To improve the usage rate and quality of emergency equipment in the hospital, the emergency equipment management was studied. The specialized management and common use of emergency equipment in a hospital was analysed with statistical methods. The usage rate, economic effectiveness and management quality of the equipment were evaluated. Based on the practical experience, the superiorities of the specialized management and common use of emergency equipment in hospitals were summarized, and the inferior positions and their improvement approaches were proposed. As a result, the hospital resource allocation was optimized and the equipment management level was improved by using the specialized management and common use of emergency equipment in the hospital.
Emergency Service, Hospital ; organization & administration ; Materials Management, Hospital ; organization & administration

OBJECTIVETo meet the needs of clinical practice of rescuing critical illness and develop the information management system of the emergency medicine.

METHODSMicrosoft Visual FoxPro, which is one of Microsoft's visual programming tool, is used to develop computer-aided system included the information management system of the emergency medicine.

RESULTSThe system mainly consists of the module of statistic analysis, the module of quality control of emergency rescue, the module of flow path of emergency rescue, the module of nursing care in emergency rescue, and the module of rescue training. It can realize the system management of emergency medicine and,process and analyze the emergency statistical data.

CONCLUSIONSThis system is practical. It can optimize emergency clinical pathway, and meet the needs of clinical rescue.

PURPOSE: This study was conducted in order to determine the current status of duty hours of emergency resident physicians in Korea. METHODS: The training committee of the Korean Society of Emergency Medicine surveyed using a questionnaire on resident training status, which contained the total number of duty hours during four weeks of July (first to 28th day) according to the grades of the resident physician. The proportions of both irregular working hours and independent working hours without supervision of a board certified physician were also evaluated. RESULTS: Responses from 80 hospitals out of 97 training hospitals were analyzed. The average number of duty hours of emergency resident physicians was 63.7+/-10.7 hours/week. The proportion of hospitals for which the average number of duty hours exceeded 80 hours/week was 16.1%. Irregular working hours consisted of 63.9%. Residents in 15(18.7%) hospitals worked 3.7~73.5% of their duty hours without supervision of a board certified physician. The higher grade resident had fewer working hours (p<0.001). No statistical difference was observed in the rate of both irregular work and unsupervised work according to the grade. CONCLUSION: Results of this study showed that nine(11.3%) hospitals had average duty hours above 80 hours/week. In Korea, training hospitals should prepare to minimize the impact of duty hour restriction in the near future, as well as to improve training quality.
Cross-Sectional Studies* ; Emergencies* ; Emergency Medicine ; Emergency Service, Hospital ; Korea ; Organization and Administration ; Surveys and Questionnaires

Diagnostic Errors ; prevention & control ; Emergency Service, Hospital ; Humans ; Severe Acute Respiratory Syndrome ; diagnosis ; World Health Organization

PURPOSE: Recently, there has been increasing number of trampoline injuries at our pediatric orthopedic clinic and emergency room. Therefore, this study is to analyze the prevalence of the trampoline injuries with emergency room surveillance. MATERIALS AND METHODS: Between September 2015 and February 2017, all patients under the age of 15 years, who visited emergency room of a teaching hospital with trauma and referred to the department of orthopedic surgery, was included; the cause of trauma was analyzed. The severity of injury was also evaluated and compared according to the cause of injury. RESULTS: There were a total of 1,807 patients under the age of 15 years who visited our emergency room during the study period. There were a total of 71 trampoline injuries (3.9%). There were 28 patients below the age of 5 years, and among them, 14 minor injury were recorded; 43 patients were over the age of 5 years and with 4 minor, 20 moderate, and 19 severe injuries. In the age between 5 and 15 years, the prevalence of mild injury was lower in trampoline injury compared with those of other sports injuries (9.3% vs. 34.0%) and the prevalence of severe injury was higher in trampoline injury (44.2% vs. 26.3%) (p=0.002). CONCLUSION: Our findings indicate that the incidence of trampoline injury was lower than other country, but it was more severe than injuries from other sports. With increasing incidence of trampoline injuries, parents should be more mindful that trampolines are not safe and stricter supervision may be necessary.
Athletic Injuries ; Emergency Service, Hospital ; Hospitals, Teaching ; Humans ; Incidence* ; Organization and Administration ; Orthopedics ; Parents ; Prevalence ; Sports

OBJECTIVE: The supply of emergency medicine (EM) specialists has not been able to meet demand in the past decade. This study comparatively analyzed clinical findings to provide fundamental data to inform efficient utilization of a limited number of EM specialists. METHODS: This retrospective study included 54,204 patients who visited the emergency department of a tertiary care medical center from March 1 to December 31, 2012. The experimental specialist-supervised (SS) group included patients supervised by an EM specialist, while the control specialist-on-call (SOC) group included patients attended by a senior resident of EM with an EM specialist on call. RESULTS: The mean length of stay in the emergency department was longer in the SS group than in the SOC group for all levels of severe-to-moderate (levels 1 to 3) and mild (levels 4 and 5) patient conditions (P<0.05). The mortality rate of severe-to-moderate patients in the SOC group was 1.63 times higher than that in patient in the SS group. CONCLUSION: Supervision by EM specialists significantly decreased mortality in patients with severe-to-moderate condition. Therefore, EM specialists should focus on this patient group, while training residents should concentrate on patients with relatively mild conditions.
Emergencies* ; Emergency Medicine* ; Emergency Service, Hospital* ; Humans ; Length of Stay ; Medical Staff ; Mortality ; Organization and Administration ; Retrospective Studies ; Specialization* ; Tertiary Healthcare

