• 제목/요약/키워드: 응급시설

검색결과 110건 처리시간 0.022초

시설 및 재가 요양보호사의 응급상황 경험과 응급처치 지식, 응급상황대처능력, 교육경험 및 교육요구도 비교 (Comparison of Emergency Experience and First Aid Knowledge, Emergency Coping Ability, Educational Experience and Educational Needs of Facilities and Home Caregivers)

  • 김순옥
    • 한국보건간호학회지
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    • 제33권3호
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    • pp.390-408
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    • 2019
  • Purpose: This study is descriptive research that provides basic data to develop customized emergency education programs for strengthening the emergency coping ability of caregivers suitable for facility and home care services. Method: This study included 210 facility and 169 home care workers in S and G regions. Data collection was conducted from February 1, 2019 to March 5, 2019. The data was analyzed using a t-test, one-way ANOVA, Pearson's correlation coefficients, and Scheffe tests. Results: The emergency experience was higher in the facilities group, (90.5% in the facilities group and 70.4% in the home group), and there was a significant difference between the groups (t=25.03, p<.001). First aid knowledge was 10.41±2.81 in the facilities and 9.70±2.97 points in the home group, showing a difference between the groups (t=2.40, p=.017). The emergency coping ability was 60.57±4.76 points in the facility group and 57.53±4.18 points in the home group, which was higher in the facility group. There was a significant difference between the two groups (t=6.53, p<.001). The emergency education demand was 98.6% for the facilities group. Conclusion: These results highlight the need to develop and apply case-based emergency education suitable for the characteristics of the service and reflecting the educational needs of each type of service.

특집-일본의 재해예방대책 - 2. 토야마현 뉴젠어항에 관한 재해복구사업 및 재해대책 응급사업

  • 한국어촌어항협회
    • 어항어장
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    • 통권89호
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    • pp.35-40
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    • 2010
  • 뉴젠어항의 배후 취락인 아시자키(芦崎)지구는 호안 제방을 넘은 파도가 취락내로 흘러들어와 사상자 16명, 주택의 전반파 11동, 침수 117동 등 큰 피해를 일으켰다. 뉴젠어항 해안에는 재해를 입은 해안 보전시설의 배후취락 피해도 심각하여 원형복구가 아닌 재해발생 파랑을 고려하여 설계파를 재검토, 필요 최소한도의 복구공사를 실시하게 되었다.

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국내 재난현장 응급의료시설 관리방안에 관한 연구 (A Management Strategy for Emergency Medical Facilities in Domestic Disaster Sites)

  • 서상욱
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제25권4호
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    • pp.17-25
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    • 2019
  • Purpose: Despite the fact that the needs for disaster emergency medical facilities to minimize casualties are increasing, research for emergency medical facilities is insufficient compared to research for DMAT investment. A management strategy for emergency medical facilities in disaster site needs to be proposed. Methods: Recently there was introduction of mobile hospital system using unit modular method, but it was found out to be used only in disaster emergency training. Emergency medical facilities in disaster site require various tasks. Examination for our research was carried out through consultations with emergency medical and mobile hospital expert because there is no practical use case to apply Emergency Medical Facilities in Korea. Result: In this research we proposed a management strategy to manage and operate emergency medical facilities composed of tent, unit module and container in the aspects of management efficiency. Implications: It is highly expected to establish a foundation for fast and accurate disaster emergency medical facilities deployment by applying the results of our research to Emergency response manual of disaster emergency medical service.

노인요양시설에서 노인수발 담당자의 응급처치에 대한 교육수요도 조사 - 일개 도시를 중심으로 - (A Study on the Need for Emergency Care Education in Nursing Homes)

  • 엄동춘;성시경
    • 한국간호교육학회지
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    • 제15권1호
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    • pp.53-61
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    • 2009
  • Purpose: This study was conducted to evaluate the need for education for emergency care in nursing homes. Method: 312 people who were engaged in caring for the elderly at nursing homes in D-metropolitan c! ity answered the questionnaires about the experiences, the need, and the ideal methods of education for basic emergency care, from Jul. 1. 2007 to Jul. 30. 2007. Result: 69.9% were female. Only 7.1% were nurses and the rest did not have majors in the medical field. 83.0% had experienced education for emergency care, and 89.2%, 78.4% and 44.8% of them had been educated about cardiopulmonary resuscitation, airway obstruction care, and fracture/sprain/dislocation care respectively. Fifty-three who had not experienced education answered 'no opportunity' as a cause of non-education. The need for emergency care education was 4.53/5.00, and the desire to receive education was 2.81/3.00. Mainly workers wanted to be educated abo! ut airway obstruction (88.1%), and breathing assistance & cardiac massage (72.4%). Workers preferred to be educated 1-2 times per year for 2-3 subjects, through programs including both lecture and practice. Conclusion: It is essential to create an adequate program and apply it to the people engaged in caring for the elderly.

