• 제목/요약/키워드: Emergency Control

검색결과 1,356건 처리시간 0.027초

119구급대원에게 시행한 일개 응급의료정보센터의 직접의료지도에 관한 분석 (Analysis of direct medical control conducted to 119 emergency medical technicians in an emergency medical information center)

  • 서하얀;이경열
    • 한국응급구조학회지
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    • 제16권3호
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    • pp.29-43
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    • 2012
  • Purpose : The goal of the present study is to provide the basic information to medical control which is the most important improving factor of pre-hospital medical treatment. Method : A total of 749 records of direct medical control were collected from 119 EMTs in emergency medical information center of Daejeon, Chungcheongnam-do and Chungcheongbuk-do from March 1, 2010 to February 28, 2011. Results : The 119 EMTs should record the level of qualification of EMT and general patient history taking precisely when they receive direct medical controls. The doctors should take medical controls within the task range of qualification of EMTs. Conclusion : It is necessary to establish the guideline of medical direction and protocol of prehospital emergency care. The quality improvement of pre-hospital emergency services will be possible by the guideline and protocol.

구급상황관리사에 의한 심폐소생술 안내 실태 연구 (A study on the cardiopulmonary resuscitation by the emergency medical dispatcher)

  • 김창성;피혜영;이슬기;이현범
    • 한국응급구조학회지
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    • 제25권1호
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    • pp.223-234
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    • 2021
  • Purpose: The purpose of the study is to check up the status of 119 emergency control centers usage. Therefore, the status of use of 119 emergency control centers and the incidence of pre-hospital cardiac arrest patients were investigated. Methods: The emergency activity daily reports and first aid diaries of 119 emergency control centers from January to December 2018 were reviewed. For more accurate status analysis, Among the first aid guidance received in the emergency rescue standard system, the cardiopulmonary resuscitation guide log was reviewed. Results: In 2018, the total usage of the 119 emergency control centers was 1,358,356 calls, hospital guidance werethe most commom (n=629,676, 46.4%), followed by first aid (n=428,027, 31.5%), disease consultation (n=170,238, 12.5%), medical oversight (n=111,188, 8.2%), and interhospital transfer (n=5,052, 0.4%). Regarding the user number per 1,000 persons, Jeju was the greatest at 48.0, whereas Changwon was the lowest at 13.0. A total number of dispatcher-assisted cardiopulmonary resuscitation was 12.181. The time from report to chest compression were 156.2±80.8 seconds for those with previous cardiopulmonary resuscitation training and 168.0±79.3 seconds for those without such training (p<.05). Conclusion: The ratio of first aid instructions, including dispatcher-assisted cardiopulmonary resuscitation, among total usage of the 119 emergency control centers increased. Therefore, additional efforts are required to improve the quality and expertise of information provided through the 119 emergency control centers.

응급실 간호사의 감염관리 조직문화, 감염관리 피로도와 코로나19 감염관리 수행도와의 상관관계 (Correlation Among Organizational Culture, Fatigue for Infection Control, and Infection Control Compliance of COVID-19 Among Emergency Nurses)

  • 박예랑;서은지
    • Journal of Korean Biological Nursing Science
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    • 제24권2호
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    • pp.104-112
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    • 2022
  • Purpose: The purpose of this study was to investigate the levels and the relationship of emergency nurses' organizational culture and fatigue for infection control, and infection control compliance of COVID-19. Methods: Data was collected from 114 nurses caring for patients suspected of COVID-19 at two emergency medical centers in Gyeonggi-do and Seoul June 18-July 23, 2021. Results: Emergency nurses caring for patients suspected of COVID-19 suffered from high fatigue for infection control. The mean scores of the organizational culture and fatigue for infection control, and infection control compliance of COVID-19 were 51.80 ± 8.37 of 70 points, 78.46± 12.28 of 100 points and 71.02± 7.84 of 80 points, respectively. The higher infection control compliance of COVID-19 is significantly related to the higher organizational culture for infection control (r= .42, p< .001). Conclusion: In the COVID-19 pandemic, the formation of a positive organizational culture for infection control may be a priority as a major strategy to improve the infection control compliance of emergency nurses. It is also necessary to manage the high level of fatigue for infection control among emergency nurses.

