• Journal of the Society of Disaster Information
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• v.7 no.2
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• pp.110-122
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• 2011

In this study, the disaster management and disaster medical improvement was described in underground space(specifically underground shopping center) in case of fire disaster occurred. Firstly, statue and system was discussed concerning building law, safety, fire services, refuge. The underground in Seoul management is classified as to space and form and management agent is different according to the type form. Because the difficulty of emergency rescue arises due to individual management system unified system needs to be established and improvement of facility management agent is necessary. For the patient to be transfer on the ground, corporation between command head quarter and emergency rescue team are essential. And disaster information and emergency medical information are also need to be considered. Therefore, effective countermeasures for emergency saving is urgent considering distribution of medical institution and medical treatment.

• Magazine of the Korean Society of Hazard Mitigation
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• v.10 no.2
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• pp.42-50
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• 2010

국내에서 이용객수가 많은 6개 고속철도 역사와 운행 중인 고속열차(KTX)에 심장마비 환자에 대한 응급처치 장비로서 자동제세동기가 2009년에 설치되었다. 이와 관련하여 6개 역사의 역무원 및 고속열차 승무원과 일반대중에게 심폐소생술 및 자동제세동기 사용법과 일반대중 제세동기 사용허용을 교육하는 고속철도 자동제세동기 보급 및 교육사업도 시행되었다. 이를 통해서 국내 응급의료체계가 한 단계 발전하는 계기가 되었으며 국내 고속철도가 심장마비 환자의 응급 대처 능력을 갖추게 되어, 역사 및 고속열차 안에서 심장마비 환자가 발생하더라도 신속한 대응을 할 수 있을 것으로 기대할 수 있겠다. 본 연구는 이러한 역사 및 고속열차 내에서의 응급의료체계 향상을 위한 노력을 자동제세동기 배치를 통하여 알아보며, 이에 따라 다양한 교통편 및 다중이용시설의 사고, 재난 및 응급 대응이 현재까지 해 오던 건축물 안전, 법규 마련 뿐 만 아닌 인명 피해 감소를 위한 응급의료체계라는 매우 중요한 부분이 있음을 이해하고 이에 대한 시스템 개발 및 대처도 안전과 방재 측면에서 같이 다루어져야 함을 본 연구 내용은 강조하고 있다.

• Fire Science and Engineering
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• v.32 no.4
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• pp.122-130
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• 2018

Recent urbanization, population densification, and the impact of global climate change are causing disasters to become larger and more complex. Meanwhile, in Korea, there is an emphasis on preventing, restoring, and recovering from disasters. However, disaster medical care, which is absolutely necessary to maintain life in a disaster, is being ignored. Therefore, in this study, we selected Seoul as the study area where flood damage is frequent and underground housing is densely populated. Assuming underground housing in the immersion history area as the emergency patient site, transfer distance and transfer time were analyzed. This study considered both accessibility to emergency medical facilities and disaster sites and accessibility from emergency services to disaster sites. Therefore, it seems to be meaningful as basic data for the improvement of emergency medical services.

• The Korean Journal of Emergency Medical Services
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• v.26 no.1
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• pp.21-36
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• 2022

Purpose: This descriptive research study aimed to investigate the knowledge and perception of the natural disaster medical system by relevant disaster medical response teams in Jeonnam region, and provide baseline data for a disaster education program based on analysis of priorities of educational demand. Methods: Online questionnaires were distributed to 200 research participants including paramedics from five fire stations in J province, 22 public health centers, two disaster base hospitals, ERU (Emergency Response Units), and DMAT (Disaster Medical Assistance Team). The questionnaires elicited basic information about respondents, their knowledge and perception on disaster preparation and response, cooperation system, and educational and training needs. Results: The top priority items selected were: other disasters for paramedics, first aid for the rapid response team, and command system for DMAT. Conclusion: Customized education and training programs must be developed to suit each organizational need. Detailed operational guidelines must be established and with them a unified educational curriculum should be put into practice.

• Information and Communications Magazine
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• v.29 no.5
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• pp.71-79
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• 2012

Medical Informatics에 대한 관심 증가와 정보통신 관련 기술이 발전됨에 따라 IT 기술을 활용한 의료 프로세스는 매우 활발히 사용되고 있으며, 재난 시 의료진의 접근이 제한된 가운데 단시간 내에 응급치료 및 수송과 효율적인 자원배분을 통한 대응은 각종 정보통신 관련기술의 발전과 함께 비약적으로 발전하고 있다. 본 논문에서는 Medical Informatics와 관련된 연구들을 분석하여 재난 상황에서 정보통신 기술을 활용한 의료 활동과 의료지원 시스템의 활용을 다룬다. 재난 상황 및 다수의 사상자가 발생하는 사고 현장에서 IT 시스템을 이용하여 보다 효과적으로 환자의 상태를 파악하여 분류함으로써 의료 활동의 효율을 높이는 방법에 대해 분석하고, 이를 위한 워크 플로의 정의 및 관련된 연구를 정리 하였다. 또한 무선통신기술의 활용, SNS 등을 이용한 의료정보의 전달과 이를 활용한 의료진의 대응 방법 대한 연구동향을 정리하였다. 이러한 정보기술의 발전은 재난에 대응하는 전략적 목표와 방법 등에서도 변화가 이루어지고 있어 이에 대한 연구동향을 포함하였다.

