Yonsei Med J.  2010 Nov;51(6):965-970. 10.3349/ymj.2010.51.6.965.

Analysis of Hospital Disaster in South Korea from 1990 to 2008

Affiliations
  • 1College of Engineering School of Fire & Disaster Prevention, Kangwon National University, Samcheok, Korea.
  • 2Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea. lovelydr@schbc.ac.kr

Abstract

PURPOSE
The purpose of this study is to systematically review and analyze disasters involving South Korean hospitals from 1990 and to introduce a newly developed implement to manage patients' evacuation.
MATERIALS AND METHODS
We searched for studies reporting disaster preparedness and hospital injuries in South Korean hospitals from 1990 to 2008, by using the Korean Studies Information Service System (KISS, copyright Korean Studies Information Co, Ltd, Seoul, Korea) and, simultaneously, hospital injuries which were reported and regarded as a disaster. Then, each study and injury were analyzed.
RESULTS
Five studies (3 on prevention and structure, 1 on implement of new device, and 1 on basic supplement to current methods) and 8 injuries were found within this period. During the evacuations, the mean gait speed of walking patients was 0.82 m/s and the mean time of evacuation of individual patients was 38.39 seconds. Regarding structure evaluation, almost all hospitals had no balconies in patient rooms; hospital elevators were placed peripherally and were insufficient in number. As a new device, Savingsun (evacuation elevator) was introduced and had some merits as a fast and easy tool, regardless of patient status or the height of hospital.
CONCLUSION
In South Korea, preparation for hospital disasters was noted to be insufficient but has involved various departments such as architectural, clinical, and building operations. In addition, Savignsun has been shown to effectively evacuate and save patients in a hospital disaster.

Keyword

Injury; disaster; hospital; preparedness

MeSH Terms

Disaster Planning/*methods
*Disasters
Emergency Service, Hospital
Equipment Design
Hospital Administration
*Hospitals
Humans
Japan
Patient Transfer
Republic of Korea
Transportation of Patients
United States

Figure

  • Fig. 1 "Savingsun" with some safety apparatus (A) and the sequence to operate (B).


Reference

1. Barbera JA, Yeatts DJ, Macintyre AG. Challenge of hospital emergency preparedness: analysis and recommendations. Disaster Med Public Health Prep. 2009. 3:S74–S82.
2. Lee YJ, Yoon MO, Park JS, Lee DH. A study on the life saving implement of high-rise building. T. of Korean Institute of Fire Sci. & Eng. 2005. 365–371. (C-16).
3. Accessed February 7, 2010. Available at: http://119savingsun.com/.
4. Accessed February 7, 2010. Available at: http://kiss.kstudy.com/.
5. Disaster response system. National Emergency Medical Center. Accessed september 11, 2007. available at: http://www.nemc.go.kr/.
6. Kim ES, Lee JS, Park SM, You HK. A study on evacuation of patients in hospitals: part II. T. of Korean Institute of Fire Sci & Eng. 2005. 19:28–36.
7. Kim ES, Lee JS, Kim MH, You HK, Song YH, Min KC. A study on evacuation of patients in hospitals: part I. T. of Korean Institute of Fire Sci. & Eng. 2005. 19:20–28.
8. Yim JH, Kim HJ, Kim E, Park HS, Choi J. A study on the fire protection plan of hospital building through case studies. T. of Korean Institute of Fire Sci. & Eng. 2005. 199–204. (C-01).
9. Park TJ, Kim WJ, Yun JC, Oh BJ, Lim KS, Lee BS, et al. Emergency medical centers preparedness for a biological disaster in Korea. J Korean Soc Emerg Med. 2008. 19:263–272.
10. Baker DJ. The pre-hospital management of injury following mass toxic release; a comparison of military and civil approaches. Resuscitation. 1999. 42:155–159.
Article
11. Srivatsa LP. The Bhopal tragedy. J Toxicol Clin Exp. 1987. 7:47–49.
12. Okumura T, Suzuki K, Fukuda A, Kohama A, Takasu N, Ishimatsu S, et al. The Tokyo subway sarin attack: disaster management, Part I: Community emergency response. Acad Emerg Med. 1998. 5:613–617.
Article
13. Greenberg MI, Hendrickson RG. CIMERC. Drexel University Department Terrorism Preparedness Consensus Panel. Report of the CIMERC/Drexel university emergency department terrorism preparedness consensus panel. Acad Emerg Med. 2003. 10:783–788.
Article
14. Kim DO, Oh BJ, Hong ES, Lee JH, Kim W, Ahn JY, et al. Surveillance on hazardous material preparedness in the emergency deparment in Korea: personal protection equipment. J Korean Soc Emerg Med. 2007. 18:48–55.
15. Preparedness kit features recommended items ofr emergencies. American Red Cross. Accessed September 11, 2007. available at: http://www.redcorss.org/.
16. Basic disaster supplies. Federal Emergency Management Agency. Accessed September 11, 2007. available at: http://www.fema.gov/.
17. Sohn CH, Yoon JC, Oh BJ, Kim W, Lim KS. Hospital disaster preparedness in Korea: aspect of basic sypplies during a disaster. J Korean Soc Emerg Med. 2008. 19:22–30.
18. Kai T, Ukai T, Ohta M, Pretto E. Hospital disaster preparedness in Osaka, Japan. Prehosp Disaster Med. 1994. 9:29–34.
19. Accessed February 7, 2010. Available at: http://www.jica.go.jp/.
20. Accessed February 7, 2010. Available at: http://www.jma.go.jp/jma/.
21. Sauer LM, McCarthy ML, Knebel A, Brewster P. Major influences on hospital emergency management and disaster preparedness. Disaster Med Public Health Prep. 2009. 3:S68–S73.
Article
22. Gray BH, Hebert K. Hospitals in Hurricane Katrina: challenges facing custodial institutions in a disaster. J Health Care Poor Underserved. 2007. 18:283–298.
Article
23. Sanders CV. Hurricane Katrina and the LSU-New Orleans Department of Medicine: impact and lessons learned. Am J Med Sci. 2006. 332:283–288.
Article
24. Sariego J. A year after hurricane katrina: lessons learned at one coastal trauma center. Arch Surg. 2007. 142:203–205.
25. Braun BI, Wineman NV, Finn NL, Barbera JA, Schmaltz SP, Loeb JM. Integrating hospitals into community emergency preparedness planning. Ann Intern Med. 2006. 144:799–811.
26. LaCombe DM. 72 hours: what rescuers can anticipate before help arrives. JEMS. 2005. 30:75–79.
27. Ferrer RR, Ramirez M, Sauser K, Iverson E, Upperman JS. Emergency drills and exercises in healthcare organizations: assessment of pediatric population involvement using after-action reports. Am J Disaster Med. 2009. 4:23–32.
Article
28. Timm N, Kennebeck S. Impact of disaster drills on patient flow in a pediatric emergency department. Acad Emerg Med. 2008. 15:544–548.
29. Kaji AH, Langford V, Lewis RJ. Assessing hospital disaster preparedness: a comparison of an on-site survey, directly observed drill performance, and video analysis of teamwork. Ann Emerg Med. 2008. 52:195–201. 201.e1–201.e12.
Full Text Links
  • YMJ
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr