• Title/Summary/Keyword: Emergency protocol

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Effectiveness of education regarding cuff pressure after endotracheal intubation (기관내 튜브삽관 후 커프 압력에 대한 교육 효과)

  • Uhm, Dong-Choon;Koh, Bong-Yeun
    • The Korean Journal of Emergency Medical Services
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    • v.21 no.2
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    • pp.7-15
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    • 2017
  • Purpose: This study investigated the effectiveness of education regarding cuff pressure following endotracheal tube intubation using a quasi-experimental design with a pre- and posttest non-equivalent control group. Methods: A total of 78 students from two universities participated in an education intervention on the importance of cuff pressure after endotracheal tube intubation between October and December, 2016. The intervention lasted 40 minutes. Data were collected from each student before the intervention and one week following the intervention. Analyses were conducted using chi-square tests, Fisher's exact tests, and analysis of covariance. Results: A total of 38 students were assigned to the experimental group and 40 to the control group. The educational intervention of cuff pressure following endotracheal tube intubation was associated with prevention of possible complications from excessive cuff pressure (F=121.02, p<.001). Conclusion: Training with a pressure gauge and an intubation manikin is necessary to determine the appropriate cuff pressure in the intubation protocol of the practical examination in the emergency medical technology.

An Efficient Broadcast Scheme for Disseminating Emergency Message in Urban Vehicular Ad-Hoc Networks (도심의 차량 네트워크에서 긴급 메시지 전파를 위한 효율적인 브로드캐스트 기법)

  • Lee, Kyu-Chang;Han, Ki-Jun;Cho, Keu-Chul;Baek, Young-Mi;Kim, Jun-Hyung
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.38C no.7
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    • pp.605-611
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    • 2013
  • If an accident vehicle propagates emergency messages to other vehicles close to it, the other drivers may realize and avoid the accident spot. In this letter, we propose a broadcast scheme to propagate emergency messages fast in urban VANETs (Vehicular Ad-Hoc Networks) with the help of GPS (Global Position System). In our scheme, a transmitting vehicle chooses the farthest node as the next relay vehicle to propagate emergency messages. And, we suggest an algorithm for intersection recognition and SCF (Store-Carry-Forward) task by taking advantage of periodic hello packets to reduce the propagation time and enhance the delivery ratio.

Reinforcement Learning based Autonomous Emergency Steering Control in Virtual Environments (가상 환경에서의 강화학습 기반 긴급 회피 조향 제어)

  • Lee, Hunki;Kim, Taeyun;Kim, Hyobin;Hwang, Sung-Ho
    • Journal of Drive and Control
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    • v.19 no.4
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    • pp.110-116
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    • 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.

Acute cardiovascular complications in patients with diabetes and hypertension: management consideration for minor oral surgery

  • Jadhav, Ajinath Nanasaheb;Tarte, Pooja Raosaheb
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.45 no.4
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    • pp.207-214
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    • 2019
  • Objectives: Medically compromised patients often fear required dental surgical procedures that can increase the risk of medical emergency when combined with reduced tolerance for stress. A stress reduction protocol (SRP) helps doctors minimize treatment-related stress and improves patient management with minimum complications. Diabetes and co-morbid hypertension carry 4-fold risk of aggravation of cardiovascular emergencies and 7.2-fold risk of mortality. Diabetic neuropathy can result in difficult diagnosis of myocardial infarction and reduces chances of surviving a myocardial infarction compared with a non-diabetic person. The aim of the study was to assess the feasibility of a protocol for management of patients having both diabetes and hypertension who required minor oral surgery to minimize the rate of cardiovascular emergencies. Materials and Methods: A prospective study was conducted in 140 patients having both diabetes and hypertension who required minor oral surgical procedures. A systematic approachable protocol was designed for management of such patients. Results: Among 140 patients, 6 patients (4.3%) had cardiovascular complications, while 3 patients (1 with syncope and 2 with hypertension) did not require any intervention other than observation. Two patients were managed with aspirin and nitroglycerin, and 1 patient had possible myocardial infarction (overall incidence 0.7%) with chest pain, S-T segment elevation on electrocardiogram, and troponin level of 0.60 ng/mL. Conclusion: The proposed protocol helps to improve management of patients having both diabetes and hypertension. We recommend that patients with uncontrolled diabetes and uncontrolled hypertension and/or patients having history of cardiovascular complication should be treated in a medical facility with a readily available cardiology unit. This facilitates prompt response to emergency and instant implementation of treatment, helping to reduce morbidity and mortality.

