徳島県内の救急医療の現状と課題

The following problems have occurred as part of emergency care in Tokushima Prefecture.
1. An unmanageable concentration of patients at emergency and critical care centers ;2. Increased treatment refusal at emergency and critical care centers ;3. Frequent telephone communication required before reaching a hospital decision to accept patients ;4. In 40％ of cases, patients receiving first aid transportation had only slight illness ;5. Patients needing emergency treatment such as pediatrics, obstetrics and ginecology care had to be transported outside of the area in the western province ;6. Declining of the first aid taking turns system.
To prevent an unmanageable patient concentration at emergency and critical care centers, and to establish quick emergency care, the following are essential :1. Active participation of a family doctor and the doctor in overtime tern in charge of primary emergency care to emergency and critical care,2. Promotion of first aid acceptance at local core hospitals,3. Cooperation in the emergency care of inhabitants,4. Patient triage by paramedics,5. Improved cooperation between paramedics and hospital staff members.