• 설비공학논문집
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• 제24권3호
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• pp.240-246
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• 2012

The supply and use of exhaust heat recovery ventilation system as effective energy saving equipment has been increasing steadily. The exhaust heat recovery ventilation system can be installed at ceiling of balcony or emergency space. However, ventilation system can not be installed at emergency space because where have to remain as empty space by law. Therefore, the proper installation space of ventilation system is needed. In this study, to install heat recovery ventilation system in the light weight wall, thickness of heat exchanger was assembled below 140 mm. One or two paper heat exchangers were installed in the ventilation system. The efficiency of heat recovery was analyzed through performance experiment on case of cooling and heating mode.

• 설비공학논문집
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• 제26권2호
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• pp.61-66
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• 2014

Exhaust heat recovery ventilation systems conserve energy through enthalpy recovery between air intake and exhaust, and they are being increasingly used. An exhaust heat recovery ventilation system can be installed in the ceiling of a balcony or emergency evacuation space. However, in the case of fire, the emergency evacuation space has to by law remain as empty space, and therefore, a ventilation system can't be installed in an emergency evacuation space. Therefore, the need for a proper installation space for a ventilation system is emphasized. In this study, to install a heat recovery ventilation system in a lightweight wall, a heat exchanger was assembled of thickness below 140 mm. The efficiency of heat recovery was analyzed through performance experiment, in the case of the cooling and heating mode. The heat recovery efficiency increases when the surface area is increased, by using closer channel spacing in the heat exchanger, or by increasing the size of the heat exchanger.

• 대한임상독성학회지
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• 제6권1호
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• pp.32-36
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• 2008

Purpose: The major complication of acute organophosphate (OP) poisoning is respiratory failure as a result of cholinergic toxicity. Many clinicians find it difficult to predict the optimal time to initiate mechanical ventilation (MV) weaning, and as a result have tended to provide a prolonged ventilator support period. The purpose of this study is to determine any clinical predictors based on patients characteristics and laboratory findings to assist in the optimal timing of mechanical ventilator weaning. Methods: We reviewed medical and intensive care records of 44 patients with acute OP poisoning who required mechanical ventilation admitted to medical intensive care unit between July 1998 and June 2007. Patient information regarding the poisoning, clinical data and demographic features, APACHE II score, laboratory data, and serial cholinesterase (chE) levels were collected. Base on the time period of MV, the patients were divided into two groups: early group (wean time < 7 days, n = 28) and delayed group (${\geq}$ 7 days, n = 16). Patients were assessed for any clinical characteristics and predictors associated with the MV weaning period. Results: During the study period, 44 patients were enrolled in this study. We obtained the sensitivity and specificity values of predictors in the late weaning group. APACHE II score and a reciprocal convert of hypoxic index but specificity (83.8%) is only APACHE II score. Also, the chE concentration (rho = -0.517, p = 0.026) and APACHE II score (rho = 0.827, p < 0.001) correlated with a longer mechanical ventilation duration. Conclusion: In patients with acute OP poisoning who required mechanical ventilation, the APACHE II scoring system on a point scale of less than 17 and decrements in cholinesterase levels on 1-3 days were good predictors of delayed MV weaning.

• 한국응급구조학회지
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• 제24권1호
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• pp.67-76
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• 2020

Purpose: Effective time management, as well as life-saving care, are important in maximizing the prognosis of patients who have sustained major traumas. This study evaluated the appropriateness of emergency medical system (EMS) provider's essential care and how this care impacted on-scene time in patients with major traumas. Methods: This retrospective observational study analyzed the EMS major trauma documents, classified according to the physiological criteria (Glasgow coma scale <14, systolic blood pressure <90mmHg, Respiration rate <10 or >29) in Daejeon, from January, 2015 to December, 2018. Results: Of the 707 major trauma cases, the mean on-scene time was 7.75±4.64 minutes. According to EMS guidelines, essential care accuracy was 67.5% for basic airway, 36.4% for advanced airway, 91.2% for cervical collar, 81.5% for supplemental oxygen, 47.0% for positive pressure ventilation, 19.9% for intravenous access and fluid administration, and 96.0% for external hemorrhage control. Factors affecting on-scene time were positive pressure ventilation (p<.004), and intravenous access and fluid administration (p<.002). Conclusion: Adherence to guidelines was low during advanced airway procedures, positive pressure ventilation, intravenous access, and fluid administration. In addition, the on-scene time was prolonged when the practitioner provided positive pressure ventilation, intravenous access, and fluid administration; however, these durations did not exceed the recommended 10 minutes.

