• Title/Summary/Keyword: emergency plan

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A Study on the Actual Profile of Emergency Medical Personnel's Pre-admission Infection Control - Based on Jeollabuk-do provincial area - (병원 전 응급의료종사자의 감염관리 실태 연구 - 전북지역 중심으로 -)

  • Shin, Sang-Yol;Jeong, Tae-Oh
    • The Korean Journal of Emergency Medical Services
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    • v.11 no.2
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    • pp.19-27
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    • 2007
  • Purpose: By identifying the actual profile of emergency medical personnel's pre-admission infection control practices, this study intended to provide a basic reference material for the improvement and reorientation of pre-admission infection control measures, and thereby help establish an effective plan for pre-admission infection control activities. Methods: Total 119 EMT's working for Jeollabuk-do Provincial Fire Defense HQ were asked to join a structured questionnaire survey from June to August 2006. Results: 1. It was found that 56.1% respondents answered no guideline available on the prevention of infection. Out of our rescue brigade members who knew about relevant guideline available, 34.2% respondents answered that their department conducted quality control program for the guideline. 2. For protective outfit in emergency practice, it was found that most respondents put on gloves or nothing at all(38%), which was followed by sterile gloves(29.2%), disposable mask(26.9%), gown(4.3%) and protective goggle(1.6%). And it was noted that all respondents(100%) washed out any clothing contaminated with somatic secretion on their own. 3. For a question about any experience in emergency activities exposed to infectious diseases, it was found that most of all respondents(77.9%) answered 'No', which was followed by 'Don't Know'(18.6%) and Yes(3.9 %). 4. For a question about any experience in inquiring of patients about infectious diseases, it was found that most respondents(49.4%) answered 'Yes' and 'Sometimes'(9.1%). It was noted that 20.2% respondents had extra medical examination in medical institution in terms of whether they were exposed to infectious diseases, apart from regular medical examination. Conclusions: In order to protect 119 EMT's from infectious diseases, it will be necessary to acquire emergency medical staffs specializing in infection control and organize corresponding personnel training units to keep providing reorientation and evaluation. In addition, it will be also necessary to supply them with a full set personal protection apparatuses and other equipments required for disinfection and sterilization.

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Chemical Disaster of Methyl Isocyanate Leakage (화학물질 누출에 의한 대량재해 - Methyl Isocyanate 누출을 중심으로 -)

  • Yang, Hyuk-Jun;Choi, Jung-Myung;Yoo, Dong-Jun
    • The Korean Journal of Emergency Medical Services
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    • v.3 no.1
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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.

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A study on Supply Extension Device of AED (AED의 보급 확대 방안에 관한 연구)

  • Koh, Jae-Moon;Kim, Young-Ho;Han, Sang-Hak
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.2
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    • pp.147-168
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    • 2005
  • It examined the doubt point which AED motive relates until now, the AED should have bought a life how, present address of our country site pre-hospital care, comparison it tried to observe the advanced nation instance back. Gist of this research the AED important cold region once compared to informed to how many cardiac arrest patient, against him the what kind of preparation wanted informing the necessary cold region. It soaks simultaneously but the AED motive is widely supplied distant in future and it is generality and it is feeble but it wanted doing one morning. The habit difference of an American who does of course meat diet mainly and a Korean is many and it compares in the United States and the cardiac arrest patient comparison occurs holds a point few. To become Western anger but and be caused by with thin dietary life, stanching bleeding cung, with the fact that the heart attack is increasing rapidly with the hyperextension. It is a talk which anyone it knows all. The major league most Choi huy Sub in condition will catch the ball which floats and the multi co-player and to collide when falling down, the medical device which is committed with emergency aid is AED motive. From the United States subway station and the shopping which are a public place on the baseball field outside the jar which it will drive, the museum and the school, easily there is it will be able to discover the AED from the court of justice back. The Pittsburg university the students per the individual $30 the core phyey were receiving the smallness lifestyle alcoholic beverage and a AED motive actual training with mercy of degree. From the United States distant in future the AED motive is sold even from the retail store and. From our country like this plan government offices temporary disposal education from from 119 fire fighters emergency structure company in fire fighting government employee and nursing must magnify a former enterprise rainy spell in summer multi temporary disposal education with the head which it will burn with the head. This plan in early rising will be able to become fixed in Korea it forecasts with the fact that. The research which it sees it leads and like the United States to some day become fixed even from our country to believe and suspicion it is not and in the people in approach ease one AED supply plan fire fighting government employees stand in the first and feed with the fact that must be positive at this enterprise they become.

