• The Journal of the Korean dental association
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• v.58 no.10
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• pp.640-648
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• 2020

The aim of this article is to provide major announcements within the last decade or so about possible medical emergencies in dentistry. This would be helpful to improve the knowledge on first aid suitable for dental environment. Syncope was the most common medical emergencies in dentistry. Medical emergency situations can be divided into urgency and true emergency. Urgency situations can be solved well if proper treatment is taken. However, even in an urgency, if the correct treatment is not performed, it may soon turn into an emergency. With the joint efforts of the Korean Dental Anesthesiology Society and the Korean Cardiopulmonary Resuscitation Association, dental advanced life support (DALS) has been prepared since 2015. Through 17 training experiences until January 2020, scenarios and textbooks were developed. Dentists and dental care teams need to be prepared to strengthen their competence as professionals and to increase their team-level response capabilities..

• The Journal of Korean Society for School & Community Health Education
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• v.17 no.1
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• pp.35-47
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• 2016

Objectives: The purpose of this study was to examine the mediating effect of self-esteem or social support on job-related stress and depression among emergency medical technicians (EMTs). Methods: Data were collected from EMTs at emergency medical institutions and fire stations (n=257). The data were analyzed using descriptive statistics, t-test, Pearson correlation coefficient, and stepwise multiple regression with SPSS WIN 21.0. Results: Self-esteem and social support of EMTs were found to be at moderate levels (Self-esteem: M=3.04, SD=0.43; Social support: M=3.65, SD=0.43) Job-related stress was positively correlated with depression: the higher the job-related stress score, the higher the depression score. Moreover, self-esteem score or social support score was negatively associated with job-related stress and depression: the higher the self-esteem score or the higher the social support score, the lower the job related stress score and the depression score. Conclusions: Future research should address how social support and networks interact and together affect self-esteem for job-related stress and depression.

• The Korean Journal of Emergency Medical Services
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• v.9 no.1
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• pp.121-131
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• 2005

This study examined the attitude about Basic Life Support of college students, college students' perception of the efficacy and concerns regarding performing of Basic Life Support via a written survey. This study was conducted among the fresh students of college. The survey was done from March 1 to April 1, 2005. Total subjects in this study were 234. The collected data were analyzed, by SPSS. The summary of the research is as follows: The subjects who had previously heard about Basic Life Support were 94.3%. 2. The subjects who had previously learned about Basic Life Support were 11.9%. 3. The attitude of subjects to Basic Life Support education was positive. Of the respondents, 95.7% wanted to learn Basic Life Support and 56.8% would be williling to provide Basic Life Support to collapsed person. If known the method of Basic Life Support than 83.3% of subjects would be willing to provide Basic Life Support to collapsed person. 4. Over than half(56.8%) indicated, that they would attempt to provide Basic Life Support if a student collapsed. 5. Concerns regarding performing Basic Life Support on students was 'doing it correctly'. 6. The subjects who had previously heard about AED were 65.0%. This study suggests that college students high perception of the effectiveness of the Basic Life Support and that they would be willing to provide Basic Life Support in a medical emergency.

• Journal of Dental Anesthesia and Pain Medicine
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• v.16 no.1
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• pp.9-15
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• 2016

Programs provided by the Korea Association of Cardiopulmonary Resuscitation include Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Korean Advanced Life Support (KALS). However, programs pertinent to dental care are lacking. Since 2015, related organizations have been attempting to develop a Dental Advanced Life Support (DALS) program, which can meet the needs of the dental environment. Generally, for initial management of emergency situations, basic life support is most important. However, emergencies in young children mostly involve breathing. Therefore, physicians who treat pediatric dental patients should learn PALS. It is necessary for the physician to regularly renew training every two years to be able to immediately implement professional skills in emergency situations. In order to manage emergency situations in the pediatric dental clinic, respiratory support is most important. Therefore, mastering professional PALS, which includes respiratory care and core cases, particularly upper airway obstruction and respiratory depression caused by a respiratory control problem, would be highly desirable for a physician who treats pediatric dental patients. Regular training and renewal training every two years is absolutely necessary to be able to immediately implement professional skills in emergency situations.

• Journal of the Korea Convergence Society
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• v.8 no.10
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• pp.397-405
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• 2017

This study was to identify hardiness, social support, burnout which might influence burnout in emergency department nurses. Data were collected by self-reporting questionnaires from 115 nurses in 8 emergency department. Data analysis was done with SPSS/Win 21.0 program. Burnout showed significantly negative correlations with hardiness(r=-.390, p<.001), social support(r=-.400, p<.001) and hardiness showed significantly positive correlations with social support(r=.351, p<.001). As results, key factor was hardiness, social support, that continuing to work in emergency department, were significant predictors and accounted for 30.6%. Based on these results, burnout showed statistically significant differences depending on hardiness, social support and wanted department state. It is needed to develop a program in order to improve hardiness and social support of emergency department nurses.

