• Title/Summary/Keyword: emergency response

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Education of Bioterrorism Preparedness and Response in Healthcare-associated Colleges-Current Status and Learning Objectives Development (보건의료 교육기관에서 생물테러 관련 교육 현황조사 및 학습목표 개발)

  • Lee, Ha-Gyung;Chun, Byung-Chul;Yi, Sung-Eun;Oh, Hyang-Soon;Wang, Sun-Ju;Kim, Jee-Hee;Sohn, Jang-Wook
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.4
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    • pp.225-231
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    • 2008
  • Objectives: Bioterrorism (BT) preparedness and response plans are particularly important among healthcare workers who will be among the first involved in the outbreak situations. This study was conducted to evaluate the current status of education for BT preparedness and response in health care-related colleges/junior colleges and to develop learning objectives for use in their regular curricula. Methods: We surveyed all medical colleges/schools, colleges/junior colleges that train nurses, emergency medical technicians or clinical pathologists, and 10% (randomly selected) of them that train general hygienists in Korea. The survey was conducted via mail from March to July of 2007. We surveyed 35 experts to determine if there was a consensus of learning objectives among healthcare workers. Results: Only 31.3% of medical colleges/schools and 13.3% of nursing colleges/junior colleges had education programs that included BT preparedness and responses in their curricula. The most common reason given for the lack of BT educational programs was 'There is not much need for education regarding BT preparedness and response in Korea'. None of the colleges/junior colleges that train clinical pathologists, or general hygienists had an education program for BT response. After evaluating the expert opinions, we developed individual learning objectives designed specifically for educational institutions. Conclusions: There were only a few colleges/junior colleges that enforce the requirement to provide education for BT preparedness and response in curricula. It is necessary to raise the perception of BT preparedness and response to induce the schools to provide such programs.

The Development of Earthquake Disaster Prevention System in Long Span Bridge (해상초장대교량의 지진재난 방재시스템개발)

  • Chang, Chun-Ho;Yun, Jeong-Hyeon;Lee, Yun-Me
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.18 no.1
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    • pp.49-54
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    • 2012
  • The purpose of this study is to define emergency response procedures by BDMS [Building Disaster Management System] when earthquake occurs on long-span bridge structures. The study is about developing a computer-based algorithm for various earthquake intensities that works with the System. Presently, long-span bridge disaster prevention relies on closed-system centered on human intervention alone. However, this study combines IT technology and internet-based open system creating a more practical system. Additionally, assigned duties and tasks are clearly defined to all personnel involved in various disaster situations using the Active Action Diagram(AAD) techniques. Also, the design of 3-dimensional view assists to determine the appropriate initial response in times of earthquake and other disasters. The combination of the existing manual emergency response procedures and the scenario-based (IT) response system being developed will create an efficiency and fast response actions in times of emergencies.

Comparison of Airport Emergency Plans in Korea and Japan and Survey of Emergency Response of Airline Employees at Check-in Counter (한·일 공항비상계획 비교 및 체크인카운터의 항공사 직원 비상대응 실태조사)

  • Kwon, Kyum;Kwon, Byung Hwa;Cheung, ChongSoo
    • Journal of Korean Society of Disaster and Security
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    • v.13 no.2
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    • pp.11-25
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    • 2020
  • This study is a basic study to improve responsiveness in the event of a disaster in the landside area of the Airport Passenger Terminal, and it investigated the airport emergency plan and the status of emergency response in the event of a disaster by the airline's ground staff. The Airport Emergency Plan examined the airport evacuation plan of Korea's Gimpo Airport and Japan's Ministry of Land, Infrastructure, and Transport, confirming that the domestic airport emergency plan was not specific. In addition, a survey of 100 airline ground employees working at check-in counters found that 69% of the respondents were unaware of their role in disaster situations, 90% were not educated in emergency response and 98% were not trained in disaster training in landside areas. Cross-analysis confirmed significant results in the safety of the airport where the service life worked and whether it was a role in the event of a disaster. Therefore, it is suggested that the airport emergency response plan should be improved to improve the ability to respond to disaster sites in the landside area of the airport passenger terminal and that the airline's ground staff should be educated and trained to enhance disaster response.

On Power System Frequency Control in Emergency Conditions

  • Bevrani, H.;Ledwich, G.;Ford, J. J.;Dong, Z.Y.
    • Journal of Electrical Engineering and Technology
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    • v.3 no.4
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    • pp.499-508
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    • 2008
  • Frequency regulation in off-normal conditions has been an important problem in electric power system design/operation and is becoming much more significant today due to the increasing size, changing structure and complexity of interconnected power systems. Increasing economic pressures for power system efficiency and reliability have led to a requirement for maintaining power system frequency closer to nominal value. This paper presents a decentralized frequency control framework using a modified low-order frequency response model containing a proportional-integral(PI) controller. The proposed framework is suitable for near-normal and emergency operating conditions. An $H_{\infty}$ control technique is applied to achieve optimal PI parameters, and an analytic approach is used to analyse the system frequency response for wide area operating conditions. Time-domain simulations with a multi-area power system example show that the simulated results agree with those predicted analytically.

