국가재난의료매뉴얼의 개발

왕순주(Soon Joo Wang) 한국방재안전학회 2016 한국방재안전학회 논문집 Vol.9 No.1

세월호 참사 등 각종 재난에 있어 재난의료대응체계의 문제점이 노출되었는데, 이 중 현장응급의료지원팀의 현장대응 불가, 현장에서의 소방, 의료진의 협업 곤란, 현장의료지원 및 부상자의 수용, 진료를 위한 체계적이고 세부적인 매뉴얼 미비가 중요한 사항이었다. 따라서 2014년 5월부터 중앙응급의료센터 내 재난응급의료상황실 설치 운용에 따른 기존의 비공식적으로 흩어져 있던 재난의료대응 매뉴얼 수집, 수정 및 이에 대한 교육이 필요한 상황이 되었으며, 재난응급의료상황실을 중심으로 한재난 초기 의료대응체계를 확립할 필요성이 대두되었다. 중앙응급의료센터의 재난의료대응 개선 방안은 신속대응반 중심의 빠른 출동 체계 수립이나, 실제 적용할 체계가 미흡하여, 2014년 2월 응급의료법 개정 시행규칙에 따라 국가와 지자체에 재난대응 매뉴얼을 개발하고 기본안을 마련하기로 하여, 본 연구진은 학술적, 실무적으로 적절한 국가재난의료 매뉴얼을 국내 최초로 개발하였으며, 이를 훈련 및 시뮬레이션을 통하여 적용하였고 그 과정을 정리 분석하였다. The disasters in Korea, such as the Sewol Ferry Ship sinking disaster has had problems related to the medical response system, with the problems of emergency medical support team in the site, the cooperation between medical staff and fire department officer at disaster site, field medical support and hospital acceptance of the wounded in trouble, the lack of specific systematic medical response manual. Therefore, from May 2014, when the disaster emergency information center in Central Emergency Medical Center starts, collection, modification and education of scattered preexisting disaster emergency med-ical manual had appeared as important issues. So, it was necessary to develop the early medical response system to disaster. The correction planning of disaster emergency medical response system by Central Emergency Medical Center included quick response system with the fast medical team operation, but the practical application was not enough. So the researcher and his team developed the first Korean disaster emergency medical response manual and the process of development was documented and arranged with the application by education and training.

재난 시 언론 보도의 분석

왕순주(Soon-Joo Wang) 한국위험물학회 2015 한국위험물학회지 Vol.3 No.1

The newspaper reports on the Great East Japan Earthquake and Fukushima nuclear plant accident which occurred in 2011 were studied, and they were investigated and analyzed by characteristics of contents, change by time, frequency to determine the direction and degree of social concern whether the government and the firms can take advantage to cope with the changed environment. In this study, changes in patterns and frequency of disaster-specific reports based on the time and contents of newspaper reports. After the disaster occurred, the largest number of contents were reported in the initial first week after the disaster and they were provided continuously until 10 weeks. More concerns were focused on the situation in now in progress, response and recovery, and national and international impact rather than usual coverage of prevention and preparedness, basic cause analysis in the frequency of each classified content. Since the most frequent field is economic and industrial field in the domestic and international impact in the relevant sector, the firms can analyze the effect of disaster toward the economic and industrial field using the media reports about the disaster, and the firms can have the ability to deal with business environment quickly which has been changed by disaster.

