• 제목/요약/키워드: Emergency handling

검색결과 89건 처리시간 0.02초

A New Emergency-Handling Mechanism based on IEEE 802.15.4 for Health-Monitoring Applications

  • Ranjit, Jay Shree;Pudasaini, Subodh;Shin, Seokjoo
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제8권2호
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    • pp.406-423
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    • 2014
  • The recent advances in wireless communication systems and semiconductor technologies are paving the way for new applications over wireless sensor networks. Health-monitoring application (HMA) is one such emerging technology that is focused on sensing and reporting human vital signs through the communication network comprising sensor devices in the vicinity of the human body. The sensed vital signs can be divided into two categories based on the importance and the frequency of occurrence: occasional emergency signs and regular normal signs. The occasional emergency signs are critical, so they have to be delivered by the specified deadlines, whereas the regular normal signs are non-critical and are only required to be delivered with best effort. Handling the occasional emergency sign is one of the most important attributes in HMA because a human life may depend on correct handling of the situation. That is why the underlying network protocol suite for HMA should ensure that the emergency signs will be reported in a timely manner. However, HMA based on IEEE 802.15.4 might not be able to do so owing to the lack of an appropriate emergency-handling mechanism. Hence, in this paper, we propose a new emergency-handling mechanism to reduce the emergency reporting delay in IEEE 802.15.4 through the modified superframe structure. A fraction of an inactive period is modified into three new periods called the emergency reporting period, emergency beacon period, and emergency transmission period, which are used opportunistically only for immediate emergency reporting and reliable data transmission. Extensive simulation is performed to evaluate the performance of the proposed scheme. The results reveal that the proposed scheme achieves improved latency and higher emergency packets delivery ratio compared with the conventional IEEE 802.15.4 MAC.

The Survey of Dentists: Updated Knowledge about Basic Life support and Experiences of Dental Emergency in Korea

  • Cho, Kyoung-Ah;Kim, Hyuk;Lee, Brian Seonghwa;Kwon, Woon-Yong;Kim, Mi-Seon;Seo, Kwang-Suk;Kim, Hyun-Jeong
    • 대한치과마취과학회지
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    • 제14권1호
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    • pp.17-27
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    • 2014
  • Background: Various medical emergency situations can occur during dental practices. Cardiac arrest is known to comprise approximately 1% of emergency situation. Thus, it is necessary for dentists to be able to perform cardiopulmonary resuscitation (CPR) to increase the chance of saving patient's life in emergency situation. In this paper, we conducted a survey study to evaluate to what extent dentists actually understood CPR practice and if they had experience in handling emergency situations in practice. Method: The survey was done for members of the Korean Dental Society of Anesthesiology (KDSA), who had great interest in CPR and for whom survey-by-mail was convenient. We had selected 472 members of the KDSA with a dental license and whose office address and contact information were appropriate, and sent them a survey questionnaire by mail asking about the degree of their CPR understanding and if they had experience of handling emergency questions before. Statistical analyses -frequency analysis, chi-square test, ANOVA, and so on- were performed by use of IBM SPSS Statistics 19 for each question. Result: Among 472 people, 181 responded (38.4% response rate). Among the respondents were 134 male and 47 female dentists. Their average age was $40.4{\pm}8.4$. In terms of practice type, there were 123 private practitioners (68.0%), 20 professors (11.0%), 16 dentists-in-service (8.8%), 13 residents (specialist training) (7.2%) and 9 military doctors (5%). There were 125 dentists (69.1%) who were specialists or receiving training to be specialist, most of whom were oral surgeon (57, 31.5%) and pediatric dentists (56, 30.9%). There were 153 people (85.0%) who received CPR training before, and 65 of them (35.9%) were receiving regular training. When asked about the ratio of chest pressure vs mouth-to-mouth respiration when conducting CPR, 107 people (59.1%) answered 30:2. However, only 27.1% of them answered correctly for a question regarding CPR stages, C(Circulation)- A(Airway)- B(Breathing)- D(Defibrillation), which was defined in revised 2010 CPR practice guideline. Dentists who had experience of handling emergency situations in their practice were 119 (65.6%). The kinds of emergency situations they experienced were syncope (68, 37.6%), allergic reactions to local anesthetic (44, 24.3%), hyperventilation (43, 23.8%), seizure (25, 13.8%), hypoglycemia (15, 8.3%), breathing difficulty (14, 7.8%), cardiac arrest (11, 6.1%), airway obstruction (6, 3.3%), intake of foreign material and angina pectoris (4, 2.2%), in order of frequency. Most respondents answered that they handled the situation appropriately under the given emergency situation. In terms of emergency equipment they had blood pressure device (70.2%), pulse oximetry (69.6%), Bag-Valve-Mask (56.9%), emergency medicine (41.4%), intubation kit (29.8%), automated external defibrillator (23.2%), suction kit (19.3%) and 12 people (6.6%) did not have any equipment. In terms of confidence in handling emergency situation, with 1-10 point scale, their response was $4.86{\pm}2.41$ points. The average point of those who received regular training was $5.92{\pm}2.20$, while those who did not was $4.29{\pm}2.29$ points (P<0.001) Conclusion: The result showed they had good knowledge of CPR but the information they had was not up-to-date. Also, they were frequently exposed to the risk of emergency situation during their dental practice but the level of confidence in handling the emergency situation was intermediate. Therefore, regular training of CPR to prepare them for handling emergency situation is deemed necessary.

