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"Gyu Chong Cho"

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Trauma | Public Health & Policy

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Characteristics of fall-from-height patients: a retrospective comparison of jumpers and fallers using a multi-institutional registry
Clin Exp Emerg Med. 2024;11(1):79-87.   Published online November 29, 2023
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Characteristics of fall-from-height patients: a retrospective comparison of jumpers and fallers using a multi-institutional registry
Clin Exp Emerg Med. 2024;11(1):79-87.   Published online November 29, 2023
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Objective
Fall from height (FFH) is a major public health problem that can result in severe injury, disability, and death. This study investigated how the characteristics of jumpers and fallers differ.
Methods
This was a retrospective study of FFH patients enrolled in an Emergency Department-based Injury In-depth Surveillance (EDIIS) registry between 2011 and 2018. Depending on whether the injury was intentional, FFH patients who had fallen from a height of at least 1 m were divided into two groups: jumpers and fallers. Patient characteristics, organ damage, and death were compared between the two groups, and factors that significantly affected death were identified using multivariable logistic analysis.
Results
Among 39,419 patients, 1,982 (5.0%) were jumpers. Of the jumpers, 977 (49.3%) were male, while 30,643 (81.9%) of fallers were male. The jumper group had the highest number of individuals in their 20s, with the number decreasing as age increased. In contrast, the number of individuals in the faller group rose until reaching their 50s, after which it declined. More thoracoabdominal, spinal, and brain injuries were found in jumpers. The in-hospital mortality of jumpers and fallers was 832 (42.0%) and 1,268 (3.4%), respectively. Intentionality was a predictor of in-hospital mortality, along with sex, age, and fall height, with an odds ratio of 7.895 (95% confidence interval, 6.746–9.240).
Conclusion
Jumpers and fallers have different epidemiological characteristics, and jumpers experienced a higher degree of injury and mortality than fallers. Differentiated prevention and treatment strategies are needed for jumpers and fallers to reduce mortality in FFH patients.

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  • Criteria for Methods of Radio Frequency Scanning at Telecommunication Towers in Malaysia Based on Delphi-AHP Analysis
    Rosdin Abdul Kahar, Mohd Nizam Ab Rahman, Nizaroyani Saibani, Mohd Fais Mansor, Mirza Basyir Rodhuan
    Eng.2026; 7(1): 35.     CrossRef
  • 10,771 View
  • 107 Download
  • 1 Web of Science
  • 1 Crossref

Erratum

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Erratum to “2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 4. Adult advanced life support”
Clin Exp Emerg Med. 2022;9(2):162-163.   Published online June 30, 2022
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Erratum to “2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 4. Adult advanced life support”
Clin Exp Emerg Med. 2022;9(2):162-163.   Published online June 30, 2022
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Guidelines

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2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 3. Adult basic life support
Clin Exp Emerg Med. 2021;8(S):S15-S25.   Published online May 21, 2021
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2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 3. Adult basic life support
Clin Exp Emerg Med. 2021;8(S):S15-S25.   Published online May 21, 2021
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  • 13,684 View
  • 153 Download
  • 10 Web of Science
  • 11 Crossref

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2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 4. Adult advanced life support
Clin Exp Emerg Med. 2021;8(S):S26-S40.   Published online May 21, 2021
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2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 4. Adult advanced life support
Clin Exp Emerg Med. 2021;8(S):S26-S40.   Published online May 21, 2021
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  • 223 Download
  • 29 Web of Science
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2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 2. Environment for cardiac arrest survival and the chain of survival
Clin Exp Emerg Med. 2021;8(S):S8-S14.   Published online May 21, 2021
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2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 2. Environment for cardiac arrest survival and the chain of survival
Clin Exp Emerg Med. 2021;8(S):S8-S14.   Published online May 21, 2021
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  • 2025년 한국 심폐소생술 가이드라인 주요 개정사항
    성필 정, 도균 김, 태윤 김, 유동 손, 규홍 심, 영화 정, 윤희 오, 준성 윤, 미진 이, 지숙 이, 창희 이, 영빈 장, 용수 장, 규종 조, 경철 차, 주선 허, 성오 황, 지수 김, 정은 이, 은희 전
    Public Health Weekly Report.2026; 19(6): 304.     CrossRef
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  • 16 Web of Science
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2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 1. Update process and highlights
Clin Exp Emerg Med. 2021;8(S):S1-S7.   Published online May 21, 2021
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2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 1. Update process and highlights
Clin Exp Emerg Med. 2021;8(S):S1-S7.   Published online May 21, 2021
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Citations

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  • 10,233 View
  • 200 Download
  • 13 Web of Science
  • 13 Crossref