• Proceedings of the Korean Society of Computer Information Conference
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• 2011.01a
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• pp.127-130
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• 2011

사회가 고령화, 초핵가족화 및 재난취약계층이 늘어나면서 요구호자에 대한 고품질 맞춤형서비스가 필요하게 되었고, 급성진환, 심뇌혈관 고위험 환자 및 자살 등 예방가능 사망률이 선진국에 비해 높음에 따라 신속하고 전문적인 구조 구급서비스가 요구된다. 따라서 본 논문에서는 응급환자가 발생하였을 때 병원 도착 전 환자의 정보를 이용하여 응급처치가 가능하도록 하고, 응급의료기관에서는 환자 진료준비를 사전에 할 수 갖출 수 있도록 하여 응급환자 진료의 효율성을 극대화하였다. 또한 사회적 인지도가 높은 119번호를 이용한 다양한 복합 응급신고 접수 시 유관기관과 통합적 대응체계를 구축하는 효율적 응급의료서비스 고도화 전략을 제시하고자 한다.

• Proceedings of the Korean Society of Disaster Information Conference
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• 2015.11a
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• pp.298-299
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• 2015

본 논문은 2013년 5월 국제바이러스 분류 위원회에서 중동호흡기증후군을 일으키는 신종 코로나바이러스를 메르스코로나바이러스(MERS-CoV)라 명명한 후, 2015년 5월 국내에 감염자가 들어와 이후 확산되고, 중동 호흡기 증후군 환자 발생 후 국내 첫 사망자가 발생한 일개 병원 지역응급의료센터 내원 후 확산을 막기 위하여 시행하였던 경험들을 공유하고자 한 내용이다.

• Smart Media Journal
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• v.13 no.5
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• pp.26-32
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• 2024

This paper proposes a smart glass-based emergency tele-medical direction system. This system is designed for hospital specialists to provide remote medical guidance to on-site coast guards or emergency responders. To identify the requirements necessary for system development, relevant technological trends and case studies were analyzed. Based on this analysis, three system requirements were defined: 1) The system must be able to determine the necessity of patient transport, 2) It should assist in providing emergency medical care during transport to the hospital, and 3) It must be capable of transmitting patient information to medical facilities. A prototype that meets these requirements was developed and its usability was evaluated.

• Journal of The Korean Society of Emergency Medicine
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• v.29 no.6
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• pp.585-594
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• 2018

Objective: This study was designed to report on the progress of the fire at Jecheon sports complex and to assess the adequacy of Disaster Medical Assistant Team (DMAT)'s activities in response to the fire disaster. Methods: We conducted a retrospective review based on camera recordings and medical records that were recorded at the disaster site for assessment of activities. We cooperated with firefighters, police officers, local hospital medical staffs and public health personnel in Jecheon in order to classify patients in the disaster field and to understand the patients' progress. Results: At 15:53, the first request for emergency rescue came to the 119 general emergency call center, and a request for DMAT activation came at 16:28. DMAT arrived at the site at 17:04 and remained active until the following day at 00:43. The total number of casualties was 60, including 27 minimal (Green) patients, 29 expectant (Black) patients, three delayed (Yellow) patients, and one immediate (Red) patient. There were 32 patients who received on-site care by DMAT. Two patients were transferred from a local hospital to Wonju Severance Christian Hospital for hyperbaric oxygen therapy. Conclusion: Twenty-nine victims were found in the sports complex building, and there were 31 mildly to moderately injured patients in this fire disaster. The main cause of death was thought to be smoke suffocation. Although DMAT was activated relatively quickly, it was not able to provide effective activity due to the late rescue and difficulty with fire suppression.

• Journal of The Korea Institute of Healthcare Architecture
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• v.24 no.2
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• pp.27-36
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• 2018

Purpose: In the case of mass disaster, the establishment of temporary medical facilities for the first aid and treatment is required for the stable accommodation of patients caused by the disaster. However, the criteria for decision making related to the deployment of field emergency medical facilities are not specified. So, The purpose of this study is to draw considerable factors needed for the deployment of field emergency medical facilities and to make proposal for site selection process of field emergency medical facilities on the basis of the factor. Methods: This study performs text mining of disaster-related laws, guidelines and documents to derive key factors affecting site selection, also proposes a decision making process and conducts virtual deployment to validate the process. Results: The key factors for the site selection derived as the size of the damage, the size of the DMAT inputs, the location of available place, and distance to the disaster base hospital. As a result of virtual deployment following proposed decision making process, It is confirmed that the site of field emergency medical facilities is changed depending on the type of disaster, even if the scope of the disaster damage was the same. Implications: The deployment of field emergency medical facilities requires a separate criteria for each type of disaster, not uniform, as a future research a quantitative approach of the criteria needs to be performed.