복합형 환승센터에서의 상황대응을 위한 통합정보시스템 구축에 관한 연구 (A Study on the Implementation of the Integrated Information System for Emergency Handling in Multi-modal Transfer Stations)

  • 김현태;한정훈;장봉섭;김황배
    • 대한공간정보학회지
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    • 제16권3호
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    • pp.87-94
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    • 2008
  • 이 연구에서는 복합형 환승센터의 돌발상황 대응을 위한 모니터링 대상의 선정과 돌발상황 모니터링, 검지, 확인, 전파, 처리, 종료까지의 진행 절차에서 관리되는 정보를 도출하고 데이터베이스로 통합관리 하도록 하여 상황진행 단계에 따라 상황처리 의사결정에 필요한 사전정보를 제공하도록 제시하였다. 시설물, 이용자, 교통류로 구성된 환승센터는 모니터링 정보의 한계성을 가지고 있다. 따라서 상황검지 및 상황대응 전략수립 방안에서는 상황대응 전문가의 경험 지식과 과거의 사례를 활용할 수 있는 전문가 시스템의 사례기반 추론을 활용하는 방안으로 접근하였다. 또한 돌발상황 발생 시 공간적 혼잡도 및 피해 최소화를 위해 환승센터에서 운영하고 있는 설비의 통제 방안을 제시하였으며, 대외기관의 서비스 지원 극대화를 위해 실시간으로 상황정보의 공유 서비스 체계가 유지되도록 하였다.

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응급의료정보시스템의 보호를 위한 보안 구조 (Security Structure for Protection of Emergency Medical Information System)

  • 신상열;양환석
    • 디지털산업정보학회논문지
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    • 제8권2호
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    • pp.59-65
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    • 2012
  • Emergency medical information center performs role of medical direction about disease consult and pre-hospital emergency handling scheme work to people. Emergency medical information system plays a major role to be decreased mortality and disability of emergency patient by providing information of medical institution especially when emergency patient has appeared. But, various attacks as a hacking have been happened in Emergency medical information system recently. In this paper, we proposed security structure which can protect the system securely by detecting attacks from outside effectively. Intrusion detection was performed using rule based detection technique according to protocol for every packet to detect attack and intrusion was reported to control center if intrusion was detected also. Intrusion detection was performed again using decision tree for packet which intrusion detection was not done. We experimented effectiveness using attacks as TCP-SYN, UDP flooding and ICMP flooding for proposed security structure in this paper.

폭이 좁은 차량의 비상주행시 주행성능개선을 위한 제어시스템에 관한 연구 (A Study on the Control System of the Narrow Vehicles for Improvement of Maneuvering under Emergency Situation)

  • 소상균
    • 한국자동차공학회논문집
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    • 제12권6호
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    • pp.166-174
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    • 2004
  • In urban area narrow commuter vehicles have attracted interest as a possible solution to reduce traffic congestion and parking problems. However, a narrow vehicle has an increased to overturn during hard cornering when compared to conventional vehicles. This tendency can be reduced by tilting it toward the inside of the turn. Two types of automatic tilting control systems which are Direct Tilt Control(DTC) and Steering Tilt Control(STC) have been developed. In this paper as one of the technique to improve the handling performance for the unusual vehicle the control system which blends both the DTC and the STC system is considered. It uses the merits of both the DTC and the STC system. As a control strategy for combination the switching control method is used. Finally, the fact that the unusual vehicle is safe under an emergency situation such as slippery road surface is proved by computer simulation.

의료분쟁에 관한 보건정책학적 고찰 -응급의료종사자를 중심으로- (The Legal Consideration in Emergency Medical Service System)

  • 강병우
    • 한국응급구조학회지
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    • 제3권1호
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    • pp.91-101
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    • 1999
  • The medicolegal problem can be occurred in all medical field. Especially pre-hospital stage can be more exposed to the legal claims due to the very nature of EMT business and characteristics of ER patient or their family member. All Emergency Medical Technician should be concerned about the law associated with emergency care for handling the medicolegal problem, so the legally risky situations that may be occurred in pre-hospital stage and ER practice. This study reviewed malpractice claim of emergency patients filed in at Association of malpractice patients' family and two tertiary level hospitals. Problems related to treatment and misdiagnosis. Especially issues concerning emergency medical service system including of inadequate transport, delay in triage and transport accounted for many cases of all claims. This alerts us to the seriousness of medical accidents of emergency patient. This paper suggests several items that all E.M.T and every member of ED health care team always have to remember the medicolegally risk situations, must be trained in understanding the patients' wants and desires and should have the knowledge of the law associated with emergency health care. Develop the system that can share the informations about the medicolegal events which were experienced by each ED health care institutes.