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Development of Tunnel Asset Management (TAM) Program

  • Hamed Zamenian;Dae-Hyun (Dan) Koo
    • International conference on construction engineering and project management
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    • 2013.01a
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    • pp.576-582
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    • 2013
  • Typical highway infrastructure systems include roadway pavement, drainage systems, tunneling, and other hardware components such as guardrails, traffic signs, and lighting. Tunnels in a highway system have provided significant advantages to overcoming various natural challenges including crossing underneath bodies of water or through mountainous areas. While only a few tunnel failure cases have been reported, the failure rate is likely to increase as these assets age and because agencies have not emphasized tunneling asset management. A tunnel system undergoes a deterioration life cycle pattern that is similar to other infrastructure systems. There are very few agencies in the United States implementing comprehensive tunnel asset management programs. While current tunnel asset management programs focus on inspection, maintenance, and operation safety, there is an increasing need for the development of a comprehensive life cycle tunnel asset management program. This paper describes a conceptual framework for a comprehensive tunnel asset management program. The framework consists of three basic phases including a strategic plan, a tactical plan, and an operational plan to provide better information to the decision makers. The strategic plan is a basic long term approach of tunnel asset management. The tactical plan determines specific objectives and the operational plan actually applies asset management objectives in practice. The information includes operational condition, structural condition, efficiency of the system, emergency response, and life cycle cost analysis for tunnel capital improvement project planning.

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Direct Load Control Scheme for Congestion Problems in Power System Emergency (비상시 선로혼잡 해결을 위한 직접부하제어)

  • Shin, Ho-Sung;Kim, Byoung-Su;Song, Kyung-Bin;Kim, Jae-Chul;Lee, Hak-Ju;Kwon, Seong-Chul
    • Proceedings of the Korean Institute of IIIuminating and Electrical Installation Engineers Conference
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    • 2005.05a
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    • pp.307-310
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    • 2005
  • Most of the electric power in the power system of South Korea is flowing from the south area to the north area, Seoul, in the capital of South Korea. Almost of the needs of the electric power in the capital area are about 43% of the total loads and generation plants are mainly located in the south area of South Korea. As mentioned the earlier characteristic, transmission congestion is one of the important research issues. Because of the limits of the power flows from the south to the north which are anticipated to be increased more and more in the future, these congestion situations may cause a serious voltage stability problem in emergency of the power system. Accordingly, we are interested in an interruptible load control program so as to solve this problem in emergency. This problem can be solved by an interruptible load management in emergency, however, the systematic and effective mechanism has not been presented yet. In this paper, the algorithm of interruptible load management plan using the line sensitivity to the loads for the transmission congestion management in emergency is presented. The proposed method is applied to 6-Bus sample system and their results are presented.

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Spontaneously Healed Thyroid Cartilage Fracture with Displacement: Report of a Case (전위를 동반한 갑상연골 골절의 자연 치유 치험 1례)

  • Ryu, Hyun-Ho;Lee, Byung-Kook;Jeung, Kyung-Woon
    • Journal of Trauma and Injury
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    • v.23 no.1
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    • pp.53-55
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    • 2010
  • A thyroid cartilage fracture is a rare entity and can be overlooked easily. Such cases are difficult to diagnose, and assessment and treatment guidelines are difficult to determine. CT of the neck region may be useful when acute airway intervention is not required or when more information regarding the neck's anatomy is required for management decisions. We describe a case of a thyroid cartilage fracture with displacement. In the emergency department (ED), neck CT and fiberoptic nasopharyngoscopy were used to assess the status of the patient's (a male) vocal chords immediately. He remained unable to phonate continuously. After an immediate assessment, we decided to use steroid and conservative therapy. The patient had a good recovery and was without symptoms one month after injury. There is no question that early surgical repair of neck injuries affords the best results for airway and voice patency in most cases however, we suspect that surgical repair is not needed in all cases. Early recognition and an accurate therapy plan for a thyroid fracture with displacement are essential. Therefore, the emergency physician's immediate and careful decision based on endoscopy and neck CT is important for the patient's long-term recovery.

