• Journal of the Korea Institute of Information and Communication Engineering
• /
• v.20 no.9
• /
• pp.1791-1798
• /
• 2016

Recently, research about ESS(Emergency Support System) has been actively carried out to provide a variety of medical services using smart devices and wearable devices. Smart healthcare provides a personalized health care service using various types of bio-signal measuring sensors and smart devices. For the smart healthcare using a smart device, it is need to research about personal health monitoring using a smart wearable devices, and also need to research on service methods for first aid measures after an emergency. In this paper, we proposed about group management based emergency support system, that is monitoring about personal bio signal using smart devices and wearable devices to protect patient's life. The system notices to the medical volunteers based on the position information when an emergency situation. In addition, we have designed and implemented an emergency support system providing the information of the patient on the display when transmitting a picture of a patient using a smart device to the server.

• Journal of The Korean Society of Clinical Toxicology
• /
• v.11 no.1
• /
• pp.9-18
• /
• 2013

Purpose: Antidotes for toxicological emergencies can be life-saving. However, there is no nationwide stocking and delivery system for emergency antidotes in Korea. We report on a two-year experience of a nationwide stocking and delivery trial for emergency antidotes at emergency departments in Korea. Methods: An expert panel of clinical toxicologists reviewed and made a list of 15 stocked antidote. These antidotes were purchased or imported from other countries and delivered from 14 antidote stocking hospitals nationwide 24 hours per day, seven days per week. Results: From August 1, 2011 to April 30, 2013, 177 patients with acute poisoning, with a median age of 48.5 years, were administered emergency antidotes. The causes of poisoning were intentional in 52.0% and 88.0% were intentional as a suicide attempt. Regarding clinical severity, using the poisoning severity score, 40.7% of patients had severe to fatal poisoning and 39.0% had moderate poisoning according to clinical severity. The most frequent presenting symptom was neurologic deficit, such as altered mentality (62.7%). alerted mentality (62.7%). Emergency antidotes were administered as follows: methylene blue (49 cases), flumazenil (31), N-acetylcysteine (25), glucagon (17), 100% ethanol (15), cyanide antidote kit (12), anti-venin immunoglobulin (5), pyridoxine (4), hydroxocobalamine (2), and deferoxamine (1). The median time interval from antidote request to delivery at the patient's bedside was 95 minutes (interquartile range 58.8-125.8). Conclusion: Findings of this study demonstrated the possibility of successful operation of the nationwide system of emergency antidotes stocking and delivery in Korea.

• The Korean Journal of Emergency Medical Services
• /
• v.8 no.1
• /
• 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.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2004.05a
• /
• pp.1019-1022
• /
• 2004

일반적으로 해커들은 네트워크상에 있는 목표(Target) 시스템에 대해 공격을 시도하기 위한 사전 단계로 포트 스캐닝(Port Scanning)을 통한 정보 수집의 단계를 선행하게 된다. 이 때, 사용되는 포트 스캐닝 기술은 이미 여러가지 방법이 알려져 있으며, 네트워크 관리자의 입장에서는 정상적인 네트워크 접속과 포트 스캐닝 공격을 구분해야만 한다. 본 논문에서는 네트워크를 통한 공격의 가장 많은 부분을 차지하고 있는 스캐닝 공격을 빠르고 효율적으로 탐지할 수 있는 룰 기반의 침입 탐지 시스템을 커널레벨과 응용레벨에서 설계하고 구현하였다.

• Journal of Trauma and Injury
• /
• v.36 no.3
• /
• pp.224-230
• /
• 2023

Purpose: Patients with penetrating injuries are at a high risk of mortality, and many of them require emergency surgery. Proper triage and transfer of the patient to the emergency department (ED), where immediate definitive treatment is available, is key to improving survival. This study aimed to evaluate the epidemiology and outcomes of patients with penetrating torso injuries in Incheon Metropolitan City. Methods: Data from trauma patients between 2014 and 2018 (5 years) were extracted from the National Emergency Department Information System. In this study, patients with penetrating injuries to the torso (chest and abdomen) were selected, while those with superficial injuries were excluded. Results: Of 66,285 patients with penetrating trauma, 752 with injuries to the torso were enrolled in this study. In the study population, 345 patients (45.9%) were admitted to the ward or intensive care unit (ICU), 20 (2.7%) were transferred to other hospitals, and 10 (1.3%) died in the ED. Among the admitted patients, 173 (50.1%) underwent nonoperative management and 172 (49.9%) underwent operative management. There were no deaths in the nonoperative management group, but 10 patients (5.8%) died after operative management. The transferred patients showed a significantly longer time from injury to ED arrival, percentage of ICU admissions, and mortality. There were also significant differences in the percentage of operative management, ICU admissions, ED stay time, and mortality between hospitals. Conclusions: Proper triage guidelines need to be implemented so that patients with torso penetrating trauma in Incheon can be transferred directly to the regional trauma center for definitive treatment.