군중집회 시의 안전: 군중압박의 기초 조사

왕순주(Soon-Joo Wang) 한국방재안전학회 2023 한국방재안전학회 논문집 Vol.16 No.1

2022년 10월 29일 발생한 이태원 참사 이후 군중압박 사고로 인한 인명피해에 대한 관심이 높아졌으나 국내에서 군중압박과 관련된 학술적, 실제적 기반이 미약함이 지적되었다. 이에 본 연구에서는 군중압박과 관련된 용어와 개념을 조사하고 가능한 한글 용어 후보들을 제안하였으며, 국내외에서 발생한 대표적인 군중압박 사고 사례를 조사하여 정리하였다. 일부 대표적 사례를 기반으로 한 선진국의 접근법들을 조사하였고, 그 중 대표적으로 영상분석, 시뮬레이션 및 설문과 인터뷰 방법을 요약 도출하였다. 이를 통하여 군중압박 사고의 한글 용어 표준화와 개념 정립, 평가 및 접근 방법의 체계화가 이루어지기를 기대하고 있다. After the 10.29 Itaewon disaster, interests in the crowd crush injury increased, but it is pointed out that the academic and practical basis related to crowd crush is still weak in Korea. Therefore, in this study, terms and concepts related to crowd crush were investigated and proposed, and representative cases of crowd crush events were investigated and summarized. Approaches based on representative cases were investigated, and among them, video analysis, simulation, questionnaire survey and interview methods were derived as an essential approach methods. Through this research, it is expected that standardization of Korean terminology, concept establishment, evaluation, and systematization of approach methods of crowd crush can be accomplished.

천남성(天南星)음독에 의한 구강과 인두의 충혈과 통증 및 부종의 1례

홍민기,박주옥,왕순주,Hong, Min-Ki,Park, Ju-Ok,Wang, Soon-Joo 대한임상독성학회 2003 대한임상독성학회지 Vol.1 No.1

Korean people use a lot of herbal agents for medical purposes, such as curing diseases, improving health state, but some of the herbal agents have toxic side effects. In terms of toxicology, herbal agents classified into 3 categories generally nontoxic, potentially toxic and toxic. But, there are few studies about the mechanisms and clinical features of intoxication of herbal agents. So detoxification or initial treatment of these agents is very difficult to clinicians in hospital. Authors experienced an uncommon case of intoxication after Arisaematis Rhizoma Ingestion. We report this case with review of Arisaematis Rhizoma.

Factors influencing the awareness of emergency medical services among immigrants in Korea

Min-Ho Baek(백민호),Soon-Joo Wang(왕순주),Jee-Hee Kim(김지희),Tae-Young Moon(문태영),Byung-Jun Cho(조병준) 한국산학기술학회 2015 한국산학기술학회 학술대회 Vol.2015 No.1

In this study, we investigate the recognition toward Korean emergency medical services (EMS) and the differences in perception of the EMS among the foreigners living in Korea, and compared them with the medical services environment of the immigrants’ nations of origin. A questionnaire was created and distributed to foreigners living in Korea. The questionnaire measured immigrants’ perception of safety in emergency situations and preferences for EMS. The results were compared with the public health environments of the home countries of those who took part in the survey. The safety and preference for Korean EMS showed positive tendencies. Among the factors influencing safety, higher per-capita incomes indicated lower perceptions of EMS safety. Lower life expectancy indicated higher preference for EMS. Although the safety and preference for EMS showed positive viewpoints, the real perception of EMS quality among foreigners was quite different for different services. It is necessary to establish public health-based policies for the foreigners living in Korea considering other nation's medical services environments.

히말라야 석청으로 인한 중독

최기훈 ( Gi Hun Choi ),유기철 ( Ki Cheol You ),왕순주 ( Soon Joo Wang ),박태진 ( Tae Jin Park ) 대한임상독성학회 2012 대한임상독성학회지 Vol.10 No.1

Honey is produced by bees from nectar collected from nearby flowers. Sometimes, honey produced from the Rhododendron species is contaminated by Grayanotoxin (GTX) in Nepal and other countries. There have been reports of GTX intoxication, also known as ‘mad honey disease’, from honey produced in countries other than Korea. The importation of wild honey has been prohibited by the Korean Food and Drug Administration since 2005, yet it is still distributed within Korea by the occasional tourist. We report a case of GTX intoxication from contaminated honey which included the symptoms of nausea, vomiting, general weakness, dizziness, blurred vision, hypotension and sinus bradycardia. By means of infusion with normal saline and atropine sulfate, the patient’s condition fully recovered within 8 hours of hospital admission, and she was discharged without any complications.

