• Korean Institute of Interior Design Journal
• /
• v.14 no.3 s.50
• /
• pp.147-155
• /
• 2005

As multiplex theaters are increasing rapidly in number, concerns over the evacuation process in case of fire emergency are also increasing. The study investigates the users' awareness and recognition of evacuation route by the method of questionnaire, and analyzes the users' behavior in choosing the route by the simulation program called Simulex. Among others, findings indicate a vast majority of the users are unaware of the proper route in the emergency, yet anticipate to evacuate by it, instead of the entry/exit route that they are familiar with. This aspect, however, can be useful to provide the proper route of evacuation for the users, if an appropriate information is given that the entry/exit route is also used as an emergency egress. The simulation shows heavy congestion at the closer evacuation route from the exit, and distinctly less traffic at the farther means of egress. Based on this natural phenomenon, it is suggested that the emergency stair should be nearby and aligned with the exit from auditorium. Although the present building regulation only requires a minimum dimension at each route, there is a need to widen the passageway that is likely to be recognized easily and subsequently overcrowded in case of fire emergency.

• International Journal of Contents
• /
• v.16 no.1
• /
• pp.75-86
• /
• 2020

As the elderly population is becoming an aging society, the elderly are experiencing many problems. Social security costs for the elderly are increasing and the un-linked social phenomenon is emerging. Thus, the social infrastructure and welfare system established in the past economic growth period are in danger of not functioning properly. People socially isolated or with chronic diseases among the elderly are exposed to various accidents. Thus, an active healthcare management service is imperative. Additionally, in the event of a dangerous situation, the system must have ways to notify guardians (family or medical personnel) regarding appropriate action. Thus, in this paper, we propose the smartphone-based healthcare and emergency response service platform. The proposed service platform aggregates movement of relevant data in real-time using a smartphone. Based on aggregated data, it will always recognize the user's movements and current state using the human motion recognition mechanism. Thus, the proposed service platform provides real-time status monitoring, activity reports, a health calendar, location-based hospital information, emergency situation detection, and cloud messaging server-based efficient notification to several subscribers such as family, guardians, and medical personnel. Through this service, users or guardians can augment the level of care for the elderly through the reports. Also, if an emergency situation is detected, the system immediately informs guardians so as to minimize the risk through immediate response.

• The Korean Journal of Emergency Medical Services
• /
• v.19 no.2
• /
• pp.71-82
• /
• 2015

Purpose: This study aimed to investigate paramedic students' awareness and attitude toward a do not resuscitate (DNR) order and death. Methods: This research was conducted among 421 students from the Department of Emergency Medical Technology in a 4-year college located in the Chungcheong and Daejeon districts, from May 14 to 22, 2014. Data were analyzed by using IBM SPSS 21.0. Results: The mean level of attitude toward death was 2.17. The paramedic students with clinical experience showed a positive attitude toward death, of whom 72.0% answered that a DNR order is necessary. The mean level of attitude toward DNR was 2.88. The paramedic students with clinical experience showed a positive attitude toward a DNR order. They indicated that sanctity of life should be respected rather than extending ineffective treatment and that patients' decisions on DNR should be respected. The students who had more knowledge about DNR and felt the necessity of DNR had a positive attitude about death and DNR. Conclusion: Paramedic students need systematic education for proper recognition and values establishment about death and DNR.

• Journal of Drive and Control
• /
• v.19 no.4
• /
• pp.110-116
• /
• 2022

Recently, various studies have been conducted to apply deep learning and AI to various fields of autonomous driving, such as recognition, sensor processing, decision-making, and control. This paper proposes a controller applicable to path following, static obstacle avoidance, and pedestrian avoidance situations by utilizing reinforcement learning in autonomous vehicles. For repetitive driving simulation, a reinforcement learning environment was constructed using virtual environments. After learning path following scenarios, we compared control performance with Pure-Pursuit controllers and Stanley controllers, which are widely used due to their good performance and simplicity. Based on the test case of the KNCAP test and assessment protocol, autonomous emergency steering scenarios and autonomous emergency braking scenarios were created and used for learning. Experimental results from zero collisions demonstrated that the reinforcement learning controller was successful in the stationary obstacle avoidance scenario and pedestrian collision scenario under a given condition.

