• Journal of the korean academy of Pediatric Dentistry
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• v.26 no.4
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• pp.579-588
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• 1999

Monitoring of patients is essential in assuring the safety of sedation in the dental office. The purpose of this study was to explore the utilization and preferences of sedation, utilization of monitoring methods, and the preparation for emergencies during sedation. Members of the Korean Academy of Pediatric Dentistry were surveyed(n=245) from 1998. 10. 1 to 1998. 12. 20 to establish current trends in the use of sedation practices and monitoring methods in Korea. Findings of the survey include: 1. Twenty nine percent of pediatric dentists use sedative agents in their practices. Seventy one percent of pediatric dentists do not use any sedative agents in their practices 2. Thirty nine percent of pediatric dentists who use sedative agents do so without monitoring devices 3. Nitrous oxide inhalation sedation was the most frequently utilized sedation method by pediatric dentists and chloral hydrate was the most frequently utilized sedative by pediatric dentists. Pulse oximeter was the most frequently utilized monitoring method during sedation in dental office. 4. Only twenty eight percent of pediatric dentists obtain the informed consent of the child's legal guardian. 5. Only sixty percent of pediatric dentists prepare for emergencies during sedation.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.29 no.1
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• pp.35-53
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• 2020

The treatment of fractured teeth in the upper anterior area has various causes and clinical symptoms at different ages. Most patients come to the clinic in emergency state, so if you're treating them with accurate diagnosis criteria, You'll get aesthetic and functionally satisfying results. I'm going to take a look at the treatment of the upper anterior tooth, which is more sensitive than other parts, with the case I've treated before. The case I treated cannot be the answer, but I hope it will be of any help if youencounter similar symptoms in your clinical trial.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.11
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• pp.421-425
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• 2018

Methanol is a clear, colorless, volatile, and poisonous liquid that is commonly used as an industrial solvent. Visual impairment is a common symptom of methanol poisoning; however, visual impairment rarely occurs after exposure through inhalation. Therefore, visual loss after methanol intoxication via respiration has rarely been reported. We report a case of visual damage associated with methanol poisoning via respiratory exposure in an industrial setting. In this case in South Korea, a 28-year-old woman who worked at a cell phone factory was admitted to the emergency department with mental changes. She had blurred vision that began two days prior, but she did not come to the hospital until she experienced mental changes. She ranked 9 on the Glasgow Coma Scale and presented with severe metabolic acidosis. So, she was admitted to intensive care, and continuous renal replacement therapy was performed. Finally, she was discharged after recovery of her mental state, but had to undergo rehabilitation for six months. Also, her visual impairment was permanent. Methanol intoxication can occur through inhalation, which is difficult to detect initially. However, treatment of methanol poisoning is time-critical. Therefore, doctors should always keep in mind that methanol intoxication may occur via respiration. If in doubt, treatment should be given as soon as possible.

• Fire Science and Engineering
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• v.28 no.1
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• pp.71-78
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• 2014

Complex ethical issues of Emergency Medical Techinician (EMT) out-of hospital emergency medical scene and the ER (Emergency Room) behaviors were studied. The survey was conducted by 500 EMT group members working in the field of ambulance work and general hospital and it was about their work ethics, discussions and solutions about the transferred patients, and ethics regarding Do Not Attempt Resuscitate (DNAR). The survey includes work ethics, awareness about the target job, a discussion on the transfer of patients, measures, and deathbed. Discussions about the patient's condition and diagnosis results were majorly absent during patient transportation at the emergency care scene. More than 90% of emergency care transfer were inappropriate. Sometimes, EMT working in the field facing morally unethical problems beyond their responsibility. When EMT, who can not make death diagnosis, received deathbed related DNAR issues, they gone through severe ethical conflicts. The institutional support and therapy for EMT was weak. In Korea, especially in the accident site, ethical issues education is more needed than DNAR prevalence of education and guidance. If ethics training and guidance are given to EMT, a lot of moral errors in the field can be resolved.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1997.04a
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• pp.115-115
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• 1997

성인에 있어서 급성 후두개염의 발생빈도는 점차 증가하고 있다는 보고들이 있다. 일명 성문상부염(supraglottitis)이라고도 불린다. 이는 비단 후두개뿐만 아니라, 성문상부 구조물의 광범위한 염증을 흔히 동반하기 때문이다. 항생제의 발달로 과거와 같은 심각한 호흡곤란및 급성 상기도 증상을 일으켜, 기관지 절개술 등을 필요로 하는 경우는 많이 줄었다 하더라도 여전히 급성상기도 폐쇄를 일으킬 수 있는 응급질환 중의 하나이다. 저자들은 최근 18년동안 본교실에서 급성 후두개염으로 진단받고 치료받은 성인환자 103례중 77례를 대상으로 후향적으로 임상적 특징, 검사소견, 치료성적 등을 비교, 분석하였다. 문헌고찰과 아울러 보고하고저 한다.

