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RISS 인기검색어
- 검색키워드
- 저자 : 도병수(Byung Soo Do) (검색결과 49 건)
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이상범,김정호,도병수,Lee, Sam-Beom,Kim, Jung-Ho,Do, Byung-Soo 대한임상독성학회 2004 대한임상독성학회지 Vol.2 No.1
Purpose: We would evaluate the cardiovascular manifestations of the patients with acute organophosphate and carbamate poisoning in the emergency department. Methods: This was retrospectively studied with the review of patient's charts, included total 38 patients were admitted during the past two years in the emergency department of Yeungnam university hospital with the diagnosis of organophosphate or carbamate poisoning. Results: Cardiovascular complications were variously developed in many patients. Electrocardiographic findings were as follows; 4 ($10.5\%$) cardiac arrhythmias included 1 cardiac arrest caused by ventricular fibrillation, 14 ($36.8\%$) sinus tachycardias, 3 ($7.9\%$) sinus bradycardias, and 17 ($44.7\%$) normal sinus rhythms. Conduction disturbances were 23 ($60.5\%$) like as prolonged QTc, 4 ($10.5\%$) ST-T changes, 2 (5.3%) first degree AV block, and 3 ($7.9\%$) right bundle branch block were shown. Other cardiovascular complications were 22 ($57.9\%$) hypertensives, 4 ($10.5\%$) hypotensives, 15 ($39.5\%$) tachycardias, 2 ($5.3\%$) bradycardias, 18 ($47.4\%$) hypoxemics, 12 ($31.6\%$) metabolic acidosis, and 9 ($23.7\%$) pulmonary edemas. Sixteen patients ($42.1\%$) needed ventilatory support because of respiratory paralysis. No patients died in hospital and 36 ($94.7\%$) patients were alive-discharged. Conclusion: Cardiovascular complications are variously in patients with acute organophosphate and carbamate poisoning. Especially, some findings included ventricular arrhythmias, QTc prolongation, hypoxemia, acidosis, and blood pressure changes are known as major precipitating factors to increase the mortality. So, intensive support and aggressive treatment are needed in patients shown various cardiovascular manifestations in the emergency department.
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응급실에서 급성 췌장염 환자의 선별을 위한 actim Pancreatitis 검사의 유용성
송석훈(Seok Hun Song),도병수(Byung Soo Do),이삼범(Sam Beom Lee) 대한응급의학회 2001 대한응급의학회지 Vol.12 No.4
Background: Acute pancreatitis is a fairly common abdominal disorder that can be easily confronted in the emergency department (ED) and is one of the most complex and clinically challenging of all abdominal disorders. Currently, there is no gold standard for the diagnosis of acute pancreatitis. We evaluated the usefulness of the actim PancreatitisR rapid test, which has been recently developed in Europe, as a screening test of acute pancreatitis in our emergency department. Methods: We prospectively studied the urinary trypsinogen-2 dipstick tests (actim PancreatitisR , Medix Biochemica, Kauniainen, Finland) of 200 patients with acute abdominal pain who were treated at our ED. All urine samples were collected from the patients within 12 hours of arrival at ED. We also measured serum amylase assay in the laboratory and compared the sensitivities and the specificities of the two test. Acute pancreatitis was diagnosed by authors according to standardized criteria. Abdominal USG or CT was performed when a patient with a normal serum amylase level had a typical clinical presentation. Results: The actim PancreatitisR rapid test was positive in 22 of the 25 patients with acute pancreatitis (sensitivity, 88.0 percent). The test was also positive in 6 of 175 patients without pancreatitis (specificity, 96.6 percent). The serum amylase assay had a sensitivity of 68.0 percent (with a cutoff value of 300 U per liter for the upper reference limit) and a specificity of 90.9 percent. But there were no statistical differences between the correlation coefficients of the two tests as diagnostic tool. Conclusion: In patients with acute abdominal pain who are seen in the emergency department, the actim PancreatitisR urinary dipstick test has a high degree of probability as a screening test for acute pancreatitis. Also it can easily and rapidly be use at the bedside.
