• Title/Summary/Keyword: emergency dispatching

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A Study on Developmental Policies of The Emergency Medical Dispatch System in Korea (응급의료 통신체계의 발전방안 연구)

  • Uhm, Tai-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.3 no.1
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    • pp.33-42
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    • 1999
  • The purposes of this study which was conducted by studying the literature on Emergency Medical Dispatch System are to provide some developmental policies of quality management, pre-arrival instructions, priority dispatch protocols, training program for the dispatchers(Emergency Medical Dispatchers or EMDs) in Korea and to promote understanding emergency medical dispatching. The conclusions from this summarized as follows; (1) It is confirmed that there has been little study on the Emergency Medical Dispatch System in Korea, because for the first time, the real Emergency Medical Services were introduced into Korea in 1994, and the importance of the Emergency Medical Dispatch System has not been realized. (2) Only some squads are using a set of dispatch protocols, others aren't. (3) In spite of trying to introduce a new set of dispatch protocols, it isn't the priority dispatch system using a complete set of dispatch protocols which has key questions, pre-arrival instructions, mode & configuration based on patient assessment. (4) The EMS is unable to promote the service capacity by using quality management, because there is no medical control on the emergency medical dispatching and the EMDs. (5) There are no medical directors in the communications center who are in charge of the medical control to detect problems derived from the EMS and to solve them. (6) There are no systematic training program for the EMDs who are taking charge of dispatching. (7) Having a deep relation to the elements of the EMS, the emergency medical dispatching is subject to restriction of those elements.

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A Dynamic Programming Approach for Emergency Vehicle Dispatching Problems

  • Choi, Jae Young;Kim, Heung-Kyu
    • Journal of the Korea Society of Computer and Information
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    • v.21 no.9
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    • pp.91-100
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    • 2016
  • In this research, emergency vehicle dispatching problems faced with in the wake of massive natural disasters are considered. Here, the emergency vehicle dispatching problems can be regarded as a single machine stochastic scheduling problems, where the processing times are independently and identically distributed random variables, are considered. The objective of minimizing the expected number of tardy jobs, with distinct job due dates that are independently and arbitrarily distributed random variables, is dealt with. For these problems, optimal static-list policies can be found by solving corresponding assignment problems. However, for the special cases where due dates are exponentially distributed random variables, using a proposed dynamic programming approach is found to be relatively faster than solving the corresponding assignment problems. This so-called Pivot Dynamic Programming approach exploits necessary optimality conditions derived for ordering the jobs partially.

The Basic Design on Dispatch Life Support Pre-arrival Instruction Protocol (응급통신소생술 도착전지시 프로토콜 기본설계 방안)

  • Back, Hong-Sok;Kim, Jung-Hyun;Oh, Yong-Gyo;Cho, Hyun
    • The Korean Journal of Emergency Medical Services
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    • v.4 no.1
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    • pp.17-29
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    • 2000
  • As technology advances rapidly, emergency medical dispatching systems must also advance. Optimal emergency medical dispatching requires the courage to practice medicine at dispatch. Modern emergency medical dispatch provides appropriate resource responses with the use of an (Advanced Medical priority Dispatch System(AMPDS) in U.S.A. The AMPDS is a systematic protocol for all aspects of the dispatch process. Based on the AMPDS chief complaint list, we initiated a basic design on pre-arrival instruction protocol and completed the scripted pre-arrival instruction protocol, using Cardiopulmonary resuscitation(CPR) protocol. Implementation of this study creates computerized emergency medical dispatching system for future enhancements, such as the AMPDS.

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An evaluation study of 1339 emergency medical dispatch based on ICD-9 (국제질병분류기준을 이용한 응급의료 전화상담 내용 분석)

  • Kang, Kyung-Hee
    • The Korean Journal of Emergency Medical Services
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    • v.6 no.1
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    • pp.129-140
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    • 2002
  • Purpose : To evaluate the emergency medical protocols and assessments through the case reports. Method : We studied retrospectively investigates the emergency calls through the 1339 emergency patients information center in 1997. Results : The emergency calls show an order : abdominal pain(13.5%), unconsciousness(12.0%), traffic accidents(7.4%), bleeding(6.6%), respiration difficulty(5.9%) by emergency medical protocols, and injury and poisoning(22.3%), symptom (51.6%), others (26.1%). Conclusion : The results suggest that a specific training program for emergency medical dispatchers should be established, and emergency medical dispatcher managers must review emergency medical dispatching cases on the basis of emergency medical protocols every year. Emergency medical services, furthermore, will continue to raise the standard for emergency medical dispatching.

