• Title/Summary/Keyword: Emergency Monitoring

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How to cope with medical emergencies in the Dental Clinic (치과진료실에서 흔한 긴급상황의 처치)

  • Kim, Hyun Jeong
    • The Journal of the Korean dental association
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    • v.53 no.8
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    • pp.530-537
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    • 2015
  • Conceptually, the emergency is classified as an urgency and an emergency. The Urgency is not immediately life threatening, but could become so if not resolved promptly. So, it requires prompt patient care same as in the emergency situation. However, the emergency is immediately life threatening and requires immediate action, such as calling 119 and basic life support. Most medical emergencies in the dental clinic cases are urgencies. The incidence of true emergencies is approximately 1/1,000,000. Adequate managing medical urgencies are important because the chance of encountering medical emergencies in the dental clinic is high and higher these days especially because of rapidly aging Korean society. Many dentists indicate that many dentists feel difficulties to recognize and treat medical problems. This paper reviews the concept of medical emergencies and how to cope with commonly occurring urgencies in the dental clinic such as loss of consciousness, hypoglycemia, hyperventilation syndrome. The best treatment for medical urgencies and emergencies in the dental clinic is prevention. Also, it is required to make preparation for emergency situations such as CPR education for dentists and being well-acquainted with equipment and drugs for the emergency care as well as to systemic medical evaluation, patient monitoring, and sedations for controlling patient's anxiety and pain. In this paper, simple algorithms based on guidelines for common urgencies in the dental clinic are suggested. In conclusion, every dentist has competencies to do the urgency care adequately and basic life support. Also, advanced cardiac life support is strongly recommended when sedation is performed in the clinic.

Concept of an intelligent operator support system for initial emergency responses in nuclear power plants

  • Kang, Jung Sung;Lee, Seung Jun
    • Nuclear Engineering and Technology
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    • v.54 no.7
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    • pp.2453-2466
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    • 2022
  • Nuclear power plant operators in the main control room are exposed to stressful conditions in emergency situations as immediate and appropriate mitigations are required. While emergency operating procedures (EOPs) provide operators with the appropriate tasks and diagnostic guidelines, EOPs have static properties that make it difficult to reflect the dynamic changes of the plant. Due to this static nature, operator workloads increase because unrelated information must be screened out and numerous displays must be checked to obtain the plant status. Generally, excessive workloads should be reduced because they can lead to human errors that may adversely affect nuclear power plant safety. This paper presents a framework for an operator support system that can substitute the initial responses of the EOPs, or in other words the immediate actions and diagnostic procedures, in the early stages of an emergency. The system assists operators in emergency operations as follows: performing the monitoring tasks in parallel, identifying current risk and latent risk causality, diagnosing the accident, and displaying all information intuitively with a master logic diagram. The risk causalities are analyzed with a functional modeling methodology called multilevel flow modeling. This system is expected to reduce workloads and the time for performing initial emergency response procedures.

On-Line Diagnostics and Monitoring of Distribution Panel Using IR-Sensor (광온도센서를 이용한 분전반의 온라인 진단 및 감시)

  • Yun, Ju-Ho;Choi, Yong-Sung;Hwang, Jong-Sun;Lee, Kyung-Sup
    • Proceedings of the KIEE Conference
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    • 2008.07a
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    • pp.2110-2111
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    • 2008
  • Continuous on-line temperature monitoring allows corrective measures to be taken to prevent upcoming failure. Continuous temperature monitoring and event recording provides information on the energized equipment's response to normal and emergency conditions. On-line temperature monitoring helps to coordinate equipment specifications and ratings, determine the real limits of the monitored equipment and optimize facility operations. Using wireless technique eliminates any need for special cables and wires with lower installation costs if compared to other types of online condition monitoring equipment. In addition, wireless temperature monitoring works well under difficult conditions in strategically important locations. Wireless technology for on-line condition monitoring of energized equipment is applicable both as standalone system and with an interface with power quality monitoring system.

