• Title/Summary/Keyword: Emergency car

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A Foreign Body Found in the Pulmonary Artery of a Traffic Accident Victim with a Chest Injury and Near-amputation of the Upper Extremity - A case report - (흉부 손상과 함께 우상지에 절단에 가까운 열창을 입은 교통 사고 환자에서 발견된 폐동맥 내 이물질 - 1예 보고 -)

  • Choi, Goang-Min;Kim, Heung-Cheol;Cho, Kwang-Yun;Kim, Hyung-Soo
    • Journal of Chest Surgery
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    • v.41 no.4
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    • pp.536-539
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    • 2008
  • We present a case with a foreign body in the left pulmonary artery, found in a traffic accident victim. A 52-year-old woman sitting in the passenger side of a car had massive bleeding and near complete amputation of her right forearm in addition to multiple rib fractures and a hemopneumothorax. At arrival to the emergency room, the patient had signs of shock; she was anemic, drowsy and hypotensive. A large volume of blood and crystalloid fluids were administered via the left subclavian vein with a rapid infusion device (Level $1^{(R)}$). As the lung contusion improved, a foreign body was noticed in the left lung field on plain x-rays. Pulmonary angiography was performed and revealed a 15 cm foreign body in the left basal segment of the common pulmonary artery. The foreign body was successfully retrieved using vascular forceps via the percutaneous femoral vein approach.

End to End Model and Delay Performance for V2X in 5G (5G에서 V2X를 위한 End to End 모델 및 지연 성능 평가)

  • Bae, Kyoung Yul;Lee, Hong Woo
    • Journal of Intelligence and Information Systems
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    • v.22 no.1
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    • pp.107-118
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    • 2016
  • The advent of 5G mobile communications, which is expected in 2020, will provide many services such as Internet of Things (IoT) and vehicle-to-infra/vehicle/nomadic (V2X) communication. There are many requirements to realizing these services: reduced latency, high data rate and reliability, and real-time service. In particular, a high level of reliability and delay sensitivity with an increased data rate are very important for M2M, IoT, and Factory 4.0. Around the world, 5G standardization organizations have considered these services and grouped them to finally derive the technical requirements and service scenarios. The first scenario is broadcast services that use a high data rate for multiple cases of sporting events or emergencies. The second scenario is as support for e-Health, car reliability, etc.; the third scenario is related to VR games with delay sensitivity and real-time techniques. Recently, these groups have been forming agreements on the requirements for such scenarios and the target level. Various techniques are being studied to satisfy such requirements and are being discussed in the context of software-defined networking (SDN) as the next-generation network architecture. SDN is being used to standardize ONF and basically refers to a structure that separates signals for the control plane from the packets for the data plane. One of the best examples for low latency and high reliability is an intelligent traffic system (ITS) using V2X. Because a car passes a small cell of the 5G network very rapidly, the messages to be delivered in the event of an emergency have to be transported in a very short time. This is a typical example requiring high delay sensitivity. 5G has to support a high reliability and delay sensitivity requirements for V2X in the field of traffic control. For these reasons, V2X is a major application of critical delay. V2X (vehicle-to-infra/vehicle/nomadic) represents all types of communication methods applicable to road and vehicles. It refers to a connected or networked vehicle. V2X can be divided into three kinds of communications. First is the communication between a vehicle and infrastructure (vehicle-to-infrastructure; V2I). Second is the communication between a vehicle and another vehicle (vehicle-to-vehicle; V2V). Third is the communication between a vehicle and mobile equipment (vehicle-to-nomadic devices; V2N). This will be added in the future in various fields. Because the SDN structure is under consideration as the next-generation network architecture, the SDN architecture is significant. However, the centralized architecture of SDN can be considered as an unfavorable structure for delay-sensitive services because a centralized architecture is needed to communicate with many nodes and provide processing power. Therefore, in the case of emergency V2X communications, delay-related control functions require a tree supporting structure. For such a scenario, the architecture of the network processing the vehicle information is a major variable affecting delay. Because it is difficult to meet the desired level of delay sensitivity with a typical fully centralized SDN structure, research on the optimal size of an SDN for processing information is needed. This study examined the SDN architecture considering the V2X emergency delay requirements of a 5G network in the worst-case scenario and performed a system-level simulation on the speed of the car, radius, and cell tier to derive a range of cells for information transfer in SDN network. In the simulation, because 5G provides a sufficiently high data rate, the information for neighboring vehicle support to the car was assumed to be without errors. Furthermore, the 5G small cell was assumed to have a cell radius of 50-100 m, and the maximum speed of the vehicle was considered to be 30-200 km/h in order to examine the network architecture to minimize the delay.