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Emergency dispatching based on automatic speech recognition (음성인식 기반 응급상황관제)

  • Lee, Kyuwhan;Chung, Jio;Shin, Daejin;Chung, Minhwa;Kang, Kyunghee;Jang, Yunhee;Jang, Kyungho
    • Phonetics and Speech Sciences
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    • v.8 no.2
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    • pp.31-39
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    • 2016
  • In emergency dispatching at 119 Command & Dispatch Center, some inconsistencies between the 'standard emergency aid system' and 'dispatch protocol,' which are both mandatory to follow, cause inefficiency in the dispatcher's performance. If an emergency dispatch system uses automatic speech recognition (ASR) to process the dispatcher's protocol speech during the case registration, it instantly extracts and provides the required information specified in the 'standard emergency aid system,' making the rescue command more efficient. For this purpose, we have developed a Korean large vocabulary continuous speech recognition system for 400,000 words to be used for the emergency dispatch system. The 400,000 words include vocabulary from news, SNS, blogs and emergency rescue domains. Acoustic model is constructed by using 1,300 hours of telephone call (8 kHz) speech, whereas language model is constructed by using 13 GB text corpus. From the transcribed corpus of 6,600 real telephone calls, call logs with emergency rescue command class and identified major symptom are extracted in connection with the rescue activity log and National Emergency Department Information System (NEDIS). ASR is applied to emergency dispatcher's repetition utterances about the patient information. Based on the Levenshtein distance between the ASR result and the template information, the emergency patient information is extracted. Experimental results show that 9.15% Word Error Rate of the speech recognition performance and 95.8% of emergency response detection performance are obtained for the emergency dispatch system.

An Evaluation Study of 1339 and 119 Emergency Medical Dispatch Protocols (응급의료 전화상담과 응급의료 지시서에 관한 연구 - 전화내용 분석을 통하여 -)

  • 강경희;이인숙
    • Journal of Korean Academy of Nursing
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    • v.31 no.4
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    • pp.538-547
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    • 2001
  • Purpose: To evaluate the emergency medical protocols and need assessment through the case report Method: The study investigated the emergency call system through the 1339 emergency patients information center in 1997. Results: The emergency calls tend to follow general trends of the type of cases : abdominal pain (13.5%), unconsciousness(12.0%), traffic accidents (7.4%), bleeding (6.6%), respiration difficulty (5.9%). This was all collected through emergency medical protocols injury and poisoning (22.3%), symptom (51.6%), others (26.1%). Conclusion: The results suggest that a specific training program for emergency medical dispatchers should be established, and emergency medical dispatcher managers must review the cases on the basis of emergency medical protocols every year. Emergency medical services, furthermore, will continue to raise the standard for emergency medical dispatching.

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Emergency Vehicle Dispatching on Unreliable Road Networks (불확실한 도로 네트워크에서의 응급차량 배차)

  • Choi, Jae-Young;Kim, Heung-Kyu
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.34 no.3
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    • pp.16-23
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    • 2011
  • 이 논문에서는 지진이나 해일과 같은 자연재해가 발생했을 때 생존자의 수를 최대화하기 위한 응급차량의 배차 문제에 대하여 살펴본다. 이 경우에는 도로 네트워크상에서 최단거리에 있으리라 예상되는 환자부터 실어 나르는 스케줄링 규칙을 많이 이용한다. 이 스케줄링 규칙을 SEPT(Shortest Expected Processing Time) 라고 한다. 이 논문에서는 SEPT보다 효율적이라 생각되는 새로운 스케줄링 규칙을 제안한다. 이 스케줄링 규칙은 처리시간과 납기일이 확정적인 경우에 생존자의 수를 최대화시켜주는 스케줄링을 제공하는 Moore의 알고리즘을 처리시간과 납기일이 확률적인 경우로 확장한 것이다. 다음으로 이 스케줄링 규칙을 지진이 많이 발생하는 미국 캘리포니아 주 로스앤젤레스의 한 지역을 대상으로 몇 가지 생존확률 하에서 생존자의 수를 기준으로 SEPT와 비교한다. 그 결과 모든 생존확률 하에서 제안된 스케줄링 규칙이 SEPT보다 평균적으로 생존자의 수를 더 늘려주는 스케줄링을 제공한다. 그리고 많은 경우 제안된 스케줄링 규칙은 최적 스케줄링을 제공한다.

