.7%(22 person), fracture(including dislocation, sprain) 44.1%(15 person), sting or bite 29.4%(10 persons). 2. It showed that 95.8%(68 persons) of subjects answerd that first aid education are necessary. Also 91.5%(65 persons) of subjects answerd that will be educated first aid if opportunities is given. 3. The total mean showed $2.39{\pm}.40$ in necessities of first aid education and $2.17{\pm}.36$ in needs of first aid education by 3 points Likert scale. Ranking 1 in necessities and needs of first aid education was bleeding control. 4. The total mean in necessities and needs of first aid education showed statistically significant differences(t = 3.453, p = .002). 5. The necessities of first aid education showed significant positive correlations with necessities and needs of first aid education(r = .521, p = .002). Conclusion : These results suggest that education program of first aid on elementary general teachers must be developed through necessities and needs assessment of first aid education and instructors must searched methods to increase needs of first aid.

• 시큐리티연구
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• 제40호
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• pp.7-33
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• 2014

세월호 참사를 계기로 국가안전처의 신설이 추진되고 있으며, 우리나라의 재난관리체계에 대한 근본적인 개혁이 이루어지고 있다. 이러한 노력들은 주로 하드웨어적인 측면에 치우쳐 있으며, 소프트웨어의 측면에서는 다소 미흡하다고 할 수 있다. 미국의 경우 재난관리의 주요 원칙으로 모든 위험 접근법 (All-hazard approach)을 적용하고 있다. 모든 위험 접근법은 발생 가능한 모든 위험을 밝혀내고 이러한 위험에 대해 발생가능성, 영향, 위험도 등을 기준으로 각각의 위험에 대한 우선순위를 정한다. 이렇게 정하여진 우선순위를 기준으로 이에 대비하고 대응하는 것이다. 모든 위험에 대한 평가는 체계적이고 과학적으로 철저하게 이루어진다. 그리고 이러한 위험들에 대비하기 위해서는 연방 재난관리청 단독으로 하기 보다는 관련기관간의 협업을 중시하며 연방정부와 지역정부의 협력관계도 중요한 요소라고 할 수 있다. 우리나라도 국가안전처를 설치할 때 모든 위험 접근법을 채택할 필요가 있으며, 우리나라의 상황과 현실을 감안한 '한국형 모든 위험 접근법'을 개발하여 실시하여야 할 것이다.