Fracture of Proximal Humerus in the Lateral Anchor Site after Suture Bridge Repair - A Case Report

  • Park, Kyoung-Jin;Kim, Yong-Min;Kim, Dong-Soo;Choi, Eui-Sung;Keum, Sang-Wook;Kil, Kyoung-Min;Lim, Chae-Wook;Park, Sang-Jun
    • Clinics in Shoulder and Elbow
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    • v.17 no.3
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    • pp.134-137
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    • 2014
  • To report the fracture of proximal humerus in the lateral anchor site after suture bridge repair. A 57-year-old female patient with shoulder pain on the right-side was admitted through the emergency room following a car accident. Seven weeks before the accident, the patient had undergone surgery at a different hospital for the repair of supraspinatus tendon rupture on the right-side via suture bridge technique. Humerus surgical neck fracture was confirmed by X-ray, and proximal humerus fracture at the anchor site was confirmed by magnetic resonance imaging. Following 7 months of conservative treatment resulted in satisfactory bone union and motion of the shoulder joint. We report the need of close observation during and after the arthroscopic repair of the rotator cuff in patients with osteoporosis.

A Study on the design of ABS ECU for a commercial vehicle(BUS) and its control algorithm (상용차용 ABS의 ECU 설계 및 제어 알고리즘에 관한 연구)

  • Lee, Ki-Chang;Kim, Moon-Sup;Jeon, Jung-Woo;Hwang, Don-Ha;Park, Doh-Young;Kim, Yong-Joo
    • Proceedings of the KIEE Conference
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    • 2000.11d
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    • pp.612-614
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    • 2000
  • ABS(Anti-lock Braking System) is a device which prevents the lock-up of car wheels during emergency braking. It helps to maintain the steerability since the tire-road slip is controlled in an acceptable range. By maintaining the maximal frictional force during braking. ABS can reduce the braking distance. Recently, ABS is accepted as a standard equipment in vehicles, especially in commercial vehicles(bus and trucks). Commercial vehicles mostly use pneumatic pressure for braking. In this paper, ECU(Electronic Control Unit) for the anti-lock braking system of a commercial vehicle which is equipped with a full-air brake system and its control algorithms are presented.

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Using an ABS Controller and Rear Wheel Controller for Stability Improvement of a Vehicle (ABS 제어 및 후륜조향 제어기를 이용한 차량 안정성 개선에 관한 연구)

  • Song, Jeong-Hoon;Boo, Kwang-Suck;Lee, Jong-Il
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.28 no.8 s.227
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    • pp.1125-1134
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    • 2004
  • This paper presents a mathematical model which is about the dynamics of not only a two wheel steering vehicle but a four wheel steering vehicle. A sliding mode ABS control strategy and PID rear wheel control logic are developed to improve the brake and cornering performances, and enhance the stability during emergency maneuvers. The performances of the controllers are evaluated under the various driving road conditions and driving situations. The numerical study shows that the proposed full car model is sufficient to accurately predict the vehicle response. The proposed ABS controller reduces the stopping distance and increases the vehicle stability. The results also prove that the ABS controller can be employed to a four wheel steering vehicle and improves its performance. The four wheel steering vehicle with PID rear wheel controller shows increase of stability when a vehicle speed is high and sharp cornering maneuver when a vehicle speed is low compared to that of a two wheel steer vehicle.

CRS installation performance in Korean Market (한국시장에서의 카시트 장착성 평가)

  • Cho, Jaeho;Seo, Kwanho;Lee, Hwasoo;Lee, Minsu
    • Journal of Auto-vehicle Safety Association
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    • v.5 no.2
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    • pp.39-44
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    • 2013
  • Motor vehicle crashes are the leading cause (70%) of children injury and fatality. 98% of Children under the age of 9 who came to emergency room with a traffic accident are not seated in CRS. Reduction in mortality when using CRS (NHTSA study), 71% for infants of 1-2 years old, 54% for 3-6 years old and 7-12 years old. It is very important and essential to use CRS for child passenger safety. But in Korean market, the CRS fitment rate is relatively low (20~40%). For European market, at the start of 2013, Euro NCAP started to check how easy it is to install the most common seats. And US market, NHTSA is planning a new consumer information program of CRS fitment for near future. This study examines CRS installation performance of 3 vehicles which are produced by GM Korea and 21 CRS which are based on sales volume in Korean market. Purpose of this study is to identify both vehicle and CRS design that causes bad interaction for CRS installation.

