Civil complaints and lawsuits filed in the process of providing emergency medical service include fall accident on the way of carrying the patient, transfer consent, refusal and rejection of rescue request, range and behavior restriction of emergency medical technicians, false registry of logbook, neglect of duty and emergency patient, and violation of traffic laws on the way of dispatch to the scene of accident. This study suggested the measures by cases as follows. 1. The accidents on the way of carrying a patient could be divided into fall of patient and fall by paramedic's mistake. In the former case, damages caused by the ambulance's shaking must be notified to the patient and guardian and recommended to fasten seat belt, in the latter case, the plan of patient's posture, route of transport, rescue and equipments should be comfirmed before fixing the patient. 2. Transfer consent must be made as implied when the patient is unconscious under delusion and was not able to consent physically, and paramedic must take an action by his judgment and record details of services on logbook. 3. When a patient refused to transfer, get 'confirmation of transfer refusal' and inform him of refusal. Paramedic should receive the signature. In addition, in case of refusal, transfer request should be made after hearing doctor's opinion and it should be notified to transfer request and superintendent of fire station after making 'confirmation of transfer refusal'. 4. Emergency medical technicians should perform their duties within the range of services prescribed by Article 41 of Law of Emergency Medical Service and Article 33 of Its Enforcement Regulations and shall not make announcement of death. In case of reporting the death to guardian, it is desirable to use record data like ECG results. 5. The best way to have protection from legal problems is making and keeping the exact records of accident and patient. Paramedic should not mention his subjective opinion about the accident-related matter. He must record correctly and keep the original medical records. 6. As emergency medical technicians are responsible for taking care of emergency patients, they must contact a briefing room when they meet a difficult situation suddenly due to vehicle stop or treatment of other patients and then must have support from neighboring hospital and other safety centers. 7. Since the ambulance operator is responsible for safety and careful driving of ambulance, he must be careful when he violates traffic regulations unavoidably. The operator should drive slowly below 10km/h at an intersection and pass it after getting way from general vehicles driving from all directions.
Shin, Insup Paul;Kim, Chang Won;Kwak, Dongho;Yoon, En Sup;Kim, Tae-Ok
Journal of the Korean Institute of Gas
/
v.22
no.6
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pp.136-143
/
2018
Cellular automata have been applied to simulations in many fields such as astrophysics, social phenomena, fire spread, and evacuation. Using cellular automata, this study develops a model for consequence analysis of the dispersion of hazardous chemicals, which is required for risk assessments of and emergency responses for frequent chemical accidents. Unlike in cases of detailed plant safety design, real-time accident responses require fast and iterative calculations to reduce the uncertainty of the distribution of damage within the affected area. EPA ALOHA and KORA of National Institute of Chemical Safety have been popular choices for these analyses. However, this study proposes an initiative to supplement the model and code continuously and is different in its development of free software, specialized for small and medium enterprises. Compared to the full-scale computational fluid dynamics (CFD), which requires large amounts of computation time, the relative accuracy loss is compromised, and the convenience of the general user is improved. Using Python open-source libraries as well as meteorological information linkage, it is made possible to expand and update the functions continuously. Users can easily obtain the results by simply inputting the layout of the plant and the materials used. Accuracy is verified against full-scale CFD simulations, and it will be distributed as open source software, supporting GPU-accelerated computing for fast computation.
The development and utilization of underground spaces are increasing as the use of land based on ground surface became limited due to rapid urbanization triggered by population growth and industrialization. Despite its merit of efficient use of limited land and space, it may contribute to occurrence of various disasters such as sinkholes and damage to underground facilities. After the sinkholes formed and occurred across the country in 2014, there has been an effort to establish Underground Space Integration Map containing 15 types of underground information. Still, there is an increasing demand to improve the quality of underground information stemmed from continuation of such events including the rupture of the hot water pipe in Goyang-si and the fire in the KT site in Ahyeon-dong, Seoul. Hereby, with the aim to improve the quality of Underground Space Integration Map, this study analyzes quality standards, regulations, and guidelines related to spatial data to improve quality inspection standards and methods included in the production rules for the Underground Space Integration Map. In particular, it suggests improvement plan for data quality management for pipe-type underground facilities, known as lifelines, which are essential part of daily life of the citizens, and the largest cause for accidents according to 15 types of underground information managed through the Underground Space Integration Map.