• The Korean Chronic Disease News
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• no.316
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• pp.1-18
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• 2007

충남 금산군 보건소 송기철 소장/“건강한 생활, 쾌적한 환경, 건강을 걸읍시다”/선진국형 당뇨병치료 시범사업 실시/‘응급의료 인프라’지속적 개선/국내 당뇨병환자 269만명 추정/암 관리사업 연구협력 활성화/노인 인구집단 성병 감염실태 조사/하루 전 국민 5.4%가 의료기관 이용/대한피부과학회‘피부건강 10계명’/의약품 공정거래 자율준수프로그램 도입/‘레보텐션’가처분 결정 취소 판정/LG생명-다케다, 비만치료제 공동연구/“건강도시 건강수도 금산”/맞춤형 방문건강관리사업/“가장 손쉽고 좋은 운동, 건강의 비결은 걷는데 있습니다”/부실한 인적 자본, 미래 위한 건강투자 시급/

• Journal of The Korean Society of Clinical Toxicology
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• v.16 no.2
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• pp.141-148
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• 2018

Purpose: The Korean government approved selected nonprescription drugs (Over-The-Counter drug; OTC drug) to be distributed in convenience stores from 15. Nov. 2012. This study examined the changes in the incidence and the clinical outcome of acute pharmaceutical drug poisoning after the deregulation of OTC drug sales. Methods: This study analyzed the data of Emergency Department based Injury In-depth Injury Surveillance (EDIIS), Korea Centers for Disease Control and Prevention, from 2011 to 2014. The following items were examined: age, gender, intention, alcohol association, pharmaceutical drugs resulting acute poisoning, the clinical outcomes in emergency department, and the admission rate of intensive care unit (ICU). This is a retrospective cross section observational study. Results: A total of 10,162 patients were subject to pharmaceutical drug poisoning. Acute poisoning by acetaminophen and other drugs were 1,015 (10.0%) and 9,147 (90.0%) patients, respectively. After the deregulation of OTC drug sales, acute poisoning by other drugs increased from 4,385 to 4,762 patients but acute poisoning by acetaminophen decreased from 538 to 477 patients (p<0.05). The rate of admission of acetaminophen poisoning increased from 36.1% (194/538) to 46.8% (223/477). The admission rate to the ICU by acetaminophen poisoning increased from 4.6% (25/538) to 11.3% (54/477) after the deregulation of OTC drug sales (p<0.05). Conclusion: Since the deregulation of OTC drugs sales, pharmaceutical drug poisoning has increased but acetaminophen poisoning has decreased. The rate of hospitalization and ICU admission by pharmaceutical drug poisoning with or without acetaminophen has also increased.

• The Korean Society of Law and Medicine
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• v.24 no.3
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• pp.105-124
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• 2023

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."

• Proceedings of the Korean Society of Disaster Information Conference
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• 2023.11a
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• pp.353-354
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• 2023

과거와 달리 유독가스가 생성되는 화재, 폭발, 화학사고 및 급격한 기압차를 경험하게 되는 선박 침몰 구조 등 다양한 재난 혹은 사고 상황에서 고압산소치료가 욕구되며, 이를 수행할 수 있는 고압산소치료챔버는 재난에 대응하는 핵심 자원으로 그 수량과 배치가 적절해야 한다. 따라서 다양한 종류의 재난에서 발생하는 유독가스 피해자에게 고압산소치료는 필수적이나 본 연구에 의하면 국내에는 고압산소치료챔버의 숫자와 동시에 고압산소치료로 수용할 수 있는 환자수에도 한계가 있고 그 분포의 불균형도 존재하고 있어 재난 시 인명 피해 감소의 기반 장비, 시설로서 고압산소챔버의 균형있는 확산, 적용이 시급한 실정이며, 이는 가칭 재난고압산소지수로 객관화할 수 있다. 국내에서는 인구밀집지역인 수도권이 고압산소치료가 필요한 재난에 대한 대응 기반이 부족하다가 향상되고 있으며 부산, 경남 권역에 고압산소치료 자원이 편중된 현상을 보이고 있다. 고압산소치료 필요한 대량의 중환자 발생 시는 국내 전체의 고압산소치료기 활용 여부에 대한 실시간 모니터링 시스템이 필요하고 필요 시 원거리 피해자 전원 시스템을 갖추어야 하므로 이는 향후 구축해야 할 사항으로 이를 위한 전국적 고압산소치료기 모니터링 시스템이 필요하다.

• Proceedings of the Korean Society of Disaster Information Conference
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• 2022.10a
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• pp.381-382
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• 2022

국내에서 1980년대까지 연탄을 에너지로 많이 사용하면서 일산화탄소 중독이 빈번하여 고압산소치료가 활용되다가 이후 연탄 사용의 감소로 고압산소치료기가 대부분 활용되지 못하고 폐기되는 경우도 많았다. 이후 세월호 사고에서의 잠수사들에 대한 고압산소치료 적용, 가스누출이나 번개탄을 활용한 자살시도가 빈번해지며 고압산소치료기를 보유하고 있는 기관이 부족해 적절한 치료를 제 때 받지 못하여 고압산소치료기의 필요성이 되두되었다. 국내에서는 2021년 기준으로 한해 36,266 건의 화재가 발생하고 2020년에 365명이 화재로 사망하며, 화재로 인한 손상은 1,917건이었는데. 화재 시 여러 유독가스를 흡입하게 되고, 이에 따라 고압산소치료가 필수적으로 진행되어야 한다. 유해화학물질 사고, 대규모 오염, 다양한 교통수단에서의 대형 사고, 건축물 붕괴 사고 및 대규모 지진, 화산폭발 같은 자연재해 시에도 가스 중독이 발생하며, 이는 고압산소치료가 필요하게 된다. 따라서 다양한 종류의 재난에서 발생하는 유독가스 피해자에게 고압산소치료는 필수적이나 본 연구에 의하면 국내에는 고압산소치료챔버의 숫자와 동시에 고압산소치료로 수용할 수 있는 환자수에도 한계가 있고 그 분포의 불균형도 존재하고 있어 재난 시 인명 피해 감소의 기반 장비, 시설로서 고압산소챔버의 균형있는 확산, 적용이 시급한 실정이다. 다행히 최근 전국적으로 고압산소챔버가 증가하는 추세에 있어 그 현황과 배치 상황을 조사하여 이를 통하여 고압산소챔버가 필요한 유독가스 발행 재난에 대비할 수 있는 역량이 증가하고 있다.