ID 110322
タイトルヨミ
ERガタ キュウキュウ ニ トリクム ニジ キュウキュウ イリョウ キカン ノ ゲンジョウ
タイトル別表記
Present status of US-style emergency medicine (ER-style) of a secondary emergency hospital in Tokushima Prefecture
著者
上山, 裕二 医療法人倚山会田岡病院救急科
山中, 明美 医療法人倚山会田岡病院救急科
吉岡, 一夫 医療法人倚山会田岡病院外科
キーワード
US-style emergency medicine
ER physician
Tokushima Prefecture
資料タイプ
学術雑誌論文
抄録
Background : In Japan, the emergency doctor’s job has traditionally been to care for critically ill patients presenting to the emergency department(ED), a role similar to that of an intensivist. Recently, US-style emergency medicine, referred to in Japan as ER-style emergency medicine, has been adopted. This emergency medicine is not dissimilar to that practiced in western countries such as the United States. Objectives : The aim of this study was to clarify the role of US-style emergency room(ER)physicians in the ED of a single local hospital in Tokushima Prefecture, Japan. Methods : Using medical records, we analyzed the emergency patients who visited our ED from April2009to March2010. Results : Of the 5497 cases examined, the number of severe, moderate, and mild cases were 145(2.6%), 813(14.8%), and 4539(82.6%), respectively. Of these patients, 2186(39.8%)were transported to the hospital by ambulance and3245(59.0%)made their own way. The number of injured and ill patients were 2756(50.1%) and 2741(49.9%), respectively. The number of cardiopulmonary arrests on arrival was 38. Nine(0.3%)fatal illnesses were identified during this period. Conclusions : ER physicians have to respond adequately to all patients presenting to the ED regardless of the severity or nature of the injury or illness. In addition, it is necessary to maintain relationships between the ER and neighboring hospitals for patient transfer, and this is considered fundamental for building a safety net for community residents.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
66
3-4
開始ページ
95
終了ページ
100
並び順
95
発行日
2010-08-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版