• 대한임상독성학회지
• /
• 제5권2호
• /
• pp.123-125
• /
• 2007

Amitraz is a formamidine-derived insecticide and acaricide which is commonly used throughout the world. Amitraz intoxication is mediated through ${\alpha}_2$ adrenergic receptor agonist effects, similar to those of the ${\alpha}_2$ agonist clonidine. We report a case of a patient who experienced coma and hypotension after amitraz ingestion. A 37-year-old woman visited the ER with symptoms of vomiting and altered mental state. She had ingested a mouthful of liquid amitraz concentrate (12.5%), which rapidly led to vomiting, hypotension, bradycardia, hyperglycemia, and mental stupor. Supportive treatment, including mechanical ventilation and administration of inotropics, resulted in full recovery within four days.

• 한국안전학회지
• /
• 제16권2호
• /
• pp.69-74
• /
• 2001

In this study, we analyzed the accident scenarios of chemical plants through the analysis of lots of chemical accidents and using experts knowledge, and looked into the method of prevention and response. Moreover, we developed a systemic and actual Emergency Response Plan Software(ERPS) that could prevent, prepare and respond totally for the chemical industry facilities using the data from the accident effect estimation from the local society and the geographic information of a chemical plant. The ERPS consists of the information for the plant and process, the consequence analysis and the ERPTA(Emergency Response Plan Tree Analysis). In conclusion, the program developed in this study could help effectively all the chemical industry facilities to prevent and respond to possible accidents.

• 한국응급구조학회지
• /
• 제18권1호
• /
• pp.55-66
• /
• 2014

Purpose : The purpose of the study is to investigate the knowledge, attitude, confidence, and experiences of community health practitioner(CHP) regarding cardiopulmonary resuscitation(CPR). Methods : The subjects were 333 CHP in G Province, C Province, and I Metropolitan City. A structured self-reported questionnaire was filled out by 209 participants from July 29, 2013 to September 30, 2013. Results : Confidence level toward CPR was intermediate, and knowledge and attitude level was very low. Seventeen participants performed CPR to cardiac arrest victim. Eleven patients among 25 patients had spontaneous recovery of circulation (ROSC). So the rate was very high. Conclusion : It is necessary to perform the efficient CPR in CHP. In order to improve the positive attitude and confidence in CHP, the renewal system must maintain every two years.

• 한국건설순환자원학회지
• /
• 제13권3호
• /
• pp.22-31
• /
• 2018

• 한국전자거래학회지
• /
• 제20권4호
• /
• pp.227-239
• /
• 2015

자연재해로 인한 사회기반시설물 피해를 저감시키기 위해서는 피해발생 초기 대응 및 신속한 복구가 중요하나, 현재는 현장인력의 상황전파에 초점을 맞추고 있으며 긴급 복구를 수행하기 위한 기술적 지원은 부족한 실정이다. 본 논문에서는 피해상황에 적합한 복구 방법을 도출하여 효율적인 자원분배를 수행하기 위한 웹기반 재난피해복구지원시스템 및 신속한 복구 자원을 요청하기 위한 전자문서 개발에 대해 설명한다. 획득된 현장의 피해정보는 미리 구축된 피해복구 시나리오에 따라 적절한 피해복구 공종 및 공법을 도출하게 되며, 복구 수행을 위한 자원을 할당하여 전자문서를 거쳐 신속하게 해당 복구자원 지원을 요청하도록 하였다. 필요한 복구자원의 식별과 신속한 전파는 재해의 대응과 긴급복구에 큰 도움이 될 것으로 판단된다.

• Journal of Korean Neurosurgical Society
• /
• 제58권1호
• /
• pp.76-78
• /
• 2015

This report details a case of unexpected, severe post-operative cerebral edema following cranioplasty. We discuss the possible pathological mechanisms of this complication. A 50-year-old female was admitted to our department with sudden onset of stuporous consciousness. A brain computed tomography (CT) revealed a subarachnoid hemorrhage with intracranial hemorrhage and subdural hematoma. Emergency decompressive craniectomy and aneurysmal neck clipping were performed. Following recovery, the decision was made to proceed with an autologous cranioplasty. The cranioplasty procedure was free of complications. An epidural drain was placed and connected to a suction system during skin closure to avoid epidural blood accumulation. However, following the procedure, the patient had a seizure in the recovery room. An emergency brain CT scan revealed widespread cerebral edema, and the catheter drain was clamped. The increased intracranial pressure and cerebral edema were controlled with osmotic diuretics, corticosteroids, and antiepileptic drugs. The edema slowly subsided, but new low-density areas were noted in the brain on follow-up CT 1 week later. We speculated that placing the epidural drain on active suction may have caused an acute decrease in intracranial pressure and subsequent rapid expansion of the brain, which impaired autoregulation and led to reperfusion injury.