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화학물질 누출에 따른 긴급 확산 방재시스템 개선 방안 연구 (A Study on the Improvement of Emergency Block and Diffusion Prevention System for Hazardous Chemicals Leakage)

  • 이덕재;윤정현;유병태
    • 한국가스학회지
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    • 제22권5호
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    • pp.89-99
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    • 2018
  • 화학물질을 취급하는 중 소업체의 경우 누출 사고 시 자동화 시스템이 갖춰진 안전장치에 의한 방재체계가 아닌 근로자에 의한 긴급 방재가 주로 이루어져 인명 환경피해 등의 발생 가능성이 높다. 본 연구는 이러한 한계점을 개선하기 위해 화학물질 취급공정 중 누출 사고 발생 빈도에 따라 누출 예상지점에 선별적으로 쉽게 탈 부착이 가능한 긴급 확산방재시스템에 대해 연구하였다. 이를 통해 사고대응이 상대적으로 취약한 중소기업의 화학사고를 시스템적으로 예방하여 화학물질 누출사고에 의한 인명, 환경피해를 방지할 수 있다.

WBAN 환경에서 응급 정보의 안정적 전송을 위한 프로토콜 설계 및 구현 (Design and Implementation of a protocol for stable transmission of emergency information in WBAN environment)

  • 이동호;왕종수
    • 디지털산업정보학회논문지
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    • 제6권4호
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    • pp.57-65
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    • 2010
  • Application of WBAN technology in medical field facilitates the prevention of diseases by collecting the vital signs remotely. It also enables to prevent the accidental emergency situation in advance plus long-tem monitoring of patients with chronic diseases such as heart diseases, hypertension, or the elderly and infirm. For emergency patients, major vital signal information collected by the 'Sensing' should have the top priority and such information should be transferred as promptly as possible without competition. In addition, when an emergency occurs to a patient, a priority mechanism is necessitated for a urgent message to get through to the final destination. However, LR-WPAN IEEE 802.15.4 technology does not consider such emergency message handling features. To deal with aforementioned issues, the IEEE 802.15.4 super frame protocol structure has been designed for stable transfer of emergency information in WBAN environment in this study, and alternation to super frame structures have been made, allowing GTS(Guaranteed Time Slot) can be used first at CFP (Contention Free Period) by reserving the resources in advance and prioritize the emergency signals. NS-2 has been utilized for the performance test and analysis.

응급실 중증도 분류 간호사의 업무 경험: 질적 연구 (Triage Nurses' Work Experiences in Emergency Department: A Qualitative Research)

  • 박유진;공은희;박영아
    • 근관절건강학회지
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    • 제25권3호
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    • pp.176-186
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    • 2018
  • Purpose: The purpose of the study was to describe work experiences of triage nurses working at emergency departments in Korea. Methods: A qualitative descriptive research method was used. Twenty-one nurses of emergency department participated in the first interview and 16 of them participated in the second interview. Data were collected through in-depth interviews and field notes. Qualitative content analysis was utilized to analyze the data. Results: Forty-eight codes, 12 categories, and six themes emerged from the data analysis: caring on the frontline, burden as an initial evaluator, handling things alone, lack of others' understanding, becoming an expert, and needs for improvement. Participating triage nurses faced many challenges and difficult situations in emergency departments. They felt burden and loneliness as initial evaluator. Also, they felt pride in their work and struggled to become a professional. Conclusion: This study is the first qualitative study that has focused on exploring the experiences of triage nurses in emergency departments in Korea. The results provide description and in-depth understanding of working experiences of triage nurses. The results provide valuable fundamental data for regulation, clinical practice, education, and research for triage nurses in Korean emergency departments.

119구급대원이 경험한 폭력대응에 대한 문제점과 정책대안의 주관적 인식유형 (Type of subjective recognition on the problem and policy alternatives to violence response experienced by emergency medical technicians)

  • 이가연;최은숙
    • 한국응급구조학회지
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    • 제26권1호
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    • pp.37-56
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    • 2022
  • Purpose: This study aimed to identify and present suitable recognition types of policy alternative for before and after response, according to the recognition types of problems in response to violence. Methods: This study investigated 36 EMT's of 17 cities and provinces nationwide. The study was approved by the Kongju National University Institute Review Board (KNU_IRB_2021-17). Data were collected from May 1, 2021 to August 30, 2021 and analyzed by Q factor analysis using the PC-QUNAL program. Results: Recognition types of the problem in 119 EMT's response to violence were described as "I type; lack of professional manpower," "II type; inadequate policy on violence," and "III type; lack of awareness on the emergency field." Recognition types of policy alternative on response to violence by 119 EMT's were described as "Itype; training and public relations oriented," "II type; work environment improvement," "III type; violence handling specialization demand," and "IV type; recovery support seeker." Conclusion: This study provides the foundation required to develop and implement the policies regarding the response to violence; therefore, contributing to EMT's provision.