한국과 일본의 소방 구급 출동 및 구급인력 규모 비교 연구

백홍석,Baek, Hong-Seok 한국응급구조학회 2019 한국응급구조학회지 Vol.23 No.2

Purpose: This study aimed to compare and analyze statistical data on 119 ambulance runs and ambulance crew, which are the components of the emergency medical services system in Korea and Japan. Methods: Data from National Fire Agencies of both Korea and Japan were collected and statistically compared. Results: With regard to the ratio of 119 ambulance runs, Korea's ratio has been gradually and continuously growing beyond that of Japan (Korea 4708.11, Japan 4706.47) since 2014. The ratio of firefighting ambulances in Korea was 2.59 ($2.59{\pm}0.10$), and was 4.76 ($4.76{\pm}0.12$) in Japan. The ratio of 119 ambulance crews in Korea was 15.55 ($15.55{\pm}2.03$), and was 47.24 ($47.24{\pm}1.06$) in Japan. Among the ambulance crews, the ratio of paramedics was 33.81 ($33.81{\pm}5.85$) in Korea and was 38.86($38.86{\pm}4.10$) in Japan. Conclusion: The ratio of 119 ambulance runs in Korea has already exceeded that of Japan, but the numbers of 119 ambulance crews and paramedics qualified for special emergency treatment are still insufficient. Therefore, supply and demand policy that promotes the development of the firefighting ambulance service system is necessary.

응급의료기금, 무엇이 문제인가?

백홍석,이준호,김익성,박현숙,박상섭,Baek, Hong-Seok,Lee, Jun-Ho,Kim, Igic-Sung,Park, Hyun-Suk,Park, Sang-Sub 한국임상보건과학회 2013 한국임상보건과학회지 Vol.1 No.1

Purpose. Based on the comparison and analysis with those of United States, the aim of this research is to find the problems in current management, operation and future directions of emergency medical service (EMS) fund in S. Korea and to provide basic resources and appropriate measures to make a right decision in policies for EMS fund. Methods. Data from Ministry of Health and Welfare and other various sources during 1995 to 2012 were collected and analyzed. Results. From our analyses, several problems are identified in EMS fund operation. In brief, problems discerned are as follows. First, whereas the purpose and direction of EMS fund operations in United States are highlighted and focused on pre-hospital EMS system and associated infrastructures which need to be constructed, those of S. Korea are emphasized mainly on the in-hospital EMS system so far. Second, on the contrary to the fact that the EMS funds in United States are tuned to pre-hospital EMS system to provide prompt and efficient emergency care at the emergency scene of pre-hospital stage and to achieve the development, design, planning and demonstration projects for pre-hospital EMS systems, up to date, our investment of EMS funds demonstrated an excess biased inclination toward the construction of in-hospital EMS system, which is far from the realization of constructive and vital pre-hospital infrastructures. Third, while emergency medical technician is important and principal body in the management of emergency medical funds in United States, so far, no EMS funds in S. Korea existed for EMTs including the job condition, improved treatment and working environment for them. Conclusion. In conclusion, we strongly suggest that the problems pointed out must be revised and corrected. Current usage of EMS fund needs to be redirected predominatly to pre-hospital EMS system. Otherwise, unless current management and investment of emergency medical funds in S. Korea are applied and used for the vital necessities and demands of EMTs, public EMS units and private EMS units as well as related units in pre-hospital EMS system as in the cases of United States, in our consideration, they must be suspended or abolished.

