• Journal of Trauma and Injury
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• 제36권1호
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• pp.49-52
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• 2023

Blunt carotid artery injury can lead to impaired brain perfusion due to ischemic stroke and thromboembolic events. To reduce the risk of potential neurological complications, it is critical to determine the diagnosis and management protocol as quickly as possible after a detailed clinical examination. This report presents successful surgical treatment of a young male patient who developed a traumatic left common carotid artery thrombosis after a motor vehicle accident.

• 간호행정학회지
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• 제5권3호
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• pp.445-462
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• 1999

The purpose of this study is to provide some basic data for the direction of nursing education and practice to prevent nursing malpractice as investgating perception of the nurse on the nursing malpractice and its case. Data were collected from 450 nurse working in four general hospitals which were located in Chonbuk province from November 9 to 21, 1998 through questionnare. The structured instruments developed by the reseacher were used for collecting data. The Results were as follows: 1) As for the cognition of the nursing malpractice case, the transfusion accident was 37.3%, the side-effects of KCL injection(19.3%), hymen rupture by uterus cancer test, the side-effects of aminophyllin injections on dyspnea patient and the others were 10% below. 2) With regard to the channel of the perception of the nursing malpractice case, mass-communication was taken first and followed through by neighbors, In-service education, school education, continuing education 3) As for the direct${\cdot}$indirect experience of the nursing malpractice case, transfusion accident was 51.3%, the fall of NPO patient after an operation 40.1%, the side-effect of KCL injection 32.5%, suicide of the psychiatric patient 32.5%, and the others were 30% below. 4) The possibility of nursing malpractice case was an average 2.57(${\pm}$0.91) and the highest was the fall of the NPO patient after an operation. 5) The perception on the responsibility of the nursing malpractice in its case was indicated as a joint-fault in ten nursing malpractice instances. As compared to the real decision, nurse's perception of the responsibility in the fall of the NPO patient after an operation, the side-effect of KCL injection, the tracheal edema of the patient who had a thyroid operation, the suicide of psychiatric patient, the hymen rupture by uterus cancer test accorded real decisions. But the other cases were different from the real decisions. These cases were perceived as ones of joint fault even in cases determined as Dr's single fault cases or those in which both doctor and nurse were declared free of fault. 6) Knowledge levels of the nursing malpractice, school education and In-service education were perceived as low but anxiety levels of the malpractice were high. 7) With regard to the countmeasure of the hospital after nursing malpractice, the rate answered as "the practice settled the accident temporarily and forced the person in charge to be punished" was highest. In conclusion, the level of the cognition of the clinical nurse on nursing malpractice cases was low. As nurses' perception on the responsibility of the nursing malpractice case was compared to the real decision, there was a difference in five cases out of the ten cases.

• 한국응급구조학회지
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• 제28권1호
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• pp.7-19
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• 2024

Purpose: This study aimed to evaluate and assess the response capabilities and educational needs of 119 emergency medical technicians (EMTs) in chemical accidents. Methods: A self-reported questionnaire was completed by 167 119 EMTs between December 1st and December 31, 2023. The questionnaire comprised 8 questions on general characteristics, 2 on chemical accidents experienced by the participants, 29 on response capabilities, and 15 on educational needs. Data analysis was performed using t-tests, analysis of variance, Duncan's test for post-hoc analysis, and Pearson's correlation coefficient, using SPSS 27.0. Results: The participants scored 2.69 points on response capacity to chemical accidents. The EMT-Paramedics scored high in 'patient triage,' 'patient treatment,' 'patient transport,' and 'collaborative support' (F=3.924, p=.010; F=5.843, p=.001; F=3.698, p=.013; F=5.272, p=.002), followed by educational experience (t=-4.962, p<.001; t=-2.685, p=.008; t=-3.455, p=.001; t=-3.593, p<.001; t=-3.034, p=.003). The participants scored 4.19 points on educational needs, with high scores for 'patients treatment and transport' (4.280.93). The scores for 'patient triage competency', and 'patient triage' (r=.169, p=.024) correlated positively. Furthermore, the scores for 'patient treatment competency' and all sub-factors of educational needs (r=.185, p=.013; r=.215, p=.004; r=.199, p=.008; r=.190, p=.011; r=.197, p=.008) correlated positively. Conclusion: To strengthen the response capabilities of 119 EMTs, it is imperative to develop an educational program that focuses on first-aid responses.

• 한방재활의학과학회지
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• 제32권4호
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• pp.83-88
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• 2022

This case report introduced the use of herbal medicine to treat a sternum fracture. A 46-year-old female patient with a sternum fracture from a traffic accident suffered from anterior chest wall pain. She was treated with herbal medicine. The patient's progress was evaluated using a numerical rating scale (NRS), and the frequency of tingling in the chest wall was also tracked. After treatment, both the NRS of chest pain and frequency of tingling decreased. The results of this study suggest that herbal medicine can effectively decrease pain and discomfort in patients suffering from a sternum fracture. However, further studies are needed to obtain stronger evidence for its efficacy.