Original Articles

Psychosocial

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Effects of mobile messenger counseling on case management success for individuals engaging in self-harm or suicide attempts who were discharged from emergency departments
Clin Exp Emerg Med. 2021;8(1):48-54.   Published online March 31, 2021
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Effects of mobile messenger counseling on case management success for individuals engaging in self-harm or suicide attempts who were discharged from emergency departments
Clin Exp Emerg Med. 2021;8(1):48-54.   Published online March 31, 2021
Close
Objective
Postdischarge case management for self-harm or suicide attempters often fails; therefore, this study aimed to investigate the effects of mobile messenger counseling (MMC) on the postdischarge case management results among this patient group.
Methods
A retrospective analysis was done with data collected from March 2015 to February 2020 that included self-harm or suicide attempters who had visited a Korean emergency department and were discharged. If patients consented, postdischarge case management and MMC were conducted from March 2017. The primary outcome was the rate of successful case management, which reflects the patients either connecting to a local psychiatric healthcare center or undergoing a follow-up at a neuropsychiatric outpatient department at least once following discharge. Using univariate and multivariate logistic regression analyses, we evaluated MMC’s effects on these patients’ postdischarge case management.
Results
Of 913 patients, 604 participated in this study. In terms of successful case management, the MMC group showed a significantly higher rate than the non-MMC one (28.3% vs. 16.1%, P=0.001). A multivariate analysis demonstrated that access to postdischarge MMC (odds ratio, 2.149; 95% confidence interval, 1.357–3.403; P=0.001) and giving consent for case management while in the emergency department were significantly associated with successful case management (odds ratio, 8.917; 95% confidence interval, 5.610–14.173; P<0.001).
Conclusion
The use of MMC for self-harm or suicide attempters is associated with higher case management success rates by increasing their chances of connecting to a psychiatric healthcare center or a neuropsychiatric outpatient department.

Citations

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    Laura Bennett-Poynter, Sridevi Kundurthi, Reena Besa, Dan W. Joyce, Andrey Kormilitzin, Nelson Shen, James Sunwoo, Patrycja Szkudlarek, Lydia Sequiera, Laura Sikstrom
    DIGITAL HEALTH.2025;[Epub]     CrossRef
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    Ah Rah Lee, Je Young Hannah Sun, Myungjae Baik, Peter Jongho Na, Sang Min Lee, Jong-Woo Paik
    Psychiatry Investigation.2025; 22(6): 603.     CrossRef
  • Beyond the emergency department: the use of mobile health discharge interventions—a scoping review
    Courtney Price, Omar Anjum, Maxim Ben-Yakov, Ani Orchanian-Cheff, Venkatesh Thiruganasambandamoorthy
    Canadian Journal of Emergency Medicine.2025; 27(9): 729.     CrossRef
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    Laura Comendador, María Paola Jiménez Villamizar, Josep-Maria Losilla, Juan P Sanabria-Mazo, Corel Mateo Canedo, Antoni Sanz, Ana Isabel Cebrià, Diego Palao
    BMJ Open.2025; 15(10): e102094.     CrossRef
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    Hwayeon Danielle Shin, Keri Durocher, Lydia Sequeira, Juveria Zaheer, John Torous, Gillian Strudwick
    BMC Health Services Research.2023;[Epub]     CrossRef
  • Effect of synchronous remote-based interventions on suicidal behaviours: protocol for a systematic review and meta-analysis
    Laura Comendador, María Paola Jiménez-Villamizar, Josep-Maria Losilla, Juan P Sanabria-Mazo, Corel Mateo-Canedo, Ana Isabel Cebrià, Antoni Sanz, Diego J Palao
    BMJ Open.2023; 13(12): e075116.     CrossRef
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    Clinical and Experimental Emergency Medicine.2023; 10(4): 418.     CrossRef
  • 6,672 View
  • 72 Download
  • 7 Web of Science
  • 7 Crossref

Resuscitation

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Korean Cardiac Arrest Research Consortium (KoCARC): rationale, development, and implementation
Clin Exp Emerg Med. 2018;5(3):165-176.   Published online September 30, 2018
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Korean Cardiac Arrest Research Consortium (KoCARC): rationale, development, and implementation
Clin Exp Emerg Med. 2018;5(3):165-176.   Published online September 30, 2018
Close
Objective
This study aimed to describe the conceptualization, development, and implementation processes of the newly established Korean Cardiac Arrest Resuscitation Consortium (KoCARC) to improve out-of-hospital cardiac arrest (OHCA) outcomes.
Methods
The KoCARC was established in 2014 by recruiting hospitals willing to participate voluntarily. To enhance professionalism in research, seven research committees, the Epidemiology and Preventive Research Committee, Community Resuscitation Research Committee, Emergency Medical System Resuscitation Research Committee, Hospital Resuscitation Research Committee, Hypothermia and Postresuscitation Care Research Committee, Cardiac Care Resuscitation Committee, and Pediatric Resuscitation Research Committee, were organized under a steering committee. The KoCARC registry was developed with variables incorporated in the currently existing regional OHCA registries and Utstein templates and were collected via a web-based electronic database system. The KoCARC study population comprises patients visiting the participating hospitals who had been treated by the emergency medical system for OHCA presumed to have a cardiac etiology.
Results
A total of 62 hospitals volunteered to participate in the KoCARC, which captures 33.0% of the study population in Korea. Web-based data collection started in October 2015, and to date (December 2016), there were 3,187 cases compiled in the registry collected from 32 hospitals.
Conclusion
The KoCARC is a self-funded, voluntary, hospital-based collaborative research network providing high level evidence in the field of OHCA and resuscitation. This paper will serve as a reference for subsequent KoCARC manuscripts and for data elements collected in the study.