승강기의 비상 통화장치용 비상 전원장치의 충·방전 제어회로 (Control Scheme of Emergency Power Supply for Elevator Emergency Call System)

  • 박노식;이동희
    • 조명전기설비학회논문지
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    • 제29권8호
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    • pp.40-48
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    • 2015
  • In this paper, battery charging and discharging circuit with a single voltage power supply is proposed. The proposed circuit has the separated current path and charging-monitoring sequence control scheme. In the charging sequence, the proposed 2-level comparator combined with control signal of the micro-processor can control the constant charging current to protect the over current of the battery. Furthermore, the proposed circuit uses a periodic main power switch control to detect the discharging characteristics to estimate the approximated battery life-time. In the experiments, the proposed emergency power supply for emergency call system has 89% efficiency with 98% power factor. And the proposed sequence control scheme is well operated in the designed emergency power system.

Preventive and Emergency Control of Power System for Transient Stability Enhancement

  • Siddiqui, Shahbaz A.;Verma, Kusum;Niazi, K.R.;Fozdar, Manoj
    • Journal of Electrical Engineering and Technology
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    • 제10권1호
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    • pp.83-91
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    • 2015
  • This paper presents preventive and emergency control measures for on line transient stability (security) enhancement. For insecure operating state, generation rescheduling based on a real power generation shift factor (RPGSF) is proposed as a preventive control measure to bring the system back to secure operating state. For emergency operating state, two emergency control strategies namely generator shedding and load shedding have been developed. The proposed emergency control strategies are based on voltage magnitudes and rotor trajectories data available through Phasor Measurement Units (PMUs) installed in the systems. The effectiveness of the proposed approach has been investigated on IEEE-39 bus test system under different contingency and fault conditions and application results are presented.

무인수상정에서의 원격운용통제 및 자율수준을 고려한 비상모드 알고리즘 (Emergency Mode Algorithm Considering Remote Operation/Control and Autonomous Level of Unmanned Surface Vehicle)

  • 윤종택;김용이;백재웅;임재현;유찬우;김정훈
    • 대한임베디드공학회논문지
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    • 제12권5호
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    • pp.319-330
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    • 2017
  • In remote USV (Unmanned Surface Vehicle) maritime operation, the remote operation and control technic and autonomous control technic is required and the emergency mode algorithm is needed certainly for sailing and accomplishing various surveillance, reconnaissance, and underwater search missions of USV. In this paper, we review the countermeasures in emergency situation of the existing USV system (Barracuda) and propose the emergency mode algorithm considering the operation and control, and autonomous control level for the stable USV operation in case of emergency. We analyzed the autonomous control level in view of the mission complexity and environmental difficulty, and human interface, and verified the performance of the autonomous control level when we apply four emergency mode algorithms. It is expected that more stable and reliable operation and cotrol are possible if the proposed algorithm is applied to the environments requiring the various multi-mission USV sailing and mission achievement.

자동주행차량의 안전성 향상을 위한 원격비상정지시스템 (Remote Emergency Stop System to Improve Safety of Automated Driving Vehicle)

  • 유영재
    • 제어로봇시스템학회논문지
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    • 제21권3호
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    • pp.194-198
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    • 2015
  • In this paper, a remote emergency stop system to improve the safety of an automated driving vehicle is proposed. One of the most serious problems of the previous wireless remote emergency system is that it does not work when the wireless channel is damaged in case of an emergency because it is composed of a single communication channel. Therefore, the proposed remote emergency stop system composed of a portable wireless remote system and a stationary wireless remote system is designed and the remote emergency stop system for automated driving vehicles is developed. By applying it to an automated driving vehicle to check it's performance, the wireless remote system is tested. Emergency stops using the portable wireless remote system is tested when the stationary wireless remote system is disconnected. Also, emergency stops using the stationary wireless remote system are tested when the portable wireless remote system is disconnected. The results of the emergency stop test show a satisfactory performance.

