• 한국안전학회지
• /
• 제37권6호
• /
• pp.136-147
• /
• 2022

The purpose of this study is to analyze four cases of firefighter burns in various fire scenes and to find prevention measures to decrease firefighter injuries. Among the analysis reports prepared by the National Fire Research Institute of Korea from 2016 to 2020, four burn-related accidents are summarized and the main causes are conveyed. The four accidents include second-degree burns from using extinguishers during containment of fires; nine firefighters burned due to re-ignition in the LPG car repair shop; two firefighters injured with third-degree burns from using fire extinguishers during life-saving events in residential housing; and injuries from the radiant heat of the tank BLEVE near the factory fire. These cases are comprehensively investigated in their respective scenes and analyzed based on the fire site investigation reports from the fire department and related theoretical explanations of risk for each accident scene. In the third case study, some experimental research is conducted to evaluate the risk involved with the use of safety gloves. This is evaluated by reviewing Fire Tactics and Standard Operational Procedures (SOP) to determine improvements and recommendations for an efficient firefighting response. Results show that the main causes of burn accidents are the insufficient use of personal protective equipment (PPE), such as safety gloves, and the failure to follow firefighting tactics or SOPs. Through the accident investigation and assessment, it is concluded that to reduce the frequency of burn accidents, the performance of firefighting equipment, SOPs, protection tactics, and safety policy systems require improvement.

• Archives of Plastic Surgery
• /
• 제35권6호
• /
• pp.743-747
• /
• 2008

Purpose: Malignant changes of Marjolin's ulcer arising from chronic burn scar are rare. The majority of them are squamous cell carcinoma and basal cell carcinoma. Malignant fibrous histiocytoma is a deep seated pleomorphic sarcoma, which occurs principally as a mass of the extremities, abdominal cavity, or retroperitoneum in adults. Methods: We report a 58-year-old male patient who was admitted due to $3.5{\times}5cm$ chronic ulceration of anterior chest wall on the center of old burn scar. His scar had been occurred by boiling oil and treated with conservative treatment 45 years ago. Preoperative punch biopsy showed suspicious malignant changes and contrast enhanced chest CT showed well-defined, irregular shape enhancing lesion on anterior chest wall without intrathoracic metastasis. Results: The tumor was widely excised and defect was covered with skin graft without infection, necrosis and any other complication. The pathologic findings are compatible with malignant fibrous histiocytoma(storiform - pleomorphic type). The patient underwent 3 cycles of chemotheraphy. Although distant metastasis to the lung developed 6 months later and the patient died 9 month later, there was no local reoccurrence. Conclusion: Aggressive and early excision is needed because malignant fibrous histiocytoma has characteristics of high malignancy with a propensity for early and distant spread. Furthermore, the patient's education about disease entity and postoperative regular follow-up for local recurrence or metastasis is very important. To prevent malignancy from secondly healing burn scar, early skin graft is recommended for patients with deep second degree burn.

• Archives of Plastic Surgery
• /
• 제35권4호
• /
• pp.407-412
• /
• 2008

Purpose: Hydrofluoric acid(HF) is one of the most dangerous mineral acids with the dissociated fluoride ions. The initial corrosive burn is caused by free hydrogen ion, and the second and more severe burn is caused by penetration of fluoride ions into subcutaneous tissues. Silver is a cation producing dressing, an effective antimicrobial agent, but older silver-containing formulations are rapidly inactivated by wound environment, requiring frequent replenishment. But, $Acticoat^{(R)}$ is a relatively new form of silver dressing which helps avoid the problems of earlier agents. The aim of this study is to evaluate effects of $Acticoat^{(R)}$, silver-containing dressing on the treatment for HF injury wound. Methods: From september 2006 to september 2007, the study was carried out with 10 patients who had HF partial thickness burns. $Acticoat^{(R)}$ dressing and 10% calcium gluconate wet gauze dressings in 10 cases. As a principle, in the emergency treatment, partial or complete removal of the nail and early bullectomy along with copious washing with normal saline was done, depending on the degree of HF invasion of the wound. Wound was dressed with $Acticoat^{(R)}$ and 10% calcium gluconate solution. The effect of dressing was investgated by serial bacterial culture and wound exudates assessment. Results: We therefore reviewed 10 cases of HF-induced chemical burns and treatment principle. The 10 cases who came to the hospital nearly immediately after the injury healed completely without sequelae. Conclusion: As the industrial sector develops, the use of HF is increasing more and more, leading to increased incidences of HF-induced chemical burns. The education of patients regarding this subject should be empathized accordingly. In conclusion, $Acticoat^{(R)}$ dressing is a better choice for HF partial thickness burn injuries because of shorter healing time, less pain and more comfortable dressing.