Violence Response, Burnout and Job Satisfaction according to Violence Episode of Emergency Room Worker (응급실 종사자의 폭력 경험에 따른 폭력 반응 소진 및 직무 만족)

  • Kim, Mi Yeon;Ha, Tae Uk;Hwang, Yong;Kang, Ji Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.1
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    • pp.406-416
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    • 2017
  • The purpose of this study was to examine violence response, burnout, and job satisfaction according to violent episodes of emergency room workers. Methods : This Study was a descriptive survey design using convenience sampling. This study was exempt from needing an IRB approval. There were 167 emergency room workers, who agreed to participate in this study, and took a self-report questionnaire between July and August 2015. SPSS 21.0 version was used for descriptive analysis, frequency, percentage, mean, standard deviation, independent t-test, Pearson correlation coefficients, and multiple regression. The major findings of this study were as follows: 1) 84.4% of participant experienced violent episodes. The frequency of verbal violence was highest. Violent attackers were patients and guardians with drunken state. The time of violence episodes was usually during the night. Violent experience of doctors and nurses was very high. 2) There were significant differences in the emotional response according to violent episodes (t=2.528, p=0.12) 3) The correlation between \response and burnout was statistically significant, and indicates a high positive correlation (r=.616, p=<.001). The correlation between violence response and job satisfaction was statistically significant, indicating a negative correlation (r=-.512, p=<.001). There was a negative correlation between burnout and job satisfaction with statistical significance (r=-.568, p=<.001). 4) Significant factors influencing job satisfaction were emotional response to violence and burnout. Conclusion: The findings of this study provide basic information for the strategies of preventing violence, decreasing burnout, and improving job satisfaction by developing a violence management program.

A Study on the Response Technique for Toxic Chemicals Release Accidents - Hydrogen Fluoride and Ammonia - (독성 화학물질 누출사고 대응 기술연구 - 불산 및 암모니아 누출을 중심으로 -)

  • Yoon, Young Sam;Cho, Mun Sik;Kim, Ki Joon;Park, Yeon Shin;Hwang, Dong Gun;Yoon, Jun heon;Choi, Kyung Hee
    • Korean Journal of Hazardous Materials
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    • v.2 no.1
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    • pp.31-37
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    • 2014
  • Since the unprecedented hydrogen fluoride leak accident in 2012, there has been growing demand for customized technical information for rapid response and chemical accident management agencies including the Ministry of Environment, the National Emergency Management Agency, and the National Police Agency need more information on chemicals and accident management. In this regard, this study aims to provide reliable technical data and guidelines to initial response agencies, similar to accident management technical reports of the US and Canada. In this study, we conducted a questionnaire survey and interviews on initial response agencies like fire stations, police stations, and local governments to identify new information items for appropriate initial response and improvements of current guidelines. We also collected and reviewed the Canada's TIPS, US EPA's hydrogen fluoride documents, domestic and foreign literature on applicability tests of control chemicals, and interview data, and then produced items to be listed in the technical guidelines. In addition, to establish database of on-site technical information, we carried out applicability tests for accident control data including ① emergency shut down devide, safety guard, shut down valve, ground connection, dyke, transfer pipe, scrubber, and sensor; ② literature and field survey on distribution type and transportation/storage characteristics (container identification, valve, ground connection, etc.); ③ classification and identification of storage/transportation facilities and emergency management methodslike leak prevention, chemicals control, and cutoff or bypass of rain drainage; ④ domestic/foreign analysis methods and environmental standards including portable detection methods, test standards, and exposure limits; and ⑤ comparison/evaluation of neutralization efficiency of control chemicals on toxic substances.

Chemical accident response competencies and educational needs of 119 EMTs (119 구급대원의 화학사고 대응역량 및 교육요구도)

  • Myeong-Hui Park;Seung-Eun Han
    • The Korean Journal of Emergency Medical Services
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    • v.28 no.1
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    • pp.7-19
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    • 2024
  • Purpose: This study aimed to evaluate and assess the response capabilities and educational needs of 119 emergency medical technicians (EMTs) in chemical accidents. Methods: A self-reported questionnaire was completed by 167 119 EMTs between December 1st and December 31, 2023. The questionnaire comprised 8 questions on general characteristics, 2 on chemical accidents experienced by the participants, 29 on response capabilities, and 15 on educational needs. Data analysis was performed using t-tests, analysis of variance, Duncan's test for post-hoc analysis, and Pearson's correlation coefficient, using SPSS 27.0. Results: The participants scored 2.69 points on response capacity to chemical accidents. The EMT-Paramedics scored high in 'patient triage,' 'patient treatment,' 'patient transport,' and 'collaborative support' (F=3.924, p=.010; F=5.843, p=.001; F=3.698, p=.013; F=5.272, p=.002), followed by educational experience (t=-4.962, p<.001; t=-2.685, p=.008; t=-3.455, p=.001; t=-3.593, p<.001; t=-3.034, p=.003). The participants scored 4.19 points on educational needs, with high scores for 'patients treatment and transport' (4.280.93). The scores for 'patient triage competency', and 'patient triage' (r=.169, p=.024) correlated positively. Furthermore, the scores for 'patient treatment competency' and all sub-factors of educational needs (r=.185, p=.013; r=.215, p=.004; r=.199, p=.008; r=.190, p=.011; r=.197, p=.008) correlated positively. Conclusion: To strengthen the response capabilities of 119 EMTs, it is imperative to develop an educational program that focuses on first-aid responses.

