• Title/Summary/Keyword: stretcher

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Active contrl of an ambulane\ce stretcher: Simulation study

  • Sagawa, K.;Inooka, H.;Ino-Oka, E.
    • 제어로봇시스템학회:학술대회논문집
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    • 1994.10a
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    • pp.100-105
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    • 1994
  • In this paper, we discuss a method for design of an ambulance stretcher which call decrease blood pressure fluctuation caused by ambulance acceleration. Recently, a lot of stretchers which can isolate the vertical vibration to reduce body resonances (4-10 Hz) have been used during ambulance transport. However, we have found that blood pressure of a patient laying in the stretcher fluctuates when the ambulance accelerates or decelerates. Since the enforced change of the blood pressure may deteriorate the patent's condition, a stretcher to cancel head-to-foot acceleration and to decrease the blood pressure variation (BPV) is expected for safe transport. We propose a method to design a stretcher which is tilted according to an adequate angle to cancel head-to-foot acceleration by gravity when the ambulance accelerates or decelerates. A control method of the stretcher is constructed by means of simulation analysis using acceleration data measured during ambulance transport. It is confirmed that the active controlled stretcher proposed has good performance for the BPV reduction.

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Evaluation of 119 emergency medical technicians' work related musculoskeletal disorders risk with regard to patient lifting procedures (119 구급대원의 업무관련성 근골격계 손상 위험성 평가 - 환자 들기 작업을 중심으로 -)

  • Son, Jeong-Won
    • The Korean Journal of Emergency Medical Services
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    • v.23 no.1
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    • pp.101-112
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    • 2019
  • Purpose: The purpose of the study was to contribute to the prevention of musculoskeletal disorders (MSDs) in 119 emergency medical technicians (EMTs) by evaluating ergonomic risk factors of patient lifting work-postures. Methods: Four procedures were evaluated: using long back-board (LBB) on the sitting and standing main stretcher, using variable stretcher on the sitting and standing main stretcher. Wok-postures were assessed during training. Results: In using LBB on the sitting main stretcher, the OWAS-score was Mode:3 (Mean:2.30, Maximum:3), the REBA-score was Mode:9 (Mean:7.61, Maximum:11), requiring improvement soon. In using LBB on the standing main stretcher, the OWAS-score was Mode:3 (Mean:2.33, Maximum:3), requiring as soon as possible corrective action, the REBA-score was Mode:6 (Mean:5.44, Maximum:11), requiring improvement. In using variable stretcher on the sitting main stretcher, the OWAS-score was Mode:1 (Mean:1.85, Maximum:3), not requiring corrective action, the REBA-score was Mode:6 (Mean:6.78, Maximum:11), requiring improvement. In using variable stretcher on the standing main stretcher, the OWAS-score was Mode:3 (Mean:2.84, Maximum:3), requiring as soon as possible corrective action, the REBA-score was Mode:11 (Mean:9.38, Maximum:11), requiring immediate improvement. Conclusion: All four-procedures showed improvement in work-posture. Thereby, required attention and management in training, occupational health professionals should participate in change of lifting-method, and programs aimed at preventing MSDs should be developed and implemented in fire-academy and fire-station.

Optimal Shape Design of Legs and Stretcher Parts of Chair (의자 다리와 스트레쳐를 중심으로 한 형상 최적화 설계)

  • Lee, Young-Min;Jeong, Hoon
    • Proceeding of EDISON Challenge
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    • 2016.03a
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    • pp.256-261
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    • 2016
  • In this paper, Shape optimal design for a chair with 4 legs and 2 stretchers consisting of stainless steel was conducted. The shape was transformed by identifying stress and deformation for the part of leg and stretcher. In addition, load condition and mesh was designed using Hypermesh. The stress analysis was carried out using CSD_Elast that is one of EDISON program. In seat test, Maximum equivalent stress was showed at the contact part between seat and legs. As a result, a leg cross-section with rectangular and arch was designed. And optimal height of stretcher was found to reduce a deformation. Also, maximum deformation was reduced by designing a stretcher with ellipse cross-section. So, Optimal chair having 4 legs with rectangular cross section and 2 stretchers with ellipse cross section was shown to satisfy the safety ratio.

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Chest Compression Energy(kg) Measurement of 4 Types of Rescue Device on the Floor (4종류의 구급장비 및 마루(Floor) 위에서 시행한 가슴압박 에너지(kg)측정 실험에 관한 연구)

  • Shin, Dong-Min;Han, Yong-Taek;Kim, Seung-Yong;Park, Si-Eun
    • Journal of the Korean Society of Safety
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    • v.29 no.6
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    • pp.125-131
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    • 2014
  • The purpose of this study is to investigate the effect of high quality CPR using the 4 types of rescue device equipment and chest compressions energy measurement in pre-hospital settings. So, we used the mode to insert load cell in ALS Skill master Manikin to develop CFMM(Compression Force Measurement Manikin) on main stretcher, CPR board, long spine board, scoop stretcher and floor. And, our research team could know that the main stretcher needed average force of 32.55 (${\pm}1.01$) kg, CPR board of 27.23 (${\pm}1.08$) kg, long spine board of 27.13 (${\pm}1.18$) kg, Scoop Stretcher of 27.38 (${\pm}1.05$) kg and Floor of 27.24 (${\pm}0.93$) kg. CPR board must be necessary in the case of CPR on main stretcher in a moving ambulance. But if the condition of patient's back surface is the removable stretcher and the long spine plate, the patient doesn't have to be spent time to use a CPR board. Furthermore, this research suggests to consider that how to take advantage of the education to students for the equipment to check in real time the energy(kg) requirement of chest compressions.