Kang, Sung Won;Lee, Jun Heon;Park, Se Hwan;Kang, Ha Ram;Lee, Ki Seok;Kim, Baek-Joong;Shin, Yoon-Seok
Journal of the Korea Academia-Industrial cooperation Society
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v.22
no.2
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pp.179-187
/
2021
In the past five years, form construction, which accounts for approximately 25% of the total construction period, has continued to occur without a significant decrease in the number of deaths, with the largest proportion of collapse accidents. Accordingly, this study analyzed the difference in perception between the manager and worker by a questionnaire survey on the degree of risk and safety management level regarding a mold collapse accident. The survey was conducted in three groups: safety manager, field worker, and field manager. The results of the survey were analyzed by an independent sample T-Test using the SPSS program. As a result, there was almost no difference in recognition between managers, but a significant difference in recognition between managers and workers. In addition, there was a difference in management perception between the administrator and worker, which clearly shows the difference in the position between the administrator who manages and supervises hazardous disaster factors and the worker who works directly in the field. Such differences in perception can be a factor that cannot be mitigated. Based on this study, more developed research can narrow the perception gap between managers and workers and be used as a basic material for disaster research.
In modern society, human and social damages caused by natural disasters and frequent disaster accidents have been increased year by year. Prompt access to dangerous disaster sites that are inaccessible or inaccessible using state-of-the-art Earth observation equipment such as satellites, drones, and survey robots, and timely collection and analysis of meaningful disaster information. It can play an important role in protecting people's property and life throughout the entire disaster management cycle, such as responding to disaster sites and establishing mid-to long-term recovery plans. This special issue introduces the National Disaster Management Research Institute (NDMI)'s disaster management technology that utilizes various Earth observation platforms, such as mobile survey vehicles equipped with close-range disaster site survey sensors, drones, and survey robots, as well as satellite technology, which is a tool of remote earth observation. Major research achievements include detection of damage from water disasters using Google Earth Engine, mid- and long-term time series observation, detection of reservoir water bodies using Sentinel-1 Synthetic Aperture Radar (SAR) images and artificial intelligence, analysis of resident movement patterns in case of forest fire disasters, and data analysis of disaster safety research. Efficient integrated management and utilization plan research results are summarized. In addition, research results on scientific investigation activities on the causes of disasters using drones and survey robots during the investigation of inaccessible and dangerous disaster sites were described.
International conference on construction engineering and project management
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2022.06a
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pp.1249-1249
/
2022
The facade, an exterior material of a building, is one of the crucial factors that determine its morphological identity and its functional levels, such as energy performance, earthquake and fire resistance. However, regardless of the type of exterior materials, huge property and human casualties are continuing due to frequent exterior materials dropout accidents. The quality of the building envelope depends on the detailed design and is closely related to the back frames that support the exterior material. Detailed design means the creation of a shop drawing, which is the stage of developing the basic design to a level where construction is possible by specifying the exact necessary details. However, due to chronic problems in the construction industry, such as reducing working hours and the lack of design personnel, detailed design is not being appropriately implemented. Considering these characteristics, it is necessary to develop the detailed design process of exterior materials and works based on the domain-expert knowledge of the construction industry using artificial intelligence (AI). Therefore, this study aims to establish a detailed design automation algorithm for AI-based condition-responsive exterior wall panels and their back frames. The scope of the study is limited to "detailed design" performed based on the working drawings during the exterior work process and "stone panels" among exterior materials. First, working-level data on stone works is collected to analyze the existing detailed design process. After that, design parameters are derived by analyzing factors that affect the design of the building's exterior wall and back frames, such as structure, floor height, wind load, lift limit, and transportation elements. The relational expression between the derived parameters is derived, and it is algorithmized to implement a rule-based AI design. These algorithms can be applied to detailed designs based on 3D BIM to automatically calculate quantity and unit price. The next goal is to derive the iterative elements that occur in the process and implement a robotic process automation (RPA)-based system to link the entire "Detailed design-Quality calculation-Order process." This study is significant because it expands the design automation research, which has been rather limited to basic and implemented design, to the detailed design area at the beginning of the construction execution and increases the productivity by using AI. In addition, it can help fundamentally improve the working environment of the construction industry through the development of direct and applicable technologies to practice.
