• 대한소아치과학회지
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• 제44권2호
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• pp.243-255
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• 2017

심폐소생술(cardiopulmonary resuscitation, CPR)은 심장의 기능이 정지하거나 호흡이 멈추었을 때 인공적으로 혈액을 순환시키고 호흡을 보조해 주는 응급처치이다. 심폐소생술은 기본생명구조술(basic life support, BLS)과 전문소생술(advanced life support, ALS)로 나눌 수 있다. 기본생명구조술은 주요 조직으로 혈류 공급을 강제적으로 하기 위한 흉부압박과 호흡정지 환자에게 구조호흡(rescue breathing) 그리고 심실세동을 개선해 주기 위한 자동제세동기(automated external defibrillator, AED)이 포함된다. 전문소생술의 범주는 성인을 대상으로 하는 고급생명구조술(advanced cardiovascular life support, ACLS)과 소아를 대상으로 하는 소아고급생명구조술(pediatric advanced life support, PALS)이 있다. 치과 치료에 극심한 공포를 가지며, 여러 이유로 치과 진료에 협조를 얻기 어려운 소아를 대상으로 하는 치료환경에서는 약물을 이용한 진정법이 고려된다. 이는 심정지를 포함한 응급상황이 발생할 가능성이 증가하는 이유가 된다. 소아고급생명구조술은 기본생명구조술을 포함하며, 심정지에 이를 수 있는 원인을 호흡, 순환장애 그리고 심인성으로 나누어 대처하는 체계적인 방법을 제시한다. 소아는 성인에 비해 심인성의 원인은 낮지만, 해부학적인 약점으로 인해 호흡이나, 순환장애에 의한 심정지의 가능성은 높다. 따라서, 스트레스를 많이 받은 아이를 치료하거나 진정법을 시행하는 소아치과의사는 소아고급생명구조술을 익힘으로써 응급상황에 적절히 대처할 수 있는 역량을 갖출 수 있으리라 사료된다.

• 대한치과의사협회지
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• 제58권10호
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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..

• 가정과삶의질연구
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• 제26권4호
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• pp.85-101
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• 2008

This paper examines the traits and directions of family policy represented in the Basic Code of Healthy Families. Strategies for the development of family policy for family professionals and policy makers to provide integrated services for families and the implications of such strategies are also discussed. A family-friendly and a life course perspective are adopted in order to strengthen and expand family policies and promote the establishment of a healthy families' support center. The perspectives and issues of the Basic Code of Healthy Families are reviewed in the light of a paradigm shift in family policy in Korea, with suggestions for adoption of the family policy also addressed.

• Human Ecology Research
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• 제52권6호
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• pp.651-668
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• 2014

The main purpose of this study was to examine the relationship between social support, life satisfaction, and school-related adjustments of adolescents. The participants were 260 junior high school students (140 male and 120 female students) from the Seoul area. They completed questionnaires on social support, life satisfaction, and school-related adjustments. The collected data were analyzed using basic descriptive statistics, Pearson's correlation, and a multiple regression analysis. Baron and Kenny's method was used and examined, and the Sobel test was performed to determine the mediating model's significance. It was adapted to SPSS ver. 19.0 for Windows. The major findings were as follows: first, social support (parents/teacher/friend) was positively correlated with the adolescents' school-related adjustment. Second, the adolescents' life satisfaction was also positively correlated with the adolescents' school-related adjustments. In addition, social support was positively correlated with life satisfaction. It was further found that the adolescents' life satisfaction tended to play a perfectly/partially mediating role between social support and school-related adjustment; that is, social support (parents/teacher/friend) was shown to have not only a direct effect, but also an indirect effect through the adolescents' life satisfaction, on the school-related adjustments. These results clearly indicated that adolescents' life satisfaction plays a crucial role in the relationship between social support and the adolescents' school-related adjustments.

