Emergency Medicine; Emergency Medical System and Disaster Medicine
| Jazyk: | japonština |
|---|---|
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | 東邦医学会雑誌. 66(1):32-36 |
| ISSN: | 0040-8670 |
| Popis: | 最終講義 “救急医学"とは,救急治療を必要とする傷病者の診療,教育,研究を行う医学分野で,災害や集団災害,救急医療体制など社会的要素も含む.最初の講義として,救急医療体制の中で救急システム・救命救急センター,救急救命士制度・メディカルコントロールを中心に,また災害医学ではその定義・災害サイクル,分類・進化,災害拠点病院・DMAT,CSCATTTについて概説する.救命救急センター制度発足より,当院は心肺停止患者に致死的不整脈患者が多く,病院前救護の重要性をいち早く指摘し,救急救命士制度導入からMCへの積極的関与を行っている.阪神淡路大震災は災害医療のwake up callで,多くの医療制度が再構築された.災害拠点病院,DMAT,情報網などの整備が掲げられ,その充実強化が継続されている.当院は区南部の災害拠点中核病院として大きな社会的責任を負うが,その災害医療対応の原則は,“CSCA TTTの確立"で,災害医療の成否に係わる必須事項である.ABSTRACT: “Emergency Medicine" is one of the medical fields subjected to patients who need acute treatment. This field involves disaster and mass casualty incident medicines. For the first lecture of Emergency Medicine, an emergency medical system (emergency care system, critical care center, a Japanese paramedic, and medical control system) and disaster medicines (definition, disaster cycle, classification, disaster base medical center, DMAT, and CSCATTT) are subjected. Doctors at the critical care center of Toho University Omori Hospital pointed out the importance of prehospital care by EMS for the life-threatened arrhythmia observed frequently in patients with cardiopulmonary arrest. Moreover, theses scientific reports led the introduction of Japan paramedic system under Medical Control. The aggressive participation in this system has been continued from the beginning. The Hanshin Awaji Great earthquake disaster awakened the disaster medicine field, and many disaster medical systems were rebuilt. Maintenance services, such as disaster-based hospitals, DMAT, the intelligence network, are advocated, and these reinforcement plans are continued now. Omori Hospital bears a big social responsibility as it is a core disaster-based hospital in the southern ward of the Tokyo metropolitan. The disaster principle for medical care is a requisiteness matter concerned with the success or failure of the disaster medical care by “establishment of CSCATTT". |
| Databáze: | OpenAIRE |
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