• 제목/요약/키워드: Rescue Station

검색결과 67건 처리시간 0.025초

일부 119 구급대원의 직무스트레스가 피로도에 미치는 영향 (Impact of Job-stress on Fatigue Among 119 Rescue Workers)

  • 최성수;김경완
    • 한국산학기술학회논문지
    • /
    • 제17권4호
    • /
    • pp.433-439
    • /
    • 2016
  • 이 연구는 일부 119 구급대원을 대상으로 직무스트레스가 피로도에 미치는 영향 파악하였다. J도의 119 구급대원 264명을 자가 보고 설문지로 2015년 1월 5일부터 3월14일까지 조사하였으며, 설문 대상자의 일반적인 특성, 건강관련 특성, 직무스트레스와 피로도를 파악하여, 피로도와의 관계를 분석하기 위해 t-test와 ANOVA, Pearson correlation, Multiple regression analysis을 이용하였다. 119구급대원의 피로는 구급대원의 개인적 특성뿐 아니라 직무스트레스에 의해 영향을 받았다. 향후 119구급대원들의 피로를 감소시킬 수 있도록 현장에서의 직무수행 후 스트레스를 관리하고 해소할 수 있는 노력이 필요하다. 또한 구급대원들의 건강관리 능력을 향상시킬 수 있는 방안의 마련을 통해 피로를 감소시킬 수 있을 것으로 판단된다.

구난역을 갖는 철도 터널 내부의 연기거동 특성 (Characteristics of Smoke Propagation in Railway Tunnels with Rescue Station)

  • 장원철;김동운;이성혁;유홍선
    • 한국화재소방학회논문지
    • /
    • 제23권4호
    • /
    • pp.13-18
    • /
    • 2009
  • 본 연구의 목적은 구난역을 갖는 철도 터널 내부의 연기 거동 특성을 분석하는 것이다. 특히 화재 위치 변화에 따른 연기 전파 특성에 대해 수치해석을 수행하고 이때 해석 조건으로 사용되는 발열량은 터널내 풀 화재(pool fire) 실험을 통해 결정된다. 사용된 연료는 n-heptane($C_7H_{16}$)이고, 각 변의 길이가 4cm인 정사각형 풀을 이용하였다. 본 연구에서는 상용코드인 FLUENT(Ver.6.3) 를 사용하여 수치해석을 수행하였고 화원 생성 현상은 MVHS(Modified Volumetric Heat Source) 모델을 통해 모사되었다. 해석 결과, 연기가 터널을 따라 전파되면서 구난역까지 영향을 미치는 것을 확인할 수 있었으며 따라서 배연시스템의 설치가 요구됨을 알 수 있다. 또한 교행로와 방화벽이 연기 제어에 기여함을 확인하였다.

119구조·구급대에 대한 인식도 조사 연구 - 광주지역 보건계열과 비보건계열 대학생을 중심으로 - (A Study on Cognition about 119 Rescue·First Aid Team - Gwangju Area College Student as the Central Figure -)