A Chest Compression CPR Study Performed on a Main Stretcher : Comparative study between C-step and Over the Belly

  • Gyu-Sik Shim;Song-Yi Han
    • Journal of the Korea Society of Computer and Information
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    • v.29 no.5
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    • pp.123-129
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    • 2024
  • CPR is very important to paramedics, but the chest compression performed while on the move main stretcher is less accurate. The purpose of this study is to find out the difference between performing chest compression on the side of the main stretcher using C-step and on the patient's over the belly in order to increase the effect of CPR on the main object while on the move. As a result of the study, the appropriate depth (t=4.132, p=.000) and speed (t=7.177, p=.000) were shown in the group to which the C-step was applied, and the accuracy was higher (t=6.774, p=.000). In addition, it was found that there were few location defects (t=-5.197, p=.000) and too shallow errors (t=-2.948, p=.008) in the group to which the C-step was applied. In conclusion, mounting a C-step on the main stretcher seems to help improve the quality of chest compression, and it is thought that this will increase the efficiency of chest compression.

Leveling of Aged Low Carbon Steel Sheets in order to Prevent Shape Defects after Stamping (시효 발생한 저탄소 냉연강판의 가공형상 불량 방지를 위한 판재 교정기술 활용)

  • Park, K. C.
    • Transactions of Materials Processing
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    • v.24 no.4
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    • pp.241-247
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    • 2015
  • In order to prevent shape defects such as fluting and stretcher strains during press forming of aged low carbon steel sheets, roller leveling conditions for reducing yield point elongation were studied. Yield point elongations of leveled sheets were determined as a function of leveling, which is defined as the plastic fraction or the ratio of plastically deformed part in sheet thickness section to the whole thickness of the sheet. By adjusting this plastic fraction during leveling to more than 78%, yield point elongation in the leveled sheets was reduced so no fluting occurred during subsequent tangential bending. Stretcher strains can be avoided by leveling the sheet to an 84% plastic fraction condition.

The Effect of applying Subsidiary step developed for CPR on the main stretcher during movement (이동 중 주들것에서 심폐소생술을 위해 개발된 보조발판(C-step)의 적용 효과)

  • Shim, Gyu-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.5950-5957
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    • 2012
  • CPR with minimized hands-off time is one of integral factors for the improvement of the survival rate of patients. The purpose of this study was to examine the relationship of the installation of C-steps on the main stretcher to CPR accuracy and errors. The subjects in this study were 70 paramedics in 10 firehouses in the province of C(35 for control group, 35 for experimental group), and their CPR accuracy on the main stretchers was checked. As a result, it's found that the main stretchers equipped with the C-steps served to boost the accuracy of chest compression by creating suitable environments for that in terms of height and posture(t=65.104, p=.000), to improve the accuracy of artificial respiration by providing a proper amount of ventilation(t=5.207, p=.000), and to bolster the self-confidence of the paramedics about CPR(t=-10.612, p=.000). In conclusion, the mounting of C-steps on the main stretcher is expected to be of use for the improvement of the survival rate of cardiac-arrest patients by ensuring the precise performance of high-quality CPR.

Measurement of Tensile Relaxation of Leather for Shoe Uppers (구두 상부용 가죽의 인장 회복량 측정실험)

  • Lee, Jeongmin;Bae, Mincheol;Kim, Yungwoo;Choi, Seongmyung;Baek, Sungkwan;Lee, Hyoungwook
    • Journal of Institute of Convergence Technology
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    • v.7 no.1
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    • pp.7-10
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    • 2017
  • In general, the shoe stretcher is utilized to stretching the leather of shoe upper in the longitudinal direction. In the capstone design class, we tried to make a shoe leather stretcher for the ball of foot. Since a natural cow leather was recovered in length according to relaxation time after stretched, it was difficult to predict the initial amount of set up of stretching. In this paper, tensile and relaxation experiments were conducted in order to predict the amount of initial stretching for appropriate tensile length. Apparatus of leather stretching was designed and strains of leather were measured according to relaxation times of 12, 18, 24 hours after stretching of 24 hours. It was revealed that the ratio of the final relaxed strain and the initial applied strain was about 0.404 with R-square of 0.990 for a shoe cow leather.

Assessing the risk of work-related musculoskeletal disorders in 119 EMT: a focus on patient-carrying tasks (119구급대원의 업무 관련성 근골격계 질환 위험성 평가 : 환자 운반 작업을 중심으로)

  • Jeong-Won Son
    • The Korean Journal of Emergency Medical Services
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    • v.27 no.3
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    • pp.33-46
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    • 2023
  • Purpose: This study aims to evaluate the risk of work-related musculoskeletal disorders (WMSDs) in 119 EMT during patient-carrying tasks using a long backboard (LBB) and a variable stretcher. Methods: Manikins were used as patients, and 45 new 119 EMT from K Fire Academy were filmed performing patient-carrying tasks on stairs. The tasks were analyzed using Ovako working posture analysis system (OWAS) and Rapid entire body assessment (REBA). Results: In using LBB, the OWAS score was Mode 3(Mean 2.37, Maximum 3), requiring as soon as possible corrective action, the REBA score was Mode 11(Mean 9.16, Maximum 11), requiring immediate improvement. In using variable stretcher, the OWAS score was Mode 1(Mean 2.33, Maximum 3), non-necessity for corrective action, the REBA score was Mode 9(Mean 8.0, Maximum 11), requiring as soon as possible. Conclusion: In conclusion, improvement was needed in one task (carrying a patient using a LBB) in the OWAS and in two tasks (carrying a patient using a LBB, carrying a patient using a variable stretcher) in the REBA. Thereby, required attention and management of WMSDs during training. In addition, it is essential to carry out objective and quantitative assessments through ergonomic analysis by occupational health professionals when designing future training programs to prevent WMSDs.