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A Technical Trend on On-Line Condition Monitoring and Diagnostics of Power Equipments (배전설비의 온라인 모니터링과 진단 기술 동향)

  • Lim, Wan-Soo;Lee, Tae-Woo;Yeo, Woon-Cheol;Lee, Sung-Gil;Choi, Yong-Sung;Lee, Kyung-Sup
    • Proceedings of the KIEE Conference
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    • 2007.07a
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    • pp.1974-1975
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    • 2007
  • Continuous temperature monitoring and event recording provides information on the energized equipment's response to normal and emergency conditions. On-line temperature monitoring helps to coordinate equipment specifications and ratings, determine the real limits of the monitored equipment and optimize facility operations. Using wireless technique eliminates any need for special cables and wires with lower installation costs if compared to other types of online condition monitoring equipment. In addition, wireless temperature monitoring works well under difficult conditions in strategically important locations. Wireless technology for on-line condition monitoring of energized equipment is applicable both as standalone system and with an interface with power quality monitoring system. The paper presents the results of wireless temperature monitoring of switchgear at a power plant over a two-year period.

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Design and Implementation of Robot-Based Alarm System of Emergency Situation Due to Falling of The Eldely (고령자 낙상에 의한 응급 상황의 4족 로봇 기반 알리미 시스템 설계 및 구현)

  • Park, ChulHo;Lim, DongHa;Kim, Nam Ho;Yu, YunSeop
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.17 no.4
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    • pp.781-788
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    • 2013
  • In this paper, we introduce a quadruped robot-based alarm system for monitoring the emergency situation due to falling in the elderly. Quadruped robot includes the FPGA Board(Field Programmable Gate Array) applying a red-color tracking algorithm. To detect a falling of the elderly, a sensor node is worn on chest and accelerations and angular velocities measured by the sensor node are transferred to quadruped robot, and then the emergency signal is transmitted to manager if a fall is detected. Manager controls the robot and then he judges the situation by monitoring the real-time images transmitted from the robot. If emergency situation is decided by the manager, he calls 119. When the fall detection system using only sensor nodes is used, sensitivity of 100% and specificity of 98.98% were measured. Using the combination of the fall detection system and portable camera (robot), the emergency situation was detected to 100 %.

Development of AI Image Analysis Emergency Door Opening and Closing System linked Wired/Wireless Counting (유무선 카운팅 연동형 AI 영상분석 비상문 개폐 시스템 개발)

  • Cheol-soo, Kang;Ji-yun, Hong;Bong-hyun, Kim
    • 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.

Comparison of the relative importance of educational content, teaching methods, and evaluation methods in the patient assessment curriculum for 119 EMTs (119구급대원 대상 환자평가 교육과정에서 교육내용, 교수법, 평가 방법의 상대적 중요도 비교)

  • Ah-Ram Seo;Jun-Dong Moon
    • The Korean Journal of Emergency Medical Services
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    • v.28 no.1
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    • pp.97-112
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    • 2024
  • Purpose: This study compared the relative importance of educational content, teaching methods, and evaluation methods in the patient assessment curricula of 119 emergency medical technicians (EMTs). Methods: First, we identified the educational content, training hours, and teaching and evaluation methods of the existing patient assessment curriculum based on the National Competency Standard learning module. Second, we surveyed 30 EMTs affiliated with 119 services using the Analytic Hierarchy Process (AHP) method. Subsequently, we compared the differences between the current curriculum and the AHP analysis results. Results: Currently in operation, the "Advanced EMT Course" comprises three learning modules: assessment of patient status, scene size-up and triage, and assessment using monitoring devices. Among these, content related to the assessment of patient status received the most allocated time and was deemed the most important according to the AHP survey results. Conversely, while less time was allocated to scene size and triage compared with assessment using monitoring devices, the former was assessed as more important than the latter in the AHP results. Furthermore, scenario-based team training and procedure-focused individual practice were evaluated as relatively important teaching methods, while practical examination using a checklist was deemed the most appropriate evaluation method for all learning content. Conclusion: To improve the patient assessment curriculum, we propose adjusting teaching hours and introducing new teaching and evaluation methods based on the results of relative importance. The proposed improvement plan will contribute to enhancing the competency of 119 EMTs.

