재난의학: 해외재난 발생 시 국제 재난의료 활동에대한 현황 및 나아갈 길

좌민홍,노지영,정현수 대한의사협회 2017 대한의사협회지 Vol.60 No.2

Through the Declaration of Montevideo in 2011, the World Medical Association suggested that doctors worldwide should be trained in basic disaster response regardless of their specialty. The Haiti earthquake in 2010, which had the highest number of foreign medical team dispatched from all over the world, proved that untrained and disorganized team only brought confusion. This event led the World Health Organization to develop the ‘Classification and Minimum Standards for Foreign Medical Teams in Sudden Onset Disasters’ in 2013. This guideline will become the standard for organizing an international emergency medical team. We should be able to provide high standard of care through field hospital set up and continuous training of disaster medicine specialists.

재난의학의 교육 및 훈련

좌민홍,강형구 한양대학교 의과대학 2015 Hanyang Medical Reviews Vol.35 No.3

Education and training of disaster medicine are the most important part of disaster management. There are so many training and education curriculum all over the world. However education courses based upon core competencies of disaster medicine are lacking. There is still a need to define the specific knowledge, skills, and attitudes that must be mastered by specialized professionals. Standardized core competencies for acute care medical personnel such as emergency department nurses, emergency physicians, and out-of-hospital emergency medical services personnel are needed to ensure that effective emergency medical response can be provided efficiently during all types of disasters. Therefore education and training curriculum of other countries were reviewed in this article.

모션캡쳐 기술을 이용한 모바일기기용 기본소생술 교육용 컨텐츠의 제작

좌민홍(Min Hong Choa),정현수(Hyun Soo Chung),김승호(Seung Ho Kim) 한국의료시뮬레이션학회 2014 한국의료시뮬레이션학회지 Vol.3 No.1

아마존 모토로 담수가오리(Potamotrygon motoro)의 척추 돌기 독 가시에 의한 손상 1례

좌민홍 ( Min Hong Choa ),전승호 ( Seung Ho Jun ),김덕환 ( Duk Hwan Kim ),박종수 ( Jong Su Park ),김수진 ( Su Jin Kim ),홍윤식 ( Yun Sik Hong ),이성우 ( Sung Woo Lee ) 대한임상독성학회 2013 대한임상독성학회지 Vol.11 No.1

Potamotrygon motoro, also known as the Marble motoro, is a potamodromous freshwater ray native to the basins of the Amazon River. Marble motoros were introduced to South Korea in the 2000s, and, because they are easy to raise, were sold as aquarium fish. The aim of this report is to illustrate a new case involving envenomation by a Marble motoro. A 35-year-old commercial aquarium assistant came to the hospital after being pricked by a Marble motoro. The clinical picture in this case showed acute local pain with minimal systemic manifestations. This patient recovered after receiving symptomatic treatment and wound care. This case of envenomation accentuates the potential for injury among people coming in contact with a venomous Marble motoro.

외상성 하부 요로 손상 환자의 임상적 고찰

좌민홍 ( Jwa Min Hong ),손대곤 ( Son Dae Gon ),박준석 ( Park Jun Seog ),조광현 ( Jo Gwang Hyeon ),이한식 ( Lee Han Sig ) 대한외상학회 2002 大韓外傷學會誌 Vol.15 No.2

Purpose: We reviewed the clinical features of lower urinary tract injury patients for the purpose of early diagnosis and proper management. Methods: From January 1996 to December 2000, 45 patients with lower urinary tract injury were treated at our emerge

한국 영화에 표현된 응급 처치의 적절성 평가

박인철,좌민홍,김승호 대한응급의학회 2002 대한응급의학회지 Vol.13 No.4

Purpose: As the lay public indirectly acquires medical knowledge through the mass media, it is desirable to show medically correct care in movies or TV dramas. We evaluated whether the emergency care depicted in Korean box-office movies is appropriate and medically sound. Methods: We selected Korean movies which more than 100,000 peoples had seen in Seoul from 1996 to 2001. We excluded fantasy or historical movies from the list. After searching the emergency situations in videos, including cardiopulmonary arrest, loss of consciousness, injuries, and medical emergencies, we evaluated whether the needed care was provided and properly done and whether the result was medically sound. Results: During the 6-year period, we found 46 emergency situations in 80 movies (0.6 per movie). Loss of consciousness was the most common emergency situation (34.8%), followed by cardiopulmonary arrest (15.7%). Emergency care was provided in 24 situations (52.2%), but was appropriate in only 8 among those 24 situations. Regardless of care, 50% improved and another 36.4% improved without any interventions. There was total of 106 necessary actions in the 46 situations: for instance, EMS system activation, airway maintenance, breathing and circulation support, spinal cord protection, and hemostasis. Only 21 among the 106 necessary actions (19.8%) were done. Hemostasis by external compression was the most common action done (44.4%), and airway maintenance was the least (3.6%). Conclusion: We found that emergency care and its result were not properly depicted in Korean box-office movies. Emergency physicians and the medical community should pay attention to this problem and serve as medical advisors to guarantee a medically sound portrayal.

