• Title/Summary/Keyword: emergency response

검색결과 905건 처리시간 0.025초

Cefotiam에 의한 접촉 담마진 증후군 2례 (Two Cases of Contact Urticaria Syndrome from Cefotiam in Nurses)

  • 장평문;이정원;김용성;조영신;유기원;임훈;김호중
    • 대한임상독성학회지
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    • 제4권1호
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    • pp.65-68
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    • 2006
  • Contact urticaria describes a wheal and falre response elicitied within 30-60 minutes after cutaneous exposure to certain agents. Contact urticaria encompasses a number of different clinical manifestations and the symptoms which can vary from the mildest forms of burning, stinging and itching sensation to life-threatening anaphylaxis referred to as contact urticaria syndrome. Cefotiam is one of the most popular second generation cephem antibiotic used in korea. Since 1975, contact urticaria due to cephalosporins has been reported, and also, in japan, this reported from about last 15 years. Recently we experienced three nurses working at the general wards with showing contact urticaria and anaphylaxis after occupational exposure to cefotiam antibiotics.

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Concept of an intelligent operator support system for initial emergency responses in nuclear power plants

  • Kang, Jung Sung;Lee, Seung Jun
    • Nuclear Engineering and Technology
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    • 제54권7호
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    • pp.2453-2466
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    • 2022
  • Nuclear power plant operators in the main control room are exposed to stressful conditions in emergency situations as immediate and appropriate mitigations are required. While emergency operating procedures (EOPs) provide operators with the appropriate tasks and diagnostic guidelines, EOPs have static properties that make it difficult to reflect the dynamic changes of the plant. Due to this static nature, operator workloads increase because unrelated information must be screened out and numerous displays must be checked to obtain the plant status. Generally, excessive workloads should be reduced because they can lead to human errors that may adversely affect nuclear power plant safety. This paper presents a framework for an operator support system that can substitute the initial responses of the EOPs, or in other words the immediate actions and diagnostic procedures, in the early stages of an emergency. The system assists operators in emergency operations as follows: performing the monitoring tasks in parallel, identifying current risk and latent risk causality, diagnosing the accident, and displaying all information intuitively with a master logic diagram. The risk causalities are analyzed with a functional modeling methodology called multilevel flow modeling. This system is expected to reduce workloads and the time for performing initial emergency response procedures.

119 구급대원의 폭력대응 시 부담감에 대한 탐색적 요인분석 (An exploratory factor analysis on the burden of responding to violence: data obtained from 119 emergency medical technicians)

  • 이가연;최은숙
    • 한국응급구조학회지
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    • 제26권3호
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    • pp.7-19
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    • 2022
  • Purpose: The purpose of this study was to confirm the exploratory factor analysis and reliability analysis of the burden of 119 emergency medical technicians. Methods: The data collection period was from November 2, 2022 to November 6, 2022. This study had 316 subjects, and the collected data were analyzed using exploratory factor analysis and Cronbach's α coefficient using IBM SPSS statistics 27.0. Results: The reliability was .924. The exploratory factor analysis yielded the following information: the first factor was lack of violence policy, the second factor was conflict between the organization and the paramedics, the third factor was lack of psychological support, and the fourth factor was lack of education and communication. The explanation power of 4 factors was 54.31%. Conclusion: This study is significant as it performs exploratory factor analysis as a preliminary step in the development of a burden measurement tool.

도시철도차량의 비상 시나리오 분석을 통한 비상방송 및 비상조명의 모듈화 방안 연구 (Modularization of Emergency Broadcasting and Lighting Considering Emergency Scenarios of Urban Railway Vehicle)

  • 온정근;노지호;백지은
    • 한국도시철도학회논문집
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    • 제6권4호
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    • pp.299-307
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    • 2018
  • 철도 비상대응계획 수립에 관한 지침에 의하면 도시철도차량의 비상상황에 대한 자동방송 및 조명시스템에 대한 설비가 반드시 필요하다. 도시철도차량 안전기준에 관한 규칙에 의하면 비상상황이 발생하였을 때 비상조명은 30분 이상 정상동작할 수 있어야 하고, 비상방송은 승무원에 의해 안내되어야 한다. 하지만, 현재 운영되는 비상시스템은 운영기관 마다 설치여부 또는 설치된 제품이 다르며, 유지보수 및 관리가 되고 있지 않아서 동작여부를 판단하기 어렵다. 따라서, 본 논문에서는 비상시스템의 표준화를 위한 모듈화 방안에 대해서 연구를 수행한다. 도시철도차량의 사고 상황과 사고 발생 시나리오를 분석을 기반으로 기존 비상시스템을 대체할 수 있는 비상방송 및 조명의 모듈화 방안을 도출하였다. 각 방안의 장단점을 비교한 결과 유지보수와 비용을 고려한 최종 모듈화 방안을 확정할 수 있었다.

