• Title/Summary/Keyword: Emergency Conditions

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Work and job satisfaction of military emergency medical technicians (군 응급구조사의 업무분석 및 직무만족도)

  • Heo, Jung-Im;Park, Jeong-Mi
    • The Korean Journal of Emergency Medical Services
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    • v.19 no.3
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    • pp.33-49
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    • 2015
  • Purpose: This study aimed to investigate the work and job satisfaction of military emergency medical technicians (EMTs). Methods: We selected 122 military EMTs who participated in the refresher education in 2012. This study was conducted from November 12 to December 21, 2012. Results: The most frequent duties of military EMTs were scene assessment, cardiopulmonary resuscitation, surgical treatment, prehospital first-aid, transfer to the hospital, education, and call response. The air force and navy EMTs had better performance than the army EMTs. As for job satisfaction, the work itself ranked highest, whereas payment ranked lowest. Conclusion: The scope of the work of the military EMTs varied in the 14 fields of work but should be considered for further evaluation. In order to increase the job satisfaction of EMTs, their work conditions should be improved such as through salary increase and extra pay for those with professional certificates.

The Reality and Challenges of Rural Emergency Medical Service in Republic of Korea Based on the Current Status of Emergency Medical Service in Hapcheon-gun, Gyeongsangnam-do (경상남도 합천군의 응급의료 현황을 토대로 본 대한민국 지방 응급의료의 현실과 과제)

  • Youngsoo Kim;Myeongjun Ban;Seung-gun Lee;Aejeong Kang;Hyegyung Hwang;Beak-Geun Jeong
    • Journal of agricultural medicine and community health
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    • v.49 no.3
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    • pp.216-234
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    • 2024
  • Background: Hapcheon-gun, Gyeongsangnam-do, is designated as an emergency medical vulnerable area, facing significant challenges in transporting and treating emergency patients. A detailed analysis of the regional emergency medical system is required to identify effective solutions. Methods: This study employed a mixed-methods approach, combining quantitative data from the National Emergency Medical Information System and emergency activity logs with qualitative data from focus group interviews involving 24 stakeholders, including medical staff, paramedics, civil servants, and local residents. Results: Quantitative findings indicated an aging population in Hapcheon-gun, with a growing number of elderly emergency room users. Despite the utilization of local emergency medical institutions, a lack of trust and preference for urban hospitals led even patients with mild conditions to seek care at higher-level facilities. Following the COVID-19 pandemic, transport distances and times for patients using 119 emergency services increased. Qualitative analysis identified several issues: limited capacity of local institutions, challenges in patient transport due to misaligned emergency medical zones, an increase in severely ill patients, and the absence of a coordinated emergency medical consultative body. Recommendations include strengthening local institutions through government support, realignment of emergency zones, legal reforms, the establishment of a continuous consultative body, and enhancing the capacity of medical staff, paramedics, and residents. Conclusion: Improving the emergency medical system in Hapcheon-gun will require targeted efforts in institutional strengthening, legal and administrative support, and capacity-building initiatives.

Probability of Early Retirement Among Emergency Physicians

  • Shin, Jaemyeong;Kim, Yun Jeong;Kim, Jong Kun;Lee, Dong Eun;Moon, Sungbae;Choe, Jae Young;Lee, Won Kee;Lee, Hyung Min;Cho, Kwang Hyun
    • Journal of Preventive Medicine and Public Health
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    • v.51 no.3
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    • pp.154-162
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    • 2018
  • Objectives: Early retirement occurs when one's job satisfaction suffers due to employment mismatch resulting from factors such as inadequate compensation. Medical doctors report high levels of job stress and burnout relative to other professionals. These levels are highest among emergency physicians (EPs), and despite general improvements in their working conditions, early retirement continues to become more common in this population. The purpose of this study was to identify the factors influencing EPs intention to retire early and to develop a probability equation for its prediction. Methods: A secondary analysis of data from the 2015 Korean Society of Emergency Physicians Survey was performed. The variables potentially influencing early retirement were organized into personal characteristics, extrinsic factors, and intrinsic factors. Logistic regression analysis was performed to identify risk factors and to develop a probability equation; these findings were then arranged in a nomogram. Results: Of the 377 survey respondents included in the analysis, 48.0% intended to retire early. Risk factors for early retirement included level of satisfaction with the specialty and its outlook, slanderous reviews, emergency room safety, health status, workload intensity, age, and hospital type. Intrinsic factors (i.e., slanderous reviews and satisfaction with the specialty and its outlook) had a stronger influence on early retirement than did extrinsic factors. Conclusions: To promote career longevity among EPs, it is vital to improve emergency room safety and workload intensity, to enhance medical professionalism through a stronger vision of emergency medicine, and to strengthen the patient-doctor relationship.