  • 김갑선
    • 한국응급구조학회지
    • /
    • 제6권1호
    • /
    • pp.141-152
    • /
    • 2002
  • The purpose of this study is to provide the basic materials for searching the way of improvement to heighten the emergency medical welfare level by one step further. To achieve this purpose, the subjects of this study were selected 452 college students in Gwangju, using a random sampling method. The statistical analysis methods utilized for analyzing the collected data are frequency analysis, $x^2$ test. The conclusions obtained from these analyses are as following ; 1. In question about necessary optimum number of persons for rescue first aid activity, health and non-health major college students responded by 39.2%, 45.3% respectively that rescue team 15 people, first aid team 3 people is most suitable. But there was no significant difference in major department(p<0.05). 2. In question about security of the public health doctor and the emergency medical technician, all health and non-health major college students are recognizing necessity urgently, but there was no significant difference in major department(p<0.05). 3. In question about 119 rescue first aid team member applying for an examination qualification grant to the department of EMT's graduate, all health and non-health major college students were highest by 52.9%, 52.4% respectively in "necessity" item. But there was no significant difference in major department(p<0.05). 4. Because rescue first aid equipment level appears higher than 41.7% in non-health major college student's case by 54.2% in health major college student's case, health major college students are recognizing that equipment level should be supplemented more but there was no significant difference in major department(p<0.05). 5. In question about equipment supplement, all health and non-health major college students appeared highest by 64.8%, 69.3% in accident type different special equipment. But there was no significant difference in major department(p<0.05). 6. In question about rescue ambulance car size, we could know being thinking that health and non-health major college student each 61.2%, 56.5% is small and narrow that large size of the rescue ambulance amount need. But there was no significant difference in major department(p<0.05). 7. In question about patient's state is worsened, because rescue first aid equipment is inferior, health major college student responded sometimes 55.1%, many 29.5%. very many by 11.5%, while non-health major college student responded 65.8%, 23.1%, 4.0% respectively. There was significant difference in major department(p<0.05). 8. In question about emergency patient must utilize for 119 rescue ambulance car, all health and non-health major college students appeared highest by 38.8%, 41.3% in "not so" item. In question about rescue first aid team's first-aid treatment ability improves more, all health and non-health major college students appeared highest by 58.1% and 58.7% respectively in "improve" item. In question about "119 rescue ambulance car must go more rapidly than now", all health and non-health major college students are recognizing that should be quicker by 58.1%, 60.9% respectively. When called to 119 all health and non-health major college students responded highest by 55.5%, 53.3% respectively that we must receive first-aid treatment direction from a doctor. In question about "119 rescue ambulance car must be made the pay system", all health and non-health major college students responded 74%, 80% respectively in "not so" item. There was significant difference in major department(p<0.05). In conclusions, In oder to provide superior rescue first aid service to people, a public health doctor should be placed in the situation room inside the fire station so that the doctor could instruct the proper emergency treatment suitable for each situation to the rescue first aid team. Also, national education about a first-aid treatment that do to all people is necessarily necessary in emergency delivery system and this should be spread extensively through school education and broadcasting medium and education should be gone side by side, and see that will can save emergency patients' life which is more when these education consists continuously fixed period for public institution of policeman, fire officer etc. specially. And for reinforcement of patient transfer system, public organization must procure special ambulance car so that emergency patient receive first aid treatment while transfer.

  • PDF

119구급대원의 감염관리에 대한 인지도와 수행도 관계 연구 (A Study on the level of Recognition and Practices of 119 Emergency Medical Technician about Infection Control)

  • 윤형완;정지연
    • 한국응급구조학회지
    • /
    • 제12권3호
    • /
    • pp.99-113
    • /
    • 2008
  • In order to protect Rescue 119 workers exposed on the spot from potential infection, this study identified their awareness and practices of infection control so that it could help preventing them from infection and also provide basic materials necessary for pre-hospital infection control. This study applied questionnaire survey to total 215 Rescue 119 workers at fire stations in Jeonbuk province, Jeonnam province and Gwangju city from July 14 to Sept. 14, 2006 for the benefit of data collection. The questionnaire about possible associations between awareness and practices of infection control consisted of total 46 times across 6 categories such as washing hands during emergency activities ; fluid therapy and injection ; respirator maintenance; individual hygienics ; disinfectant supplies and equipments maintenance ; and control of infectious wastes. And collected data were processed using SPSS statistic program to analyze frequency and percentage, mean and standard deviation, Pearson's correlation coefficient, t-test and one-way ANOVA. As a result, this study came to the following conclusions : In terms of awareness about infection control, our respondents showed highest awareness about infectious waste control, and also showed highest level of practices in washing hands during emergency activities. Throughout all domains, awareness means were higher than practice means. In particular, infectious waste control was the domain of significant differences between awareness and practices. In terms of associations between awareness and individual characteristics, it was found that female rescue worker group and hospital/general hospital career group (before joining the Rescue 119) showed significantly higher awareness on statistic level. In regard to associations between individual characteristics and practices, it was found that female rescue worker group showed higher level of practices than male group on statistic level. This study also analyzed correlations between rescue workers' awareness and practice of infection control. As a result, it was found that the higher awareness was in correlations with the higher practices across all 6 domains including washing hands. In addition, the higher awareness of a questionnaire item was in significantly positive correlations with the higher practice of other items. However, our respondents showed high awareness about anti-infection, but low practices in reality. This indicates necessity of devising possible solutions to improve the practices as much as awareness. Especially, it was noted that major reasons for insufficient practices of infection control guideline come from unhabituated practices and lack of supports for infection-preventing supplies and protective device (mask, etc). Hence, it is necessary to provide more infection-preventing supplies for local rescue workers sufficiently, in parallel with steady habituation of infection control. Furthermore, it is required to manage and study infection control policies even at pre-hospital step in efforts for effective infection control, education and activities.

