• 한국병원경영학회지
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• 제9권1호
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• pp.46-65
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• 2004

The study was designed to investigate what effect of working time reduction which will be gradually expanded to corporate size from June, 2004 could give to medical industries, and to provide basic information for hospitals and government to prepare the policy. 276 hospitals were surveyed about medical service income and manpower realities during the first half of 2003, using a structured survey tool. Response rate was 8% and 20 hospitals were finally analyzed. The effect of working time reduction in hospital management was different to the size of hospitals and the alternative. Income to existing service income was decreased by $2.2{\sim}4.6%$ in tertiary hospitals, by $3.2{\sim}5.7%$ in general hospitals with more than 300 beds, and by $3.7{\sim}6.0%$ in general hospitals with less than 300 beds. In preparation against such decrease in income, government is required to raise insurance payment, to calculate added service charge for day-off on Saturday forenoon, to retain emergency care payment, to expand emergency care facilities, to secure duty doctors, and to support middle and small sized hospitals. Hospitals are required to give self improving efforts such as fortifying of weekday care, development of weekend care program, strengthening of care capacity and function of emergency care center, and making manpower operation efficient.

• 한국응급구조학회지
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• 제21권2호
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• pp.51-61
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• 2017

Purpose: This study measured return of spontaneous circulation (ROSC) in relation to dispatch distance in patients with out-of-hospital cardiac arrest. Methods: Of 2,347 out-of-hospital cardiac arrest patients transported by emergency medical technicians in J Province between January 1 and December 31, 2015, those under age 18, those with reserved resuscitation, and those with traumatic cardiac arrest, leaving 855 patients in the study sample. ROSC was compared between those with dispatch distance ${\leq}4km$ (short dispatch distance, 465 patients) and those with dispatch distance >4 km (long dispatch distance, 390 patients). Results: The mean was 2.17 km in the short dispatch group and 9.87 km in the long dispatch group (p=.000). Mean distance from was 6.49 km and 13.39 km in the two groups, respectively (p=.000). ROSC differed significantly between the short and long dispatch distance groups (7.1% for short dispatch distance, 3.6% for long dispatch distance, p=.025). The length of time from to cardiopulmonary resuscitation also differed significantly between the short and long dispatch distance groups (8.77 minutes and 14.63 minutes, respectively, p=.000). Conclusion: ROSC was lower in areas of long dispatch distance compared to those of short dispatch distance. We expect this was most likely due to differences in response time by age and dispatch distance to the scene of cardiac arrest. However, no significant differences were found between the groups in the factors affecting ROSC.

• 대한안전경영과학회지
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• 제17권2호
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• pp.67-78
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• 2015

The purpose of the establishment of corporation's Business Continuity Plan(BCP) is to maintain corporations' own business and establish the response plan in order to resume operation in a short time period when crisis situations occur due to natural disaster and human error. This study has presented all types of procedures and criteria which are needed to establish the airport crisis response system in order to maintain the business continuity by utilizing BCP technique. Basically the risk response procedures must be established in the process of (1) preparation stage, (2) plan development stage, (3) documentation stage, (4) test & maintenance stage. The guideline has been suggested that each stage must be carried out in the sequence of Policy & Planning Responsibility, Business Impact Analysis, Recovery Strategy & Plans, Emergency Plan & SOP, Training Awareness and Maintenance & Review

• 한국철도학회:학술대회논문집
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• 한국철도학회 2003년도 추계학술대회 논문집(II)
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• pp.235-240
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• 2003

In this paper, the fire safety management plan and the emergency action program for the railway safety improvement were reviewed. In the fire safety management plan, a series of preventive methods answering to such as a smoke exhaust installation, a fire warning device and a guide inducement will be come into preparation. Also, the damage reducing methods such as complement of fire safety equipments, establishment of refuge & escape system, consolidation of real-time control on fire response and operation procedure will be required for early repressing fire and minimizing fatality.

• International journal of advanced smart convergence
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• 제10권2호
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• pp.37-44
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• 2021

At the time of entering the super-aged society, the health problem of the elderly is becoming more prominent due to the rapid digital era caused by COVID-19, but the gap between welfare budgets and welfare benefits according to regional characteristics is still not narrowed and there is a significant difference in emergency medical access. In response, this study proposes an ICT-based New Normal Smart Care System (NNSCS) to bridge the gap I n health and medical problems. This is an integrated system model that links the elderly themselves to health care, self-diagnosis, disease prediction and prevention, and emergency medical services. The purpose is to apply location-based technology and motion recognition technology under smartphones and smartwatches (wearable) environments to detect health care and risks, predict and diagnose diseases using health and medical big data, and minimize treatment latency. Through the New Normal Smart Care System (NNSCS), which links health care, prevention, and rapid emergency treatment with easy and simple access to health care for the elderly, it aims to minimize health gaps and solve health problems for the elderly.