Simulation Analysis and Development of Matlab/Simulink Model for Stand-alone Operation of Emergency Diesel Synchronous Generator-based Hybrid Energy System (비상용 디젤동기발전시스템기반 독립운전 하이브리드에너지시스템 모델 설정 및 시뮬레이션 분석에 관한 연구)

  • Hong, Won-Pyo
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.29 no.1
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    • pp.70-79
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    • 2015
  • In this paper, enhanced stand-alone operation and development of Matlab/Simulink model of emergency diesel based hybrid energy system is presented. Simulations based on the remote community or islands were performed for PV-diesel-battery hybrid system. Modeling of PV-diesel-battery integrated system is done to perform under the solar radiation and load conditions on Matlab/Simulink platform. The models of diesel generator unit, battery energy storage system, PV and frequency-power control are developed and simulation studies have been carried out under various conditions using Matlab/Simulink and SimPowerSystem. It is demonstrated that the proposed system can provide reliable and good quality power to the customers in diesel synchronous generator-based hybrid energy systems.

Performance Evaluation Procedure for Advanced Emergency Braking System (자동비상제동 시스템의 안전성능평가)

  • Kim, Taewoo;Yi, Kyongsu;Choi, In Seong;Min, Kyong Chan
    • Journal of Auto-vehicle Safety Association
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    • v.7 no.2
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    • pp.25-31
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    • 2015
  • This paper presents a performance evaluation procedure for advanced emergency braking (AEB) system. To guarantee the performance of AEB system, AEB test scenario should contains various driving conditions which can be occurred in real driving condition. Also, performances of each elements of AEB system, such as sensor, decision, human machine interface (HMI) and control, should be evaluated in various situations. For this, driving conditions, road types, environment, and elements of AEB system were introduced. Test scenario has been designed to represent the real driving condition and to evaluate the safety performance of AEB system in various situations. To confirm that the proposed AEB test scenario is realistic and physically meaningful, vehicle test have been conducted in two cases of proposed AEB test scenario: subject vehicle cut-out scenario and narrow street turn left scenario.

Battery Sizing of Lithium-Based Battery for Emergency Power Supply in Nuclear Power Plants (전 비상전원 적용을 위한 리튬계열전지 용량 설계)

  • Park, Seongyun;Kim, Gunwoo;Lee, Pyeongyeon;Kim, Jonghoon;Park, Sungbeak;Kim, Youngmi
    • The Transactions of the Korean Institute of Power Electronics
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    • v.24 no.5
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    • pp.342-348
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    • 2019
  • The emergency power supplies (EPSs) are required to increase battery sizing for protecting power source loss above designed criteria. This study proposes a sizing method for lithium-based batteries for EPSs in nuclear power plants on the basis of the calculation method for the required energy under variable conditions. The variable conditions are related with the characteristics of lithium-based batteries, such as the temperature of the location of EPS installation, aging, and design margin. The usage of lithium-based battery reduces the cost and installation space and enables the safe and long-term supply of power compared with the use of lead-acid battery.

Attempted Suicide by Nitrogen Gas Asphyxiation: A Case Report (질소 가스를 사용한 자살 시도 1례: 증례보고)

  • Park, Sung-Wook;Yeom, Seok-Ran;Han, Sang-kyoon;Kim, Hyung-Bin;Cho, Young-Mo;Bae, Byung-Kwan;Wang, Il-Jae
    • Journal of The Korean Society of Clinical Toxicology
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    • v.15 no.1
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    • pp.47-50
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    • 2017
  • Nitrogen is an inert gas that is harmless to humans under normal conditions. While it is not inherently toxic, nitrogen gas becomes dangerous when it displaces oxygen, resulting in suffocation. Herein, we report a case of a 34-year-old man who attempted suicide by nitrogen asphyxiation who presenting with decreased mental function and agitation. Lactic acidosis and hyperammonemia were observed on presentation at the emergency department, but these improved after a few hours. After 2 days, the patient regained full consciousness, and was discharged without any complications. Survival after asphyxiation due to nitrogen gas is very rare, and these patients are more likely to have poorer outcomes. There is a potential for the increasing use of nitrogen gas as a method of committing suicide because of the ease of access to this gas.