의료인들이 제공하는 가슴 압박의 질에 대한 가상 연구

여준모,좌민홍,정상원,김인병,강지훈,김경욱,고재욱 대한중환자의학회 2011 Acute and Critical Care Vol.26 No.2

Background: Effective chest compression may improve the return of spontaneous circulation and neurologic outcome in arrest victims. For fear of rescuer’s fatigue, guidelines for cardiopulmonary resuscitation (CPR) recommended that chest compression (CC) should be switched every 2 minutes, but there is little evidence. We investigated whether health personnel could provide consistent quality of CC for 2 minutes. Methods: We recruited prospectively health personnel working on one university hospital. On the day assigned randomly, CPR performance data was collected with use of CPR recording technology. Quality of CPR was calculated every 30 seconds interval. To identify the quality decay, we used repeated measure analysis of variance with SPSS 17.0 for analysis. Results: We analyzed 8,485 CCs performed by 41 subjects. Total number of CC decayed between 90 to 120 seconds (51.6 ± 3.3 to 50.8 ± 3.5, p = 0.020) within recommended range. The ratio of correct depth CC decayed between 90 to 120 seconds, falling from 83.4 ± 24.9% to 68.3 ± 38.4% (p = 0.002). The ratio of low depth CC increased significantly over time (10.2 ± 20.7% to 31.3 ± 38.5%, p < 0.001). Conclusions: Health personnel may provide adequate number of CC for 2 minutes. But, the number of correct depth CC may decay between 90 to 120 seconds. Also the number of low depth CC may increase over time.

Phenylpropanolamine 음독 후 발생한 심근허혈

박종우,좌민홍,박준석,조광현,Park Jong Woo,Choa Min Hong,Park Joon Seok,Cho Kwang Hyun 대한임상독성학회 2003 대한임상독성학회지 Vol.1 No.1

Phenypropanolamine (PPA) is a sympathetic amine used in over-the-counter cold remedies and weight-control preparations. The side effects are hypertension, dysrhythmias, stroke, etc. The Food and Drug Administration (FDA) is taking steps to remove PPA from all drug products and has requested that all drug companies discontinue marketing products containg PPA due to high risk of hemorrhage stroke. But, in Korea now, patinets take products containg PPA with over the counter. We report here the case of PPA induced myocardial injury in a young woman who takes overdose for suicide.

‘헬기 이송환자 진료체계’를 이용하여 응급진료센터로 내원한 산악 사고 환자에대한 전향적 관찰 연구

나준호,좌민홍,정성필,박인철 대한응급의학회 2007 대한응급의학회지 Vol.18 No.6

Purpose: Geographic problems can make it difficult for rescue teams to access emergency patients in the mountains. We developed the aeromedical relief program in conjunction with fire department helicopter EMS teams. This study describes the clinical experience of patients transported from the mountains in this program. Methods: We reviewed the employed protocols and the medical records of patients transported to our hospital from the mountains by the aeromedical transport system from June 2006 to June 2007. Results: Thirty-one patients were transported by helicopter during the study period, most of them (84%) from Mt. Bukhan. The time interval from call for help to hospital arrival was 80±56 min, and rescue time alone was 30±24 min. Eleven patients (36%) were pronounced dead on arrival, and 11 patients were admitted for management. The number of trauma patients were 24 (77%), who had an average RTS score (excluding the 11 patients who expired before arrival) of 11.7±0.6. When the ground team and the aeromedical team were dispatched at the same time, the total transport time was 54.0±22.8 min, compared to 133.0 ±75.7 min when the aeromedical team was dispatched only upon the request of the ground team, a large and statistically significant difference. Conclusion: This study suggests that the helicopter transport system can be successfully employed to achieve early access to patients in the mountains. To optimize the current program, cooperation between hospital and the regional helicopter EMS is required.

아산화질소 남용에 의한 척수의 아급성 연합변성 환자에서 Vitamin B12의 투여방법에 대한 체계적 고찰

정진석,좌민홍,정성필,박인철 대한임상독성학회 2019 대한임상독성학회지 Vol.17 No.2

Purpose: The purpose of this study is to evaluate the effectiveness of vitamin B12 treatment in subacute combined degeneration (SCD) caused by nitrous oxide (N2O) abuse. Methods: Relevant literature was accessed through PubMed, EMBASE, Scopus, and KoreaMed. All the literature that was relevant to human use of vitamin B12 treatment for SCD caused by N2O abuse was included. Case reports were excluded if the treatment regimens were not precisely described. The literature search was conducted by two investigators during September 2019 for the final publication period. The languages of the publications were restricted to English and Korean. Results: Twenty-three published articles that contained 24 cases were included. Sixteen cases among them were treated with intramuscular vitamin B12 of 1 mg/day and the rest received different doses or routes. Although most cases described significant clinical improvements, one case showed no beneficial effect due to the patient’s noncooperation. Another case showed adverse events, including spinal myoclonus, following vitamin B12 therapy. Conclusion: Vitamin B12 has been broadly used for the treatment of SCD caused by N2O abuse. However, most of the relevant studies were case reports that reported various regimens of vitamin B12 administration. Further studies are needed to establish a standard regimen of vitamin B12 because the incidence of N2O abuse may increase in South Korea.