Tanabe Seizan
Nihon Rinsho. 2016 Feb;74(2):314-8.
It is necessary to treat the patient from the site of the emergency to raise a lifesaving rate of the patient. As a prime example would be out-of-hospital cardiac arrest. Once you start the treatment after hospital arrival, cardiac arrest patient can't be life-saving. It is necessary to start the chest compression, etc. from the site of the emergency. Medical care to be carried out on the scene of emergency is the pre-hospital care. In recent years, improvement of the pre-hospital care is remarkable in Japan. It is because of that the quantity and quality of the emergency life-saving technician are being enhanced. And also doctor-helicopter system have been enhanced. Medical control is a critical component of the improvement.
为提高患者的生存率，有必要在紧急情况发生现场对患者进行治疗。一个典型的例子就是院外心脏骤停。一旦患者到达医院后才开始治疗，心脏骤停患者就无法挽救生命。有必要在紧急情况发生现场就开始进行胸外按压等操作。在紧急情况现场实施的医疗护理就是院前护理。近年来，日本的院前护理有了显著改善。这是因为急救救生技术员的数量和质量都在提高。而且医生直升机系统也得到了加强。医疗控制是这种改善的关键组成部分。
