• Journal of the Korean Institute of Gas
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• v.25 no.3
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• pp.46-52
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• 2021

In this study, the on-site location identification and response system was proposed by accurately checking the location information of rescue requesters in the buildings using the smartphone Wi-Fi AP. The location server was requested to measure the strength of the Wi-Fi AP at least 25 times at 8 different building location points. And the accuracy of the position and the error range were checked by analyzing the coordinate values of the received positions. In addition, the response time was measured by changing the conditions of location information in three groups to compare the response time for saving lives with and without location information. The minimum and maximum error values for the eight cases were found to be at least 4.137 m and up to 14.037 m, respectively, with an average error of 9.525 m. Compared to the base transceiver station (BTS) based position error value of 263m, the range could be reduced by up to 93%. When the location information was given, it took 10 minutes and 50 seconds to save lives; however, when there was no location information at all, rescue process took more than 45 minutes. From this research effort, it was analyzed that the acquisition of the location information of rescuees in the building using the smartphone Wi-Fi AP approach is effective in reducing the life-saving time for on-site responses.

• The Korean Journal of Emergency Medical Services
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• v.23 no.1
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• pp.157-163
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• 2019

Purpose: Advanced airway maintenance improves the quality of cardiopulmonary resuscitation (CPR) for out-of-hospital cardiac arrest (OHCA) patients. In this study, we evaluate the factors associated with advanced airway management while performing CPR for out-of-hospital cardiac arrest patients by 119 emergency medical technicians (EMTs). Methods: The observational analysis method was used ro retrospectively collect data from 119 rescue run sheets. This study was conducted in a fire station in Seoul, Korea. The subjects of this study were defined as OHCA patients who received CPR from July 2016 to June 2018. We divided the subjects into two groups according to whether advanced airway maintenance was performed or not, and then compared and analyzed both groups. We performed logistic regression analyses for characteristics that differed significantly between groups. Results: Out of 188 OHCA patients, 146 (77.7%) had received advanced airway management. Statistically significant differences in the logistic analysis were found regarding the total number of EMT professionals (adjusted odds ration [aOR]: 1.955; 95% confidence interval [CI]: 1.227-3.115; p=0.005) and scene-time (aOR:1.119;95%CI:1.019-1.228;p=0.019). Conclusion: Advanced airway maintenance while performing CPR for OHCA patients by EMT associated primarily with ensuring an adequate numbers of EMT professionals and sufficient scene time.

• Journal of Advanced Navigation Technology
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• v.6 no.1
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• pp.62-68
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• 2002

Mother ship must be able to know accident occurrence information rapidly to rescue crew who fall in sea. In this paper, designed and manufactured transceiver of prescribed 447 MHz is operating as low power radio station specified in Radio Regulation. So, it is available without special permission proceedings getting form probation so that the use of this system may be easy. the system has been started for operation when the sensor get in touch with water. The system transmits with modulation by 500Hz square wave, and the receiver alarms when the transmitted signal is received. Therefore, the system can be used for not only saving a life, but also for low speed of data transmission below 2,400 bps, and other purposes.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.14 no.2
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• pp.198-203
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• 2007

Purpose: This study was done to determine the effect of CPR training for lay trainees on their knowledge and attitudes. Method: This was a nonequivalent control group nonsynchronized design. The participants were 60 lay trainees who were conveniently assigned to an experimental or control group. The data were collected from July 1 to September 8, 2004 and analyzed using $x^2$-test, t-test and ANCOVA. Results: The 1st hypothesis, 'Posttest CPR knowledge scores for the experimental group will be higher than scores for the control group' was supported (F=59.44, p=0.001). The 2nd hypothesis, "Posttest CPR attitude scores for the experimental group will be higher than scores for the control group" was supported (F=29.94, p=0.001). Conclusion: This CPR training was effective in increasing the levels of knowledge and attitude for the lay CPR trainees.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2011.10a
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• pp.637-640
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• 2011

Recently, rapid spreading of smart-phone make an expectation for increase of practical application for MANET(Mobile Ad-Hoc Network) which is not used infrastructure like as base-station. One of important application for MANET will be VoIP(Voice over Internet Protocol) known as Internet telephony. On the other hand, information intrusions causing serious problems is not allowed exception of MANET. Especially, there are some dangerous problems of intrusions to MANET, differently to other networks, because of it's usage of military purpose or emergency application of rescue. In this paper, to analyze this intrusion problem on MANET with blackhohe attacks, effect of intrusion to transmission performance is studied. VoIP traffic is assumed as an application service on MANET, computer simulation with NS-2 is used for this analysis.

• The Korean Journal of Emergency Medical Services
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• v.25 no.3
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• pp.189-200
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• 2021

Purpose: We aimed to provide effective emergency medical services (EMS) response strategies for coping with high acuity patients during the pandemic by analyzing the influence of the COVID-19 and social distancing on EMS. Methods: In this retrospective observational study, we analyzed the distribution of high acuity patients transported by Daejeon 1-1-9 EMS during the COVID-19 pandemic period, between February 1, 2020 and October 31, 2020 and the same period in 2019, as well as the level 3 social distancing enforced period, between July 27, 2020 and October 31, 2020. Results: The EMS dispatches decreased by 17% during the observed COVID-19 pandemic period compared to the same period in 2019. The number of cases with cardiac arrest and positive prehospital stroke scale rose by (p<.001). Patients with cardiac arrest, trauma, and positive prehospital stroke scale increased by during the level 3 social distancing period. Conclusion: Unlike the decreased EMS call volume and patient transports during the COVID-19 pandemic, cardiac arrest cases and the severity of high acuity patients tended to increase. We suggest that EMS systems should contrive a response strategy considering the collateral effect of major epidemics on the incidence rate of high acuity patients.