Adult Tracheoesophageal Fistula Incidentally Found on General Endotracheal Anesthesia - A Case Report - (전신마취 중 우연히 발견된 성인에서의 고립성 기관식도루 - 1례 보고 -)

  • 백완기;김현태;심상석;조상록
    • Journal of Chest Surgery
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    • v.31 no.4
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    • pp.413-417
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    • 1998
  • We describe a case of adult tracheoesophageal fisula incidentally found during laparotomy. A 41 year old male came to the emergency room due to multiple injuries from a car accident. An emergent laparotomy was given to the patient to rule out hemoperitoneum, and progressive distension of the stomach was noted with each positive pressure ventilation. The diagnosis of tracheoesophageal fistula was made via an intraoperative esophagogram. Detailed inquiry of the patient's history from his mother together with extensive destructive changes over the right upper lung field on the patient's chest X ray suggested that the fistula was longstanding and not of traumatic origin, obviating the need of urgent operation. The fistula was divided via the right thoracotomy 24 days later. Postoperative course was uneventful.

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Traumatic lumbar hernia: clinical features and management

  • Park, Youngeun;Chung, Min;Lee, Min A
    • Annals of Surgical Treatment and Research
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    • v.95 no.6
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    • pp.340-344
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    • 2018
  • Purpose: Traumatic lumbar hernia is rare, thus making diagnosis and proper treatment challenging. Accordingly, we aimed to investigate the clinical manifestations and proper management strategies of traumatic lumbar hernias. Methods: The medical records of patients with traumatic lumbar hernia treated at Gachon University Gil Hospital from March 2006 to February 2015, were retrospectively reviewed. Results: We included 5 men and 4 women (mean age, 55 years; range, 23-71 years). In 8 patients, most injuries were caused by motor vehicle collisions, including those wherein a pedestrian was struck (5 cases of car accidents, 2 falls, and 1 involving penetrating materials); in 1 patient, the probable cause was severe cough. Eight patients underwent hernia repair surgery (5 open and 3 laparoscopic), and a prosthetic mesh was used in 7 patients. Hernia repairs were elective in 7 patients; emergency hernia repair was performed with right hemicolectomy in 1 patient. No severe complication or recurrence was observed. Only 2 patients had mild complications, such as postoperative seroma. Conclusion: Traumatic lumbar hernia is a relatively rare injury of the posteriolateral abdominal wall. Lumbar hernia should be suspected in patients with high-energy injuries of the torso, and all such patients should undergo abdominopelvic computed tomography. After diagnosis, hernia repair can be electively performed without complications in most cases.

A Study on the Preparation of Inspection Standard for Front Collision Protection System for Vehicles (승용차 전방충돌보호 시스템 검사기준 마련 연구)

  • Park, Jiyang;Gwon, Yeongmun;Choi, Sookwang;Lee, Hosang;Kim, Yongdal;Yeo, Unseok;Jeong, Jaehwan;Kim, Jinyong
    • Journal of Auto-vehicle Safety Association
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    • v.13 no.2
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    • pp.24-29
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    • 2021
  • In order to prevent automobile accidents internationally, advanced safety devices are actively being developed. Among them, Auto Emergency Brake (AEB) function and Forward Collision Warning (FCW), which are used to prevent or reduce frontal collision, have been studied for a long time, and are being researched by various manufacturers to develop better performance. In fact, in the case of large vehicles, it is mandatory for AEB to be installed in Korea. Accordingly, a variety of Vehicles equipped with AEB and FCW are coming out, and inspection of these mounting devices is a necessary system in the future. This study confirms how AEB and FCW are currently assessed in regulation and the New Car Assesment Program (NCAP), This is a basic study of the matters to be considered in preparing AEB and FCW inspection standard by checking the performance of vehicles equipped with forward collision protection and identifying the vehicle's sensitivity, range and speed of radar sensors, and target vehicles based on CAN communication data.

Development of Multiple RLS and Actuator Performance Index-based Adaptive Actuator Fault-Tolerant Control and Detection Algorithms for Longitudinal Autonomous Driving (다중 순환 최소 자승 및 성능 지수 기반 종방향 자율주행을 위한 적응형 구동기 고장 허용 제어 및 탐지 알고리즘 개발)

  • Oh, Sechan;Lee, Jongmin;Oh, Kwangseok;Yi, Kyongsu
    • Journal of Auto-vehicle Safety Association
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    • v.14 no.2
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    • pp.26-38
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    • 2022
  • This paper proposes multiple RLS and actuator performance index-based adaptive actuator fault-tolerant control and detection algorithms for longitudinal autonomous driving. The proposed algorithm computes the desired acceleration using feedback law for longitudinal autonomous driving. When actuator fault or performance degradation exists, it is designed that the desired acceleration is adjusted with the calculated feedback gains based on multiple RLS and gradient descent method for fault-tolerant control. In order to define the performance index, the error between the desired and actual accelerations is used. The window-based weighted error standard deviation is computed with the design parameters. Fault level decision algorithm that can represent three fault levels such as normal, warning, emergency levels is proposed in this study. Performance evaluation under various driving scenarios with actuator fault was conducted based on co-simulation of Matlab/Simulink and commercial software (CarMaker).