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한국군 합동전영역지휘통제(JADC2) 전략: 美 JADC2 전략 분석을 중심으로
김중희,최영찬 육군사관학교 화랑대연구소 2023 한국군사학논집 Vol.79 No.3
미국의 JADC2 전략 분석에 기반하여 한국군 합동전영역지휘통제 중심사고 설정, 구현전략 및 전략구현 방법과 수단의 제시라는 세가지 측면에서 우리 군의 합동전영역지휘통제 전략을 논의했다. 한국군 합동전영역지휘통제의 중심사고는 전 제대간, 영역 간에 언제 어디서나 제 요소들의 연결이 보장되고, AI를 활용하여 OODA Loop 시간을 단축시키며, 분산된 자산과 신속한 결심으로 적에게 혼란을 강요하는 모습으로 설정할 필요성이 있다. 이러한 개념을 구현하기 위한 추진 전략으로 6개 영역과 합동, 연합 및 통합방위의 작전요소 간에 네트워크 통합, AI의 적용을 통한 결심중심전 구현을 목표로 설정하고, 이를 위한 수단 및 방법으로 데이터 표준화, 추진 전담조직 지정, 전략문서 체계 정립, 첨단상용기술 적용 및 진화적 단계화 발전이 요구된다. In this paper, based on the analysis of the U.S. JADC2 Strategy, the ROK Armed Forces JADC2 was studied in three aspects: the core thinking, strategy for implementation, and specifying methods and means. the core thinking guarantees the connection of all elements anytime and anywhere between units and domains, shortens the OODA Loop time by using AI, and forces confusion on the enemy with dispersed assets. The goal is to implement decision-centric warfare through network integration and application of AI between the domains and operation elements of joint, combined, and integrated defense. Five essential tasks were discussed as means and methods: data standardization, designation of a dedicated organization, establishment of a strategic document system, application of advanced commercial technology, and the need for implement evolutionary development.
Multiple Shock Failures during Resuscitation: Risk Factors and Prognostic Implications
김중희,김태윤,이중의,김규석,조유환,이재혁,김유진,권혁술,정재윤 대한응급의학회 2016 大韓應急醫學會誌 Vol.27 No.2
Purpose: Electrical shock is not always followed by a perfusing rhythm, and multiple shock failure (MSF) is common during CPR. We sought to investigate its risk factors and prognostic implications. Methods: Adult OHCA patients with emergency department (ED) ACLS attempts were identified from a tertiary hospital OHCA registry extending from 2008 to 2012. Shock failure was defined as any electrical shock attempt not followed by a pulse-generating rhythm. Patients were assigned to one of three groups based on the number of shock failures: 1) MSF: ≥3 electrical shock failures before the first ROSC or CPR termination (if there was no ROSC), 2) early shock success (ESS): pulse-generating rhythm achieved within 3 electrical shock attempts and 3) others: all remaining patients. Baseline characteristics, initial laboratory measurements, and outcomes were compared. Results: A total of 590 patients were included. There was no significant difference in baseline characteristics between the MSF group (n=49) and the early shock success group (n=50) except in its higher proportion of presumed cardiac aetiology. The MSF group showed less severe metabolic acidosis and coagulopathy on ED arrival and better renal function and higher haematocrit and serum albumin levels compared with the ESS group. MSF was associated with less sustained ROSC, but was also associated with more survival discharge and better long-term neurologic outcomes after sustained ROSC. Conclusion: MSF may indicate heart-specific problems rather than severe metabolic derangements. Better longterm outcomes can be expected once sustained ROSC is achieved, therefore, this phenomenon warrants more focused research.