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J Korean Soc Emerg Med > Volume 28(1); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(1): 97-108.
경주 마우나 오션 리조트 내 체육관 붕괴사고의 재난의료응체계 고찰
차명일1, 김기운2, 김주현3, 좌민홍4, 최대해5, 김인병1, 왕순주6, 유인술7, 윤한덕8, 이강현9, 조석주10, 허탁11, 홍은석12
1명지병원 응급의학과
2순천향대학교 부천병원 응급의학과
3인제대학교 서울백병원 응급의학과
4연세대학교 세브란스병원 재난의료교육센터
5동국대학교 경주병원 응급의학과
6한림대학교 동탄성심병원 응급의학과
7충남대학교병원 응급의학과
8국립중앙의료원 중앙응급의료센터
9연세대학교원주의과대학 응급의학과
10부산대학교병원 응급의학과
11전남대학교병원 응급의학과
12울산대학교병원 응급의학과
A Study on the Disaster Medical Response during the Mauna Ocean Resort Gymnasium Collapse
Myeong-il Cha1, Gi Woon Kim2, Chu Hyun Kim3, Minhong Choa4, Dai Hai Choi5, Inbyung Kim1, Soon Joo Wang6, In Sool Yoo7, Han Deok Yoon8, Kang Hyun Lee9, Suck Ju Cho10, Tag Heo11, Eun Seog Hong12
1Department of Emergency Medicine, Myongji Hospital, Goyang, Korea
2Department of Emergency Medicine, Sooncheonhyang University Bucheon Hospital, Bucheon, Korea
3Department of Emergency Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea
4Center for Disaster Relief Training and Research, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
5Department of Emergency Medicine, Dongguk University Gyeongju Hospital, Gyeongju, Korea
6Department of Emergency Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea
7Department of Emergency Medicine, Chungnam National University Hospital, Daejeon, Korea
8National Emergency Medical Center, National Medical Center, Seoul, Korea
9Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
10Department of Emergency Medicine, Pusan National University Hospital, Pusan, Korea
11Department of Emergency Medicine, Chonnam National University Hospital, Gwangju, Korea
12Department of Emergency Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
Correspondence  Inbyung Kim ,Tel: 031-810-7119, Fax: 031-810-7129, Email: kiminbyung@gmail.com ,
Received: July 13, 2016; Revised: July 14, 2016   Accepted: August 16, 2016.  Published online: February 28, 2017.
ABSTRACT
Purpose:
To investigate and document a disaster medical response during the collapse of the Gyeongju Mauna Ocean Resort gymnasium, which occurred on February 17, 2014.
Method:
The official records of each institution were verified to select the study population. All the medical records and emergency medical service records were reviewed by an emergency physician. Personal or telephonic interviews were conducted without a separate questionnaire if the institutions or agencies crucial to disaster response did not have official records or if information from different institutions was inconsistent.
Results:
One hundred fifty-five accident victims, who were treated at 12 hospitals mostly for minor wounds, were included in this study. The collapse killed 10 people. Although the news of the collapse was disseminated in 4 minutes, it took at lease 69 minutes for a dispatch of 4 disaster medical assistance teams to take action; 4.5% of patients were treated on-site, 56.7% were transferred to 2 nearest hospitals, and 42.6% were transferred to hospitals with poor preparation to handle disaster victims.
Conclusion:
In the collapse of the Gyeongju Mauna Ocean Resort gymnasium, the initial triage and distribution of patients were inefficient, with delayed arrival of medical assistance teams. These problems had also been noted in prior mass casualty incidents. Government agencies are implementing improvements, and this study could aid the implementation process.
Key words: Disasters, Mass casualty incidents, Medical assistance, Social networking
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