• Journal of IKEEE
• /
• v.10 no.1 s.18
• /
• pp.55-61
• /
• 2006

In modern society, development of medical technology has extended the human life span. However, it has also caused some side-effects. Mostly old people who live alone are not available the medical service quickly when they are in emergency situations. Moreover heart related diseases as well are rapidly increasing with aging. This study proposes the emergency medical alarm system. This system measures the physiological signals such as ECG(electrocardiogram), temperature, and motion data, analyzes those data automatically, and sends the urgent message to the Emergency Medical Center and to their family. There are two main parts in the system. In the first part, physiological data acquisition part, the troublesome addition and deletion of body signals on existing proposed systems have been supplemented, which led to the modulized production by means of ECG sensor module, temperature sensor module, acceleration sensor module. The other part is mobile unit, which includes signal processing and transmission functions. And bluetooth allows two parts to communicate with each other. Data that are processed in the mobile unit are stored in the PC database through the WLAN using TCP/IP protocol.

• Proceedings of the IEEK Conference
• /
• 2006.06a
• /
• pp.873-874
• /
• 2006

In this paper, we have developed a ventricular fibrillation detection system based on DSP processor. The developed system was able to detect VF in real time correctly and quickly. We compared the performance of the floating point simulation with that of fixed point simulation. The computational cost of fixed point simulation was remarkably reduced than that of floating point simulation.

• Health Policy and Management
• /
• v.32 no.2
• /
• pp.164-172
• /
• 2022

Background: The purpose of this study was to the impact of the coronavirus disease 2019 (COVID-19) outbreak on emergency departments (EDs) in patients under the age of 18 years with respiratory disease. Also, we analyzed similarities and differences in patients including revisit before and after the COVID-19 outbreak. Methods: This study population was respiratory patients under the age of 18 years who visited all 403 EDs in Korea between January 1st, 2019 and December 31st, 2020, using the National Emergency Department Information System Database. The primary outcome was the number of respiratory patients according to age, sex, the type of EDs, season, Korean Triage and Acuity Scale (KTAS) levels, the result of ED, and length of stay. The secondary outcome was the number of revisit respiratory patients within 72 hours. We calculated the risk-adjusted revisit rates according to the KTAS level using a multiple logistic regression model. Results: The number of ED visits decreased from 274,526 in 2019 to 79,007 in 2020; this number was 71.2% lower than that before COVID-19. In spring 2020, this number was 90.1% lower than during the same period in 2019. For the revisit rate in the study population, the adjusted odds ratio (95% confidence interval) was 1.22 (1.05-1.41) in 2019 and 1.39 (1.07-1.81) in 2020. Conclusion: Implementing appropriate emergency care policies in severe respiratory patients would have contributed to improving the safety of reducing in revisit rate.

• Journal of Korea Society of Industrial Information Systems
• /
• v.12 no.5
• /
• pp.60-70
• /
• 2007

As Republic of Korea community nears to old age society rapidly, various kinds problem about old mans is risen. Can speak that item connected with medical treatment is more serious in the importance aspect among them Therefore, many-sided effort is consisting to ready countermeasure in reply, but economical method is not presented clearly as being realistic yet. Also, medical treatment service that more users through diffusion of fast internet are little more better effort that serve consist. But, in the case of old age, by difficulty of the use, restriction condition happens. In this paper proposed system that is prevailing already and user-friendly can cope curtly in old mans' emergency situation more rapidly and conveniently using mobile phone of CDMA way relatively.

• The Korean Journal of Emergency Medical Services
• /
• v.7 no.1
• /
• pp.179-198
• /
• 2003

If see disaster administration system of our country, start in terms of is coping by countermeasure after four immediately after disaster occurrence many problems blessing with a sons by tribe and so on of link nature between formation, disaster administration complete charge utensil's absence, disaster charge manpower and budget be indicated and join. If examine improvement way accordingly, is as following ; Necessity of synthetic disaster administration system, Fire fighting formation's independence guarantee, Integration of fire fighting connection similarity business, Disaster administration's permanent establishment complete charge utensil's necessity, Disaster administration midautumn complete charge utensil at a metropolitan autonomous fire fighting system reorganization, Role division of labor between center and local government, Disaster administration professional human strength positivity, Disaster administration information system construction practical use, Equipment and improvement of budget state, Education public information for safety culture consciousness fixing, Internationalization of fire fighting business, globalization propulsion, Structure, member of rescue confrontation system and efficiency. Fire fighting environment is changing greatly, and fire fighting must become center to correspond to do confrontation that do one thing troble when produce disaster.