고령자를 위한 사례기반추론에 기반한 상황인식 시스템 개발 (Development of the Context-Aware System for Senior Citizen based on Case-Based Reasoning)

  • 김정숙
    • 한국지능시스템학회논문지
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    • 제25권5호
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    • pp.419-424
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    • 2015
  • 고령화 사회로 진입된 현재 노인들의 응급상황에 대한 안전 보호 기능이 더욱 요구되고 있으나, 노인들이 거주하고 있는 주거설비나 시설들은 노인의 안전에 대한 특성을 배려하지 못하고 있으므로 각종 안전사고가 일어날 수 있다. 특히 현재, 홀로 거주하는 노인들이 집안 내부 중 폐쇄공간인 화장실과 욕실과 같은 공간에서 발생하는 응급상황에 대비할 수 있는 기능은 호출 버튼을 누르는 정도이나, 노인들의 경우 화장실과 욕실에서 미끄러짐과 넘어짐과 같은 응급 상황이 많이 발생하고 있고 특히 생명과 직결되는 경우가 많다. 따라서 본 논문에서는 노인들이 거주하는 집안과 자주 이용하는 화장실에서 노인 안전 보호 기능을 강화할 수 있도록 다양한 센서를 통해 노인들의 움직임과 동작을 수집하고 수집된 노인들의 생활 패턴 정보에 대해 사례기반추론을 이용하여 실시간으로 상황을 인식하여 응급상황이 발생할 경우 신속하게 가족 혹은 친척이나 관련 기관에 전화를 걸어 대처할 수 있는 시스템을 개발하였다.

학교 내 안전체험교실의 시설모형 개발 연구 (A Study on the Development of Facility Model for Safety Training Class in School)

  • 박성철;안유정;송병준;조진일
    • 교육녹색환경연구
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    • 제16권2호
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    • pp.19-33
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    • 2017
  • 본 연구는 교육부, 학교현장, 건축가, 기업 등 관련 기관의 정책수립, 운영계획수립, 시설건립 등 다양한 사업추진과 밀접한 관계가 있는 '안전체험교실 시설모형을 개발'하기 위하여 안전체험교실에 적용하기 위한 필수 교육프로그램을 도출하고 단위공간 조성과 이에 대한 구성요소 및 활용방안을 제시하는데 목적이 있다. 본 연구는 5단계로 내용을 구성하였다. 첫째, 안전교육 수행 및 시설계획 기본방향과 관련한 문헌을 분석하였으며, 둘째, 공간규모, 시설구성 등 공간조성 실태와 운영실태분석을 바탕으로 안전교육 체험교실 실태를 조사하였다. 이를 기반으로 기존 안전체험교실의 장 단점을 분석하고 델파이 조사 및 전문가 참여디자인을 통하여 5가지의 시설모형(안)을 개발하였다. 최종적으로 개발된 안전체험교실 시설모형(안)은 1) 교통안전(보행안전, 차량안전, 지하철안전) 2) 응급처치(응급구조, 신고요령) 3) 재난안전(화재 대피안전, 지진 생활안전) 4) 승강기안전(승강기안전, 에스컬레이터안전) 5) 약물 및 폭력안전(흡연 음주안전, 성폭력안전, 식품안전)에 대한 체험존과 각 영역의 세부 안전체험공간이다. 이러한 과정을 통해 개발된 안전체험교실 시설모형(안)은 학교현장의 수용 가능한 공간적 규모에 따라 각 모형을 조합 또는 분리하여 안전체험교실을 조성할 수 있을 것이다.

응급실에서의 감염관리 표준지침의 반영에 관한 연구 -응급실에서의 감염관리 표준지침과 응급의료에 관한 법률의 반영 비교를 중심으로- (A Study on an acceptance of CDC guideline on practical emergency department planning -Focusing on comparison CDC guideline to Emergency Medical Service Act-)