• Journal of Korean Society for Atmospheric Environment
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• 제9권E호
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• pp.397-400
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• 1993

The possible air pollution problems in a proposed underground highway are discussed using carbon monoxide (CO) as an indicator. Carbon monoxide concentrations in the underground highway depend on several factors, including the size of tunnel, the number of automobiles, the CO emission rate, and the tunnel ventilation rate. Using the estimated values, CO concentrations in the underground highway can be predicted. Without proper ventilation system, CO concentration in the underground highway can be dangerous level. However, the cost of operating the mandatory mechanical ventilation system may be tremendouslyy high and may be technically unrealistic to implement. If the underground highway is constructed with proper ventilation system, a continuous air pollution monitoring system with alarming function must be installed to alert personnel of serious air pollution built up in the underground highway. Traffic must be restricted, whenever the inside air pollution levels exceed agreed values. Short distances between evacuation exits are necessary for emergency situations or malfunction of ventilation system.

• 한국전산유체공학회지
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• 제18권3호
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• pp.72-78
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• 2013

The turbulent flow behavior of air supply and exhaustion in the Shin-gum-ho subway station is analyzed for ordinary and emergency state. The depth of Shin-gum-ho station is 43.6m which consists of the island-type platform(8th floor in underground) and a two-story lobby (first & second floor in underground). An emergency stairway connects between the platform and the lobby. Ventilation operation mode for ordinary state is set up as a combination of air supply and exhaustion in the lobby and platform, while for emergency state it is set up as a full air supply in the lobby and a full exhaustion in the platform. The entire station is covered for simulation. The ventilation diffusers are modeled as 95 square shapes of $0.6m{\times}0.6m$ in the lobby and as 222 square shapes of $0.6m{\times}0.6m$ and 4 rectangular shapes of $1.2m{\times}0.8m$ in the platform. The total of 7.5million grids are generated and whole domain is divided to 22 blocks for MPI efficiency of calculation. Large eddy simulation(LES) is applied to solve the momentum equation and Smagorinsky model($C_s$=0.2) is used as SGS(subgrid scale) model. The time-averaged velocity fields are compared to experimental data and show a good agreement with it.

• 한국산학기술학회논문지
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• 제11권4호
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• pp.1498-1503
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• 2010

이 연구는 컴퓨터소프트웨어 프로그램 활용이 심폐소생술의 질 향상에 얼마나 영향을 미치는지를 알아보는 연구이다. 이를 위하여 일개 대학 응급구조학과 학생 50명을 대상으로 2009년 10월에서 11월까지 4주에 걸쳐 16시간 동안 성인심폐소생술에 관한 이론과 실기를 컴퓨터소프트웨어 프로그램과 심폐소생술 마네킹을 활용하여 교육 후 심폐소생술의 질을 평가하였다. 그 결과 컴퓨터소프트웨어 프로그램을 활용한 그룹에서 인공호흡 불어넣기 부분이 통계적 유의성을 보였으며(p<0.000), 전체적인 정확도 측면에서도 메트로놈 활용보다 컴퓨터 소프트웨어 프로그램을 활용하는 것이 더 유의한 것으로 나타났다(p<0.002). 흉부압박에는 너무 약하게 실시한 횟수에서 두 그룹 간 유의한 차이를 볼 수 있었다(p=0.000). 결론적으로 심폐소생술의 질 개선을 위해서는 피드백이 가능한 PC Skillreporting system을 활용한 술기교육 프로그램을 모색하고 적용할 필요가 있다고 사료된다.

