http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
임상증례중심 성인 전문적 심장구조술 교육과정에 대한 고찰
유은영,박승현,박규남,최세민,김세경 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.2
Background: To describe the first experience of case-based advanced cardiac life support(ACLS) course in Korea. Methods: We have given case-based ACLS course to 13 nurses(6 emergency nurses, 4 coronary care unit nurses, 3 professors) and 17 physicians(4 emergency physicians, 12 emergency residents, 1 intern). We performed the case-based ACLS course according to 1992 American Heart Association guidelines and recommendations for advanced cardiac life support by american ACLS instructors(1 pulmonologist, 4 critical care nurses). We performed final theoretical written test and 2 times written survey (immediate and 100th day after the course) about the course. Results: On final written test, all practitioners answered at least 70% of the questions correctly. There was no significant difference between nurses and physicians(86.2±3.6 of physicians and 82.5±6.8 of nurses, p=0.06). 90% of participants considered that case-based advanced cardiac life support was acceptable. 100th day after the course, 93% of participants answered that ACLS course have been helpful on his/her job and also want retraining of ACLS course. 70% of participants considered that ideal ACLS training committee in Korea is the Korean Society of Emergency Medicine. Conclusion: Case-based ACLS course is a useful educational method for physicians and nurses in Korea. In the future, we should organize Korean resuscitation committee and then make guidelines for ACLS, and then continuously educate physicians and nurses.
정시경,유은영,오동렬,이환,최경호,김영민,이운정,김세경 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.1
Background : Flood is the most common natural disaster in our country. Lots of victims occurred during the period of flood in the northem territory of Kyoungkido on August 5, 1998. We tried to describe the characteristics of the flood-related injury and illness, management and medical requirements. Methods : We interviewed the patients admitted to 8 hospitals in Ujungbu and reviewed medical records from Aug 5 to Aug 14, 1998. Results : There were total 102 patients, male were 52% and women were 48%. Most of Patients were between 30's and 60's. Most of them were minor, and less than 3% of them needed critical care. The diagnosis were laceration(39.2%), contusion (22.5%), fracture(13.7%), infectious disease(7.8%), ligament rupture(7.8%), aggrevation of chronic illness(5.9%), dermatitis(2.0%) and traumatic hyphema(1.0%), The laceration occured in the foot(37.9%), lower leg(27.0%), thigh(16.2%), hand(10.8%) and head(8.1%). The location of ligament injury were achilless tendon(62.5%), hand(25%) and knee(12.5%). The 67.5% of flood-related laceration patients progressed to cellulitis, especially in sutured wound and a typical tetanic patient was developed. Of hospitalized patients, 2 patients showed evidence of post-traumatic stress disorder(PTSD). Conclusion : During flood, civils have better to be educated about prevention of injury, such as wearing of shoes and clothes. Although laceration was minor, lacerated wounds should be thoroughly irrigated, debrided the margin and considered delayed closure, tetanus immunization. Reportedly, there is an increased prevalance of PTSD and depression after disasters. Therefore mental health care will be required in the future.