• Title/Summary/Keyword: emergency operation

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응급구조 교통사고에 대한 운전자의 보호방안 (Driver's Protection Method of Ambulance Car Accident)

  • 박희진;권혜란;이영현
    • 한국응급구조학회지
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    • 제4권1호
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    • pp.63-71
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    • 2000
  • Exceptive clause of ambulance stated in Road Traffic Laws of ambulance car accidents is not properly applied and emergency staffs who transfer over 85% of emergency cases are to be forced to start out to the emergency field with unstable conditions which they may be punished on the criminal and civil laws. Hereby this study makes the following suggestions to activate the duties of transferring emergency cases by emergency staffs, promote their morale and diminish the victim of emergency staffs due to traffic accidents. 1) It is prescribed that ambulance car drivers should be protected legally by applying the exceptive clauses thoroughly regulated in special case clauses because ambulance cars are used for the purpose of saving the human life. 2) On the traffic accidents occurred during the transfer of emergency cases, the special insurance system is created for treating the ambulance car accidents, not to bind the emergency staff's mistake to traffic law and the victims are compensated by the nation on the basis of insurance system and emergency staffs have the systematic security. 3) On the road over six lanes, emergency lane is set on the center and ambulance car should be used as the exclusive lane. 4) Ambulance car drivers must have the habit of transferring emergency cases rapidly within the range of legal operation.

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응급수술을 시행한 응급의료센터 내원 외상 환자 분석; 응급의학과 진료는 외상환자에 대한 외과의 수술과 같은 전문적인 진료를 오히려 지연시키는가? (Clinical Analysis of Trauma Surgery Patients in a Local Emergency Center; Does Emergency Physicians'Treatment Delay the Surgeons'Special Care like Emergency Operations for Trauma Victims?)

  • 이경원
    • Journal of Trauma and Injury
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    • 제20권1호
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    • pp.19-25
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    • 2007
  • Purpose: Trauma surgery is not an official medical specialty in the Republic of Korea (South Korea). Thus, a trauma victim transported to an emergency room (ER) is resuscitated and surveyed by an intern, a resident, or an emergency physician (EP) at first. Currently an operative management is decreasing because of multiple factors. Nevertheless, trauma surgery is the key for some patients. Does the EP's treatment in the ER delay the surgeon's emergency operation? Methods: A retrospective study was performed for trauma victims who underwent trauma surgery from March 2004 to February 2005 in a local emergency center of Daegu-city. We reviewed the medical records and analyzed the trauma victim's age, sex, cause of injury, method of transport, time from the trauma to the operation, EP's treatment, surgical department, mortality, and injury severity score (ISS). Results: Of the 223 trauma victims included in this study, males were predominant (83.4%). The mean age was 37.98 years of age. The main Causes of trauma were trauma NOS (not otherwise specified) and motor vehicle accidents (MVA). The main methods of transport was privately owned automobile. The mean time from trauma to operation was 617.46 min. The mean ISS was 7.67. Trauma surgery with the EP's treatment group included 40 trauma victims with higher ISS, and the time from trauma to operation was shorter than it was for the 183 trauma victims not in that group. Conclusion: The EP's treatment of high-ISS multiple-injury trauma victims can shorten the time from trauma to trauma surgery and will help the surgical department treatment. In the trauma care system of the Republic of Korea, and increased role should be encouraged for emergency physician.

OPERATOR BEHAVIORS OBSERVED IN FOLLOWING EMERGENCY OPERATING PROCEDURE UNDER A SIMULATED EMERGENCY

  • Choi, Sun-Yeong;Park, Jin-Kyun
    • Nuclear Engineering and Technology
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    • 제44권4호
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    • pp.379-386
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    • 2012
  • A symptom-based procedure with a critical safety function monitoring system has been established to reduce the operator's diagnosis and cognitive burden since the Three-Mile Island (TMI) accident. However, it has been reported that a symptom-based procedure also requires an operator's cognitive efforts to cope with off-normal events. This can be caused by mismatches between a static model, an emergency operating procedure (EOP), and a dynamic process, the nature of an ongoing situation. The purpose of this study is to share the evidence of mismatches that may result in an excessive cognitive burden in conducting EOPs. For this purpose, we analyzed simulated emergency operation records and observed some operator behaviors during the EOP operation: continuous steps, improper description, parameter check at a fixed time, decision by information previously obtained, execution complexity, operation by the operator's knowledge, notes and cautions, and a foldout page. Since observations in this study are comparable to the results of an existing study, it is expected that the operational behaviors observed in this study are generic features of operators who have to cope with a dynamic situation using a static procedure.