• The Korean Journal of Emergency Medical Services
• /
• v.12 no.3
• /
• pp.99-113
• /
• 2008

In order to protect Rescue 119 workers exposed on the spot from potential infection, this study identified their awareness and practices of infection control so that it could help preventing them from infection and also provide basic materials necessary for pre-hospital infection control. This study applied questionnaire survey to total 215 Rescue 119 workers at fire stations in Jeonbuk province, Jeonnam province and Gwangju city from July 14 to Sept. 14, 2006 for the benefit of data collection. The questionnaire about possible associations between awareness and practices of infection control consisted of total 46 times across 6 categories such as washing hands during emergency activities ; fluid therapy and injection ; respirator maintenance; individual hygienics ; disinfectant supplies and equipments maintenance ; and control of infectious wastes. And collected data were processed using SPSS statistic program to analyze frequency and percentage, mean and standard deviation, Pearson's correlation coefficient, t-test and one-way ANOVA. As a result, this study came to the following conclusions : In terms of awareness about infection control, our respondents showed highest awareness about infectious waste control, and also showed highest level of practices in washing hands during emergency activities. Throughout all domains, awareness means were higher than practice means. In particular, infectious waste control was the domain of significant differences between awareness and practices. In terms of associations between awareness and individual characteristics, it was found that female rescue worker group and hospital/general hospital career group (before joining the Rescue 119) showed significantly higher awareness on statistic level. In regard to associations between individual characteristics and practices, it was found that female rescue worker group showed higher level of practices than male group on statistic level. This study also analyzed correlations between rescue workers' awareness and practice of infection control. As a result, it was found that the higher awareness was in correlations with the higher practices across all 6 domains including washing hands. In addition, the higher awareness of a questionnaire item was in significantly positive correlations with the higher practice of other items. However, our respondents showed high awareness about anti-infection, but low practices in reality. This indicates necessity of devising possible solutions to improve the practices as much as awareness. Especially, it was noted that major reasons for insufficient practices of infection control guideline come from unhabituated practices and lack of supports for infection-preventing supplies and protective device (mask, etc). Hence, it is necessary to provide more infection-preventing supplies for local rescue workers sufficiently, in parallel with steady habituation of infection control. Furthermore, it is required to manage and study infection control policies even at pre-hospital step in efforts for effective infection control, education and activities.

• The Korean Journal of Emergency Medical Services
• /
• v.24 no.1
• /
• pp.103-115
• /
• 2020

Purpose: This descriptive study investigated the relationship between death awareness and life ethics awareness, according to life stress, among students in the department of paramedics. Methods: General characteristics were identified using means and frequency, and the differences between the two military models were analyzed using the χ²-test and t-test by dividing them into lower and higher groups based on the mean life stress score (99.76 points). Results: Those with high life stress had higher death awareness than those with low life stress at 114.11 points. In contrast, those with low life ethics experienced more severe life stress with a score of 145.61 points (t=-2.609, p=.010)(t=-2.953, p=.003). The death recognition attitude and bioethics according to the degree of living stress-showed a significant correlation between the low and high groups (r=.188, p=.043) (r=.201, p=.042). Conclusion: Paramedic students require education on how to cope with life stress. However, access to education is limited to people living in modern times. As a potential solution to this problem, observing videos on the Internet is recommended. Moreover, we suggest accessing Internet and smart phone applications for advertising/educational purposes.

• Journal of Trauma and Injury
• /
• v.25 no.3
• /
• pp.72-78
• /
• 2012

Purpose: Clinical observation and research findings show that acute traumatic coagulopathy (ATC) is a major factor that must be addressed in the early care of severe trauma patients. ATC is associated with increased transfusion requirements and poor clinical outcomes. This study aimed to correlate the early predictable factors of ATC with the outcomes in severe trauma patients. Methods: Retrospective data from the trauma registry on severe trauma patients (Injury Severity Score (ISS) ${\geq}16$) were used to identify variables independently associated with coagulopathy. Univariate associations were calculated, and a multivariable logistic regression analysis was used to determine variables independently associated with ATC. Results: Patients were mostly male, aged $51.9{\pm}17.8$ years, with an injury severity score of $24.1{\pm}12.4$. ATC, as diagnosed in the emergency department (ED), occurred in 17% of the severe trauma patients. Using a multivariable logistic regression analysis, early predictable variables independently associated with ATC were base deficit (odds ratio (OR): 13.03; 95% confidence interval (CI): 3.47-48.93), acute liver injury (OR: 4.24; 95% CI: 1.06-17.00), and transfer from another hospital (OR: 21.00; 95% CI: 3.23-136.60). Conclusion: ATC is associated with mortality in severe trauma patients, and some variables associated with trauma and shock are an independent predictors of ATC. These variables contribute to the early recognition and management of coagulopathy, which may improve the outcome from trauma resuscitation.