Toxic Concentration(T-LOC) Endpoint Distance Study for Fire Brigade Protection in Response to Chemical Accidents (화학사고 초기대응 소방대 보호를 위한 독성농도(T-LOC) 끝점거리 연구)

  • Jong Chan Yun;Chul Hee Cho;Jeong Hun Won
    • Journal of the Korean Society of Safety
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    • v.38 no.6
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    • pp.60-71
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    • 2023
  • The purpose of this study is to propose a quantitative toxicity endpoint distance suitable for the initial response of firefighters by comparing and analyzing the commonly applied toxic level of concern (T-LOC), specifically emergency response planning guidelines (ERPG), acute exposure guideline levels (AEGL), and immediately dangerous to life or health (IDLH). This is to protect the fire brigade, which responds to toxic chemical accidents first during the golden time. Using areal locations of hazardous atmospheres, a damage prediction program, the amount of leakage for both acidic and basic substances, along with the endpoint distance, were analyzed for alternative accident and worst-case accident scenarios. The results showed that the toxicity endpoint distance, serving as a compromise between Level-3 and Level-2 of T-LOC, was longer than ERPG-3 and shorter than ERPG-2 with IDLH, while its values were analyzed in the order of ERPG-2, AEGL-2, IDLH, AEGL-3, and ERPG-3. It is suggested that the application of IDLH in an emergency (red card) and ERPG-2 endpoint distance in a non-emergency (non-red card) can be utilized for the initial response of the fire brigade.

A Study on the Emergency Management of Bimodal Tram (바이모달 트램의 재해시 운영관리에 관한 연구)

  • Park, Young-Kon;Yoon, Hee-Taek;Yoon, Jong-Hack
    • Proceedings of the KSR Conference
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    • 2008.06a
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    • pp.118-121
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    • 2008
  • Bimodal tram is a transit with no-step floor for wheel-chaired persons, with docking to the station precisely and moving on schedule like train. Because of the automatic traveling of bimodal tram to search and follow the magnet embedded in roadway, bimodal tram should be careful about rainfall, snow and wind like a car driving on roadway in respect to natural disasters. Though response procedures in emergency are different according to the passengers' boarding, emergency mobilization is needed if any emergency situation happens. Emergency mobilization is the act of preparing for major catastrophic events, which may affect public transportation systems or their service areas, by assembling and organizing resources, including people, equipment, facilities, communications systems, expert technical support, and public information systems and protocols. Mobilization is the process that ensures that the right people will deploy appropriate resources at the correct time. Effective mobilization requires a partnership of local and state agencies. Public transportation operators and systems play vital roles in response to and recovery from emergencies and other unexpected catastrophic events. These systems, and their capabilities to mobilize resources, are profoundly affected by the decisions and directives of others during these activities. In this study, we focused on the emergency management for bimodal tram and reviewed the considerations about infrastructures under natural disasters, especially heavy rainfall.

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An Analysis of Emergency Care Based on Prehospital Care Reports (일부 구급대의 응급처치활동 분석 - 구급활동일지를 중심으로 -)

  • Uhm, Tai-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.1
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    • pp.101-109
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    • 2005
  • The purpose of this study which was done by 250 Prehospital Care Reports(PCRs) survey of some squads in Seoul Metropolitan Fire & Disaster Management Department was to improve prehospital emergency care by means of quality management. The data were collected in 3 squads from Jun. 21 to Jul. 18, 2004 and analyzed by using SPSS Win 12.0 Version. The conclusions from this study were summarized as follows. The mean time of Event to treatment interval was $4.6{\pm}4.3$ minutes and 49.2% arrived at patient within 4 minutes. Platinum minute was observed 61.1% of verbal response, 73.3% of painful response, 77.8% of unresponsive. The great majority of patients couldn't receive advanced life support on account of limited scope of practice and strict direct medical control in the Emergency Medical Services Act. Data from quality improvement activity will be useful to expand indirect medical control which is able to activate prehospital care. To utilize PCR for quality improvement. It has to have data elements, run data, patient data, check boxes, narrative including US DOT's minimum data set.

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