철도사고유형별 임시복구 표준운영체계(안) 개발 (Development of Standard Operation System of Emergency Restoration for Railway Accidents)

  • 박용걸;성덕룡;최승룡;서상교
    • 한국철도학회논문집
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    • 제12권5호
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    • pp.819-828
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    • 2009
  • 본 연구에서는 효율적이고 신속한 철도사고처리를 위해 임시복구 표준화(code) 및 표준운영체계(안)을 제시하고 있다. 우선, 철도사고유형을 국내 외 철도사고유형별 피해종류로 재분류하였으며, 이를 관련분야, 복구대상, 사고위치의 3자리 표준화된 코드로 제시하였다. 또한, 임시복구 표준운영체계(안) 수립방법을 정립하고 표준화된 임시복구 유형별 최악의 경우(worst case)와 임시복구절차 수립을 위한 중요항목(event)을 도출하여 임시복구유형별 임시복구 표준운영절차를 제시하였다. 이러한 표준화(code) 및 표준운영절차는 철도사고 DB관리, 신속한 사고처리 및 피해최소화를 위한 철도사고 비상대응관리체계 구축에 중요한 역할을 담당할 수 있을 것이다.

LED 비상 유도등을 위한 하이브리드 슈퍼커패시터 모듈의 동작 특성 (The Operation Characteristics of Hybrid Supercapacitor Module for LED Emergency Luminaires)

  • 맹주철;윤중락
    • 한국전기전자재료학회논문지
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    • 제28권7호
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    • pp.473-479
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    • 2015
  • Hybrid supercapacitors with high power density and long cycle life are widely used for emergency power source of LED emergency luminaires. In this paper, we designed and fabricated a hybrid capacitor cell and a module for the LED emergency luminaires. Using hybrid supercapacitor cells (1,000 F, 2.8 V), we designed a module in a 10-year warranty considering aging and ESR. Considering the ESR and efficiency has been designed to module with 1,000 F 5.6 V design results in 2 series and 2 parallel combination. Module was used to confirm that the operation 77.5 minutes at room temperature, discharge LED emergency luminaires with 2 W. As a LED emergency luminaires of emergency power supply that we can support more than 10 years of life was confirmed the applicability of hybrid supercapacitor.

철도비상사태 시 비상대응주체별 행동요령수립을 위한 Activity-Action Diagram 및 전산화 구축방안 (A Study on Development of the Responsibility and Emergency Response Procedures for the Emergency Response Personnel Using Activity-Action Diagram)

  • 박영익;김상균;김시곤
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2007년도 춘계학술대회 논문집
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    • pp.543-550
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    • 2007
  • This study is for an effective response as the pre-stage for railway agencies to prepare the rail road kind based emergency response standard operation procedures when the emergency event occurs. Accordingly, I would like to increase the utility in helping the railroad employees to make their decisions. And that is possible through suggesting them to make computerized Emergency situation based activity and Emergency response that is individual based. And of course all of this procedure would be based on the emergency event categorized response scenario.

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비상운전절차서 작성과정의 인적오류 저감을 위한 지침서 제안에 관한 연구 (Suggestion of a New Writer's Guideline to Reduce Human Errors Found in the Emergency Operation Procedures of a Nuclear Power Plant)

  • 이동하;장통일;이용희
    • 대한인간공학회지
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    • 제29권1호
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    • pp.129-138
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    • 2010
  • Gori-I nuclear power plant has been examining the effectiveness and efficiency of the current emergency operation procedures from human factors viewpoint. Previous study showed that some mistakes that the procedures did not comply with the writers' guidelines. Reviewing the current writers' guidelines for emergency operating procedures revealed that they lack of some important human factors rules such as enumeration of switching conditions and detailed action requirements, definite expression for setup points, description for anticipated results, and recommendation for use of present tense, affirmative sentence and active voice. This study suggested a new classification system for the writers' guideline contents supplementing the deficiencies of the current emergency operation procedure text.

HILS를 이용한 신재생 에너지원이 포함된 에너지 저장시스템의 운영 시나리오 개발 (Development of Operation Scenarios by HILS for the Energy Storage System Operated with Renewable Energy Source)

  • 신동철;전지환;박성진;이동명
    • 전기학회논문지
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    • 제67권2호
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    • pp.224-232
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    • 2018
  • According to government policy, renewable energy facility such as solar power generation is being implemented for newly constructed buildings. In recent years, the introduction of Energy Storage System (ESS) served as an emergency power for replacing an existing diesel generator has been increasing. Furthermore, in order to expand the efficacy of the ESS operation, operation in combination with renewable energy sources such as solar and wind power generation is increasing. Hence, development of the ESS operation algorithms for emergency mode as well as the peak power cut mode, which is the essential feature of ESS, are necessary. The operational scenarios of ESS need to consider load power requirement and the amount of the power generation by renewable energy sources. For the verification of the developed scenarios, tests under the actual situation are demanded, but there is a difficulty in simulating the emergency operation situation such as system failure in the actual site. Therefore, this paper proposes simulation models for the HILS(Hardware In the Loop Simulation) and operation modes developed through HILS for the ESS operated with renewable energy source under peak power reduction and emergency modes. The paper shows that the ESS operation scenarios developed through HILS work properly at the actual site, and it verifies the effectiveness of the control logic developed by the HILS.