• The Korean Journal of Emergency Medical Services
• /
• v.8 no.1
• /
• pp.199-210
• /
• 2004

Since the 119 fire department was legally permitted to serve in Emergency Medical Service(EMS)Operation of emergency patients in 1983, 119 EMS operation in general has made a big progress in serving the needs for emergency patients. Currently EMS operation is carried out by 119 EMS unit, private ambulance Co.,etc. But due to the public recognition and volunteers, 119 EMS operation carries the major share of the service. This observation is not surprising in that such a trends occured in Japan 20 years ago. This paper compared the 119 EMS operation conducted by the fire department in Korea with that of Japan in order to draw some inferences from the comparison. The results of the study compared to Japan were as follows: 1. Japan was higher 1.5 times in the number of EMS units per population(100,000), 1.1 times in the number of patient transports per unit. 2. Japan was higher 4.54 times in the number of the 119 EMS personnel per population(100,000), 30.6 times in that per square killometers, 30.6 times per 119 EMS unit, in per ambulance 2.48times. 3. Japan was higher 1.83 times in the number of ambulance per population(100,000), 1.26 times in that per square killo meters. 4. Japan was higher 1.7 times in the number of transport patients per population (100,000), but Korea was higher 2.68 times in the transport patients per EMS personal. 5. Compared to Japan, there was no emergency care related to ALS, for example, such as administering dugs orally and intravenously, interpreting elctrocardiograms, performing endotracheal tube or LMA insertion, using monitors and other complex equipments in Korea.

• Journal of Trauma and Injury
• /
• v.31 no.3
• /
• pp.166-173
• /
• 2018

Purpose: Many traumatic patients die from sepsis and multiple organ failure. Early recognition of post-traumatic sepsis in traumatic patients will help improve the prognosis. Recently, procalcitonin (PCT), macrophage migration inhibitory factor (MIF), and lactic acid have emerged as predictive factors. Our study aims to explore the significance of PCT, MIF and lactic acid as a predictor of posttraumatic-sepsis in trauma patients. Methods: This study was conducted on prospective observational study patients who visited an emergency medical center in a university hospital from March 2014 to February 2016. We measured the white blood cells, c-reactive protein (CRP), lactic acid, PCT, and MIF with serum taken from the patient's blood within 1 hour of the occurrence of the trauma. The definition of post-traumatic sepsis was defined as being part of systemic inflammation response syndrome criteria with infections within a week. Results: A total of 132 patients were analyzed, wherein 74 patients were included in the low injury severity score (ISS) group (ISS <15) and 58 patients were included in the high ISS group (ISS ${\geq}15$). The mean PCT, MIF, and lactic acid levels were higher in the high ISS group (p<0.05). Meanwhile, 38 patients were included in the early sepsis group and 94 patients were included in the non-sepsis group. The mean MIF levels were higher in the sepsis group than the non-sepsis group (p<0.05) and there were no significant differences in the initial CRP, lactic acid, and PCT levels in these two groups. Conclusions: MIF may be considered as a predictive factor for sepsis in trauma patients.

• International Journal of Computer Science & Network Security
• /
• v.21 no.8
• /
• pp.267-275
• /
• 2021

Smart application is developed in this paper by using an android-based platform to automatically determine the human emergency state (Lifesaver) by using different technology sensors of the mobile. In practice, this Lifesaver has many applications, and it can be easily combined with other applications as well to determine the emergency of humans. For example, if an old human falls due to some medical reasons, then this application is automatically determining the human state and then calls a person from this emergency contact list. Moreover, if the car accidentally crashes due to an accident, then the Lifesaver application is also helping to call a person who is on the emergency contact list to save human life. Therefore, the main objective of this project is to develop an application that can save human life. As a result, the proposed Lifesaver application is utilized to assist the person to get immediate attention in case of absence of help in four different situations. To develop the Lifesaver system, the GPS is also integrated to get the exact location of a human in case of emergency. Moreover, the emergency list of friends and authorities is also maintained to develop this application. To test and evaluate the Lifesaver system, the 50 different human data are collected with different age groups in the range of (40-70) and the performance of the Lifesaver application is also evaluated and compared with other state-of-the-art applications. On average, the Lifesaver system is achieved 95.5% detection accuracy and the value of 91.5 based on emergency index metric, which is outperformed compared to other applications in this domain.