• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 2015년도 추계학술대회
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• pp.175-178
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• 2015

본 논문은 국내외 해양사고 원인의 60-80%에 해당하는 인적과실을 예방하기 위하여 긴급상황에 대한 가상현실 선원 훈련 플랫폼을 제안한다. 제안된 훈련 플랫폼은 가상현실 기술을 통해 긴급 상황 내 절차 숙달을 위한 상호작용 방법과 가상 선박 환경 내에서 군중 에이전트를 제어하는 군중 제어 방법을 제공한다. 제안된 훈련 플랫폼의 상호작용 방법은 훈련 몰입도를 높이기 위하여 음성인식과 행동인식을 사용한다. 군중 제어는 사회적 특성을 반영한 에이전트의 행동모델을 적용하여 자연스러운 시뮬레이션을 제공한다. 제안된 훈련 플랫폼의 효율성을 실험하기 위해 선박 내 화재 상황에 대한 가상 훈련 시나리오를 standalone 훈련 플랫폼으로써 구현하였다.

• 한국응급구조학회지
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• 제18권1호
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• pp.67-81
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• 2014

Purpose : The purpose of the study is to provide the basic data for preceptorship education program development by analyzing the recognition and acceptance concerning the introduction of preceptorship to ambulance ride practice of 119 EMT-paramedics in Korea. Methods : A self-reported questionnaire was filled out by 157 paramedics in the fire fighters from December 21, 2013 to February 12, 2014. The questionnaire consisted of 31 questions and the data were analyzed by SPSS version 21.0. Results : Most of the subjects answered the positive choice and were very interested in the introduction of preceptorship in the prehospital settings. Mean of preceptorship acceptance level was 3.64 points in 5 points Likert scale and 75.4% of the subjects were able to explain the preceptorship. 57.4% of the subjects considered that preceptorship was an effective training method. Conclusion : Most of the subjects agreed that the preceptorship is very important to the education of paramedic students. The preceptorship education program development will be the basis of ambulance ride practice.

• 대한임베디드공학회논문지
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• 제10권1호
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• pp.41-48
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• 2015

To deal with the emergency of the solitary aged people, we have developed a collapse-sensing phone, in which a collapse sensor, a GPS receiving chipset and a CDMA sending chipset are included. The general cellular phone is somewhat expensive communication device using sound and characters, but the collapse-sensing phone is a cheaper and popular version. If the collapse sensor recognizes a certain of collapse of the aged people, CDMA sending chipset will send the location of the phone which is received from satellite by GPS receiving chipset. In this paper, a collapse recognition algorithm which is developed by using much experimental data, will be introduced to explain how to recognize the real collapse from fast sitting or immediate standing after collapse. Once a true collapse is ecognized, the phone-ID and the coordinate will be sent to the server of administrative office via CDMA network. And the position of emergency will be displayed on the GIS with the rescue center.

• 대한안전경영과학회지
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• 제17권1호
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• pp.45-52
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• 2015

The purpose of this investigation is to enhance the survival rate of patients by transporting them to the hospital within the golden hour through the operational improvement of emergency dispatch instruction. To this end, problems and improvements of current operating system were derived by carrying out a survey against paramedics of Incheon city in 2012 and analyzing the current emergency dispatch instruction. This study analyzed the emergency activity daily reports for one year from January 1 through December 31, 2012 and researched the consciousness of 119 emergency medical technician. According to the analysis of the survey, there were no meaningful differences in the on-site arrival times per triage. Therefore, the item of 'Emergency Classification' specified in the emergency dispatch instruction needs to be integrated in the scheme of "triage". Also, the feedbacks of the emergency action log and the emergency dispatch instruction are necessary for 'duty for operation' to review the adequacy to the severity after the end of emergency operation. Finally, the improvement of the system for the continuous communication between the paramedics and the command staff is necessary. This improvements as stated above are expected to contribute to raise survival rate of patients.

• 융합정보논문지
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• 제7권6호
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• pp.135-141
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• 2017

최근 만성질환을 앓고 있는 고령자가 늘어나고 교통사고와 같은 재난이 증대됨에 따라 이와 같은 응급상황에 응급구조사와 의사들이 효율적으로 대응할 필요성이 대두되고 있다. 특히, 만성질환과 치매를 앓고 있던 고령자에게 뇌경색이나 교통사고와 같은 응급상황이 발생하게 되면, 기본적인 자신의 인적정보과 병력을 전달하지 못하여 구조대의 응급처치가 늦어지고 의료정보의 부족으로 병원에서의 효율적인 응급치료도 어렵게 된다. 본 논문에서는 QR 코드를 이용하여 응급 구조사에게는 응급치료에 필요한 최소한의 개인정보와 병력을 전달하고 병원의 응급실 의사에게는 QR 코드와 지문인식을 통해 그동안의 병력 및 치료데이터를 전달함으로써 효율적인 응급처치 및 응급치료가 가능하도록 하였다. 특히 스마트폰의 QR 코드와 개인의 지문을 동시에 활용함으로써 개인정보는 보호하고 권한을 부여받은 의사들만이 병적기록을 확인할 수 있도록 하여 의료정보의 프라이버시 및 보안을 강화했다.

