• Journal of the Korean Society of Radiology
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• v.84 no.4
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• pp.784-791
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• 2023

Based on statistics available in Korea, trauma centers play a critical role in treatment of patients with trauma. Interventional radiologists in trauma centers perform various procedures, including embolization, which constitutes the basic treatment for control of hemorrhage, although interventions such as stent graft insertion may also be used. Although emergency interventional procedures have been used conventionally, rapid and effective hemorrhage control is important in patients with trauma. Therefore, it is important to accurately understand and implement the concept of damage control interventional radiology, which has gained attention in recent times, to reduce preventable trauma-induced mortality rates.

• Journal of Korean Biological Nursing Science
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• v.23 no.2
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• pp.138-150
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• 2021

Purpose: This retrospective study aimed to investigate nursing interventions in patients with severe thoracic injury in trauma bay of a regional trauma center. Methods: Of the 1,780 patients admitted to the trauma bay of a regional trauma center in a university hospital in the Gyeonggi Province between January 1, 2019 and December 31, 2019, 120 adult patients with severe thoracic injury who met the inclusion criteria were enrolled. Participants' clinical characteristics and nursing interventions were collected from electronic medical records after receiving ethical approval. Nursing interventions were classified using the terminology in the Nursing Intervention Classification. Results: The mean age of participants was 52.25 years and 72.5% of participants were male. The main areas of thoracic injury included lung parenchyma and pleura (95.8%). The mean Abbreviated Injury Scale (AIS) for thoracic injury was 3.13 and the mean Injury Severity Score (ISS) was 17.81. Fluid resuscitation, invasive hemodynamic monitoring, chest tube care, respiratory monitoring, artificial airway management, gastrointestinal tube care, mechanical ventilation management: airway insertion and stabilization, blood product administration, allergy management, and surgical preparation were performed significantly more frequently in thoracic injury patients with unstable vital signs or a higher AIS score. Conclusion: This study is significant as it investigated the types of nursing interventions given to patients with severe thoracic injury in the trauma bay. These results would contribute to developing more detailed educational materials for initial nursing interventions in trauma bay.

• Korean Journal of Social Welfare
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• v.69 no.2
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• pp.219-246
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• 2017

The purpose of this study is to develop a substantive theory that understand the burnout and secondary traumatic stress experience of social workers who worked in the trauma centers. This research was conducted by Grounded Theory. The result is as follow: In the initial coding, 159 units of mean, 47 subcategories, and 12 main categories. The central phenomenon of the initial coding was 'the wounded existence.' In the focused coding, the core category was 'seeking to recover professional identity as a social worker.' In the theoretical coding, the burnout and secondary traumatic stress experience of social workers who worked in the trauma centers were classified as four phases;'Commitment to the mission', 'Conflict', 'Stagnant' and 'Disruption'. Based on the findings, the preparation for the disaster social work practice, the perspective on "social healing" of trauma, and the necessity of the mandatory policy or intervention for social workers self-care were discussed.

• Proceedings of the Korea Contents Association Conference
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• 2013.05a
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• pp.209-210
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• 2013

본 연구에서는 보건복지부에서 중증 응급환자를 위한 '중증질환별 특성화 센터'로 지정된 안양의 H병원에서 오토바이 사고로 인해 응급실을 내원하여 중증외상 환자로 분류된 환자를 대상으로 보건복지부 중앙응급의료센터에서 정한 중증외상 등록체계를 바탕으로 중증도를 분석하여 손상기전과 생존의 영향을 미치는 인자에 대하여 알아보고자 한다.

• Journal of muscle and joint health
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• v.27 no.2
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• pp.122-131
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• 2020

Purpose: This study aims to investigate major traumatic events experienced by nurses in regional trauma centers and explore the relationship among their traumatic events experience, perceived stress, and stress coping. Methods: Data were collected from 208 nurses in the trauma emergency room (trauma-bay) and trauma intensive care unit at four regional trauma centers. Results: The mean score of the traumatic events experience was 44.3 out of 76 points. The scores for physical injuries caused by traffic accidents or falls as well as patient care with abnormal behaviors were high. Significantly positive correlations among traumatic events experience, perceived stress, and stress coping were identified. Conclusion: Nurses working in the regional trauma centers experienced many various traumatic events, leading to high levels of stress. This study suggests that it is necessary to establish a regular surveillance system for nurses' traumatic events experience and perceived stress.

• Korean Journal of Social Welfare Studies
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• v.43 no.1
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• pp.249-273
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• 2012

Certain professionals face repeated exposure to traumatic events throughout their career. Although typically linked to pathological outcomes, research has identified sustained positive benefits and posttraumatic growth (PTG) as consistent posttrauma outcomes in occupational exposed to trauma. This study investigated the association of occupation, subjective psychological distress to a traumatic event, and demographic characteristics with posttraumatic growth in emergency workers (firefighters, rescue, and ambulance personnel), subway operators, and child protective service workers. The study led to the following conclusions: First, all three groups are risk groups of PTSD, especially, subway operators demonstrated the highest degree. Child protective service workers demonstrated the highest degree of PTG and emergency workers and subway operators followed respectively. Second, vicarious trauma and PTG were significantly correlated, in particular, invasion and avoidance were more highly correlated. Third, multivariate analysis revealed that occupation, invasion, avoidance, religion, and sex were significantly associated with PTG. Discussion addresses the need to serve mental health service and to apply concept of PTG for occupations exposed to trauma.