Design and Implementation of an IP-based Fixed VoIP Emergency System (IP-기반 고정형 VoIP 긴급통화 시스템 설계 및 구현)

  • Ko, Sang-Ki;Chon, Ji-Hun;Choi, Sun-Wan;Kang, Shin-Gak;Huh, Mi-Young
    • The KIPS Transactions:PartC
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    • v.15C no.4
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    • pp.245-252
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    • 2008
  • An emergency service over Voice over IP (VoIP) network is an essential condition, like the existing telecommunication services. To support for the emergency services, standardization works have been performed. The National Emergency Number Association (NENA) has been developing the framework and procedures for an emergency service for Non-IP based network, rather than protocols. In contrast, the Internet Engineering Task Force (IETF) has been only focused on end-to-end IP-based emergency calls. The NENA architecture is incompatible with the IETF protocols. To solve the problem, we design and implement a SIP-based VoIP emergency system by adopting the NENA architecture and by applying IETF protocols, for both IP-based Pubic Safety Answering Point (PSAP) and PSTN-based PSAP. It is implemented and tested under UNIX environment.

Basic Life Support for Cardiac Arrest during Dental Treatment (치과진료 시 발생한 심정지에서 기본생명구조술)

  • Seo, Kwang-Suk
    • The Journal of the Korean dental association
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    • v.53 no.8
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    • pp.522-529
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    • 2015
  • Cardiac arrest can occur in dental clinics. All dental professionals should be trained to deal with emergency situations that is threatening life. Dental professionals should be familiar with the protocol which include basic life support, advanced life support and specific drugs to be administered in emergencies. Emergency can occur in any dental office without any warnings. Further, it has been noted in recent times there is an increase in a number of medico-legal cases due to rise in a number of death in the dental chair. This review article aims at briefing the basic life support required to manage the medical emergency having life-threatening potential.

Development of an Integrated Control and Monitoring System for Emergency Power Generators (비상발전기 통합제어 및 감시시스템 개발)

  • 진강규;류길수;윤지근;유성호;김재환
    • Proceedings of the Korean Society of Marine Engineers Conference
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    • 2001.05a
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    • pp.192-196
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    • 2001
  • These days, most of electric power facilities need high stability. Therefore integrated system has been required to monitor and control electronic power distribution system in fields at all times when the interruption of electric power has occurred. To construct this system, unit that convert and process the input signal from fields needed. And for control and monitoring from remote place MMI software is required. Lastly network equipments are required for real-time communications. So, in this paper, units for control and monitoring of emergency power generator and for electric power monitoring in normal electric power and interruption of electric power are developed. Also integrated remote system for monitoring in remote is developed.

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Application of Picture Book Reading Training Protocol using Electronic Media and Its Effects on Reading Ability for to Borderline Intellectual Children (경계선 지능 아동을 대상으로 전자매체를 활용한 그림책 읽기 훈련 프로토콜의 적용 및 읽기능력에 미치는 영향)

  • Son, Sung-Min;Kwag, Sung-Won;Jeon, Byoung-Jin
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.3
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    • pp.25-35
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    • 2018
  • Objective : The purpose of this study was to identify changes in reading ability among children with Borderline Intelligence by applying an electronic media reading training protocol. Methods : A picture book reading training protocol was applied to 10 childrens with borderline intelligence using electronic media to improve reading skills. This protocol was performed for 10 session once a week. After the analysis of the content validity index about the protocol presented in this study, this prococol was applied to the subjects. To analyze the changes of the reading ability for the subjects, KNISE-BAAT type A and B reading test were used. Results : According to the tests taken before and after implementing, the Application of Picture Booking Training Protocol using Electronic Media there was a significant improvement in Reading ability (Understanding words, Completion sentence, Vocabulary selection, Vocabulary arrangement, Understanding short text). However, there was no significant difference in Oral Reading. Conclusion : Application of Picture Booking Training Protocol using Electronic Media may be used as a beneficial measure to improve the reading abilities of children with Borderline Intellectual.

Cooperative Incumbent System Protection MAC Protocol for Multi-channel Ad-hoc Cognitive Radio Networks

  • Yi, Ke;Hao, Nan;Yoo, Sang-Jo
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.5 no.11
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    • pp.1976-1996
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    • 2011
  • Cognitive radio (CR) MAC protocol provides access control of unused spectrum resources without causing interference to primary users. To achieve this goal, in this paper a TDMA based cooperative multi-channel cognitive radio MAC (MCR-MAC) protocol is proposed for wireless ad hoc networks to provide reliable protection for primary users by achieving cooperative detection of incumbent system signals around the communication pair. Each CR node maintains transmission opportunity schedules and a list of available channels that is employed in the neighbor discovery period. To avoid possible signal collision between incumbent systems and cognitive radio ad hoc users, we propose a simple but efficient emergency notification message exchanging mechanism between neighbor CR nodes with little overhead. Our simulation results show that the proposed MCR-MAC can greatly reduce interference with primary users and remarkably improve the network throughput.