• 제목/요약/키워드: emergency medical equipment

검색결과 123건 처리시간 0.029초

도서지역 응급환자 이송을 위한 충남형 닥터 UAM 개발 전략 (Strategy of Chungnam-type Doctor UAM for Transfering Emergency Patient in Island area)

  • 송두열;김태홍
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2021년도 추계학술대회
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    • pp.167-169
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    • 2021
  • 충청남도 도서지역에 주민들이 정기적으로 이용할 수 있는 공공의료시설은 보건진료소 14개, 건강생활지원센터 1개, 병원선 1척이 전부이며, 이러한 시설과 장비로는 중증외상, 뇌혈관·심혈관 질환 등의 응급환자 발생 시 효과적으로 대응할 수 없다. 가장 신속한 응급환자 이송 수단은 단국대학교병원(천안시 소재)에 배치된 닥터헬기를 이용하는 것이다. 그러나 배치된 닥터헬기는 1대 뿐이고, 야간에는 운항을 할 수 없으며, 충청남도 전 지역을 담당하므로 다수 환자 발생 시에는 신속한 이송에 한계가 있다. 따라서 4차 산업의 한 분야인 도심 항공 모빌리티(UAM) 산업과 도서지역 응급환자 이송체계의 문제점을 보완하는 '충남형 닥터UAM 개발'의 필요성을 검토하고자 한다.

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The Survey of Dentists: Updated Knowledge about Basic Life support and Experiences of Dental Emergency in Korea

  • Cho, Kyoung-Ah;Kim, Hyuk;Lee, Brian Seonghwa;Kwon, Woon-Yong;Kim, Mi-Seon;Seo, Kwang-Suk;Kim, Hyun-Jeong
    • 대한치과마취과학회지
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    • 제14권1호
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    • pp.17-27
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    • 2014
  • Background: Various medical emergency situations can occur during dental practices. Cardiac arrest is known to comprise approximately 1% of emergency situation. Thus, it is necessary for dentists to be able to perform cardiopulmonary resuscitation (CPR) to increase the chance of saving patient's life in emergency situation. In this paper, we conducted a survey study to evaluate to what extent dentists actually understood CPR practice and if they had experience in handling emergency situations in practice. Method: The survey was done for members of the Korean Dental Society of Anesthesiology (KDSA), who had great interest in CPR and for whom survey-by-mail was convenient. We had selected 472 members of the KDSA with a dental license and whose office address and contact information were appropriate, and sent them a survey questionnaire by mail asking about the degree of their CPR understanding and if they had experience of handling emergency questions before. Statistical analyses -frequency analysis, chi-square test, ANOVA, and so on- were performed by use of IBM SPSS Statistics 19 for each question. Result: Among 472 people, 181 responded (38.4% response rate). Among the respondents were 134 male and 47 female dentists. Their average age was $40.4{\pm}8.4$. In terms of practice type, there were 123 private practitioners (68.0%), 20 professors (11.0%), 16 dentists-in-service (8.8%), 13 residents (specialist training) (7.2%) and 9 military doctors (5%). There were 125 dentists (69.1%) who were specialists or receiving training to be specialist, most of whom were oral surgeon (57, 31.5%) and pediatric dentists (56, 30.9%). There were 153 people (85.0%) who received CPR training before, and 65 of them (35.9%) were receiving regular training. When asked about the ratio of chest pressure vs mouth-to-mouth respiration when conducting CPR, 107 people (59.1%) answered 30:2. However, only 27.1% of them answered correctly for a question regarding CPR stages, C(Circulation)- A(Airway)- B(Breathing)- D(Defibrillation), which was defined in revised 2010 CPR practice guideline. Dentists who had experience of handling emergency situations in their practice were 119 (65.6%). The kinds of emergency situations they experienced were syncope (68, 37.6%), allergic reactions to local anesthetic (44, 24.3%), hyperventilation (43, 23.8%), seizure (25, 13.8%), hypoglycemia (15, 8.3%), breathing difficulty (14, 7.8%), cardiac arrest (11, 6.1%), airway obstruction (6, 3.3%), intake of foreign material and angina pectoris (4, 2.2%), in order of frequency. Most respondents answered that they handled the situation appropriately under the given emergency situation. In terms of emergency equipment they had blood pressure device (70.2%), pulse oximetry (69.6%), Bag-Valve-Mask (56.9%), emergency medicine (41.4%), intubation kit (29.8%), automated external defibrillator (23.2%), suction kit (19.3%) and 12 people (6.6%) did not have any equipment. In terms of confidence in handling emergency situation, with 1-10 point scale, their response was $4.86{\pm}2.41$ points. The average point of those who received regular training was $5.92{\pm}2.20$, while those who did not was $4.29{\pm}2.29$ points (P<0.001) Conclusion: The result showed they had good knowledge of CPR but the information they had was not up-to-date. Also, they were frequently exposed to the risk of emergency situation during their dental practice but the level of confidence in handling the emergency situation was intermediate. Therefore, regular training of CPR to prepare them for handling emergency situation is deemed necessary.