• Journal of the Korea Society of Computer and Information
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• v.24 no.8
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• pp.123-129
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• 2019

This study selected all patients with acute poisoning carried by the 119 emergency services in K-Province from January 1 to December 31, 2015 for complete enumeration. The subjects were 1,627 patients who were classified as poisoning suspected in chemicals and animal/insect poisoning by Rescue Emergency Activity Information System(Emergency Statistics) in fire-fighting portal system of K-province fire-fighting officers. The 119 activity journals were analyzed retrospectively. The major results are as follows. Regarding the demographic characteristics of the elderly and the non-elderly, the most people were unemployed in the elderly group, other job, the non elderly group about their occupations and in both groups, the most people lived in rural areas about their living places. Regarding the poisoning characteristics of the elderly and the non-elderly, the most causing substance was bee sting about the poisoning causing substances and most of patients didn't get drunken about drunken state in both group. Regarding the time factors of the elderly and the non-elderly, both groups had the most accidents in afternoon about the poisoning time and in summer about the seasonal distribution.

• The Korean Journal of Emergency Medical Services
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• v.24 no.3
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• pp.89-106
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• 2020

Purpose: This study attempts to improve the status of emergency care for major trauma patients transferred by 119 paramedics by analyzing the status of emergency care and the obstacles to the spinal motion restriction (SMR) for major trauma patients. Methods: A total of 600 rescue logs were collected from major trauma patients transported by 119 paramedics in the C fire department from Jan. 1, 2015, to Dec. 31, 2017. And then, 280 questionnaires were collected from the 119 paramedics in C fire department from May 3 to Jun. 3, 2019. Data were analyzed using SPSS 24.0 version. Results: Among 499 spinal motion restriction adaptive patients, the spinal motion restriction rate was 51.1% (255 individuals). Lack of human resources and quality control problems were among the obstacles to spinal motion restriction. Conclusion: The 119 paramedics should improve their activeness and skills in performing emergency care, and since training and experience are of crucial importance, they should expand various education systematized according to demand.

• The Korean Journal of Emergency Medical Services
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• v.26 no.1
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• pp.139-150
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• 2022

Purpose: This protocol aims to improve the simplicity of the existing two-person cardiopulmonary resuscitation (CPR) by focusing on chest compressions and artificial respiration, and classifying the roles within the scope that can be observed. Methods: In this study, the protocol was developed by forming an expert group consisting of a professor from the emergency and rescue department, a professor from the nursing department, and a first aid officer from the fire department. In addition, if the number of panels is 15 and the derived content validity ratio (CVR) value exceeds 0.49, a reference point that satisfies content validity at 95% reliability is presented. Results: All 11 performance items exceeded the CVR value of 0.49 to meet the reference point, and the CVR range of this protocol is 0.625 to 1.000. Conclusion: In order to improve the quality of three-person CPR, verification of simulation models and continuous protocol revision should be conducted by individuals specializing in various fields.

• The Korean Journal of Emergency Medical Services
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• v.13 no.3
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• pp.77-90
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• 2009

Civil complaints and lawsuits filed in the process of providing emergency medical service include fall accident on the way of carrying the patient, transfer consent, refusal and rejection of rescue request, range and behavior restriction of emergency medical technicians, false registry of logbook, neglect of duty and emergency patient, and violation of traffic laws on the way of dispatch to the scene of accident. This study suggested the measures by cases as follows. 1. The accidents on the way of carrying a patient could be divided into fall of patient and fall by paramedic's mistake. In the former case, damages caused by the ambulance's shaking must be notified to the patient and guardian and recommended to fasten seat belt, in the latter case, the plan of patient's posture, route of transport, rescue and equipments should be comfirmed before fixing the patient. 2. Transfer consent must be made as implied when the patient is unconscious under delusion and was not able to consent physically, and paramedic must take an action by his judgment and record details of services on logbook. 3. When a patient refused to transfer, get 'confirmation of transfer refusal' and inform him of refusal. Paramedic should receive the signature. In addition, in case of refusal, transfer request should be made after hearing doctor's opinion and it should be notified to transfer request and superintendent of fire station after making 'confirmation of transfer refusal'. 4. Emergency medical technicians should perform their duties within the range of services prescribed by Article 41 of Law of Emergency Medical Service and Article 33 of Its Enforcement Regulations and shall not make announcement of death. In case of reporting the death to guardian, it is desirable to use record data like ECG results. 5. The best way to have protection from legal problems is making and keeping the exact records of accident and patient. Paramedic should not mention his subjective opinion about the accident-related matter. He must record correctly and keep the original medical records. 6. As emergency medical technicians are responsible for taking care of emergency patients, they must contact a briefing room when they meet a difficult situation suddenly due to vehicle stop or treatment of other patients and then must have support from neighboring hospital and other safety centers. 7. Since the ambulance operator is responsible for safety and careful driving of ambulance, he must be careful when he violates traffic regulations unavoidably. The operator should drive slowly below 10km/h at an intersection and pass it after getting way from general vehicles driving from all directions.