한국 프로 야구 구장에서의 응급의료 서비스의 현황

홍민기 ( Min Ki Hong ),김성택 ( Sung Taek Kim ),박주옥 ( Ju Ok Park ),이재성 ( Jae Sung Lee ),왕순주 ( Soon Joo Wang ) 대한스포츠의학회 2005 대한스포츠의학회지 Vol.23 No.3

1개 1339 응급의료정보센터를 중심으로 한 1339 응급의료정보센터 운영에 대한 조사

왕순주,정제명 대한응급의학회 2002 대한응급의학회지 Vol.13 No.4

Purpose: The purpose of this research is to estimate the recent function and the correct situation of the 1339 Emergency Medical Information Center and to recommend a future direction. Method: The operational results from the Taegu 1339 Emergency Medical Information Center from January 1, 1992, to December 31, 2001, were analyzed and compared retrospectively to the operational results from three other 1339 Emergency Medical Information Center. The results were analyzed according to the numbers of phone calls for various purposes, numbers per population, numbers per bed, and numbers per square kilometer in the area. Answers to five questions obatained by phone calls to personnel working at 1339 Emergency Medical Information Center in various areas in Korea were analyzed, too. Results: In the case of Taegu 1339 Emergency Medical Information Center, simple telephone inquiry is accounted for 66.8% of the calls, requests for hospital information 27.1%, consultations for diseases 4.6%, and connection to ambulances 1.5%. Seoul 1339 Emergency Medical Information Center had the highest rate of first aid consultations (42%) and the lowest rate of requests for hospital information (38.5%). Seoul center had the highest numbers of total phone calls per population, per bed, and per square kilometer in the area. Rate of connections to ambulance per bed was the highest at Busan center. In the phone call survey of personnel working at 1339 Emergency Medical Information Center, 65% answered that the extent of use of the Information Center was low. The main reason was the lack of assistance from hospitals and 119. No personnel opposed to the integrated information management of all 1339 Emergency Medical Information Centers. Conclusions: The functions of the 1339 Emergency Medical Information Centers should be rebuilt to respect the characteristics of specific regions and should be harmonized with integrated management. A correct, useful, realtime supply of information is required, and the mutual confidence between Emergency Medical Information Centers and related institutes is essential.

3차 병원을 방문한 사교상 환자에 관한 연구

왕순주 대한외상학회 1994 大韓外傷學會誌 Vol.7 No.2

This report is and analisys of clinical records of 81 patients who vistied the emergency room of Seoul National University Hospital by snake bite during 6 years from January 1988 to December 1993. We obtained the following results. 1. Male was 58 case (71. 6%) and the incidence of peak age was 4th decade. 2. The seasonal distribution was prominent in July, August and September. 3. The most frequent site of bite in body was foot. (48.1%) 4. Fang mark was uncertain more than half of the cases. 5. According to the grade of severity, grade I (46. 9%) and grade ll (37. 0%) were prominent. 6. The most common clinieal manifestation was fever (38.3%) in general symptoms, edema (100%) in local symptoms and signs. 7. In laboratory data, patients of 70.4% have hemoglcbin level over llg/dl, 43.2% have WBC count of 10,000-15,000 and many have proteinuria, glycosuria, hematuria and delayed prothrombin time. 8. Only 51.9% of patients were treated in 1 hour after bite, and 18.5% spended more than 24 hours to get to the tertiary hospital. 9. 44. 4% of patients visited tertiary hospital only via primary clinic. 10. Tourniquet application was done in 92. 6% as a primary treatment and the others were suction (60.5%), irrigation (19.8%) and excision (8.66%). Antibiotics was used in all cases. 11. Three days were most frequent (18. 5%) in days of hospital staying. 12. The most frequent complication was cellulitis (16.0%). In conclusion, the patients with snake bites who visited tertiary hospital have common clinical characteristics compared to similar patients in Korea, but it should be considered that many of them were improperly treated and spended much of time before getting to tertiary hospital.

경마와 관련된 손상의 고찰

왕순주 대한스포츠의학회 2002 대한스포츠의학회지 Vol.20 No.2