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1 : Introduction of Geriatric Emergency Medicine Soon- Joo Wang, M.D. Departm ent of Em ergency Medicine, Hallym University Sacred Heart Hospital,.,.,, 13.1% 65, % 1).,,. 35% 65 2) , , ). 15.7%, 46%, 46%, % 3) , 5). 50%,, 6)..,. 1/3 1,. 78%,

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11 .,, 36)..,,,,,..,,.,.. 14%,,, 33).,..,..,.,. 1) US Bureau of Census: Stastical abstract of the United States ed 110, Washington DC: US., Government Printing Office ). 2) Desai MM, Zhang P. Surveilance for morbidity, and mortality among old adults-united States,,, MMWR 48(7), ). 3) Strange GR, Chen EH. Use of emergency department by elder patients: A five year follow-up. study. Acad Emerg Med 1998;5:1157. (sundown syndrome) 4) McCraig LF. National Hospital Ambulatory Care Survey: 1992 Emergency Department Summary

12 So o n- Joo Wa ng. Introduction of Geriatric Emergency Medicine Washington DC, National Center for Health Statistics, Center for Disease Control and Prevention, US Department of Health and Human Services ) Signal BM, Hedges JR, Rousseau EW. Geriatric patients emergency visits Part I: Comparison of geriatric and younger patients. Ann Emerg Med 1992;21: Accid Ann Prev 1995;27: ) Zieltow SP. Multisystem geriatric trauma. J Trauma 1994;37: ) DeMaria EJ. Evaluation and Treatment of the elderly trauma victim. Clin Geriatrir Med 1993;9 : ) Levy DB, Hanlon DP, Townsend RN. Geriatric Trauma, Clin Geriatrir Med 1993;9:601. 6) McNamara RM, Rousseau E, Saunders AB. 19) Lonner JH, Koval KJ. Polytrauma in the elderly. Geriatric Emergency Medicine: A survey of Clin Orthop Rel Res 1995;318:136. practicing emergency physicians. Ann Emerg Med 1992;21:796. 7),,,... : 2002;p ) ;37(9): ) Sanders AB. Emergency Care of the Elder Person. St Louis: Berverly Cracom 29-41, ) Horattas MC, Guyton DP, Wu D. A reappraisal of appendicitis in elderly. Am J Surg 1990;160: ) Ettinger WH. Pattern of use of the emergency department by elderly patients. J Gerontol 1987; 42: ) Baum SA, Rubenstein LZ. Old people in the emergency room: Age-related differences in emergency department use and care. J Am Geriatr Soc 1987;35: ) American Heart Association. Guideline 2000 for Cardiopulmonary Resuscitation and emergency Cardiovascular Care - An international consensus on science. Circulation Supp 2000;102(8);I ) Kundson MM. Mortality factors in geriatric trauma patients, Arch Surg 1994;129: ) Shiller WR, Knox R, Chleborad W. A five-year experience with severe injuries in elderly patients. 20) Norman DC, Grahn D, Yoshikawa TT. Fever and aging. J Am Geriatr Soc 1989;33: ) Wasserman M. Utility of fever, white blood cell, and differential count in predicting bacterial infection in the elderly. J Am Geriatr Soc 1989;37: ) Macre CA. Fever in geriatric emergency patients: clinical features associated with serious illness. Ann Emerg Med 1995;26:18. 23) Beck-Sague C, Benerjee S, Jarvis WR. Infectious diseases and mortality among US nursing home residents. Am J Public Health 1993;83: ) Michielsen W. Bacterial surveillance cultures in a geriatric ward. Age Ageing 1993;22: ) Emori TG. Nosocomial infections inelderly patients in the United States, , National Nosocomial Infections Surveillance System. Am J Med 1991;91:289S. 26) Haley RW. Nosocomial infections in US hospitals, : Estimated frequency by selected characteristics of patients. Am J Med 1981;70: ) Bugliosi TF, Meloy TD, Vukof LF. Acute abdominal pain in the elderly. Ann Emerg Med 1990; 19: ) Tilfer S. Acute abdominal pain in patients of

13 . years of age. Scand J Gstroenterol 1988;144:47. 29) Muder RR. Bacteremia in a long-term care facility: A five-year prospective study of 163 consecutive episodes. Clin Infect Dis 1992;14: ) Muller RT. Painless myocardial infarction in the elderly. Am Heart J 1990;119: ) Aronow WS. Prevalence of presenting symptoms of recognized acute myocardial infarction and of unrecognized healed myocardial infarction in elderly patients. Am J Cardiol 1987;60: ) Solomon CG. Comparison of clinical presentaion of acute myocardial infarction in patients older than 65years of age to younger patients: The Multicenter Chest Pain study experience. Am J Cardiol 1989;63: ) Tabitz E. Identification of chemical abuse in the elderly admitted to emergency. Clin Gerontol 1991; 11:27. 34) Casey DA. Depression in the elderly. South Med J 1994;87: ) Muller-Sphan F, Knok C. Clinicl presentation of depression in the elderly. Gerontology 1994;40: ) Little JT. Sundown syndrome in severely demented patients with probable Alzheimer disease. J Geriatr Psychiatry Neurol 1995;8:

<C0CEC5CFBCF6B7C3B1B3C0B0C1F6C4A7BCAD2D28C3D6C1BEC3E2B7C2C8AEC0CE292D312DC3D62E687770>

<C0CEC5CFBCF6B7C3B1B3C0B0C1F6C4A7BCAD2D28C3D6C1BEC3E2B7C2C8AEC0CE292D312DC3D62E687770> 인턴 수련교육 및 진료 지침서 53 15. 심폐소생술 심폐소생술(Cardiopulmonary Resuscitation, CPR)이란 심장이 멎은 사람에게 인 공호흡과 인공순환을 유지하여 주요 장기에 산소를 공급하는 치료 술기이다. 심폐소생술에 관한 표준 가이드라인의 국제화를 위하여 1993년에 미국심장학 회(American Heart Association,