• 방사성폐기물학회지
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• 제3권2호
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• pp.135-148
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• 2005

방사성 폐기물의 지층 처분장 건설 및 운영을 위한 개념 선정 단계에서는 폐기물 운반 및 거치뿐 아니라, 처분장의 건설/운영/폐쇄 기간 동안 지하 처분장의 작업 환경 및 위생, 안전, 그리고 처분장내의 수분 제거와 같은 향후 처분장의 환경을 위해 처분장 환기시스템에 대한 고려가 향후 처분장의 환경을 위해 반드시 필요하다. 본 논문은 동굴처분 방식의 중-저준위 처분장 및 지하 심부에 위치하게 될 고준위 처분장에 대한 환기시스템 개념설계 기준 및 요구사항에 대한 내용이다. 방사성폐기물 처분장의 환기 시스템에서 가장 주된 기본 설계 개념은 처분장 건설과 폐기물저장을 위한 작업활동을 위해 각각 독립적이고 분리된 환기시스템을 적용하여야 한다는 것이다. 본 논문에서는 방사성폐기물 처분장의 환기시스템의 설계과정에 대해 기술하고 환기회로 모델링 방법, 자연 환기, 환기 모니터링 시스템과 실시간 환기 시뮬레이션, 화재 시뮬레이션 및 비상 방재 시스템에 관한 사항도 논의하였다

• 한국응급구조학회지
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• 제12권3호
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• pp.27-41
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• 2008

Purpose : The purpose of this study was to supply basic data for the impact on the accuracy of basic CPR according to position and foot-board height of basic CPR provider. Methods : Study design was within - group design. Subjects were 25 EMT-P Students in K city. Interventions was basic CPR performed on a resuscitation manikin placed on a hospital bed, kneeling on the bed adjacent to the manikin. Data was analyzed using descriptive statistics and Friedman test. Results : In case of the basic CPR performed on a resuscitation manikin placed on a hospital bed, ventilation accuracy was the highest in less than 160 cm height, foot-board height : $34.2{\pm}1.48cm$, 91.4% and in 161-165 cm height, foot-board height : $26.0{\pm}2.14cm$, 88.4% and in 171-175 cm height, foot-board height : $23.0{\pm}1.41cm$, 91.3% and in the above 176 cm, kneeling on the bed, 95%. Chest compression accuracy was the highest in less than 160 cm height, foot-board height : $30.2{\pm}1.48cm$, 95.6% and in 161-165 cm height, kneeling on the bed, 97.6% and in 171-175 cm height, kneeling on the bed, 98.5% and in the above 176 cm, kneeling on the bed, 98.7% and foot-board height : $20.5{\pm}1.91cm$, 98.7%. Chest compression error was due to too weak : 2.0-35.4 times. There were ststistically significant differences in 191-195 cm group according to chest compression mean depths($x^2=10.824$, p = .013) and chest compression error (p = .040). Conclusion : In contrast to current guidelines, the position and foot-board height of basic CPR provider are very important to the accuracy of the basic CPR. Furthermore, we recommend that a using real time audiovisual feedaback system significantly improve the quality of chest compression and ventilation during resuscitation.

• 한국응급구조학회지
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• 제17권2호
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• pp.21-28
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• 2013

Purpose : The aim of the study is to compare the effect of cardiopulmonary resuscitation (CPR) with voice and CPR without voice by one rescuer. Methods : Subjects were 26 students in C University who had basic life support certificate for Healthcare Provider. They performed 30:2 CPR for 6 minutes by two groups of CPR with voice and CPR without voice by one rescuer from August 14 to 16, 2012. They performed CPR with Resusci Anne SkillReporter$^{TM}$ and Laerdal PC SkillReporting System Ver. 2.4.1(Laerdal Medical, Norway and recored voice using TES-1350A(TES Electrical Electronic Corp, Taiwan). Between each experiment, 1 day of rest was given, providing enough time to recover from the fatigue of CPR. Results : The depth, rate of chest compression, and ventilation volume were not affected by a voice (p >.05), and the ratio of chest compression to ventilation kept 30:2, when the subject made a sound (p <.05). Conclusion : Making voice during CPR was associated with an accurate ratio of 30:2 and the reduction in hands off time.