119구급대의 간호사 배치여부에 따른 응급처치 실태 (Emergency Care Conditions where the Nurse is posted in the 119 Relief Squad)

  • 김영임;정혜선;이창현;김금숙;박정영
    • 지역사회간호학회지
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    • 제11권2호
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    • pp.411-422
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    • 2000
  • The purpose of this study is to identify the difference of emergency care conditions where the nurse is posted in the 119 relief squard or not. The data composed a total of 777 cases of emergency activity of one police stand in Seoul during March, June. September and December in 1998. The results of this study were as follows: 1. The age of the subjects was 20-60 age 54.3%, over 60 age 35.4% with an average age of 50.2. Among them men were 55.0%, the unemployed were 60.8%. The place of the occurrence of an accident was the house, 49.7% and the cause as illness was 59.6%. 2. The main symtom was pain the 36.2% the main consciousness state was alert 76.9%: The state of the patients as chronic was 59.6%. 3. The consulting hospital of the 119 relief squad as a third medical center was 79.9%. The distance to the medical center as less than 5 km was 77.2%, and an average transfer distance was 5.38 km. The cases of doctor guided emergency care was 0.9%, the cases that had posted nurses in 119 relief squads was 48.6%. 4. The case of the best emergency care operation was difficulty in breathing, 62.1% and the second was unconsciousness, 46.1 %. The more serious the consciousness state, the higher the rate of emergency care operation. There wasn't any difference in emergency care operation concerning transfer distance. 5. The cases that had the posted nurses was 19.1%, the cases of no nurse was 11.7% among the cases of emergency care operation during transfering; the cases that had posted nurses had the higher emergency care operation. (p<0.05). Airway maintenance was 14.8% in cases that had the posted nurses, while in the cases of no nurse, 10.9%; and oxygen inspiration was 16.0% in cases that had the posted nurses while in the cases of no nurse 7.6% (p<0.01); spinal fixation was 6.6% in cases that had the posted nurses while in the cases of no nurse 4.6%(p<0.05). With these results, we can conclude that the cases that had the posted nurse showed higher emergency care operation.

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긴급차량 운행실태와 의식도조사 분석을 통한 우선신호 운영방안 연구 (A Study on the Operation Plan of the Emergency Vehicle Preemption Based on Operation Status and Survey Data)

  • 고은정;이주영;조준한
    • 한국ITS학회 논문지
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    • 제22권1호
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    • pp.143-160
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    • 2023
  • 화재, 구조, 구급 등 재난상황에서 신속한 대응을 위해 긴급차량의 골든타임 확보가 중요하다. 본 연구에서는 긴급차량의 골든타임 확보와 운행 안전성 증대를 위하여 긴급차량 운행현황 분석에 기반한 긴급차량 우선신호 운영방안 연구를 수행하였다. 이를 위하여 본 연구에서는 긴급차량 출동 통계자료와 교통사고 통계를 이용하여 긴급차량 운영 현황을 분석하고 설문조사 분석을 통해 긴급차량 우선신호 도입 및 운영에 관한 세부기준을 제시하였다. 분석 결과, 긴급차량의 출동빈도와 교통사고가 점차적으로 증가하고 있으나, 긴급차량의 골든타임 확보율이 절반 수준인 것으로 나타나 이에 대한 개선방안 도출이 시급함을 확인하였다. 긴급차량 우선신호 도입에 관한 설문조사를 통해 우선신호 도입의 필요성에 대해 대다수의 시민이 공감하고 있고, 긴급차량 우선신호 제공 가능한 차량 범위와 신호 대기 허용 가능 시간에 대한 기준을 도출하였다. 이를 통해 긴급차량 우선신호 운영 전략과 세부 기준을 마련하는데 본 연구의 결과가 활용될 수 있으며, 긴급차량 우선신호의 신속한 확대를 통한 긴급차량 운행 안전성 개선과 골든타임 확보율 증대에 기여할 것으로 기대된다.