  • PDF

목표지향설계 개념을 이용한 실외화재진압 및 인명구조 로봇의 개발 (Development of Eire-lighting and Rescue Robot for Outdoor Environment using Target Oriented Design Methodology)

  • 김문준;;이진오;장평훈;김종현
    • 제어로봇시스템학회논문지
    • /
    • 제13권2호
    • /
    • pp.86-92
    • /
    • 2007
  • This paper presents the development of fire-fighting and rescue robot for Outdoor Environment. In the procedure of this development, we follow Target Oriented Design (TOD) which is recognized as the systematic methodology to design a system by specifying the target clearly. For some real fire fighting tasks (e.g. tasks in shopping street and a market), narrow road make it difficult for existing fire engine to access the firing place. On the other hand, for dangerous tasks (e.g. gasoline station and a storehouse) the explosive materials make it impossible for fire-fighters to access the firing place. Moreover, the smoke and the high-temperature caused by fire make fire fighting difficult. In this situation, the solution is to develop the fire-fighting and rescue robot. TOD is performed firstly by analyzing the environment properties of fro place and the demanded tasks and the fire-fighting and rescue robot is manufactured. For safety, the fire fighting robot should be controlled by remote operation to keep the operator away from the fire, and the control system is divided into three parts: the robot controllers, controller for remote operating device and wireless communication system. We have selected and developed appropriate hardware and software for each part of control system with considering TOD. As a result, the fire-fighting robot functions correctly and the performance and usefulness of our control architecture is validated by successfully performing some fire-fighting tasks.

해저터널 구난역 플랫폼 화재연기확산 방지를 위한 에어커튼 시스템 차연성능 시뮬레이션 연구 (Simulation study of smoke spread prevention using air curtain system in rescue station platform of undersea tunnel)

  • 박상헌;안승주;한상주;유용호
    • 한국터널지하공간학회 논문집
    • /
    • 제17권3호
    • /
    • pp.257-266
    • /
    • 2015
  • 본 연구는 국내에서 계획하고 있는 호남-제주간 초장대 해저터널에서 철도차량의 화재 발생시 구난역 (Rescue Station)에 정차후 대피자의 안전한 대피경로를 확보하고 플랫폼 내부에 연기가 유입되는 것을 방지하기 위해 구난역 플랫폼과 화재열차 사이에 에어커튼 시스템(Air curtain system)을 설치하여, 15MW급 화재연기에 대한 차단성능 및 최적화방안을 도출하기 위해 다양한 시뮬레이션을 수행하였다. 시뮬레이션 결과, 모든 CASE에서 15 MW급 화재강도에 발생되는 연기에서도 효과적인 차연성능을 발휘하였으며, CASE1(화재열차 방향으로 15도 분사)와 CASE5(화재열차 방향으로 15도 분사 + 가압송풍)가 구난역 플랫폼 내부에 CO가스 유입이 가장 적은 것으로 도출하였다. 이러한 결과를 통하여 에어커튼 시스템은 초장대 해저터널 구난역에 화재시 플랫폼에 화재연기가 유입되지 않고 안전한 대피 경로를 확보하여 대피자가 서비스 터널로 안전하게 대피하여 인명피해를 최소화 할 수 있는 방재시설로서 활용되기를 기대한다.

119 구급대를 이용하여 야간에 응급실로 내원한 환자 현황 분석 - 전남대학교병원 응급의료센터를 중심으로 - (The present condition analysis of patients who transferred to the emergency room by 119 Rescue service at night - Focused on the Emergency Center of Chonnam National University Hospital -)