• 한국산학기술학회논문지
• /
• 제13권4호
• /
• pp.1728-1738
• /
• 2012

본 연구의 목적은 작업치료사의 소진과 전문직 자아개념 및 자기효능감 정도를 파악하고, 인구사회학적 특성과 전문직 자아개념, 자기효능감이 소진에 미치는 영향을 살펴보고자 하였다. 연구대상은 작업치료 업무를 수행하고 있는 작업치료사 138명이었고, 2011년 10월 13일부터 11월 2일까지 구조화된 설문지를 통해 자료를 수집하였다. 연구결과는 다음과 같다. 첫째, 작업치료사의 소진은 평균 2.12(범위: 0-6), 전문직 자아개념은 평균 2.64(범위: 1-4)이었고, 자기효능감은 평균 3.56(범위: 1-5)이었다. 둘째, 작업치료사의 일반적 특성에 따른 소진은 1일 치료시간, 토요근무, 적성, 종교에 따라 유의한 차이를 보였다. 셋째, 전문직 자아개념은 자기효능감과 정적 상관관계를 보였으며, 전문직 자아개념과 자기효능감은 소진과 부적 상관관계를 보였다. 넷째, 작업치료사의 소진에 영향을 미치는 주요 변수는 전문직 자아개념과 종교였다. 따라서 전문직 자아개념을 향상시키는 프로그램을 개발하여 작업치료사의 소진을 감소시키고, 작업치료 서비스의 질적 향상을 도모해야 할 것이다.

• Archives of Plastic Surgery
• /
• 제36권4호
• /
• pp.385-392
• /
• 2009

Purpose: In the partial thickness burn management, despite of several advantages, the use of human amniotic membrane has been limited. The authors applied dried bovine amniotic membrane(DBAM) to overcome disadvantages of amniotic membrane for partial thickness burn and compared the effectiveness with cultured allogenic keratinocytes(CAK) that have been recently used for the management of burn. Methods: 16 patients with partial thickness burn, the mean age of 38 ranging 12 to 59 years, between August 2007 and May 2008 were assigned to this study. Either DBAM or CAK was applied, and the secondary dressing was removed on the following day. To compare treatment effect, time for epithelization, Vancouver scar scale and chromameteric results were evaluated. Results: The time for epithelization of DBAM was 10.1 days, that of CAK was 9.1 days, and they were shorter than the previous 2 - 3 weeks. At the follow up Vancouver scar scale was 2.8 for DBAM and 3.0 points for CAK and showed good results. The result of chromameter showed that the $L^*$, $a^*$, and $b^*$ values of the area applied DBAM were 60.1, 13.6, and 13.3, respectively, and the values of the area applied CAK were 60.1, 12.4, and 12.4, respectively. It was found that the skin color of the healed area after burn was darker, the redness was higher, and the yellowness was lower. After dressing, significant side effects were not observed, and in the cases of applying CAK, it was inconvenient as the moving area had to be fixed. Conclusion: With CAK, DBAM has several advantages such as the shortening of the epithelization period, reduction of scar and pigmentation, and convenient application, etc. Thus it is an effective method for the partial thickness burn management.

• Archives of Plastic Surgery
• /
• 제40권6호
• /
• pp.697-704
• /
• 2013

Background We conducted an experimental study to compare the effect of massage using topical agents (Kelo-cote or Contractubex) on scar formation by massaging the healed burn wound on the dorsal area of Sprague-Dawley (SD) rats. Methods Four areas of second degree contact burn were made on the dorsal area of each of 15 SD rats, using a soldering iron 15 mm in diameter. After gross epithelialization in the defect, 15 SD rats were randomly divided into four groups: the Kelo-cote group, Contractubex group, Vaseline group, and control group. Rats in three of the groups (all but the Control group) were massaged twice per day for 5 minutes each day, while those in the Control group were left unattended. For histologic analysis, we performed a biopsy and evaluated the thickness of scar tissue. Results In the Kelo-cote and Contractubex groups, scar tissue thicknesses showed a significant decrease, compared with the Vaseline and control groups. However, no significant differences were observed between the Kelo-cote and Contractubex groups. In the Vaseline group, scar tissue thicknesses showed a significant decrease, compared with the control groups. Conclusions The findings of this study suggest that massage using a topical agent is helpful in the prevention of scar formation and that massage only with lubricant (no use of a topical agent) also has a considerable effect, although not as much as the use of a topical agent. Thus, we recommend massage with a topical agent on the post-burn scar as an effective method for decreasing the scar thickness.