• 대한치과의사협회지
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• 제53권8호
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• pp.538-544
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• 2015

In a dental treatment, a dentist has to know the possibility to happen all kinds of the emergency and to prepare for managing that situation. Especially, the cardiac arrest is the most serious emergent problem. If the accident were happened, most dentists got embarrassed. The American Heart Association (AHA) is offering the Basic Life Support (BLS), Advanced Cardiopulmonary Life Support (ACLS) and Pediatric Advanced Life Support (PALS) programs for the healthcare who need to prepare the life threatening situation. The PALS is specialized to someone who participate in pediatric health-care field. This program is composed of three major emergency problems, such as respiratory emergencies, shock and cardiac arrests. The main concepts of the PALS are early recognition and systemic team approach. The purpose of this study was to introduce about PALS and to prepare response system for emergencies in the dental environment.

• 한국주거학회논문집
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• 제7권1호
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• pp.55-62
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• 1996

The purpose of this study is to identify the cognitive measurement scale of residential life management of apartment residents. The questionaires were distributed to 550 housewives and 392 questionaires were analyzed in this study. For the construct validity of this residential life management, the methods of factor analysis was used. As the results, 5 factors of residential life management of apartment residents were extracted. They are 1) Residential life covenience service, 2) Residential life support service, 3) Resident's activity support and announcement of managerial works. 4) Safety and order sustaining, 5) Precaution to accident.

• 한국응급구조학회지
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• 제18권2호
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• pp.45-58
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• 2014

Purpose: This study aimed to investigate the level of knowledge and education regarding basic life support (BLS) among scuba divers. Methods: Data collected from 125 scuba divers in Jeju-do were subjected to frequency, t-test, ANOVA, and Chi-square analyses using the SPSS 18.0 program. Results: 42.1% of the subjects was trained BLS for more than an hour less than 4 hours, and 52.6% of the subjects was trained BLS for less than 3 months in scuba diving institutions. Statistically significant difference was observed in the competence for performing cardiopulmonary resuscitation during BLS education according to gender and age further regarding the necessity of BLS education, significant difference was observed with respect to age, job, academic background, monthly income, and participation period of scuba divers. The divers wished to learn cardiopulmonary resuscitation (72.8%), medical first aid (8.0%), and measures to be taken in cases of trauma (8.0%). The knowledge score for BLS among scuba divers was significantly different depending on the gender, age, marital status and frequency of participation. Conclusion: It is necessary to develop and implement a safety education program for scuba divers.

• 한국응급구조학회지
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• 제23권3호
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• pp.53-65
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• 2019

Purpose: This study aimed to assess the awareness of good Samaritan law and attitude toward basic life support (BLS) of university students. Methods: A 29-item questionnaire survey was conducted among 147 students in A university. The participants were freshmen and sophomores who had received cardiopulmonary resuscitation (CPR) training in middle or high school. Statistical analysis was carried out using SPSS 21.0. Results: The majority (85%) of the participants knew about the good Samaritan clause in the Emergency Medical Service Act, but only about half (58.5%) knew about the Non-rescuer Act. Almost all of the patients said they would administer CPR to patients and showed a positive attitude toward BLS (3.74±0.40). Conclusion: Greater help attitude was exhibited by those who knew the good Samaritan law. These findings suggested that such education may increase their likelihood or helping in emergencies.

• 대한치과의사협회지
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• 제53권8호
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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.

• 한국응급구조학회지
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• 제25권3호
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• pp.111-125
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• 2021

Purpose: This study aimed to analyze the impact of rapid cycle deliberate practice (RCDP) simulation education on advanced cardiac life support knowledge, confidence, satisfaction, and performance ability among paramedic students, and provide basic data on the appropriate methods of educational instruction. Methods: The 48 subjects to be instructed were divided into the traditional simulation education group and the RCDP simulation education group. Six participants were randomly assigned to each group and pre-surveyed. They were then exposed to a lecture about advanced cardiac life support related theories for 60 min and post-surveyed through questionnaires with the same learning goals and scenarios. Results: The advanced cardiac life support knowledge (t=-4.813, p=.000) and performance ability (t=-2.903, p=.006) were significantly different between the traditional simulation education and RCDP simulation education groups The results also showed a significant difference in attach monitor (z=6.857, p=.009), analyze EKG rhythm (z=11.111, p=.001), and defibrillation (z=12.632, p=.000), indicating differences in performance capabilities between the two groups. Conclusion: To improve advanced cardiac life support knowledge, performance ability, and confidence in the paramedic students who receive RCDP simulation education, simulation education methods that are appropriate for the subjects being taught, and detailed learning goals and feedback are necessary.