The Journal of The Korea Institute of Intelligent Transport Systems
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v.22
no.1
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pp.143-160
/
2023
It is important to secure the golden time of emergency vehicles for quick responses in disaster situations, such as fire, rescue, and first aid. This study proposes plans Emergency Vehicle Preemption (EVP) based on the analysis of emergency vehicle operation to secure the golden time of emergency vehicles and increase driving safety. The emergency vehicle dispatch statistics, emergency vehicle traffic accident statistics, and survey were used for the analysis. As a result of the analysis, the frequency of dispatch of emergency vehicles and traffic accidents are increasing gradually, but the rate of securing the golden time of emergency vehicles is approximately half, indicating that improvement measures are urgent. In the questionnaire survey, most citizens consent to the necessity of introducing EVP. In addition, the criteria for the range of emergency vehicles that could provide EVP and the allowable time for waiting were derived. These results could be used to prepare EVP operation strategies, and it is expected to contribute to improving emergency vehicle operation safety and increasing the golden time securing rate through a rapid expansion of EVP.
Journal of the Korean Society of Marine Environment & Safety
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v.29
no.1
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pp.76-85
/
2023
Demand for hydrogen as a renewable energy resource is increasing. However, unlike conventional fossil fuels, hydrogen requires a dedicated refueling station for fuel supply. A risk assessment of hydrogen refueling stations must be undertaken to secure the infrastructure. Therefore, in this study, a risk assessment for hydrogen refueling stations was conducted through both qualitative and quantitative risk assessments. For the qualitative evaluation, the hydrogen dispenser module was evaluated as two nodes using the hazard and operability (HAZOP) analysis. The risk due to filter clogging and high-pressure accidents was evaluated to be high according to the criticality estimation matrix. For the quantitative risk assessment, the Hydrogen Korea Risk Assessment Module (Hy-KoRAM) was used to indicate the shape of the fire and the range of damage impact, and to evaluate the individual and social risks. The individual risk level was determined of to be as low as reasonably practicable (ALARP). Additional safety measures proposed include placing the hydrogen refueling station about 100m away from public facilities. The social risk level was derived as 1E-04/year, with a frequency of approximately 10 deaths, falling within the ALARP range. As a result of the qualitative and quantitative risk assessments, additional safety measures for the process and a safety improvement plan are proposed through the establishment of a restricted area near the hydrogen refueling station.
Fuel gases such as methane and propane are used in explosion hazardous area of domestic plants and can form non-uniform mixtures with the influence of process conditions due to leakage. The fire-explosion risk assessment using literature data measured under uniform mixtures, damage prediction can be obtained the different results from actual explosion accidents by gas leaks. An explosion characteristics such as explosion pressure and flame velocity of non-uniform gas mixtures with concentration change similar to that of facility leak were examined. The experiments were conducted in a closed 0.82 m long stainless steel duct with observation recorded by color high speed camera and piezo pressure sensor. Also we proposed the quantification method of non-uniform mixtures from a regression analysis model on the change of concentration difference with time in explosion duct. For the non-uniform condition of this study, the area of flame surface enlarged with increasing the concentration non-uniform in the flame propagation of methane and was similar to the wrinkled flame structure existing in a turbulent flame. The time to peak pressure of methane decreased as the non-uniform increased and the explosion pressure increased with increasing the non-uniform. The ranges of KG (Deflagration index) of methane with the concentration non-uniform were 1.30 to 1.58 [MPa·m/s] and the increase rate of KG was 17.7% in methane with changing from uniform to non-uniform.
Modern society is facing an unstable environment due to unexpected accidents and hazardous situations. For example, incidents such as the collapse of the Bundang Bridge and the crushing accident in Itaewon could serve as examples. In addition to these, critical emergencies like sudden cardiac arrests and strokes frequently occur, requiring swift actions and smooth transfers to specialized medical institutions for effective responses. In response to these risks, the country has been establishing various systems to protect the lives and safety of its citizens. Among these, the 119 First Aid Activities plays a crucial role within the emergency medical system. Its goal is to promptly respond to critical emergency situations involving severe trauma patients or patients with serious illnesses, minimizing damage and safeguarding lives by swiftly transferring them to emergency medical institutions for specialized treatment. The core activity related to this is emergency rescue operations. In particular, the 119 First Aid system serves as a crucial institution responsible for the hospital transportation of emergency patients. However, rescue personnel still encounter cases of interference with their activities during their duties. Despite efforts from the police, these interference cases persist, and they share similarities with the crime of obstructing official duties. Interference with emergency activities exhibits a comparable nature to instances such as physical assaults and equipment damage against emergency medical practitioners working within the emergency medical system. Therefore, a comprehensive understanding and improvement efforts regarding the issues of interference that arise during the process of emergency medical activities, including the 119 First Aid system, are necessary. The solution to these problems is to establish and improve the conditions for obstruction of first aid activities, focusing on the "Framework Act on Firefighting" and the "Act on 119 Rescue and Emergency."
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