Learning from the USA's Single Emergency Number 911: Policy Implications for Korea (미국 긴급번호 911 운영시스템에 관한 연구: 긴급번호 실질적 통합을 위한 정책 시사점 제시 중심으로)

  • Kim, Hak-Kyong;Lee, Sung-Yong
    • Korean Security Journal
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    • no.43
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    • pp.67-97
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    • 2015
  • In Korea, a single emergency number, such as 911 of the USA and 999 of the UK, does not exist. This issue became highly controversial, when the Sewol Ferry Sinking disaster occurred last year. So, the Korean government has planned to adopt a single emergency number, integrating 112 of the Police, 119 of the Fire and Ambulance, 122 of the Korean Coast Guard, and many other emergency numbers. However, the integration plan recently proposed by the Ministry of Public Safety Security seems to be, what is called, a "partial integration model" which repeals the 122 number, but still maintains 112, 119, and 110 respectively. In this context, the study looks into USA's (diverse) 911 operating system, and subsequently tries to draw general features or characteristics. Further, the research attempts to derive policy implication from the general features. If the proposed partial integration model reflects the policy implications, the model can virtually operate like the 911 system -i.e. a single emergency number system - creating inter-operability between responding agencies such as police, fire, and ambulance, even though it is not a perfect integration model. The features drawn are (1) integration of emergency call-taking, (2) functional separation of call-taking and dispatching, (3) integration of physical facilities for call-taking and dispatching, and (4) professional call-takers and dispatchers. Moreover, the policy implications derived from the characteristics are (1) a user-friendly system - fast but accurate responses, (2) integrated responses to accidents, (3) professional call-taking and dispatching & objective and comprehensive risk assessment, and finally (4) active organizational learning in emergency call centers. Considering the policy implications, the following suggestions need to be applied to the current proposed plan: 1. Emergency services' systems should be tightly linked and connected in a systemic way so that they can communicate and exchange intelligence with one another. 2. Public safety answering points (call centers) of each emergency service should share their education and training modules, manuals, etc. Common training and manuals are also needed for inter-operability. 3. Personal management to enable-long term service in public safety answering points (call centers) should be established as one of the ways to promote professionalism.

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Early Emergency Responses of the Japan Atomic Energy Agency against the Fukushima Daiichi Nuclear Power Station Accident in 2011

  • Okuno, Hiroshi;Sato, Sohei;Kawakami, Takeshi;Yamamoto, Kazuya;Tanaka, Tadao
    • Journal of Radiation Protection and Research
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    • v.46 no.2
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    • pp.66-79
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    • 2021
  • Background: The Japan Atomic Energy Agency (JAEA) is specified in the Disaster Counter-measures Basic Act as a designated public corporation for dealing with nuclear disasters. Materials and Methods: The Nuclear Emergency Assistance and Training Center (NEAT) was established in 2002 as the activity base providing technical assistance to both national and local governments during nuclear emergencies. The NEAT has a robust structure and utilities and special installations, and it organizes training and exercises. Results and Discussion: Due to an offshore earthquake that caused a devastating tsunami in March 2011, a nuclear accident occurred at the Tokyo Electric Power Company's Fukushima Daiichi Nuclear Power Station. The NEAT responded by conducting off-site environmental radiation monitoring and contamination screening, dispatching special vehicles, offering telephone consultations, and calculating the dispersion of radioactive materials. An examination of the emergency response activities revealed that the organization was prepared for these types of disasters and was able to plan long-term response. Conclusion: As a designated public corporation, the JAEA technically supports the national government, the Fukushima prefectural government, and the Ibaraki prefectural government, all of which responded to the off-site emergencies resulting from the March 2011 Fukushima Daiichi accident