심폐소생술 시 구조자의 간소화된 구령방법과 연속된 구령방법 간의 가슴압박 질 효과

백홍석(Hong-Seok Baek),박상섭(Sang-Sub Park) 한국콘텐츠학회 2013 한국콘텐츠학회논문지 Vol.13 No.4

본 연구는 심폐소생술 시 음성측정기를 활용하여 구조자의 간소화된 구령방법과 연속된 구령방법과의 가슴압박 질 비교를 통해 심폐소생술의 효율성을 높이고자 한다. 대상자는 C도 소재 응급구조과 재학생으로 심폐소생술 15주 교육과정을 이수한 89명(실험군 45명, 대조군 44명)을 무작위추출 하여 시행하였다. 집단 구분은 간소화된 구령집단을 실험군, 연속적 구령집단을 대조군으로 하였다. 실험측정 기간은 1차(2011년 11월 10일, 11월 28일)와 2차(2012년 9월3일-9월4일)로 진행하였다. 분석은 SPSS WIN 12.0 program을 사용하였다. 연구결과 적절한 가슴압박(회, %)은 실험군(102.86회, 67.79%)이 대조군(85.31회, 55.84%) 보다 가슴압박 질 효과가 높았다(p<.05). 반면, 약한 가슴압박(회) 시행은 실험군(35.54회) 보다 대조군(61.13회)이 높았다. 성별에 있어서는 실험군의 남자가, 체중에 있어서는 실험군의 60kg이상이 적절한 가슴압박을 보였다(p<.05). The purpose of this study is to increase efficiency of CPR through comparing the chest-compression quality between rescuers simplified verbal order method and the continued verbal order method by utilizing voice meter during CPR. Subjects were 89 people(45 people for the experimental group, 44 people for the control group) who completed the 15-week CPR curriculum as undergraduates for the department of Emergency Medical Technology in C Province and were carried out by being randomly extracted. The group division was set for the experimental group as the group with the simplified verbal order and for the control group as the group with the continued verbal order. The period of measurement was progressed primarily(November 10, November 28, 2011) and secondarily(September 3-September 4, 2012). An analysis was used SPSS WIN 12.0 program. As a result of research, as for the implementation of appropriate chest compression(time, %), the quality was higher(p<.05) in the experimental group(102.86 times, 67.79%) than the control group(85.31 times, 55.84%). As a result of research, the chest compression(time, %) in the experimental group(102.86 times, 67.79%) had the higher effect of chest compression quality(p<.05) than the control group(85.31 times, 55.84%). On the other hand, the operation of weak chest compression(time) was higher in control group(61.13 times) than experimental group(35.54 times). The proper chest compression was shown(p<.05) in men of the experimental group as for gender and in over 60kg of the experimental group as for weight.

심폐소생술 시행 시 피구조자의 위치, 성별, 체중에 따른 가슴압박과 인공호흡 정확도 비교

백홍석(Hong-Seok Baek),박상섭(Sang-Sub Park) 한국콘텐츠학회 2011 한국콘텐츠학회논문지 Vol.11 No.5

본 연구는 심폐소생술 수행 시 피구조자의 위치, 성별, 체중에 따른 가슴압박과 인공호흡 정확도 비교를 통하여 심폐소생술 수행에 정확성을 높이는데 그 목적이 있다. 본 연구는 G도 소재 대학생 72명(실험군 36명, 대조군 36명)을 편의추출 하여 시행하였으며, 조사기간은 2009년 11월 5일부터 11월 19일까지 시행되었다. 수집된 자료는 SPSS WIN 12.0 Version 프로그램을 사용하여 분석하였다. 연구결과 대부분 영역에서 우측이 좌측보다 인공호흡과 가슴압박의 효과적으로 나타났음이 증명되었기에 향후 심폐소생술 수행방법과 교육방법에 있어서 우측 편에서 시행하는 심폐소생술 수행방법을 작용해 볼 필요가 있다. 하지만 실제 응급현장에서 심폐소생술 생존율이 우측 편에서 효과적인가에 대해서는 지속적 연구가 이루어져야 할 것으로 여겨진다. The purpose of this study was to increase accuracy in performing cardiopulmonary resuscitation through comparing accuracy between chest compression and artificial respiration depending on position, gender, and weight of a victim given conducting cardiopulmonary resuscitation. This study randomly sampled 72 college students in G Province (36 in the experimental group and 36 in the control group) to conduct a research from November 5 to 19, 2009. The collected data were analyzed by using an SPSS WIN 12.0 Version program. Since the results showed that most regions got more effective artificial respiration and chest compression on the right side than on the left side, it is necessary to apply cardiopulmonary resuscitation on the right side in terms of how to implement and instruct cardiopulmonary resuscitation in the future. However, it seems that continuous researches are necessary to see if cardiopulmonary resuscitation is more effective on the right side in terms of the survival rate in an actual emergency.