• 항공우주시스템공학회지
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• 제18권1호
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• pp.99-107
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• 2024

본 논문은 도심 항공 모빌리티 환경에서 응급상황 발생 시 비상 대응이 가능한 시스템을 제안한다. 탑승자의 심박수를 실시간으로 모니터링하고 이상 감지 시, 모스 부호화된 진동과 음성으로 경고하는 생체신호 감응형 스마트 워치를 개발하였으며. 관제시스템을 가정한 ROS 환경과 통신하여 도심 항공 모빌리티 운용 중 인근 버티포트 비상착륙을 위한 최단 경로 생성 시스템을 구현하였다. 실제 지역을 기반으로 한 고 충실도 시뮬레이션 환경 구축과 테스트로 안정성을 확인하였으며, 결과적으로 도심 항공 모빌리티의 안정과 편의를 향상시킬 수 있는 기술을 개발하였다.

• 전자공학회논문지
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• 제51권5호
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• pp.58-69
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• 2014

후쿠시마 사고와 같은 중대사고에 대비하기 위하여 극한환경 내에서도 동작하여 원자력 발전소 내부 상태에 관련된 계측신호를 취득하고, 사고복구에 필요한 밸브, 펌프 등과 같은 비상기기를 작동시킬 수 있는 극한환경용 제어기기와 발전소로부터 최소 30km 떨어진 곳에서 발전소 내부 상황을 감시하고, 제어할 수 있는 모바일 원격 제어실 등으로 구성된 비상대응시스템이 필요하다. 본 논문에서는 극한환경용 제어기기와 모바일 원격 제어실과의 연계를 위한 비상대응시스템 개념 설계 및 성능분석에 대하여 논의하였다. 비상통신시스템은 IEEE 802.11 기술표준을 이용한 지상망과 천리안 위성을 이용한 위성망의 이중화 시스템으로 구성되고, 각 시스템에 대하여 통신링크 버짓, Throughput, 지연시간을 분석하였다.

• 한국응급구조학회지
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• 제10권2호
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• pp.53-62
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• 2006

Purpose: There has been an increase in the number of prehospital cardiac arrests due to the increasing number of cardiovascular diseases and the increase in the average age of the population. We performed this study to identify the proper resuscitation technique and AED to be used to increase the survival rate in prehospital cardiac arrests. Methods: This studied 159 victims with prehospital cardiac arrests(VF or VT rhythm) by EMT's Reports from January to August, 2005. Results: 108 of 159 victims(67.9%) were shocked by AED. Eighty of 159 victims(50.9%) were recorded with AED shock in prehospital cardiac arrests. A number of shocks is averaged 2.19; 46.2% of one-shock and 86.1% of 1-3 shock. EMS first-tier response interval from time of dispatch to scene arrival was 5.88 minutes, from scene arrival to scene start was 7.36 minutes, from scene start to hospital admission was 9.91 minutes and from scene arrival to AED shock was 6.84 minutes. EMT provided advanced care to prehospital cardiac arrests: 97.5% in CPR, 10.1% in advanced airway management, 67.9% in AED shock. Conclusion: With the increase in cardiovascular disease and old age, the number of prehospital cardiac arrests has risen gradually. However, there were lack of CPR by bystander, defibrillation and advanced cardiac life support(ACLS) in prehospital stage. To improve the adequacy of basic life support and to increase the performance of ACLS, especially AED, we must create challenges to develop new protocols in prehospital care.

• 한국화재소방학회논문지
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• 제32권2호
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• pp.110-117
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• 2018

본 연구는 기존 소방훈련의 문제점을 극복하고, 화재대응능력을 향상시키기 위한 실효성 있는 소방훈련시스템을 구축하고자 수행되었다. 무각본 소방훈련 평가시스템은 계획된 시나리오 없이 훈련을 진행하면서 정량화된 훈련결과를 실시간으로 도출할 수 있어 현재의 훈련수준을 객관화시킬 수 있다는 장점이 있다. 이를 위해 IoT센서 기반의 훈련평가시스템을 구축하였으며 대상처 맞춤형 훈련이 가능하도록 구성하였다. 또한 현장훈련테스트를 통해 평가시스템의 적용성을 검토하여 정량화된 결과를 도출하였다. 이러한 평가시스템을 통해 소방훈련을 체계화, 정량화할 수 있으며 훈련자의 소방안전의식 제고 및 실질적 화재대응능력 향상에 기여할 것이라 판단된다.

• 한국간호교육학회지
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• 제15권2호
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• pp.274-284
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• 2009

Purpose: This study surveyed how victims with acute traumatic hand injuries received pre-hospital care and how satisfied they were with that care. Method: A total of 100 adults were interviewed using a questionnaire at one microsurgical clinic in Korea. Results: Only 12 patients (12.0%) were transported by the ambulance and the others by private or company's vehicles. Only 9 patients (9.0 %) were able to get appropriate first response from the EMTs or industrial health providers at the scene of the accidents. The mean time required for transportation from the scene of the accident to the operation room of the microsurgical clinic was $372.65{\pm}719.17$ minutes. Most of the patients were satisfied with the pre-hospital care provided by the EMT or industrial health providers but dissatisfied with that provided by lay persons. Conclusion: This study demonstrates that there is a lack in the first response provided at the scene and the activation of EMS (Emergency Medical System) for acute hand injury. It is necessary to educate the public about the appropriate first response and rapid transportation to the appropriate microsurgical clinic.