응급실 간호사의 결핵감염관리에 대한 인식과 수행 (Emergency Nurses' Perception and Performance of Tuberculosis Infection Control Measures)

  • 김수정;강지연
    • 기본간호학회지
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    • 제17권3호
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    • pp.351-361
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    • 2010
  • Purpose: The purpose of this study was to investigate the perception and performance of tuberculosis infection control measures among emergency department nurses. Methods: A structured questionnaire was administered to a convenience sample of 227 emergency department nurses from 20 hospitals in B City. Results: The mean perception score was 4.52 out of a possible 5, and the mean performance score was 3.31 out of a possible 5. There were big differences between the perception and performance score on the items regarding wearing a gown or mask, while there were small differences on the items regarding dealing with patients' articles or medication. Conclusion: Emergency nurses showed high perception and low performance score on the items related to facilities and regulation such as visitation restriction or patient isolation. There was a positive correlation between perception and performance score. Conclusion: For emergency nurses, perception is higher than performance of tuberculosis infection control measures. The findings indicate the importance of providing continuing education for emergency nurse professionals seeking to update and increase their knowledge and to develop evidence-based nursing protocols on tuberculosis infection control in emergency department.

Deep Learning Based Emergency Response Traffic Signal Control System

  • Jeong-In, Park
    • 한국컴퓨터정보학회논문지
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    • 제28권2호
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    • pp.121-129
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    • 2023
  • 이 논문에서 우리는 응급상황에 대응하여 일정 구간의 교통신호를 능동적으로 제어함으로써 재산과 인명 손실을 최소화할 수 있는 응급상황 대응 교통신호 제어 시스템을 개발하였다. 응급 차량 단말기에서 식별정보 및 GPS 정보를 포함한 응급신호를 송출하면 카메라에서 주위 영상을 획득하게 되고, 딥러닝 기반으로 객체를 분석하여 객체의 위치, 종류, 크기 등 정보를 가지는 객체정보를 출력한다. 이 객체를 트래킹한 정보를 생성하여 신호체계를 검출한 후 신호체계를 응급모드로 전환하여 수신받은 GPS 정보를 기준으로 응급 차량을 식별·추적하고 이 응급 차량의 진행 경로 기준으로 긴급 제어신호를 교통신호 제어기로 전송할 수 있는 체계이다. 이 시스템은 응급신호에 따라 우선 적용되는 긴급 제어신호에 의해 응급 차량의 진행이 저지되지 않도록 하여, 교통상 장애에 따른 인명과 재산의 손실을 최소화할 수 있다.

병원 전 응급의료종사자의 감염관리 실태 연구 - 전북지역 중심으로 - (A Study on the Actual Profile of Emergency Medical Personnel's Pre-admission Infection Control - Based on Jeollabuk-do provincial area -)

  • 신상열;정태오
    • 한국응급구조학회지
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    • 제11권2호
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    • pp.19-27
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    • 2007
  • Purpose: By identifying the actual profile of emergency medical personnel's pre-admission infection control practices, this study intended to provide a basic reference material for the improvement and reorientation of pre-admission infection control measures, and thereby help establish an effective plan for pre-admission infection control activities. Methods: Total 119 EMT's working for Jeollabuk-do Provincial Fire Defense HQ were asked to join a structured questionnaire survey from June to August 2006. Results: 1. It was found that 56.1% respondents answered no guideline available on the prevention of infection. Out of our rescue brigade members who knew about relevant guideline available, 34.2% respondents answered that their department conducted quality control program for the guideline. 2. For protective outfit in emergency practice, it was found that most respondents put on gloves or nothing at all(38%), which was followed by sterile gloves(29.2%), disposable mask(26.9%), gown(4.3%) and protective goggle(1.6%). And it was noted that all respondents(100%) washed out any clothing contaminated with somatic secretion on their own. 3. For a question about any experience in emergency activities exposed to infectious diseases, it was found that most of all respondents(77.9%) answered 'No', which was followed by 'Don't Know'(18.6%) and Yes(3.9 %). 4. For a question about any experience in inquiring of patients about infectious diseases, it was found that most respondents(49.4%) answered 'Yes' and 'Sometimes'(9.1%). It was noted that 20.2% respondents had extra medical examination in medical institution in terms of whether they were exposed to infectious diseases, apart from regular medical examination. Conclusions: In order to protect 119 EMT's from infectious diseases, it will be necessary to acquire emergency medical staffs specializing in infection control and organize corresponding personnel training units to keep providing reorientation and evaluation. In addition, it will be also necessary to supply them with a full set personal protection apparatuses and other equipments required for disinfection and sterilization.

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