• Archives of Plastic Surgery
• /
• 제32권1호
• /
• pp.67-70
• /
• 2005

Recently, the usage of an exercising treadmill has increased in Korean homes. Along with increasing utilization of these machines, injuries relating to the inadvertent usage of the machine have gradually increased for the last several years. The purpose of this study is to identify the feature of this type of injury, thereby to help prevent and to raise an awareness of the potential injury. 25 patients who had been admitted to Hangang Sacred Heart Hospital from January 2002 through March 2004 were investigated retrospectively. Age, sex, place of injury, the area and the extent of injury, treatment and prognosis were analyzed for each case. All injuries involved in the children with an average age of 3.5 years. This new type of injury was at least a deep second-degree burn of the friction-burn type in all cases. Most of them primarily involved hands. Inattention of the guardian was the main cause of such injuries. 68% of the cases needed an operation such as a split-thickness skin graft or a full-thickness skin graft. In this study, authors reached a conclusion that such injuries may be prevented by an education of the potential risks of using a treadmill and by developing additional safety devices.

• 한국화재소방학회논문지
• /
• 제30권3호
• /
• pp.16-22
• /
• 2016

소방공무원의 화상방지를 위해 소방보호복의 개발이 이루어지고 있으나, 보호 성능을 높이기 위해서 소재의 두께가 증가하고, 그럼으로 경량화 달성이 어려워지는 단점이 존재한다. 이를 극복하기 위한 여러 가지 방법 중 Phase Change Material(PCM, 상변화 물질)을 적용한 섬유를 소방보호복 안감에 적용하는 연구가 진행되고 있다. 기존 연구의 경우, 고온노출시 PCM 적용 섬유의 온도 특성에 대한 연구가 일부 있었으나, 화상 발생과의 직접적인 연관성을 살펴볼 수가 없다는 큰 단점이 존재한다. 본 연구에서는 짧은 시간 고열유속 상태의 돌발화염조건에 대해 현재 사용되고 있는 소방보호복 안감에 대한 PCM 적용 여부에 따라 2도 화상 발생 억제 효과를 수치계산을 통해 살펴보았다. 피부의 화상 해석을 위해 생체 열전달 방정식(Bio-heat transfer)을 이용하여 지배방정식을 유도하였으며, 유한차분법(Finite Difference Method)을 활용하여 화상에 대한 예측을 수행하는 수치해석 접근법을 사용하였다. 시간에 따른 온도 및 손상함수 결과 분석을 통해 PCM 소재의 열흡수가 열전달을 지연시키는 효과가 큼을 확인할 수 있었고, 그에 의해 화상발생을 방지하는 매우 유효한 방법임을 확인할 수 있었다.

• 한국안전학회지
• /
• 제22권4호
• /
• pp.110-116
• /
• 2007

지구상에 역사가 시작된 이후로 에너지, 경제, 환경 등 3E 문제가 존재해 왔다. 특히, 산업사회의 발전과 더불어 인간의 삶에 대한 욕구도 날로 급속하게 변하고 있다. 주40 시간제가 시행되면서 야외활동을 즐기는 사람들이 많아지고 있다. 가스에 의한 사고도 토요일과 일요일에 가장 많이 발생하고 있다. 따라서 본 논문에서는 부탄 캔의 파열에 따른 화염의 영향으로 인간에게 미치는 영향을 알아보고자 한다. 이를 위하여 API에서 규정한 피해예측을 통하여 평가를 실시하였다. 폭발장소에서의 화염에 의해 미치는 영향 거리를 산출하여 거리별 복사열의 크기를 알게 되면 그 지점에서의 피해는 간단하게 예측할 수 있다. 또한 폭발장소 주변에 위치한 인간에게 미치는 영향을 PROBIT 모델에 적용하여 사고피해예측을 평가하였다. 프로빗 분석에 의하면 화염에서 50cm 이격된 곳은 1도 화상에 의한 손상확률이 97%, 2도 화상에 의한 손상확률은 8%, 화재로 인한 사망확률은 4%로 나타났다.

• 한국안전학회지
• /
• 제25권3호
• /
• pp.53-60
• /
• 2010

액화석유가스 자동차는 대도시의 대기환경 개선을 위해 적용되고 있으며 대기 오염물질을 저감시키는데 효과적인 것으로 입증되고 있다. 이와 더불어 환경 친화적인 에너지원으로서 가스의 수요가 날로 급증하고 있으며, LPG 충전소도 해마다 증가추세이다. 따라서 본 논문에서는 충전소에서 증기운폭발에 의한 화염의 영향으로 인간에게 미치는 영향을 알아보고자 한다. 이를 위하여 API에서 규정한 피해예측을 통하여 평가를 실시하였다. 폭발장소에서의 화염에 의해 미치는 영향 거리를 산출하여 거리별 복사열의 크기를 알게 되면 그 지점에서의 피해는 간단하게 예측할 수 있다. 또한 폭발장소 주변에 위치한 인간에게 미치는 영향을 PROBIT 모델에 적용하여 사고피해예측을 평가하였다. 프로빗 분석에 의하면 화염에서 30m 이격된 곳은 1도 화상에 의한 손상확률이 100%, 2도 화상에 의한 손상확률은 99.2%, 화재로 인한 사망확률은 93.4%로 나타났다.