초석잠 (Stachys sieboldii MIQ.) 줄기의 항산화 활성

백홍석(Hong-Seuk Baek),나영수(Young-Soo Na),류병호(Beung-Ho Ryu),송승구(Seung-Koo Song) 한국생물공학회 2003 KSBB Journal Vol.18 No.4

종양응급 상황에서의 방사선치료의 역할

이준호,백홍석,박상섭,박현숙,이석호,Lee, Jun-Ho,Baek, Hong-Seok,Park, Sang-Sub,Park, Hyun-Suk,Lee, Seok-Ho 한국임상보건과학회 2014 한국임상보건과학회지 Vol.2 No.2

Purpose. Radiation therapy for oncologic emergencies is an important modality in the management of cancer patients. The aim of the present study was to review the roles of RT in oncologic emergencies based on literature review. Methods. The oncologic emergencies requiring rapid treatment include superior vena cava syndrome, spinal cord compression, brain metastasis, and bone metastasis. We reviewed the literatures on the pathophysiology, diagnosis, and treatment of oncologic emergencies. Results. In this literature review, radiation therapy among treatment modalities for oncologic emergencies has been shown to be fast and very effective treatment modality for oncologic emergencies. Conclusions. Based on this review, we conclude that the literature provides support for the role of radiation therapy in the situation of oncologic emergencies. As the number of cancer patients increase, the prevalence of oncologic emergencies will increase. In the future, the development of RT techniques will provide the improvement of not only patient's quality of life but also the survival.

배출상수를 이용한 응급구조사 수급전망

유순규,최혜경,백홍석,엄태환,Yoou, Soon-Kyu,Choi, Hea-Kyung,Baek, Hong-Sok,Uhm, Tai-Hwan 한국응급구조학회 2007 한국응급구조학회지 Vol.11 No.3

Purpose : It was to find out demand and supply of EMT from 2007 to 2045 and to expand scope of practice of paramedic in Korea. Methods : This study was conducted by applying a projection formula to the data from admission quota for EMT of the Ministry of Education & Human Resources Development, rate of successful candidates of annual report of the National Health Personnel Licensing Examination Board etc. Results : The number of EMTs were 6,043 paramedics, 5,378 EMT-Bs until 2006 and two produce constants derived from simple estimation were paramedic 0.81, EMT-B 0.86. On the American basis of 5.6 EMTs per 10,000, the number of paramedics under the present act will reach the basis around 2015(5.02), the number of paramedics under the amended act will reach the basis around 2030(5.50). Conclusion : There was relationship between scope of practice of paramedic in the act and demand-supply of paramedic, this necessitates surveys, studies, amendment of the act, legalization for expanded scope of practice of paramedic.

고등학교 남학생에서 심폐소생술에 대한 전통적교실학습과 영상자가학습의 교육효과

박상섭(Sang-Sub Park),백홍석(Hong-Seok Baek),안주영(Ju-Yeong An) 한국농촌의학 지역보건학회 2011 농촌의학·지역보건 Vol.36 No.1