• 한국컴퓨터정보학회논문지
• /
• 제10권2호
• /
• pp.223-229
• /
• 2005

대규모 투자를 통하여 구축된 재해복구시스템(DRS)도 체계적인 운영관리를 소흘히 하면 일정 기간 경과 후에는 최초의 구축 목적을 달성할 수 없는 쓸모없는 시스템으로 전락할 소지가 있다. 또한 재해복구체계는 전산장비의 이중화에 의해서 완성되는 것은 아니다. 재해 시 재해복구시스템 유지를 위해서는 기존 전산센터에서 수행되는 일련의 과정이 동일하게 이루어져야 정상적인 운영이 가능하다. 따라서 IT 측면에서의 프로젝트 추진이 아니고 전산센터 내부에서 이루어지는 전체 프로세스 측면에서 분석 작업이 이루어져야 한다. 더 나아가 전사적인 관점에서 분석하고 설계하는 사업연속성계획 수립이 절실하다. 따라서 국내 금응권 재해복구시스템의 현상 파악을 통하여 실효성을 분석해 봄으로써 문제의 원인과 보완책을 함께 찾아보고자 한다.

• 대한수사과학회지
• /
• 제3권1호
• /
• pp.50-59
• /
• 2008

The purpose of this study was to figure out clinical characteristics in young and adult acute myocardial infarction patients come to emergency room. One hundred fifty four acute myocardial infarction cases were collected and analized from January 2003 to April 2006, especially focused on below the age 50. The results of the study were summarized as follows. The results were proportion up disease occur to women disease rate as men after 50 age and acute myocardial infarction occur to spring and winter most of all. Research for this patients coronary artery condition in cardiac angiography room and coronary artery condition is left anterior descending portion was obstruction and stenosis most of all at that time in emergency room. HDL-cholesterol was not normal range of this patients. About 57.9% patients downward normal range but total cholesterol was very variant condition. Investigated chest X-ray of this patients and result in upward 75% patients was C-T ratio 50% upward condition. And it was shown result from this patients 94. 7% was obesity condition and family history showed mother or father got hypertension or diabete mellitus patients but 42. 7% patients not family history. This patients not going to direct emergency room after via local medical center result in badly condition up. Have got outcomes of youth and adults age patient of acute myocardial infarction come to emergency room. Government and administration have to support advertising this results about acute myocardial infarction condition of nation people. We need to preservation and preventing this disease but if this disease occurrence, to the utmost directly and speedly emergency room for fast therapy.

• 대한임상독성학회지
• /
• 제11권1호
• /
• pp.28-30
• /
• 2013

A 66-year-old male with chronic alcoholism presented with tremor, gait disturbance, memory impairment, insomnia, decreased appetite, and confusion. The patient had been taking lithium daily for treatment of bipolar disorder. Brain CT showed no specific abnormality, and serum lithium and ammonia levels were 3.63 mEq/L (therapeutic range, 0.6~1.2 mEq/L) and $85{\mu}g/dL$ (reference range: $19{\sim}54{\mu}g/dL$), respectively. Therefore, the initial differential diagnosis included chronic lithium intoxication, hepatic encephalopathy, Wernicke encephalopathy, or alcohol withdrawal syndrome. Even with the provision of adequate hydration, the patient's neurologic status did not show improvement, so that lactulose enema, thiamine replacement, and continuous venovenous hemodiafiltration (CVVHDF) were started on the third admission day. By the fifth admission day he had made a rapid neurologic recovery, and was discharged on the 20th admission day. Therefore, CVVHDF might be a treatment for patients with chronic lithium intoxication, because, even if serum lithium concentration is normal, lithium concentration in the brain may be different from that of the serum.

• Journal of Chest Surgery
• /
• 제21권2호
• /
• pp.373-378
• /
• 1988

Since the introduction of percutaneous; transluminal coronary angioplasty[PTCA] by Grunt-zig in 1977, this is widely used in some patients with coronary artery disease and is an effective alternative to surgery for many patients. Indications for emergency coronary artery bypass graft[CABG] after PTCA are prolonged chest pain, worsening of coronary artery obstruction, "current of injury" by electrocardiogram, cardiogenic shock, and in a lesser incidence, ventricular fibrillation, coronary artery dissection[without obstruction], heart block, and intractable cardiac arrest. Recently, we have experienced one case of emergency CABG following unsuccessful PTCA. The patient was 54 year-old male and admitted with complaint of angina pectoris. The routine electrocardiogram revealed within normal limit. The treadmill test revealed severe chest pain after 2 min. exercise. Coronary cineangiogram revealed 95% segmental stenosis of the proximal right coronary artery. Our cardiologist was planned PTCA. During PTCA, severe chest pain and ischemic pattern on electrocardiogram were developed. But they were not relieved even by morphine and nitroglycerin till 90 min. So we performed emergency single coronary artery bypass graft from aorta to proximal right coronary artery with great saphenous vein. The patient had an excellent postoperative recovery and was free from anginal attack. He has shown striking improvement in general status[NYHA functional class 1] during 6 months after operation.operation.