스마트 모바일 환경에서 의료정보 동적접근 시스템 (Medical Information Dynamic Access System in Smart Mobile Environments)

  • 정창원;김우홍;윤권하;주수종
    • 인터넷정보학회논문지
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    • 제16권1호
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    • pp.47-55
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    • 2015
  • 최근, 병원정보시스템의 환경은 다양한 스마트 기술을 접목하고 있는 추세이다. 따라서, 스마트 폰, 테블렛 PC와 같은 다양한 스마트 디바이스가 의료 정보 시스템에 활용된다. 또한, 이러한 환경은 이기종 센서, 디바이스, 시스템 및 네트워크에서 실행되는 다양한 응용 프로그램으로 구성된다. 이들 병원 정보 시스템 환경에서, 기존의 접근 제어 방식에 의한 보안 서비스를 적용하는 것은 문제가 된다. 기존 보안 방식의 대부분은 접근제어 리스트 구조를 사용한다. 이는 클라이언트 이름, 서비스 객체 메소드 이름으로 접근 제어 매트릭스에 의해 정의된 접근만을 허용한다. 가장 큰 문제점으로는 정적인 접근 방법은 변화되는 상황에 신속하게 적응하지 못한다. 따라서, 우리는 보다 유연하고, 매우 상이한 보안 요구와 다양한 환경에 적용 할 수 있는 새로운 보안 메커니즘을 필요로 한다. 또한, 환자중심의 의료 서비스 형태로 변화되고 있어, 이를 해결하기 위한 연구가 요구된다. 본 논문에서는 스마트 모바일 환경에서 의료정보 동적접근 시스템을 제안하고자 한다. 우리는 기존 병원정보 시스템의 환경을 기반으로 동적접근 제어 방법으로 의료정보 시스템에 접근하는 방법에 중점을 두었다. 물리적인 환경은 모바일 x-ray 영상 디바이스와 전용 모바일 스마트 디바이스, PACS, EMR 서버와 인증 서버로 구성하였다. 소프트웨어 환경은 모바일 X-ray영상기기는 Windows7 OS를 기반으로 동기화 및 모니터링 서비스를 위해 .Net Framework를 기반으로 개발하였다. 그리고 전용 스마트 디바이스는 Android OS를 기반으로 JSP와 Java SDK를 통한 동적접근 응용 서비스를 구현하였다. 병원의 의료영상정보 서버와 모바일 X-ray영상기기, 전용 스마트 디바이스간의 의료정보는 의료영상정보 표준인 DICOM을 기준으로 한다. 또한 EMR 정보는 H7을 기반으로 한다. 동적접근 제어 서비스를 제공하기 위해, 우리는 산소포화도, 심박수, 혈압과 체온과 같은 생체 정보의 값에 대한 조건에 의해 환자의 상황을 분류하고, 의료진의 의료정보 접속 인증 방법으로 동적인 접근 방법을 설계했다. 이는 일반 상태와 응급상태로 2부분으로 구분하여 이벤트 추적 다이어그램으로 보였다. 그리고, 인증 정보는 ID/PWD와 위치, 역할, 작업시간 그리고 응급 환자를 위한 응급 코드를 포함하였다. 동적접근 제어 방법의 일반적인 상황은 인증 정보의 값에 의해 의료정보에 접근 할 수 있다. 그러나 응급상황의 경우는 인증 정보 없이 응급 코드에 의해 의료정보에 접근하도록 하였다. 또한, 우리는 의료정보 표준에 따라 환자, 의료진 및 의료 영상 정보로 구성되는 의료정보 통합 데이터베이스 스키마를 구축했다. 끝으로, 우리는 제안 시스템의 수행 결과를 일반과 응급상황과 같은 환자의 상태에 따라 스마트 디바이스 기반으로 동적접근 응용 서비스의 유용성을 보였다. 특히, 제안 된 시스템은 동적 액세스 제어 방법에 의해 응급상황에서 스마트 디바이스기반의 효과적인 의료 정보 서비스를 제공한다. 이 결과, 제안한 시스템이 u-병원 정보 시스템과 서비스에 유용할 것으로 기대한다.