본 연구는 고등학교 남학생에서 심폐소생술에 대한 전통적교실학습과 영상자가학습의 교육효과를 통하여 심폐소생술 교육에 효과적인 교육방법 선택에 도움을 주며, 심폐소생술 교육 프로그램 마련에 기초 자료를 제공하고자 하였다. 연구대상자는 G도 소재 G고등학교 2학년 남학생 두 반의 학생으로 1개 반은 실험군, 1개 반은 대조군으로 임의 배정 하였다. 연구 결과는 다음과 같다. 첫째, 심폐소생술교육 전·후 지식 차이는 대조군(2.38)이 실험군(2.32)에 비해 높게 증가하였지만, 태도 차이는 실험군(2.18)이 대조군(2.06)에 비해 높게 증가하였다. 지식과 태도에서는 통계적으로 유의한 차이는 나타나지 않았다. 둘째, 심폐소생술 교육 전·후 자신감 차이는 실험군(2.40)이 대조군(2.01)에 비해 유의하게 증가하였고(p<0.05), 술기수행 정확도 차이도 실험군(2.67)이 대조군(2.54)에 비해 유의하게 증가 하였다(p<0.05). 본 연구 결과 심폐소생술의 자신감, 술기수행 정확도에서 영상자가학습이 전통적교실학습보다 유의하게 증가하였다. 따라서 영상자가학습 교육방법을 심폐소생술 교육에 활용할 필요가 있다. Objectives: The purpose of this study is to compare educational effects between traditional classroom instruction and video self-instruction (VSI) for cardiopulmonary resuscitation (CPR) in boy"s high school students. Methods: This study was carried out targeting totally 96 boy students(47 people for experimental group, 49 people for control group) in the second grade of high school where is located in G city of G province from July 9-10, 2009. The experimental group and control group were arbitrarily selected two classes in the second grade. One class was assigned to the experimental group. another class was assigned to the control group. The experimental group was educated with VSI for CPR. The control group was educated with traditional classroom instructions for CPR. The analysis was performed with SPSS WIN (version 12.0) program using frequency chi-square(x2) test, independent samples t-test, and paired t-test. Results: After instructions, the knowledge, attitude, self-confidence, and skill performance accuracy scores on CPR increased statistically in both group. The increases of self-confidence (2.40 ± 0.73) and skill performance accuracy score (2.67 ± 0.29) in the experiment group were significantly higher than those (2.01 ± 0.96 and 2.54 ± 0.31) in the control group, respectively. Conclusion: This study suggested that VSI was more effective than traditional classroom education for self-confidence and skill-performance accuracy in CPR. To confirm it, more studies are warranted.

스쿠버다이버의 안전지식에 미치는 영향요인

강경순(Kang, Kyung-Soon),엄동춘(Uhm, Dong-Choon),백홍석(Baek, Hong-Suck) 한국산학기술학회 2011 한국산학기술학회논문지 Vol.12 No.10

스쿠버다이버의 다이빙응급과 관련된 안전지식 수준과 안전지식에 영향을 주는 요인을 파악하기 위하여 본 연구를 시도하였다. 본 연구는 서술적 조사연구로 스쿠버다이버 179명을 대상으로 2010년 10월 17일부터 2011년 6월 17일까지 시행하였다. 수집된 자료는 SPSS PASW Stastistics 18.0 Program으로 분석하였다. 스쿠버다이버의 다이빙응 급과 관련된 안전지식은 2.07(±0.54)점(점수 범위는 1점~4점)이었으며, 추위대처에 대한 안전지식(2.42±0.64점)점수가 가장 높고, 상승 시 폐의 과팽창에 대한 안전지식(1.83±0.70점)점수가 가장 낮게 나타났다. 다중회귀분석결과 변수선 택 후 회귀모형에 대한 수정된 R2 값이 0.567로 회귀모형이 56.7%로 적합하며, 안전지식은 연령(≦29세), 스쿠버다이 빙 참여기간(≦11개월)과 참여빈도(1회/월), 장비(모두구입, 일부대여) 및 동기(취업) 등이 안전지식에 영향을 주는 요 인으로 나타났다(p<.05, p<.001). 결론적으로 국가적인 차원에서 운영·관리하는 교육프로그램 개발과 관리감독이 필요하다.

만성 뇌경색 환자의 시상면에서의 환측/건측 발목 생체역학지표 비교분석

전형민(H. M. Jeon),이도영(D. Y. Lee),백홍석(H. S. Baek),김민영(M. Y. Kim) Korean Society for Precision Engineering 2023 한국정밀공학회 학술발표대회 논문집 Vol.2023 No.5