• Journal of Korea Society of Industrial Information Systems
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• v.11 no.1
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• pp.7-12
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• 2006

In this paper, we develop a control system with fire receiver and emergency light that controls (manages) emergency door by wireless signals which prevents crime but also helps evacuate in (fire) emergency. This automatic door operator can be installed on any buildings which have a problem of opening or shutting emergency doors, and it is especially good for buildings with high fire vulnerabilities such as complex buildings, apartments and multistoried buildings without easy control of rooftop doors.

• Quality Improvement in Health Care
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• v.21 no.2
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• pp.12-24
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• 2015

Purpose: The need for the rapid evaluation and treatment of emergency department patients with major trauma is essential. A computerized physician order entry (CPOE) system can improve communication and provide immediate access to information with the goal of reducing ED time delays. The aim of this study was to report on the operation of a trauma CPOE program and demonstrate its usefulness by comparing time intervals from ED arrival to various evaluation steps before and after implementation of the program. Methods: This was a before-and-after observational study from a single emergency department at an academic center. The CPOE program was implemented for 6 months and compared with the data collected from the pre-CPOE implementation period. The efficacy of the program was assessed by comparing the time difference before and after CPOE implementation based on the following factors: total boarding time in ED, door-to-disposition decision time, door-to-blood-test report time, door-to-X-ray time, door-to-CT time, and door-to-transfusion time. Results: Over a period of 6 months, the CPOE was activated for a total of 17 patients. Total boarding time was reduced significantly after implementation [median, 641.5 minutes (IQR, 367.3-859.3) versus289.0 minutes (IQR, 140.0-508.0) for pre-CPOE vs. post-CPOE, respectively, p< 0.05). Time intervals for all evaluation steps were reduced after implementation of the program. The improvements in the door-to-blood-test and door-to-CT times were both statistically significant. Conclusion: This study demonstrated that a standard CPOE system can be successfully implemented and can reduce ED time delays in managing trauma patients.

• The Korean Journal of Emergency Medical Services
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• v.24 no.2
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• pp.51-66
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• 2020

Purpose: The purpose of this study was to determine whether, in patients with acute coronary syndrome (ACS), according to the mode of arrival affect the emergency medical process. Methods: The participants of this study were 118 adult patients (46 patients admitted by emergency medical services (EMS), 48 walk-in patients, and 24 transferred from other hospitals) admitted to the emergency departments at one regional-level medical center who underwent coronary angiography between January 1, 2016 and December 31, 2017. To compare treatment courses, the median values of the following variables were compared among groups: symptom to door time; door to triage time; and door to ECG time. All data were analyzed using SPSS program. Results: Based on the initial assessment at triage, there was a significantly greater proportion of Korean Triage and Acuity Stage (KTAS) Level 1 or 2 among patients admitted by EMS than among walk-in patients. All three analyzed variables were lower in patients admitted by EMS than in the other two groups. Conclusion: Our results show that ACS patients who accessed EMS reached the emergency center faster after symptom onset, received initial triage assessment at earlier stages, and underwent sooner important examinations (i.e., the 12-lead ECG).

• Journal of Digital Policy
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• v.1 no.2
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• pp.1-8
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• 2022

In case of a dangerous situation, the roof, which serves as an emergency exit, must be open in case of fire according to the Fire Act. However, when the roof door is opened, it has become a place of various incidents and accidents such as illegal entry, crime, and suicide. As a result, it is a reality to close the roof door in terms of facility management to prevent crime, various incidents, and accidents. Accordingly, the government is pushing to legislate regulations on housing construction standards, etc. that mandate the installation of electronic automatic opening and closing devices on rooftop doors. Therefore, in this paper, an intelligent emergency door opening/closing device system is proposed. To this end, an intelligent emergency door opening and closing system was developed by linking wired and wireless access counting and AI image analysis. Finally, it is possible to build a wireless communication-based integrated management platform that provides remote control and history management in a centralized method of device status real-time monitoring and event alarm.

• Proceedings of the Korean Institute of Building Construction Conference
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• 2023.05a
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• pp.209-210
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• 2023

A panic device is a type of door lock that opens when pressed or pushed by the body, so it is an emergency escape device designed to easily open the door and escape in an emergency situation such as fire or earthquake. It is an ideal door handle for an emergency exit. Because many people move quickly and it is easy to use, it is common in Europe and North America, but in Korea, the product is expensive, so it is used on a limited basis in luxury buildings such as hotels, but its use is gradually increasing. East Asian countries such as Korea, China, and Japan mainly prefer the North American type. The design of the penic device used in is a uniform and universal design, and research and development of a new design of the penic device was required to develop a new design type product considering the aesthetics of the building.