지역거점 공공병원의 분만부 공간구성에 관한 연구(1) (A Study on the Space Composition for Department of Delivery in Regional Public Hospital)

  • 박경현;신화경;채철균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제28권3호
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    • pp.47-54
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    • 2022
  • Purpose: This study presents the analysis on space usage of delivery departments in regional public hospitals. The results intention is to achieve improvement of the delivery environment for the mothers and newborns regarding exposure prevention and efficient infection control. The purpose of this study is to provide fundamental data for architectural plans and guidelines for the delivery department. Method: The investigation and analysis were based on research papers, legal systems, public medical statistical data, and the architectural floor plan drawing. For research, 20 regional public hospitals with an operating delivery room were excluded. Regarding data accessibility, 15 regional public hospitals were selected. Results: To overcome the increased vulnerability of the delivery department, the research results of basic data is provided for the establishment to address urgent needs and rapid response. Thus, the research results are as follows: Firstly, the delivery department needs to respond promptly according to the type of patients. For example, in a case of emergency surgery, a connected circulation plan with the related departments is needed. Secondly, for the environment of the delivery area, alleviating anxiety is imperative for pregnant patients and guardians, labor, childbirth, and recovery. Therefore, these needs must be addressed for treatment space and circulation. Lastly, the delivery department is classified into three areas for analysis: access area, treatment area, and support area. In most of the delivery departments of the 15 selected hospitals, there is no space for the access and support area except for the labor and delivery rooms in the treatment area. For the access area, a waiting area, changing room for pregnant women and guardians, and a storage space for contaminated linens are required for infection prevention, safety, and efficiency. For the treatment area, childbirth processes and circulation should have space reserved for labor, delivery, recovery, examination, and treatment. In preparation for an emergency during childbirth, emergency response measures and supporting space needs to be established. For the support area, circulation and rooms are to be designed for medical staff support, activity space, storage and transportation of equipment, and urgent medical treatment. Implications: Along with the low fertility rate and the decrease of medical institutions that operate delivery departments, for the purpose of establishing a public medical service system and a healthy medical environment for mothers and newborns, the researched information demonstrates basic data on space plan of delivery departments in regional public hospitals.

Biorisk Assessment of Medical Diagnostic Laboratories in Nigeria

  • Oladeinde, Bankole Henry;Omoregie, Richard;Odia, Ikponmwonsa;Osakue, Eguagie Osareniro;Imade, Odaro Stanley
    • Safety and Health at Work
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    • 제4권2호
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    • pp.100-104
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    • 2013
  • Background: The aim of this study was to assess public and private medical diagnostic laboratories in Nigeria for the presence of biosafety equipment, devices, and measures. Methods: A total of 80 diagnostic laboratories in biosafety level 3 were assessed for the presence of biosafety equipment, devices, and compliance rate with biosafety practices. A detailed questionnaire and checklist was used to obtain the relevant information from enlisted laboratories. Results: The results showed the presence of an isolated unit for microbiological work, leak-proof working benches, self-closing doors, emergency exits, fire extinguisher(s), autoclaves, and hand washing sinks in 21.3%, 71.3%, 15.0%, 1.3%, 11.3%, 82.5%, and 67.5%, respectively, of all laboratories surveyed. It was observed that public diagnostic laboratories were significantly more likely to have an isolated unit for microbiological work (p = 0.001), hand washing sink (p = 0.003), and an autoclave ($p{\leq}0.001$) than private ones. Routine use of hand gloves, biosafety cabinet, and a first aid box was observed in 35.0%, 20.0%, and 2.5%, respectively, of all laboratories examined. Written standard operating procedures, biosafety manuals, and biohazard signs on door entrances were observed in 6.3%, 1.3%, and 3.8%, respectively, of all audited laboratories. No biosafety officer(s) or records of previous spills, or injuries and accidents, were observed in all diagnostic laboratories studied. Conclusion: In all laboratories (public and private) surveyed, marked deficiencies were observed in the area of administrative control responsible for implementing biosafety. Increased emphasis on provision of biosafety devices and compliance with standard codes of practices issued by relevant authorities is strongly advocated.