A Study on the Improvement of the Arithmetic for Emergency Generator Capacity (비상발전기용량 산정식 개선에 관한 연구)

  • Lee, Jong-Hyuk;Kim, Jin-O
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.67 no.11
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    • pp.1517-1522
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    • 2018
  • This paper describes the improvement of the arithmetic for emergency generator capacity. This formula which calculates emergency generator is dependent on the Korean Design Standard of building electrical equipment issued by the Ministry of Land, Infrastructure and Transport, and the technical data related to the generator. when appling the formula, the capacity of the generator is insufficient at the starting conditions of the load facility. In case of emergency, the generator is not operated normally. $PG_2$ of the formula ($PG_1$, $PG_2$, $PG_3$) applied in determining the capacity of the emergency generator is selected by calculating the capacity of the generator based on only biggest one motor among the load equipment and $PG_3$ may not be able to start the generator normally in case of emergency because there is an error such that the power factor is applied at the last start of the motor having the maximum capacity of the load. We analyze the problem of capacity calculation of emergency generators used for general purposes. As a consequence, the improved formulas have been presented for safety of electrical installation.

Development of Arm Insulator for Self-Build Based Emergency Tower (긴급복구용 자주조립식 철주 절연암 개발)

  • Min, Byeong-Wook;Wi, Hwa-Bog;Park, Jae-Ung;Lee, Cheol-Ho
    • Proceedings of the KIEE Conference
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    • 2007.07a
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    • pp.107-108
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    • 2007
  • Overhead transmission lines are completely exposed to the environment. This causes faults in transmission lines due to natural environmental conditions. In some cases, transmission towers are damaged by typhoons and snow, as well as sleet on the transmission lines. It takes a lot of time to repair the damaged towers. For emergency restoration purposes, steel poles are installed to temporarily supply power. Before 2003, emergency restoration steel poles were made of angled steel, which required a large number of beams, bolts, etc. In addition, the foundation of the steel pole and ground wire was constructed using excavation and burial methods, therefore it required a lot of manpower and time to construct temporary transmission lines. In September 2003, typhoon Maemi, whose maximum wind speed was 60m/s, hit Korea. 'Maemi' destroyed transmission lines in the Busan and Geojea area, causing long blackouts. To reduce the recovery time to the damaged transmission lines, self-build based emergency towers were developed. self-build based emergency towers reduced recovery time from 24 hours to 4 hours or less. However, the self-build based emergency tower had no arms, so the temporary transmission lines could only be constructed without curves in line routes. In this paper, solving these self-build based emergency tower limitations, using insulated arms(designed for use with the self-build based emergency tower), shall be explained.

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Performance Evaluation of Smart Intersections for Emergency Response Time based on Integration of Geospatial and Incident Data

  • Oh, Heung Jin;Ashuri, Baabak
    • International conference on construction engineering and project management
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    • 2022.06a
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    • pp.945-951
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    • 2022
  • The major objective of this research is to evaluate performance of improved intersections for response time to emergency vehicle preemption. Smart technologies have been introduced to civil infrastructure systems for resilient communities. The technologies need to evaluate their effectiveness and feasibility to confirm their introduction. This research focuses on the performance of emergency vehicle preemption, represented by response time, when smart intersections are introduced in a community. The response time is determined by not only intersections but also a number of factors such as traffic, distance, road conditions, and incident types. However, the evaluation of emergency response has often ignored factors related to emergency vehicle routes. In this respect, this research synthetically analyzes geospatial and incident data using each route of emergency vehicle and conducts before-and-after evaluations. The changes in performance are analyzed by the impact of smart intersections on response time through Bayesian regression models. The result provides measures of the project's performance. This study will contribute to the body of knowledge on modeling the impacts of technology application and integrating heterogeneous data sets. It will provide a way to confirm and prove the effectiveness of introducing smart technologies to our communities.

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