Review of Operation Concept and System Requirements for Shore Remote Control Simulator System for MASS (자율운항선박 육상원격제어 시뮬레이터 시스템 운용개념 및 시스템 요구기능 분석)

  • GONG, In-Young;KIM, Yong-Hwan;KIM, Seong-Moo;YOUN, Ik-Hyun
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.28 no.6
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    • pp.937-945
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    • 2022
  • Maritime autonomous surface ships (MASS) have a high degree of autonomy and operate autonomously along a planned route. However, when necessary, the shore remote control center(SRCC) can directly intervene in ship operations. In this paper, the operation concept of the simulator system, which can be used to educate and train shore remote control officers, responsible for monitoring the operation of autonomous ships on land and remotely controlling them in case of an emergency, is reviewed. The required functions of the simulator system that enables the operation concept are also reviewed. The major parts of the SRCC simulator system are the monitoring station and control station, which simulate the functions of monitoring the operation status of multiple MASS and the functions of the remote operation of MASS in the case of emergency, respectively. Various units to simulate the operation of MASS and traf ic ships and various objects around the MASS are included in the simulator system. The instructor operation station is the central part of the simulator system that integrates and controls the unit systems. Functionally, as conditions under which SRCC is allowed to remotely intervene in the operation of MASS, the emergency situation for remote control (ESRC) has been defined. Moreover, the required functions to cope with these ESRC conditions have been included in the simulator system requirements.

A Case of Recurrent Ventricular Tachycardia after Pimozide and Haloperidol Overdose (Pimozide와 Haloperidol 과량 복용 후 반복적으로 발생한 심실 빈맥 1례)

  • Jung, Jin-Hee;Jang, Hye-Young;Eo, Eun-Kyung
    • Journal of The Korean Society of Clinical Toxicology
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    • v.3 no.1
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    • pp.67-70
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    • 2005
  • Pimozide and haloperidol are typical antipsychotics. They share a similarity in pharmacotherapeutic and adverse effect profiles. Cardiovascular effects may be seen as alterations in heart rate, blood pressure, and cardiac conduction. Conduction disturbances may occur ranging from asymptomatic prolongation of the QT interval to fatal ventricular arrhythmia. So in the case of anti psychotics overdose, the patient must be carefully monitored by continuous electrocardiography (ECG). We experienced a 34-year-old woman of schizophrenia with recurrent ventricular tachycardia after pimozide and haloperidol overdose. Initially she was slightly drowsy, however her ECG showed normal sinus rhythm. After 6 hours on emergency department entrance, her ECG monitoring showed ventricular tachycardia and we successfully defibrillated. There were five times events of ventricular arrhythmia during the in-hospital stay. She was discharged 5 days later without any other complications.

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2 Cases of Toad Venom Intoxication (두꺼비독 중독 2례)

  • Kwon Cheong-Hoon;Jun Woo-Chan;Jung Yoon-Suk;Ahn Jung-Hwan
    • Journal of The Korean Society of Clinical Toxicology
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    • v.4 no.1
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    • pp.58-60
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    • 2006
  • The venom gland of Toad contains large quantities of cardiac glycosides, and toad venom poisoning is similar to digitalis toxicity and carries a high mortality. Sometimes after ingestion of aphrodisiac pills which contain dried toad, a patient develops gastrointestinal symptoms and bradycardia, psychoneurologic symptoms. We have experienced 2 cases of toad venom intoxication, who ingested asian toads. Patients were presented to our ED with nausea, vomiting, and abdominal pain. The patients were peformed monitoring and conservative treatment and were fully recovered. Toad venom intoxication should be considered in patients with clinical manifestation of gastrointestinal irritation, cardiac arrhythmias, hyperkalemia, and detectable serum digoxin level without current medication of digoxin.

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