응급실 근무 간호사의 업무분석 (A Study on the Job Activities of the Emergency Nurses)

  • 김광주;이향련;김귀분
    • 대한간호학회지
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    • 제25권4호
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    • pp.709-728
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    • 1995
  • The job related activities of sixty nine nurses, working in the emergency rooms of three university hospitals, were analyzed for six days according to preestablished checklist of nursing activities ; the frequency of these activities and the amount of time spent in each specific nursing activity. The established checklist was monitored every five minutes for the duration of the duty autu, thus producing 414 items of data. The data were not gathered on consecutive days but over the period of one month from May 6, 1994 to June 5, 1994. The following conclusions are derived from analysis of the data : 1. Twelve categories of nursing activities were obtained : The primary activity was communication related to the patient and all information pertaining to the patient. Other activities included maintaining the patient's record, observation and assessment of the patient, cooperation with other medical personnel, management of equipment and drugs, procedure and treatment, specimen collection, consultation and education for the patient, including drug management and personal hygiene and any other relevant education to the patient's condition. 2. The average frequency of categorized nursing activity can be classified as follows : communication related to patient was the highest at 17.6 times. The next was maintaining the patient's record at 17.3 times. The observation and assessment occurred 16.9 times. Consultation and education for patients and family, 8 times, medication, 5.7 times, and procedures and treatments, 6 times. 3. The average time required for each activity was as follows : 230.1 minutes (or maintaining the patient's record, 204.9 minutes for communication related to the patient, 199.2 minutes for observation and assessment, 71.2 minutes for medication, 66 minutes for consultation and education of the patient and family, and 51.8 minutes for procedures and treatment. 4. The most demanding nursing activity in the emergency room for the nurse was answering questions from the patient's family, maintaining communication between the medical staff, maintaining and reviewing the patient's charts, writing prescriptions and monitoring 1. V. infusion rates. 5. The most time consuming nursing activities for the emergency room nurse include maintaining and following the patient's charts, communication between the medical staff, answering questions from the patient's family, observation of the patient and relaying all of the appropriate patient information to the incoming nurses during a shift change. 6. The F-test was administered to measure the required time for the categorized nursing activities according to day, evening, and night-shift nurses. There were significant differences (p<.05) in specimen collection, observation and assessment, cooperation between medical staffs, personal hygiene, communication related to patient, education and re-search. Posterior multiple comparison test showed that specimen collection, cooperation between medical staffs and personal hygiene were mostly done by the evening-shift nurses. Also most observations and assessments were done by the night-shift nurses. Education and communication to patients were done by day-shift nurses. Thus there were significant difference between shifts for the main nursing activities. So there should considev a reallocation of the duty of nurses on each shift. 7. The F-test also indicated that there wes a similarity in time duration for procedures and treatments and for cooperation between medical staff and nurses in all three hospitals. However, the remaining categories of nursing activities also showed a significant difference between the three hospitals. This indicated that there were differences in each emergency room that influence time for each categorized nursing activities and this should be given more consideration. Recommendations : 1. A seasonal difference should be considered in the activities of nurses in the emergency room and a comparative analysis should be carried out to deter-mine seasonal differentiation. 2. A study on more objectively measurable nursing activities should be administered as well as one determining the subjective responds towards nursing activities in the emergency room.

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소방공무원의 현장활동 안전성 확보를 위한 개선방안 (Improvement for the Job Safety in the Scene Activities of Fire Fighters)

  • 김종서;이동호;박종태
    • 한국화재소방학회논문지
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    • 제28권1호
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    • pp.58-63
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    • 2014
  • 본 연구는 소방공무원 현장활동 안전성을 확보하기 위한 개선 방안을 제시하고자 시도되었다. 연구결과 첫째, 안전한 현장활동을 위한 소방관서의 근무환경과 장비에 대한 만족도가 대다수의 소방공무원들에서 낮은 것으로 나타나 안전한 현장활동을 수행하는 데 충분치 않은 것으로 인식하고 있었다. 둘째, 안전한 현장활동을 위협하는 영향요인을 주로 불안정한 현장요인 등으로 인식하고 있었다. 셋째, 안전성 확보를 위한 전반적인 개선방향으로 근무환경의 개선이 가장 시급한 것으로 인식하고 있었다. 각 차원별로는 제도면에서 현장 인력확충을, 환경면에서 적성과 인성을 고려한 업무배치와 소방공무원 전문병원 설립을, 장비면에서는 안전장비 개발 및 보급과 공기호흡기 면체의 주기적 교환 및 점검이 시급히 이루어져야 하는 것으로 인식하고 있었다.