• Journal of The Korean Society of Clinical Toxicology
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• v.18 no.2
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• pp.123-129
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• 2020

Purpose: Atropine is an antidote used to relieve muscarinic symptoms in patients with organophosphate and carbamate poisoning. Nutritional support via the enteral nutrition (EN) route might be associated with improved clinical outcomes in critically ill patients. This study examined the administration of nutritional support in patients undergoing atropinization, including methods of supply, outcomes, and complications. Methods: A retrospective observational study was conducted in a tertiary care teaching hospital from 2010 to 2018. Forty-five patients, who were administered with atropine and on mechanical ventilation (MV) due to organophosphate or carbamate poisoning, were enrolled. Results: Nutritional support was initiated on the third day of hospitalization. Thirty-three patients (73.3%) were initially supported using parenteral nutrition (PN). During atropinization, 32 patients (71.1%) received nutritional support via EN (9) or PN (23). There was no obvious reason for not starting EN during atropinization (61.1%). Pneumonia was observed in both patient groups on EN and PN (p=0.049). Patients without nutritional support had a shorter MV duration (p=0.034) than patients with nutritional support. The methods of nutritional support during atropinization did not show differences in the number of hospital days (p=0.711), MV duration (p=0.933), duration of ICU stay (p=0.850), or recovery at discharge (p=0.197). Conclusion: Most patients undergoing atropinization were administered PN without obvious reasons to preclude EN. Nutritional support was not correlated with the treatment outcomes or pneumonia. From these results, it might be possible to choose EN in patients undergoing atropinization, but further studies will be necessary.

• The Journal of the Korea Contents Association
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• v.16 no.9
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• pp.12-21
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• 2016

The emergency evacuation support system supports evacuation assistance when an urgent disaster occurs. We have implemented evacuation route search algorithm to assist people's escape when a disaster occurs such as fires or terrorism in the building. The algorithm will guide the escape route at the fastest emergency exit of each region at the emergency state. The algorithm calculates the escape route by applying the weighting factor of age groups and population density around the emergency exit and of other regions. So the system helps escape to bypass the crowded emergency exit and the disaster area, and reduces the congestion of emergency exit and overloading of evacuation route.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2017.05a
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• pp.238-240
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• 2017

In the recent years, An attempts have been made to convergence medical technology and IT technology to overcome the limitations of temporal, spatial, and medical technology applications. In this study, we developed an application s/w to support emergency services for emergency medical services. The developed smart application for emergency rescue activities support can easily identify emergency situation and emergency diary. Then, it can be transmitted to a remote medical guidance doctor so that emergency treatment and hospital response can be performed quickly.

• The Korean Journal of Emergency Medical Services
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• v.15 no.2
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• pp.15-26
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• 2011

Purpose: The purpose of this study was to develop and implement the educational program of Life Safety Support for parent. Methods: This study was used to develop children life safety support education program. The education program was utilized as multimedia, practice and discussions to increase understanding and effectiveness of learning. The data for this study was collected from June to December, 2010. There were two forms of evaluations, pretest and posttest with an intervention of education program. The analysis of the collected data was analyzed by descriptive analysis, t-test and paired t-test using the SPSS 10.0 program. Results: 1. the experimental group, who was given an education program before the test, got higher marks on the Life Safety support knowledge than the control group. There was a significant difference in knowledge between experimental group and control group(t=6.678, p=.000). 2. the experimental group got higher marks on the action evaluation than the control group. There was a significant difference in the certainty of action(t=8.546, p=.000) between experimental group and control group. Conclusion: This study examined how Life Safety support education program increased effectiveness in the knowledge and action of children Life Safety support.

• The Journal of the Korean dental association
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• v.53 no.8
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• pp.530-537
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• 2015

Conceptually, the emergency is classified as an urgency and an emergency. The Urgency is not immediately life threatening, but could become so if not resolved promptly. So, it requires prompt patient care same as in the emergency situation. However, the emergency is immediately life threatening and requires immediate action, such as calling 119 and basic life support. Most medical emergencies in the dental clinic cases are urgencies. The incidence of true emergencies is approximately 1/1,000,000. Adequate managing medical urgencies are important because the chance of encountering medical emergencies in the dental clinic is high and higher these days especially because of rapidly aging Korean society. Many dentists indicate that many dentists feel difficulties to recognize and treat medical problems. This paper reviews the concept of medical emergencies and how to cope with commonly occurring urgencies in the dental clinic such as loss of consciousness, hypoglycemia, hyperventilation syndrome. The best treatment for medical urgencies and emergencies in the dental clinic is prevention. Also, it is required to make preparation for emergency situations such as CPR education for dentists and being well-acquainted with equipment and drugs for the emergency care as well as to systemic medical evaluation, patient monitoring, and sedations for controlling patient's anxiety and pain. In this paper, simple algorithms based on guidelines for common urgencies in the dental clinic are suggested. In conclusion, every dentist has competencies to do the urgency care adequately and basic life support. Also, advanced cardiac life support is strongly recommended when sedation is performed in the clinic.