• 보건행정학회지
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• 제23권2호
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• pp.145-151
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• 2013

Background: The objective of this study was to explore patient family's evaluation of emergency department (ED) service satisfaction and to compare these with ED staff perception of patient family's evaluation. Methods: Based on two surveys of the National Emergency Medical Center: the 2008 National Survey for Recognition and Satisfaction towards Emergency Medical Services and the 2008 Opinion Survey of Emergency Medical Service Providers, satisfaction gaps among physicians, nurses, and patient family were evaluated by Kruskal-Wallis tests and Wilcoxon-Mann-Whitney tests. Furthermore, the factors associated with satisfaction of emergency medical service were identified by ordinal logistic regression models. Results: There were statistically significant gaps among physicians, nurses, and patient family in overall satisfaction with ED visit, length of stay in ED, enough explanation, physicians/nurses kindness, and ED facilities. Age and income in the patient family model, the number of beds in hospital, job satisfaction and year of service in the physicians model, and the number of beds in hospital, job satisfaction and the number of patients per duty hour in the nurses model were statistically significant factors associated with evaluation/ perception of ED service satisfaction. Conclusion: Patient satisfaction is an important indicator of the quality of care and service delivery in the ED. To improve and understand satisfaction in ED service, a dyadic view of the evaluation of service quality and satisfaction-that is, from the perspectives of both the patient and the emergency medical service providers-should be concerned.

• 한국화재소방학회논문지
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• 제30권4호
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• pp.135-140
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• 2016

구급 신고 전화를 받는 상황요원의 신속하고 정확한 신고자 상태 파악과 적확한 조치 판단을 돕고, 정확한 다중출동을 위한 한국형 응급상황관제 시스템의 음성인식 시스템의 자동적인 처리를 지원하기 위하여 실제 구급 신고 전화의 음성 자료 분석을 통해 한국어의 응급 증상 표현 목록을 작성하고 실제 신고전화에 나타난 증상 언어표현의 특징을 파악하였다. 이러한 언어 목록과 특성들은 일선 현장의 상황요원의 교육에도 유용할 것이다.

• 한국응급구조학회지
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• 제22권3호
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• pp.77-90
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• 2018

Purpose: This study aimed to assess and improve the work scope of emergency medical technicians (EMT)-paramedics in emergency medical centers. Methods: Data were collected from February 1 to 14, 2018. The questionnaire comprised a total of 56 questions: eight general questions, six questions about the recognition of EMT-paramedics in emergency medical centers, and 42 questions about their work. Data were analyzed via frequency and correlation analysis using SPSS version 18.0. Results: Regarding the work of EMTs in emergency medical centers, positive opinions were found in 23 items, negative opinions in 4 items, and both positive and negative opinions in 9 items. Regarding the questions about the necessity, work importance, professionalism, and the need for an increase4 in EMR-paramedics, depending on respondents' career, there was no statistically significant difference between the group of beginners and the group comprising beginners and that of experienced workers (p>.200). Conclusion: The expert survey revealed that the work performance of EMT-paramedics in regional emergency medical centers was trusted and showed positive results of improvement and expansion.

• Journal of Trauma and Injury
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• 제19권2호
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• pp.113-120
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• 2006

Purpose: The aim of this study was to evaluate the clinical characteristics of classic heat stroke in Korea and to identify factors of prognosis for heat stroke by comparing a survival group with a non-survival group. Methods: We retrospectively analyzed 27 patients with heat stroke who visited the Emergency Department of Kyungpook National University Hospital from March 2001 to February 2005. First, we divided the patients into two groups, the classic heat stroke group and the exertional heat stroke group, and compared them. Second, we compared the survival group with the non-survival group. Age, sex, cause, place where patients were found, underlying diseases, cooling time, performance of endotracheal intubation, initial Glasgow Coma Scale, initial vital sign, and laboratory findings were reviewed. Results: Five of 27 patients in heat stroke died. The classic heat stroke group had 20 patients. They were old and had more patients in the bathroom than the exertional heat stroke group had. The non-survival group showed lower blood pressure, lower initial GCS score, and higher respiratory rate than the survival group. In laboratory findings, the non-survival group also showed lower$HCO_3-$ level, lower albumin level, lower glucose level, more prolonged PT, and higher CK-MB level than the survival group. Delay in recognition of heat stroke and cooling were poor prognostic factors in heat stroke. Conclusion: The classic heat stroke group had patients who were old and found in the bathroom. Early recognition and treatment of heat stroke is important to reduce mortality. Cooling time, initial GCS score, mean arterial pressure, resipratory rate, $HCO_3-$, PT, CK-MB, and albumin seem to be meaningful when forming a prognosis for heat stroke patients.

• 한국산학기술학회논문지
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• 제11권6호
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• pp.2152-2160
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• 2010

본 연구는 초등학생들의 안전의식이 사고유형 위험인식에 미치는 영향에 대한 관련성을 알아보고자 시도하였다. 2009년 6월 25일부터 7월 15일까지 J도 소재 J시 K시 4개교에 재학하는 초등학생 378명에 대하여 실시하였다. 통계처리는 SPSS WIN 12.0 Version 프로그램을 사용하였으며, 통계적 유의성은 p<.05로 설정하였다. 안전실태의 특성의 변수들과 안전의식, 사고유형 위험인식 간의 상관관계는 안전의식은 외상사고 위험인식(r=.179, p<.01)과 환경사고 위험인식(r=.104, p<.05)에 양의 상관관계를 보였다. 사고유형 위험인식 전체에 대해서 살펴보면 1년 내 안전 교육($\beta=.139$, t=2.654, p<.01)과 교통안전의식($\beta=.172$, t=2.714, p<.01)이 사고유형 위험인식에 유의한 영향을 주는 것으로 나타났다.