  • 윤종근;김건남;김경완;정용태
    • 한국응급구조학회지
    • /
    • 제8권1호
    • /
    • pp.117-126
    • /
    • 2004
  • In general, the patients who transferred to the hospital by 119 rescue service at night go to the emergency room(ER) of general hospital rather than that of their nearby the 1st(clinic) and 2nd(local hospital) hospital. And the hospital is mainly selected not by 119 EMST but by patients or his/her conservators. Therefore we had studied retrospectively with emergency situation diary and medical chart for 697 patients of being transferred to one emergency medical center for 6 months since January 2004, and results are as follows. 1. The 280 patients(42.5%) of being transferred hospital at night by 119 rescue service were not emergency case and their average staying time in hospital was about $7.15{\pm}10.06$ minutes. 2. Transfer time was distributed in each time intervals of 1819, 2021, 2223, and 2401 and patients ratio in each intervals were 15.1%, 17.8%, 16.4%, and 15.2%. 3. In response of ambulance, the average time from the spot to the hospital was $14.53{\pm}9.27min$. and average distance of that was $7.95{\pm}9.21km$. 4. Diseases rather than traffic accidents or traumatic injury were main causes of ambulance calling and its value was 533(76.5%), and accidents were mainly occurred in patients' house and its value was 479(68.7%). 5. In time of transfer by 119 rescue service, hospital was mainly selected by patient/conservator and its value was 648(93.0%). In result. the hospital was selected not by EMST but by patient/conservator. 6. The case that the 1st grade EMT was rode in ambulance was 161(23.1%), and the case that 2nd EMT and emergency team member who educated for emergency were rode in ambulance were 504(72.3%). So the number of the 1st grade EMT was short in fire station of Kwangju metropolitan city than other city. 7. The first aids for patients before reaching hospital were limited to oxygen inhalation, airway control, and BLS for maintaining limbs and spine. So it seems to be a simple patients transfer. Consequently, to establish an efficient emergency medical system, it has been thought that it should be advanced a moderate education and public information about the appropriate use of emergency medical system toward citizen, and also need the hospital selection by the patients categorizing standards for 119 rescue service member, securing the 1st grade EMT, appropriate first-aids education, and securing professional human power in emergency room of the Ist(clinic) and 2nd(local hospital) hospital at night.

  • PDF

Collapse failure mechanism of subway station under mainshock-aftershocks in the soft area

  • Zhen-Dong Cui;Wen-Xiang Yan;Su-Yang Wang
    • Geomechanics and Engineering
    • /
    • 제36권3호
    • /
    • pp.303-316
    • /
    • 2024
  • Seismic records are composed of mainshock and a series of aftershocks which often result in the incremental damage to underground structures and bring great challenges to the rescue of post-disaster and the repair of post-earthquake. In this paper, the repetition method was used to construct the mainshock-aftershocks sequence which was used as the input ground motion for the analysis of dynamic time history. Based on the Daikai station, the two-dimensional finite element model of soil-station was established to explore the failure process of station under different seismic precautionary intensities, and the concept of incremental damage of station was introduced to quantitatively analyze the damage condition of structure under the action of mainshock and two aftershocks. An arc rubber bearing was proposed for the shock absorption. With the arc rubber bearing, the mode of the traditional column end connection was changed from "fixed connection" to "hinged joint", and the ductility of the structure was significantly improved. The results show that the damage condition of the subway station is closely related to the magnitude of the mainshock. When the magnitude of the mainshock is low, the incremental damage to the structure caused by the subsequent aftershocks is little. When the magnitude of the mainshock is high, the subsequent aftershocks will cause serious incremental damage to the structure, and may even lead to the collapse of the station. The arc rubber bearing can reduce the damage to the station. The results can offer a reference for the seismic design of subway stations under the action of mainshock-aftershocks.

119 구급대원의 임산부 응급처치 실태 및 임산부에 대한 지식과 응급처치 수행자신감에 대한 연구 (A study on the current status of prehospital emergency care for pregnant women, knowledge related to pregnant women, and self-confidence in emergency care among paramedics)

  • 박종민;조근자
    • 한국응급구조학회지
    • /
    • 제24권2호
    • /
    • pp.133-153
    • /
    • 2020
  • Purpose: This study aimed to identify the status of emergency care of pregnant women transported by paramedics, to analyze the knowledge of paramedics related to pregnant women and their self-confidence in emergency care, and to provide foundational data to improve the quality of emergency care for pregnant women. Methods: We received a total of 1,798 rescue logs from 119 paramedics, who had transported pregnant women, in I city from January 1, 2016 to December 31, 2018. For survey analysis, we used the 164 questionnaires received from these paramedics from June 15 to August 14, 2019. Results: The analysis of the rescue logs revealed that 85.5% (1,537 individuals) either had disease symptoms or were pregnant, whereas only 14.5% (261 individuals) had traffic accidents or accident-related injuries. The mean knowledge of the paramedics related to pregnant women was 23.73 (±2.98) points, and the mean self-confidence in emergency care was 3.19 (±0.74) points. Knowledge of the paramedics about pregnant women and their self-confidence in emergency care of these women had a statistically significant positive correlation (r=.306, p=.000). Conclusion: Paramedics should be provided theoretical and practical training through various programs about the emergency care of pregnant women.