• Journal of Korea Multimedia Society
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• v.11 no.9
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• pp.1267-1276
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• 2008

The time taken for an ischemic heart disease patient to have a percutaneous coronary intervention because of acute myocardial infarction after arriving at the hospitals (door-to-balloon time) affects the patient's mortality significantly. To improve the emergency service system that has been previously used in the hospitals, this study focused on reducing door-data time and data-to-decision time among three time stages. The newly established e-emergency service system has set up the database of patients that had an emergency operation for acute myocardial infarction in the emergency service system of the hospital and has issued health cards for the patients that regularly visit the Busan National University Hospital. In addition, it has stored prior operation permits in the form of a certified electronic document. The new electronic system will reduce the complex treatment and operation procedures innovatively. Therefore, it is expected that this will make the life save (or the emergency patients easier and reduce the mortality. Moreover, it will also settle down the hospital staff's and patients' predicaments caused by the complex procedure of the legacy system.

• Journal of Korean Neurosurgical Society
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• v.65 no.2
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• pp.224-235
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• 2022

Objective : Since the outbreak of the coronavirus disease 2019 (COVID-19) pandemic, neurointerventionists have been increasingly concerned regarding the prevention of infection and time delay in performing emergency thrombectomy procedures in patients with acute stroke. This study aimed to analyze the effects of changes in mechanical thrombectomy protocol before and after the COVID-19 pandemic on procedure time and patient outcomes and to identify factors that significantly impact procedure time. Methods : The last-normal-to-door, first-abnormal-to-door, door-to-imaging, door-to-puncture, and puncture-to-recanalization times of 88 patients (45 treated with conventional pre-COVID-19 protocol and 43 with COVID-19 protection protocol) were retrospectively analyzed. The recanalization time, success rate of mechanical thrombectomy, and modified Rankin score of patients at discharge were assessed. A multivariate analysis was conducted to identify variables that significantly influenced the time delay in the door-to-puncture time and total procedure time. Results : The door-to-imaging time significantly increased under the COVID-19 protection protocol (p=0.0257) compared to that with the conventional pre-COVID-19 protocol. This increase was even more pronounced in patients who were suspected to be COVID-19-positive than in those who were negative. The door-to-puncture time showed no statistical difference between the conventional and COVID-19 protocol groups (p=0.5042). However, in the multivariate analysis, the last-normal-to-door time and door-to-imaging time were shown to affect the door-to-puncture time (p=0.0068 and 0.0097). The total procedure time was affected by the occlusion site, last-normal-to-door time, door-to-imaging time, and type of anesthesia (p=0.0001, 0.0231, 0.0103, and 0.0207, respectively). Conclusion : The COVID-19 protection protocol significantly impacted the door-to-imaging time. Shortening the door-to-imaging time and performing the procedure under local anesthesia, if possible, may be required to reduce the door-to-puncture and door-to-recanalization times. The effect of various aspects of the protection protocol on emergency thrombectomy should be further studied.

• Fire Science and Engineering
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• v.23 no.3
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• pp.1-10
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• 2009

This paper presents a study on the evacuation analysis in underground arcade. In this study, the effect of the exit with a windbreak door has been investigated by using evacuation simulation program (building EXODUS). Also, the simulation has included the impact of smoke, heat and toxic gases by fire simulation program (CFAST). The results were obtained for the conditions of without and with door of the two exit with 1,088 evacuation population. As a results, for non-fire evacuation, there was only a little difference of evacuation time for both conditions. However, for fire emergency evacuation, the evacuation time for the condition with door increased more 110 seconds than for the condition without door. When the auto door not opened, the evacuation time was increased more 670 seconds than for the condition without door. Consequently, in case of fire, the automatic door should be operating by the signal of fire detector and keep open when the fire accidents. To lead the evacuees well to the escape route the luminaries for an emergency exit sign have to be reinforced to the wall and floor around the exit.

• Quality Improvement in Health Care
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• v.20 no.1
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• pp.12-24
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• 2014

Objectives: The aim of this study was to explore whether emergency bell could shorten door to electrocardiograms (ECG) time in chest pain patients presenting to emergency department (ED) by self-transport. Methods: This was a planned 6-month before-and-after interventional study design. We set up the emergency bell in walk-in patients' waiting room. Prior to the change, patients were triaged before an ECG was obtained. In new process, as soon as patient with chest pain push the emergency bell, emergency physicians examined patient and prioritized performing ECG. We analyzed door to electrocardiograms (DTE) times for patients with chest pain and ST segment elevation myocardial infarction (STEMI) patients between two periods. Results: During the enrollment period, a total of 63 patients called emergency bell. The median DTE time was 6 min (interquartile range: 3.0 - 9.0) and 82.5% received an ECG within 10 minutes, and only three patients were STEMI. DTE time in patient with chest pain was not different between two periods (p=0.980). Before intervention period, 15 walk-in patients admitted in ED for STEMI and 53.8% of STEMI patients received an ECG within 10 minutes. After intervention period, total 19 walk-in patients admitted in ED for STEMI. Of these, 89.5% met the time requirement. Conclusion: Because a small portion of patients with chest pain activated the emergency bell, new strategy for promotion of emergency bell must be needed.

• Proceedings of the KSR Conference
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• 2011.10a
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• pp.1389-1396
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• 2011

There can be several states of emergency when the train is in operation. In this paper we consider passengers how to escape from emergency states and what facilities they can use by each situation. In general, passengers can escape from a train by manual door openning, emergency ramp and breaking window. Now, we consider which facility is proper to each scenario.