Lewin Matthew R, Hori Shingo, Aikawa Naoki
Division of Emergency Medicine, University of California, San Francisco (Fresno), CA, USA.
J Emerg Med. 2005 Feb;28(2):237-41. doi: 10.1016/j.jemermed.2004.09.009.
Japan is at a crossroads in the development of its Emergency Medical Services (EMS). At present, Japan has an essentially pure scoop-and-run, defibrillation system. However, there is a strong movement toward expanding the scope of paramedic practice to include more complex, Advanced Life Support (ALS) and trauma protocols to its nationally standardized pre-hospital protocols. The implications of introducing complex pre-hospital protocols guided by the use of existing scientific evidence to support such action is discussed in the context of Japan's unique opportunity to test many fundamental questions in pre-hospital medical care and the public's understanding and acceptance of these practices. Japan, a technologically advanced country that is not encumbered by entrenched "standards of care," has the opportunity to develop an efficient and rational EMS system.
日本的紧急医疗服务（EMS）发展正处于十字路口。目前，日本基本上采用的是纯粹的“ scoop-and-run”（快速转运）、除颤系统。然而，一股强大的趋势正在推动护理人员实践范围的扩大，将更复杂的高级生命支持（ALS）和创伤治疗方案纳入其全国标准化的院前急救方案中。在日本拥有独特机会去检验院前医疗护理中诸多基本问题以及公众对这些实践的理解与接受程度的背景下，探讨了引入以现有科学证据为指导的复杂院前急救方案以支持此类行动的意义。日本作为一个技术先进且不受根深蒂固的“护理标准”束缚的国家，有机会发展出一个高效且合理的紧急医疗服务系统。