Development of Lavatory Emergency Detection System using Sensors in Train (센서를 활용한 열차 화장실 내 응급상황 감지에 관한 연구)

  • Song, Dahl-Ho;Chang, Duk-Jin;Kang, Song-Hee
    • Journal of the Korean Society for Railway
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    • v.14 no.4
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    • pp.341-347
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    • 2011
  • In this paper, studied was the application of IT and sensor technology to trains in order to provide safety and convenience for passengers. One of applications is Lavatory Emergency Detection System in a train. Since a lavatory in a train is securely separated space, it is hard to notice an emergency inside of it unless a user sends a request for help. A system that can detect an emergency by using sensors was presented. System requirements were analyzed to design and implement a system. Prototype of the system was made. Then, tests in a laboratory were carried out based on a set of test plan to verify the system functions. Performance was turned out to be very successful. The system developed may have a chance to be installed according to the requirements of specifications of the train to be ordered.

Plan for plastic surgeons to participate in trauma teams at regional trauma and emergency centers (권역외상 및 응급센터에서 성형외과의 참여방안)

  • Lim, Nam Kyu;Kang, Dong Hee
    • Journal of the Korean Medical Association
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    • v.61 no.12
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    • pp.710-714
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    • 2018
  • A law revised in May 2012 provided support to regional and emergency centers for reducing the risk of preventable deaths. In particular, regional trauma centers have been established throughout the nation, with the goal of ensuring that any trauma patient can reach a trauma center within an hour. As a multidisciplinary approach is particularly important in treating severe trauma patients, activation teams are currently organized at each center to perform multiple simultaneous treatments. Under the present system, only 7 departments can participate in these trauma teams; emergency medicine, cardiothoracic surgery, general surgery, orthopedic surgery, neurosurgery, radiology, and anesthesiology. Plastic surgeons also play an essential role in treating trauma patients, and in fact currently treat many such cases. Especially in reconstruction procedures in patients with head and neck trauma and wide tissue defects, plastic surgeons possess unique expertise. However, since plastic surgeons are excluded from the trauma response teams due to institutional limitations, we describe the role and necessity of plastic surgery for trauma and emergency patients, and urge that the system be improved.

Balancing Multiple Needs in Conflicts for an Urbanized River Basin

  • Yoshitani, Junichi
    • Proceedings of the Korea Water Resources Association Conference
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    • 2007.05a
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    • pp.53-57
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    • 2007
  • Tsurumi River Basin successfully started to prepare a Water Master Plan though a series of discussions by gathering all stakeholders in a hall. It began with setting five management targets namely, flood, low flow, natural environment, emergency use, and recreational use, followed by setting management goals by target as well as a one-sentence catchphrase for the Water Master Plan using a bottom-up approach. The author reviews this process and discusses the background of the success.

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Analysis of the Effectiveness of Emergency Response Measures during the Design Basis Accident of the Research Reactor 'HANARO' using MACCS2 Code (MACCS2 코드를 이용한 연구용원자로 '하나로' 설계기준사고시 비상대응조치 효과분석)

  • Lee, Goan-Yup;Kim, Jong-Su;Lee, Hae-Cho;Kim, Bong-Suk
    • Journal of Radiation Protection and Research
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    • v.39 no.2
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    • pp.109-117
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    • 2014
  • Nuclear emergency planning is to plan sheltering, evacuation and iodine prophylaxis for the residents living in the area where the emergency plan is needed, the area is confirmed based on the dose assessment using the source-term through an accident analysis and the data measured from meteorological tower. In this study, the does change before and after protective measures was assessed stochastically based on the one year meteorological data in the condition of the maximum hypothetical accident which can be considered at the research reactor 'HANARO', and the optimized protective measures were derived based on the reference levels defined as a residual dose by ICRP 2007 recommendation which can be applied in a emergency exposure situation. The optimized protective measures for the HANARO in the maximum hypothetical accident were the evacuation to radius 300 m, the sheltering from 300 m to 800 m, the iodine prophylaxis only for the emergency workers under the protective measures for non emergency workers.