응급실 근무 인력의 직무만족도에 대한 연구 (A Study of Emergency Department Personnel's Job Satisfaction)

  • 이정헌;신임희
    • 한국의료질향상학회지
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    • 제9권2호
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    • pp.148-163
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    • 2002
  • Background : The personnel of emergency department have been under tremendous pressure to manage unexpected emergency situations and excited patients. And interpersonal conflict has existed always, because emergency department was consisted of various personnel of their own specialty. The patient's satisfaction has to come from the personnel's satisfaction. The purpose of this study was to evaluate emergency department personnel's job satisfaction and its related factors and to improve quality of emergency medical service Methods : A self-administered questionnaire survey to the emergency department personnel was conducted between September 1 and October 31, 2001. The response rate was 90.2%. Using SAS program (Version 6.12), the collected data was analyzed by frequency, ANOVA, multiple comparison, Pearson correlation procedure, and stepwise multiple regression analysis. Result : The analysis of related factors of job satisfaction showed high score of interpersonal interaction (3.246), professional prestige (3.095), autonomy (2.916), task requirements (2.701), organizational requirements (2.444), and pay (1.953) in order of item mean. Professional prestige (0.498), task requirements (0.464), and organizational requirements (0.408) were highly positive correlated with overall level of job satisfaction. The factors influencing the job satisfaction were professional prestige and task requirements which explaining efficacy were 37.6% and 32.2% respectively. The total explaining efficacy was 33.6%. Conclusion : It was found out that emergency department personnel's job satisfaction can be raised by promoting professional prestige and task requirements. The personnel of emergency department have to be satisfied through their job, and the administration of the hospital has to pay more attention to their employees' job satisfaction and it related factors.

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제천 스포츠복합건물 화재 재난에서의 권역재난의료지원팀 활동 경험 고찰: 한계점과 구조의 중요성 (Experience of a Disaster Medical Assistant Team activation in the fire disaster at Jecheon sports complex building: limitation and importance of rescue)

  • 정승교;김윤섭;김오현;이강현;김관래;정우진
    • 대한응급의학회지
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    • 제29권6호
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    • pp.585-594
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    • 2018
  • Objective: This study was designed to report on the progress of the fire at Jecheon sports complex and to assess the adequacy of Disaster Medical Assistant Team (DMAT)'s activities in response to the fire disaster. Methods: We conducted a retrospective review based on camera recordings and medical records that were recorded at the disaster site for assessment of activities. We cooperated with firefighters, police officers, local hospital medical staffs and public health personnel in Jecheon in order to classify patients in the disaster field and to understand the patients' progress. Results: At 15:53, the first request for emergency rescue came to the 119 general emergency call center, and a request for DMAT activation came at 16:28. DMAT arrived at the site at 17:04 and remained active until the following day at 00:43. The total number of casualties was 60, including 27 minimal (Green) patients, 29 expectant (Black) patients, three delayed (Yellow) patients, and one immediate (Red) patient. There were 32 patients who received on-site care by DMAT. Two patients were transferred from a local hospital to Wonju Severance Christian Hospital for hyperbaric oxygen therapy. Conclusion: Twenty-nine victims were found in the sports complex building, and there were 31 mildly to moderately injured patients in this fire disaster. The main cause of death was thought to be smoke suffocation. Although DMAT was activated relatively quickly, it was not able to provide effective activity due to the late rescue and difficulty with fire suppression.

풍수해 대응기술 향상을 위한 기초적 연구 (A Fundamental Study for the Response Technology to the Flood and Typhoon disaster)

  • 김진욱;김근영
    • 한국방재학회:학술대회논문집
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    • 한국방재학회 2008년도 정기총회 및 학술발표대회
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    • pp.617-620
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    • 2008
  • Because nature disaster would be increased society damage, government has to prepare the system for response to the disaster. In this study we proposed the concept element of response technology and strategy for the flood and typhoon disaster. And we define the emergence service criteria.

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