Due to heightened concerns regarding possible bioterrorist attacks, the Korea Center for Disease Control and Prevention introduced syndromic surveillance systems, which have been run by emergency departments in hospitals throughout Korea since 2002. These systems are designed to identify illness clusters before diagnoses are confirmed and reported to public health agencies, to mobilize a rapid response, and thereby to reduce morbidity and mortality. The Korea Center for Disease Control and Prevention performed drop-in syndromic surveillance successfully during the World Cup Football Games in 2002, the Universiad games in 2004, and the Asian Pacific Economic Cooperation meeting in 2005. In addition, sustainable syndromic surveillance system involving the collaborative efforts of 125 sentinel hospitals has been in operation nationwide since 2002. Because active data collection can bias decisions a physician makes, there is a need to generate an automatic and passive data collection system. Therefore, the Korea Center for Disease Control and Prevention plans to establish computerized automatic data collection systems in the near future. These systems will be used not only for the early detection of bioterrorism but also for more effective public health responses to disease.
*Bioterrorism ; Disaster Planning/organization & administration ; Disease Notification/*methods ; Disease Outbreaks/prevention & control ; Emergency Service, Hospital/*organization & administration ; Humans ; Korea ; Public Health Informatics/*organization & administration ; *Sentinel Surveillance ; Syndrome

The three links theory applied in trauma emergency care system refers to an integrated system with the three important components of trauma emergency care system, viz. prehospital trauma services, hospital trauma services and critical care services. The development of the trauma emergency care system should be guided by the three links theory so as to set up a practical and highly efficient system: a prompt operating and monitoring transportation system, a smooth and real-time information system, a rational and sustainable system of regulations and contingency plans, and a system for cultivating all-round trauma physicians.
China ; Delivery of Health Care, Integrated ; organization & administration ; Emergency Medical Service Communication Systems ; organization & administration ; Emergency Medical Services ; organization & administration ; Emergency Medicine ; organization & administration ; Emergency Service, Hospital ; organization & administration ; Humans ; Models, Organizational ; Practice Guidelines as Topic ; Transportation of Patients ; organization & administration ; Wounds and Injuries ; therapy

Meningiomas are the most common benign intracranial tumors and make up 13-26% of all primary intracranial tumors. Clinical presentation of hemorrhage is rare in these tumors occurring in approximately 1.3% of cases and subdural hemorrhages are even more uncommon. The mechanism of hemorrhage is still unclear and may vary according to histologic type, location and the type of hemorrhage. We experienced a case of 61-year-old woman with a benign meningioma presenting as a subdural hemorrhage. She developed sudden onset of headache right after aggressively coughing. Her headache persisted for a week before she was admitted to the emergency room of National Cancer Center. She had a past medical history of ovarian cancer which had been treated and was allegedly recurrence-free for 2 years. At the time of admission, a headache was the only symptom and imaging studies showed a right frontal hemorrhagic subdural mass lesion accompanying an ipsilateral subdural hematoma. Elective surgery was performed and intraoperative findings revealed the hallmark characteristics of a meningioma with mixed stage diffuse subdural hematoma. Permanent pathology result determined it was a conventional meningioma (World Health Organization grade I). From this case, we discuss the rare presentation of subdural hemorrhage in meningioma and related points by reviewing the literature of previous studies.
Cough ; Emergency Service, Hospital ; Female ; Headache ; Hematoma, Subdural* ; Hemorrhage ; Humans ; Meningioma* ; Middle Aged ; Ovarian Neoplasms ; Pathology ; World Health Organization

PURPOSE: Clinical studies of falls as a major mechanism of pediatric injury are scarce in Korea. This study was conducted to help collect basic data for establishing strategies for preventing pediatric falls and for initial management in cases of pediatric falls. METHODS: We reviewed the medical records of 59 pediatric patients admitted to the emergency department of Kyungpook National University Hospital with a history of falls from January 2000 to December 2001. Data collected included the patient's age, gender, site and height of fall, the surface fallen upon, body region of injuries, method and outcome of management, and Injury Severity Score (ISS). RESULTS: The incidence of falls in children 4 years of age or younger and between 5 and 9 years of age was similar. Of all falls, 54.3% occurred at sites such as the home or a building in which it was presumed to be possible for a caretaker to attend to the children. The body region injured most commonly was the pelvis/extremity. The ISS was significantly higher when the patient fell from height of 2 meters or more or when the body region injured most severely was the head/neck. CONCLUSION: Strategies to prevent pediatric falls, which focus on careful supervision of children, reinforcement of safeguards at playgrounds, development of educational programs, and social provision of a means of child care during a caretaker's absence, are necessary to decrease the incidence of pediatric falls. In addition, the potential for severe injury is greater when the patient falls from a height of 2 meters or more, or when the body region injured most 555 severely is the head/neck.
Body Regions ; Child ; Child Care ; Emergency Service, Hospital ; Gyeongsangbuk-do ; Humans ; Incidence ; Injury Severity Score ; Korea ; Medical Records ; Organization and Administration