  • 윤형진;오준걸
    • 한국산학기술학회논문지
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    • 제16권11호
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    • pp.7237-7243
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    • 2015
  • 응급실은 병원으로 입원하는 주요 경로로서, 감염환자의 1차적 내원의 가능성이 높은 곳이다. 국내에서 질병관리본부가 2009년에 제정한 "응급실에서의 감염관리 표준지침"이 응급실 감염환자 관리 방안과 표준시설기준을 규정하고 있으나 각 병원 응급실의 감염환자 시설은 병원마다 차이가 있고 지침에 따른 일관된 감염환자 관리시설을 갖추었다고 보기 어렵다. 본 연구는 응급실에서의 감염관리 표준지침의 실효성을 알아보기 위해 법적 강제성을 갖는 "응급의료에 관한 법률"과 비교하여, 첫째 지침이 법률 시설기준에 반영된 여부를 분석하였고, 둘째 2009년 전후에 신축 또는 개축한 응급실들을 분석대상으로 하여 각 시설기준 항목들의 반영여부를 파악하였다. 그 결과 지침과 법률 시설기준의 상호연관성은 없었다. 분석대상 응급실들의 시설은 법적기준을 모두 충족한 반면 지침의 감염관리시설은 선별적으로 적용되어 있었고, 설치 항목들이 건축년도에 관계없이 분석대상 응급실에 대부분 적용되어 "응급실에서의 감염관리 표준지침"의 제정과는 무관한 것으로 나타났다. 본 연구 결과는 향후 응급실의 감염관리시설의 법적기준 체계 보완에 참고자료로 활용 될 수 있을 것이다.

장애아 전담 보육시설에서 보육교사의 응급처치교육에 대한 실태조사 (A Study on Actual Conditions of the First-Aid Education for Child-care Teachers at Daycare Center for the Disabled Children)

  • 이효철;장용수
    • 한국응급구조학회지
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    • 제14권1호
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    • pp.19-29
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    • 2010
  • Purpose : This study was conducted to examine the degree of recognition of safety education and its execution for child-care teachers at daycare center for the disabled children in Jeollanam-do. Ninety six child care teachers filled out the questionnaire and the results were as follows. Results : 1. The possibility of accident prevention by the day care teachers was a little higher in case of nearby education institution. The most appropriate period of safety education was within one month. 2. Majority of child care teachers had received safety and first-aid educations before and the education was done for less than 2 hours. 3. The best educational method was practice-centered education of off-duty time. The contents of first-aid education were bleeding, fall, shock, and burn. 4. The education material and book should be available to the teachers when they need the knowledge. 5. By the annual schedule, safety education should be conducted and provided to the parents. Conclusion : This study suggested that reinforcement of contents related to emergency situation and actual first-aid as well as theory education in the process of parent and teacher education should be conducted on the basis of information of general conditions related to safety and first-aid education at the daycare center for the disabled children.

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교정시설의 병원 전 응급의료체계에 대한 고찰 (A study of pre-hospital emergency medical system at correctional institutions)

  • 김수일
    • 한국응급구조학회지
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    • 제13권3호
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    • pp.121-131
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    • 2009
  • The purpose of EMS is to provide emergency patients with prompt and suitable emergency treatments therefore it saves their lives and makes them recover fast to return to normal. The purpose of correctional administration is to return inmates to society as sound citizens after their service by providing various correctional education, reformational programs, vocational training and etc. In this way, the aim of correctional administration and EMS is like mutual agreement by their returning to society safely. Therefore this study makes some propositions like the followings for the safety between many inmates who can have physical injury and exposure to diseases caused by particularity of subculture within correctional institutions and the staffs who work for them. It is said about efficient pre-hospital EMS through various causes of emergency situation in the correctional institution, system, manpower, facility, equipments and problems and so on. 1. Recruit the first-rate EMT(emergency medical technician) as central role of pre-hospital EMS according to each correctional institution and working terms. 2. Equip specialized transference system with symptom of patients and purpose of transference. 3. Emergency medical equipments and first-aid medicines should be equipped for field and ambulance. 4. Educate correctional officers as first responders and inmates within correctional institutions about systematic emergency treatment.

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응급부 진입구역과 환자분류구역의 감염관리를 위한 환자동선과 공간구성 계획에 대한 연구 (A Study on the Guideline of Spatial Composition and Circulation in Triages and Entrances Area in Emergency Departments for Efficient Infection Control)

  • 강지은;권순정
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제25권1호
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    • pp.41-49
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    • 2019
  • Purpose: After Mers breakout in 2015, major hospital in Korea have been renovated the emergency department to make a separate infection control zone for high-risk patient with potential infection and to improve a triage area and an entrance area for efficient patient evaluation. However, there are no specific design standards to reinforce infection control for patients and staffs safety. Therefore, it is important to establish of initial design factors in the triage and entrance area as a guideline. Methods: 5 cases which had been recently renovated are selected to analyze patient circulation and spatial composition in a triage area and an entrance area. The partial floor plans of each case are represented as bubble diagrams to help understanding of different patient circulation flows. Based on this analysis, significant design factors which should be considered in planning stage for infection control have been extracted. Results: 13 design factors are established. Using these design factors, patient circulation diagram is generated to provide an optimized suggestion for efficient infection control. Implications: This suggestion provides basic databases to start to establish design guideline in the triage area and the entrance area to minimize infection spreading in the emergency department.