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J Korean Soc Emerg Med > Volume 26(5); 2015 > Article
Journal of The Korean Society of Emergency Medicine 2015;26(5): 449-457.
고속도로 위 긴 구간에 걸친 연쇄 추돌 사고에 대한 재난 대응의 경험 -영종대교 106중 추돌 사고에서의 현장응급의료소 운영과 소셜네트워크서비스를 이용한 재난 통신
우재혁, 이근, 조진성, 양혁준, 임용수, 김진주, 박원빈, 장지용, 장재호, 현성열, 차명일
1가천대학교 길병원 응급의학교실
2명지병원 응급의학과
Disaster Medical Responses to the Disaster Scene of Long-distance on Highway-Field Triage and Disaster Communication by Social Media for 106-vehicle Chain Collision in Yeong-Jong Grand Bridge
Jae-Hyug Woo, Gun Lee, Jin Seong Cho, Hyuk Jun Yang, Yong Su Lim, Jin Joo Kim, Won Bin Park, Jee Yong Jang, Jae H Jang, Sung Youl Hyun, Myeong Il Cha
1Department of Emergency Medicine, Gachon University Gil Medical Center, Incheon, Korea
2Department of Emergency Medicine, Myongji Hospital, Gyeonggido, Korea
Correspondence  Gun Lee ,Tel: 032) 460-3015, Fax: 032) 460-3019, Email: leekeun@gilhospital.com,
Received: July 28, 2015; Revised: July 28, 2015   Accepted: September 10, 2015.  Published online: October 30, 2015.
This study describes the disaster medical responses to the disaster scene of long-distance on a highway; 106-vehicle chain collision on Yeong-Jong Grand Bridge on February 11, 2015 and we discuss the disaster communication by social media.
Records of disaster medical responses from records of relevant organizations and messages of social media were collected. Medical records and the results of triage were reviewed retrospectively. Casualties were categorized into four groups according to results of triage; Red- Yellow-Green-Black. Kappa statistics were used to measure agreement between results of triage and casualties’ outcome.
Disaster Medical Assistant Team (DMAT) arrived on the scene one hour after accidents occurred. DMAT settled in a temporary base camp in the middle part of the scene and did not build an emergency air shelter. DMATs from four hospitals were separated into four mobile units of DMAT and they joined the rescue team. Disaster communication by social media was useful. Seventy six casualties were transported and two died; 28.9% of casualties were transported to the nearest regional emergency medical center; 20.0% of red casualties were transported to a higher level of care again. Kappa statistics were 0.122 (95% CI, - 0.049~0.291; p=0.094).
In the disaster scene of long-distance on a highway, adequate location of triage and treatment area may be the front or rear of the scene and separation of DMATs can be helpful. Disaster communication by social media was helpful. Education and policies will be required for more effective triage and dispersion of casualties.
Key words: Disasters, Mass casualty incidents, Medical assistance, Accidents, communication
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