プレホスピタルの現場における外傷初療

From our experience of emergency cases, the careful prehospital care and treatment are critical factors in good recovery. Diagnosis of the blunt injury, triage, initial therapy and the decision of the adequate institusion are principal for paramedics. We participated in the trauma seminar for japanese paramedics. In the seminar, we learned the method of the primary care for traumatic patient modified from BTLS (Basic trauma life support), which is called PTCJ ( Prehospital Trauma Care Japan). Recently, we used the long-board to secure the neck and the back of the injured-patient. It is helpful for safe transportation because we can prevent the aggravation of spinal injury by keeping the patient’s neck straight. We applied the PTCJ in 3 cases, and the outcomes were satisfactory. We regard the PTCJ should be applied more widely.