• Journal of Industrial Convergence
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• v.20 no.10
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• pp.61-69
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• 2022

Posttraumatic growth literature has been rapidly expanding in multiple academic disciplines. Purpose of this study is to examine the knowledge structure of posttraumatic growth utilizing a network analysis. Papers published between 1996 and 2018 were searched on the Web of Science, focusing on terms related to posttraumatic growth. One thousand six-hundred and fifty-nine keywords were published 6,343 times in 1,780 papers; thus, a total of 322 keywords (5,195 appearances) were selected for the final analysis. The network analysis and network visualization tool used were NodeXL and PFnet, respectively. The keywords which appeared the most frequently were "Posttraumatic growth," followed by "Posttraumatic Stress Disease," "Cancer," and "Trauma." A total of 322 nodes have been reduced to 175 nodes and divided into a total of five groups. The five groups were "Posttraumatic Growth in Cancer, Chronic/Serious Illness, and Disability," "Posttraumatic Growth-related Psychological Variables and Psychotherapy," "Posttraumatic Growth in the Context of Death," "Cognitive Mechanisms of Posttraumatic Growth," and "Vicarious Posttraumatic Growth." This study provides a systematic overview on the knowledge structure of posttraumatic growth by quantitatively network analysis.

• Health Policy and Management
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• v.28 no.4
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• pp.411-422
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• 2018

Background: Whether there is a difference in outcomes for trauma patients transferring to the helicopter emergency medical service (HEMS) according to their previous team composition is controversial. The purpose of this study is to evaluate the effectiveness of trauma team-staffed-HEMS (TTS-HEMS) when transferring to a trauma center. Methods: A retrospective comparison was conducted on patients transported to a trauma center over a 6-year period by the TTS-HEMS and paramedic-staffed-HEMS (119-HEMS). Inclusion criteria were blunt trauma with age ${\geq}15years$. Patient outcomes were compared with the Trauma and Injury Severity Score (TRISS) (30-day mortality) and the Cox proportional hazard ratio of mortality (in hospital). Results: There were 321 patients of TTS-HEMS and 92 patients of 119-HEMS. The TTS-HEMS group had a higher Injury Severity Score and longer transport time but a significantly shorter time to emergency surgery. The prehospital data showed that the trauma team performed more aggressive interventions during transport. An additional 7.6 lives were saved per 100 TTS-HEMS deployments. However, the TRISS results in the 119-HEMS group were not significant. In addition, after adjusting for confounders, the hazard ratio of mortality in the 119-HEMS group was 2.83 times higher than that in the TTS-HEMS group. Conclusion: HEMS was likely to improve the survival rate of injured patients when physicians were involved in TTS-HEMS. Survival benefits in the TTS-HEMS group appeared to be related to the fact that the trauma team performed both more aggressive prehospital resuscitation and clinical decision making during transportation.

• Korean Journal of Social Welfare Studies
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• v.49 no.1
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• pp.109-132
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• 2018

This study investigated the impact of the secondary trauma stress experienced by workers who support sexual violence victims on occupational stress level, and verified the moderating effect of the job education from support facilities in this relationship. The data analyzed in this study were sampled from "The Primary Study on The Development of Training Program to Cultivate Professional Workers of Support Organizations for Sexual Violence Survivors" as a secondary data and 482 nationwide workers were selected. By applying SPSS PROCESS macro, the moderation model was analyzed. The analysis results are as follows. First, sexual violence victim support workers' secondary trauma stress has a significantly influence on occupational stress level of workers. Second, the job education from support agencies themselves moderates the relationship between the secondary trauma stress and occupational stress level of support agents. It also showed that the higher level of job education participates, the less the experience of being stressed on the job. Thus, on the basis of the result, the theoretical discussion on the secondary trauma stress and occupational stress level of sexual violence victim support worker was drawn out and the empirical implication on the direction of the education for job related was suggested.

• Korean Institute of Interior Design Journal
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• v.26 no.6
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• pp.172-179
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• 2017

The regional trauma center should be a trauma treatment center equipped with facilities, equipments, and manpower capable of providing optimal treatment from emergency surgery to a severely traumatized patient upon arrival at the hospital. In order to establish a medical system for effective severe diseases, it is necessary to prepare architectural planning guidelines for the regional trauma centers. This study analyzes the connectivity, control, integration, and mean depth of current trauma centers using the convex map of space syntax, And to provide basic data for building for more efficient regional trauma center. The major areas that must be included in the regional trauma center are trauma resuscitation room, trauma operating room, trauma intensive care unit, and trauma general ward. It is necessary to carry out the architectural planning to increase the interconnection of the four areas. Also, the elevator plan for trauma patients should be emphasized. In addition, a regional trauma center should be separated from the existing facility for independent operation. According to the case analysis of the space configuration of the regional trauma center, the location of the operating room is most important considering the connection with each department of the hospital and the treatment flow of the severe trauma patients.