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김정호 ( Jung Ho Kim ),도병수 ( Byung Soo Do ),이삼범 ( Sam Beom Lee ),이성훈 ( Sung Hoon Lee ),시종원 ( Jong Won Si ),이재영 ( Jae Young Lee ),김오룡 ( Oh Lyong Kim ) 대한외상학회 2006 대한외상학회지 Vol.19 No.2
Purpose: Many factors influence the occurrence and severity of geriatric trauma, and regional weather is regarded as one factor that influences geriatric trauma. In this study, to predict the type, severity, and incidence of geriatric trauma patient, we analyzed the influence of regional weather on geriatric trauma. Methods: The subjects of our investigation were trauma patients over sixty-five years of age who visited the Emergency Department (ED) of Yeungnam University Hospital during a one-year period. We retrospectively reviewed the medical charts of 436 geriatric trauma patients, and the data were analyzed by using SPSS 12.0 for Window. The weather was based on data from the Korea Meteorological Administration. Results: The average age was 72.8 years old, and the ratio of males to females was 1:1.1. The mean spell out ISS was 10.8, and no difference was found between males and females. Slips were the most common cause of trauma. The largest numbers of aged trauma patients, 46, visited the ED in May, and the smallest number of such patients, 24, visited the ED in December. In addition to, summer saw the largest number of aged trauma patients. The type of trauma, the Injury Severity Score, and the number of patients had no relationship with season. On sunny days, the ISS was larger in patients who had hypotension and who had tachycardia. On rainy day, the ISS was larger in male patients and cultivator accident patients. The number of patients was larger on partly cloudy days. Conclusion: In spring and summer and on partly cloudy days, we must be prepared to treat aged traumatized patients in the E.D. On rainy days, visual sensation, tactual sense, and acoustic sense must be closely examined. In addition,on rainy day, aged male traumatized patients or cultivator accident patients must to be closely observation. (J Korean Soc Traumatol 2006;19:97-104)
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흉부압박대 인공호흡 비율의 변화에 따른 소생술 방법의 정확도 비교: 마네킨을 이용한 연구
이성훈 ( Sung Hoon Lee ),이삼범 ( Sam Beom Lee ),도병수 ( Byung Soo Do ) 영남대학교 기초/임상의학연구소 2007 Yeungnam University Journal of Medicine Vol.24 No.2S
Background:Newly revised cardiopulmonary resuscitation (CPR) guideline in 2005 recommends 30 chest compressions and 2 rescue breaths during CPR for all rescuers to use for all adult victims. We would compare the accuracy of the CPR methods by revised CPR guideline in 2005 and previous guideline in 2000. Materials and Methods:Fifty medical students during the introduction to clinical medicine (ICM) were investigated after 30 minutes lecture and brief education of CPR methods. Each students performed twice both CPR methods, the one by guideline 2005 (method A), 4 cycles of 30 compressions every 2 breaths, and the other by guideline 2000 (method B), 10 cycles of 15 compressions every 2 breaths. Resci® Anne mannekin and Laerdal® skillmeter were used and paper reports were printed after each tests. After then, we compared the technical accuracy of the results between method A (30:2) and method B (15:2). 1) Results:Total fifty students (37 males, 13 females) were tested, their mean age was 25.1, mean body weight was 63.5 kg. The technical accuracy on chest compression was not different between two methods and also the technical accuracy on ventilation was not different between two methods except total ventilation number (p>0.05). Conclusion:We could not find significant differences of technical accuracy between both CPR methods. So we don`t think new guideline 2005 is superior to previous guideline 2000 by technical efforts although it`s hemodynamic responses and other clinical benefits is excluded in this study.
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급성흉통으로 내원한 환자에서 심근경색증을 조기 발견하기 위한 TROP - TR Rapid Assay의 유용성
김현정 ( Hyun Jyung Kim ),정준영 ( Jun Young Chung ),이창현 ( Chang Hyun Lee ),도호석 ( Ho Suk Doh ),이삼범 ( Sam Beom Lee ),도병수 ( Byung Soo Do ) 대한응급의학회 1996 대한응급의학회지 Vol.7 No.2
Study objectives: In the past, measurement of cardiac enzymes (I.e. CK and/or CK-MB, GOT, LDH) and myoglobin, cardiac specific serum troponin-T were widely used far the diagnosis of acute myocardial infarction, but it need a lang time and have low specificity. Thus new diagnostic modality, TROP-T Rapid Assay, is very easy and rapid qualitative methods, is needed for the early detection of acute myocardial infarction. Methods - Total CK, GOT, LDH, myoglobin and serum troponin-T activities were measured in patients presenting with acute chest pain at the ency department and at the same time TROP-1 Rapid Assay was done. Final diagnosis and diagnostic usefulness was evaluated. Results OveraU diagnotic sensitivity and specificity of initial results were as follows, TROP-T Rapid Assay, 77.3, 100.0; myoglobin, 63.6, 70.4; CK, 95.5, 96.3; GOT, 86.4, 96.3; LDH, 90.9, 92.6; serum troponin- T, 86.4, 96.3, respectively. Condusion : The TROP-T Rapid Assay is simple method and has a short time and nearly same sensitivity and specificity compared to other cardiac enzymes. Thus this is considered useful method in the early detection of acute myocardial infarction at emergency department.
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동시에 내원한 대량환자의 응급의학과내 처치에 대한 고찰
도병수 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1
A multicasuality incident usually refers to an isolated, geographically focused event which produces a limited number of casualities that tare managed within a community. Our emergency department(ED) was experienced two cases of multicasuality events in Taegu, Korea. And we could gain experience with in-ED-community multicasuality events management. We tried to analyse emergency department disaster management in the review of two community muticasuality events including fall downing accident and food poisoning. The result of ED management survey shows the importance of the hospital's disaster plan to presuppose a large influx of patients, notification of the hospital, mobilization of additional personnel resources including triage and trauma team and preparation of ED space and beds.
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도병수,이삼범 대한외상학회 1997 大韓外傷學會誌 Vol.10 No.1
Trauma scoring system(PhTSS) have been devised to aid in the triage of trauma victims in the prehospital setting and provided the advantage over the judgment of EMT in determining which trauma victims require transportation to emergency or trauma center. This PhTSS requires several characteristics which is simple, accurate, easily accessible and effective, and should have high predictive validity and inter- & intra-observer reliability. So authors will discuss the most commonly used trauma score and illustrate in the accompanying tables; is the GCS, the RTI, the TS, the RTS, the CRAMS score, the TTR and the PTS.
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