당직 근무 중 발생한 의료사고에서 당직의료인의 업무상과실을 인정하기 위한 요건 - 대법원 2005.6.10. 선고 2005도314 판결을 중심으로 - (Requirements to Accept the Medical-service Person's Professional Negligence in the Medical Malpractice Case Occurred being on Duty - With its focus on the Precedent case no. 2005Do314, Sentenced by June 10, 2005, by The Supreme Court -)

  • 김영태
    • 의료법학
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    • 제9권1호
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    • pp.285-317
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    • 2008
  • To accept the doctor's professional negligence in the medical malpractice, the mistakes, by which the doctor did not foresee the production of the results in spite of the possibility of foresight and did not avoid the production of the results in spite of the possibility of avoidance, must be considered, and to decide the presence of the doctor's professional negligence, the standard must be the attention standard of general-common doctor engaged in the same business and the same function, and the medical enviornments, the conditions, the extraordinary nature of medical behavior, and etc should be considered by the general level of medical science at the time of accident. This principlel must be applied to the medical malpractice case occurred being on duty without exception. But, because of the extraordinary nature of duty work, it is difficult for any doctor to do one's best technical practice by making all diagnosis, medical treatment with all the equipment on the same plane as the ordinary times. That cannot be also expected for any doctor to do one's best technical practice in the terms of a social idea. From this point of view looking into The Precedent case related to Medical-service person being on duty sentenced by The Supreme Court, unlike the general medical malpractice case, the presence of the professional negligence in the medical malpractice occurred being on duty seems to be decided with more consideration on the general level of medical science, the medical enviornments and the conditions, particularities of medical practice at the time of accident. Especially, the extraordinary nature of medical behavior of the medical service person being on duty in the emergency room seems to be admitted compared to that of the medical service person being on duty in ward.

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스쿠버다이버의 안전지식에 미치는 영향요인 (Factors Influencing on Safety knowledge of Scuba divers)

  • 강경순;엄동춘;백홍석
    • 한국산학기술학회논문지
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    • 제12권10호
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    • pp.4403-4410
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    • 2011
  • 스쿠버다이버의 다이빙응급과 관련된 안전지식 수준과 안전지식에 영향을 주는 요인을 파악하기 위하여 본 연구를 시도하였다. 본 연구는 서술적 조사연구로 스쿠버다이버 179명을 대상으로 2010년 10월 17일부터 2011년 6월 17일까지 시행하였다. 수집된 자료는 SPSS PASW Stastistics 18.0 Program으로 분석하였다. 스쿠버다이버의 다이빙응급과 관련된 안전지식은 2.07(${\pm}0.54$)점(점수 범위는 1점~4점)이었으며, 추위대처에 대한 안전지식($2.42{\pm}0.64$점)점수가 가장 높고, 상승 시 폐의 과팽창에 대한 안전지식($1.83{\pm}0.70$점)점수가 가장 낮게 나타났다. 다중회귀분석결과 변수선택 후 회귀모형에 대한 수정된 $R^2$ 값이 0.567로 회귀모형이 56.7%로 적합하며, 안전지식은 연령(${\leqq}29$세), 스쿠버다이빙 참여기간(${\leqq}11$개월)과 참여빈도(1회/월), 장비(모두구입, 일부대여) 및 동기(취업) 등이 안전지식에 영향을 주는 요인으로 나타났다(p<.05, p<.001). 결론적으로 국가적인 차원에서 운영 관리하는 교육프로그램 개발과 관리감독이 필요하다.

Creation of 3D Maps for Satellite Communications to Support Ambulatory Rescue Operations

  • Nakajima, Isao;Nawaz, Muhammad Naeem;Juzoji, Hiroshi;Ta, Masuhisa
    • Journal of Multimedia Information System
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    • 제6권1호
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    • pp.23-30
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    • 2019
  • A communications profile is a system that acquires information from communication links to an ambulance or other vehicle moving on a road and compiles a database based on this information. The equipment (six sets of HDTVs, fish-eye camera, satellite antenna with tracking system, and receiving power from the satellite beacon of the N-star) mounted on the roof of the vehicle, image data were obtained at Yokohama Japan. From these data, the polygon of the building was actually produced and has arranged on the map of the Geographical Survey Institute of a 50 m-mesh. The optical study (relationship between visibility rate and elevation angle) were performed on actual data taken by fish-eye lens, and simulated data by 3D-Map with polygons. There was no big difference. This 3D map system then predicts the communication links that will be available at a given location. For line-of-sight communication, optical analysis allows approximation if the frequency is sufficiently high. For non-line-of-sight communication, previously obtained electric power data can be used as reference information for approximation in certain cases when combined with predicted values calculated based on a 3D map. 3D maps are more effective than 2D maps for landing emergency medical helicopters on public roadways in the event of a disaster. Using advanced imaging technologies, we have produced a semi-automatic creation of a high-precision 3D map at Yokohama Yamashita Park and vicinity and assessed its effectiveness on telecommunications and ambulatory merits.