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Retention of cardiopulmonary resuscitation skills after hands-only training versus conventional training in novices: a randomized controlled trial
Clin Exp Emerg Med. 2017;4(2):88-93.   Published online June 30, 2017
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Retention of cardiopulmonary resuscitation skills after hands-only training versus conventional training in novices: a randomized controlled trial
Clin Exp Emerg Med. 2017;4(2):88-93.   Published online June 30, 2017
Close
Objective
Cardiopulmonary resuscitation (CPR) training can improve performance during simulated cardiac arrest; however, retention of skills after training remains uncertain. Recently, hands-only CPR has been shown to be as effective as conventional CPR. The purpose of this study is to compare the retention rate of CPR skills in laypersons after hands-only or conventional CPR training.
Methods
Participants were randomly assigned to 1 of 2 CPR training methods: 80 minutes of hands-only CPR training or 180 minutes of conventional CPR training. Each participant’s CPR skills were evaluated at the end of training and 3 months thereafter using the Resusci Anne manikin with a skill-reporting software.
Results
In total, 252 participants completed training; there were 125 in the hands-only CPR group and 127 in the conventional CPR group. After 3 months, 118 participants were randomly selected to complete a post-training test. The hands-only CPR group showed a significant decrease in average compression rate (P=0.015), average compression depth (P=0.031), and proportion of adequate compression depth (P=0.011). In contrast, there was no difference in the skills of the conventional CPR group after 3 months.
Conclusion
Conventional CPR training appears to be more effective for the retention of chest compression skills than hands-only CPR training; however, the retention of artificial ventilation skills after conventional CPR training is poor.

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Guidelines

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Part 8. Cardiopulmonary resuscitation education: 2015 Korean Guidelines for Cardiopulmonary Resuscitation
Clin Exp Emerg Med. 2016;3:S66-S68.   Published online July 5, 2016
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Part 8. Cardiopulmonary resuscitation education: 2015 Korean Guidelines for Cardiopulmonary Resuscitation
Clin Exp Emerg Med. 2016;3:S66-S68.   Published online July 5, 2016
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  • Effects of the non-contact cardiopulmonary resuscitation training using smart technology
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  • 19,755 View
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  • 6 Web of Science
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Part 2. Adult basic life support: 2015 Korean Guidelines for Cardiopulmonary Resuscitation
Clin Exp Emerg Med. 2016;3:S10-S16.   Published online July 5, 2016
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Part 2. Adult basic life support: 2015 Korean Guidelines for Cardiopulmonary Resuscitation
Clin Exp Emerg Med. 2016;3:S10-S16.   Published online July 5, 2016
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  • Clinical Implications of the Lung Ultrasound Score in Patients after Cardiopulmonary Resuscitation
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  • 17,158 View
  • 191 Download
  • 17 Web of Science
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Original Article

Resuscitation

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Outcome and current status of therapeutic hypothermia after out-of-hospital cardiac arrest in Korea using data from the Korea Hypothermia Network registry
Clin Exp Emerg Med. 2014;1(1):19-27.   Published online September 30, 2014
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Outcome and current status of therapeutic hypothermia after out-of-hospital cardiac arrest in Korea using data from the Korea Hypothermia Network registry
Clin Exp Emerg Med. 2014;1(1):19-27.   Published online September 30, 2014
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Objective

Therapeutic hypothermia (TH) has become the standard strategy for reducing brain damage in the postresuscitation period. The aim of this study was to investigate current TH performance and outcomes in out-of-hospital cardiac arrest (OHCA) survivors using data from the Korean Hypothermia Network (KORHN) registry.

Methods

We used the KORHN registry, a web-based multicenter registry that includes 24 participating hospitals throughout the Republic of Korea. Adult comatose OHCA survivors treated with TH between 2007 and 2012 were included. The primary outcomes were neurological outcome at hospital discharge and in-hospital mortality. The secondary outcomes were TH performance and adverse events during TH.

Results

A total of 930 patients were included, of whom 556 (59.8%) survived to discharge and 249 (26.8%) were discharged with good neurologic outcomes. The median time from return of spontaneous circulation (ROSC) to the start of TH was 101 minutes (interquartile range [IQR], 46 to 200 minutes). The induction, maintenance, and rewarming durations were 150 minutes (IQR, 80 to 267 minutes), 1,440 minutes (IQR, 1,290 to 1,440 minutes), and 708 minutes (IQR, 420 to 900 minutes), respectively. The time from the ROSC to coronary angiography was 1,045 hours (IQR, 121 to 12,051 hours). Hyperglycemia (46.3%) was the most frequent adverse event.

Conclusion

More than one-quarter of the OHCA survivors (26.8%) were discharged with good neurologic outcomes. TH performance was appropriately managed in terms of the factors related to its timing, including cooling start time and rewarming duration.

Citations

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  • Association Between the Timing of Coronary Angiography, Targeted Temperature Management, and Neurological Outcomes After Out‐of‐Hospital Cardiac Arrest: A Nationwide Population‐Based Registry Study in Korea
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