• 대한치과의사협회지
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• 제53권2호
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• pp.82-95
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• 2015

Background: Interest in medical malpractice claims and accidents is a day-to-day social issue to general public as well as medical personnel. Related laws and regulations already have been established, and institutions based on the laws and regulations also have been founded. However, in our dental community, interest and response to the issue seem insufficient. Methods: We searched four medical literature databases that are mainly cited in the medical community. Keywords including 'dental malpractice claims', 'patient safety' and 'medical accident' were used for the search. Among the selected literatures, we chose specific ones separately whose content is authentic and easily approachable. Results: Medical malpractice claims and accidents tend to increase around the world. As the cost or the difficulty level of surgery increases, the dispute rate also increases, which appears even more apparent in developed countries. Preventive measures to prevent the disputes and accidents are not significantly different. Three critical of them include relationship of doctor with patient, the informed consent and medical record. Conclusion: Tools for accident occurrence or communication improvement have been introduced. All of those cost time and money. However, education or professional request of liability insurance companies, self-education and provision of guidelines can be immediately implemented. To implement those, dentists' promotion at the regional or national level is imperative. rhBMP-2 is widely used at sinus augmentation, alveolar bone defect, and socket preservation.

• Journal of Trauma and Injury
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• 제27권3호
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• pp.84-88
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• 2014

The severity of blunt hepatic injury correlates with internal organ damage. We experienced a patient, who had an extensive crushed liver injury. The patient was a 28-year-old man, who was involved in a traffic accident in which a wheel ran over his right upper abdomen. A grade V severe hepatic laceration was diagnosed with computed tomography. His vital signs were stable, so we could wait for times with conservative management. Bile leakage led to biloma and bile spillage into the peritoneal space. Selective percutaneous drainage was needed to control the several biloma. After four months of conservative management, could the patient was discharged in good condition.

• Journal of Acupuncture Research
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• 제26권6호
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• pp.161-169
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• 2009

Objectives : This study was to investigate the correlation of subjective stress caused by traffic accident with patient's prognosis. Methods : We investigated 53 cases of in-patient with traffic accident. The patients answered that questionnaire about subjective pain and stress on hospitalization day and leaving hospital day. And we calculated statistically signification with this data. Results 1. IES-R-K score of female group was significantly higher than male group's. 2. There was statistically significant correlation between IES-R-K score and admission duration. 3. After hospitalization treatment, there was statistically significant reduction of VAS and IES-R-K score. Conclusions : There was significant correlation between subjective stress and prognosis.

• 한방재활의학과학회지
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• 제28권3호
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• pp.79-85
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• 2018

Objectives The purpose of this study is to find a relation between hospitalization time and the overall outcome of treatment, and suggest an optimal hospitalization date. Methods We analyzed the medical records of patients who received admission treatment at Mokhuri Neck and Back Hospital in April, 2018. Results By analyzing the difference in visual analog scale (VAS) scores according to the hospitalization date, it was shown in this study that when hospitalization was held out by the fourth day of accident there was a significant difference in the improvement of symptoms than any other day. There were no statistically significant differences in initial VAS scores and admission periods. Conclusions It is the most effective for a traffic accident patient to receive hospitalization within the first four days of accident for the most effective reduction in overall pain.

• 간호행정학회지
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• 제17권4호
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• pp.413-422
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• 2011

Purpose: This descriptive correlation study was done to identify how perception of patient safety culture of general hospital nurses affects safety during nursing activities. Data from this study should provide information on management of patient safety as well as improvement in patient safety. Method: Participants in this study were 357 clinical nurses working in a general hospital in M city which had two medical evaluations. A survey was conducted to gather the data. Results: The score for perception of patient safety culture of the general hospital nurses was 3.42, out of a possible 5 points, and the score for safety care activities was 3.90. There was a statistically significant positive relationship between the nurses' perception of patient safety culture and their safety care activities, Perception of patient safety culture, Supervisor/manager, communication and procedures, and frequency of accident reporting were factors that impacted significantly on safety nursing activity. Conclusion: The results of the study indicate that patient safety cultural perception significantly affects the safety of nursing activities and thus systematic educational strategies to increase perception should be provided to increase the level of patient safety culture. Also, other specific methods that increase the level of patient safety culture should be considered.

• 한국산학기술학회논문지
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• 제20권12호
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• pp.254-264
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• 2019

본 연구는 교통사고 환자의 외상후 스트레스 장애 위험정도, 회복탄력성 및 사회적 관계망이 외상후 성장에 미치는 영향을 알아보기 위해 시도된 서술적 상관관계 연구이다. 연구대상자는 K도 C시 소재 100병상 이상 5개 병원의 교통사고 환자 158명이었으며, 2018년 7월 1일부터 8월 31일까지 구조화된 설문지를 이용하여 자료를 수집하였다. 수집된 자료는 t-test, ANOVA, Pearson's correlation coefficients, Multiple Regression으로 분석하였다. 외상후 성장에 미치는 영향요인을 파악한 결과, 연구의 설명력은 36.9%로 나타났으며, 대상자의 외상후 성장에 미치는 영향요인은 사회적 관계망, 외상후 스트레스 장애 위험정도 순으로 나타났다. 또한 사회적 관계망은 회복탄력성과 외상후 성장의 관계를 완전매개하였다. 이를 토대로, 교통사고 환자의 사회적 관계망이 크고 외상후 스트레스 장애 위험정도가 클수록 외상 후 성장이 높아짐을 확인하였고, 사회적 관계망은 회복탄력성과 외상후 성장의 관계를 완전매개한다는 것을 확인하였다. 따라서 교통사고 환자의 외상후 성장을 돕기 위해 사회적 관계망과 회복탄력성 향상 방안에 대해 모색할 필요가 있고, 교통사고 환자에 대한 반복적이고 장기적인 관찰을 통해 외상후 성장에 대한 추가연구가 필요할 것으로 사료된다.