\n\u904e\u53bb40\u5e74\u9593\u810a\u690e\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u306e\u59a5\u5f53\u6027\u306b\u95a2\u3059\u308b\u6709\u52b9\u306a\u30c7\u30fc\u30bf\u306f\u306a\u304f\u3001\u6551\u6025\u6551\u547d\u306f\u3001\u5168\u3066\u306e\u5916\u50b7\u306e\u50b7\u75c5\u8005\u3092\u3001\u810a\u9ac4\u640d\u50b7\u306e\u4e88\u9632\u306e\u305f\u3081\u306b\u3001\u5b8c\u5168\u306b\u810a\u690e\u56fa\u5b9a\u3057\u3066\u304d\u305f\u3002\u3053\u306e\u65b9\u6cd5\u306e\u6839\u62e0\u306f\u3001\u5916\u50b7\u304c\u50b7\u75c5\u8005\u306e\u810a\u690e\u3092\u75db\u3081\u3001\u305d\u306e\u810a\u690e\u306e\u904b\u52d5\u304c\u810a\u9ac4\u3092\u50b7\u3064\u3051\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u3001\u5b8c\u5168\u306b\u810a\u690e\u56fa\u5b9a\u3059\u308b\u3053\u3068\u304c\u305d\u306e\u4e88\u9632\u306b\u306a\u308b\u3068\u3044\u3046\u8003\u3048\u304b\u3089\u3067\u3042\u308b\u3002\u3057\u304b\u3057\u3053\u306e\u8003\u3048\u306f\u3001\u8aa4\u308a\u3067\u3042\u3063\u305f\u3001\u90fd\u5e02\u6551\u6025\u3001\u91ce\u5916\u6551\u6025\u7642\u6cd5\u306b\u304a\u3044\u3066\u3001\u810a\u690e\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u306f\u5909\u5316\u3057\u3066\u3044\u308b\u3002<\/p>\n
1998\u5e74\u3001\u30cb\u30e5\u30fc\u30e1\u30ad\u30b7\u30b3\u5927\u5b66\u306e\u6551\u6025\u6551\u547d\u5b66\u90e8\u306eMark Hauswald\u6559\u6388\u306f\u3001\u30de\u30ec\u30fc\u30b7\u30a2\u3068\u30a2\u30e1\u30ea\u30ab\u3067\u5916\u50b7\u306e\u50b7\u75c5\u8005\u3092\u6bd4\u8f03\u3057\u305f\u7814\u7a76\u7d50\u679c<\/a>\u3092\u767a\u8868\u3057\u305f\u3002\u30de\u30ec\u30fc\u30b7\u30a2\u5927\u5b66\u306e\u75c5\u9662\u3067\u810a\u690e\u56fa\u5b9a\u305b\u305a\u306b\u642c\u9001\u3057\u305f120\u540d\u306e\u50b7\u75c5\u8005\u306b\u5bfe\u3057\u3001\u30cb\u30e5\u30fc\u30e1\u30ad\u30b7\u30b3\u5927\u5b66\u75c5\u9662\u3067\u306f\u810a\u690e\u306e\u5b8c\u5168\u56fa\u5b9a\u3092\u3057\u3066\u642c\u9001\u3057\u305f334\u540d\u306e\u50b7\u75c5\u8005\u3092\u6bd4\u8f03\u3057\u305f\u7d50\u679c\u3001\u5b8c\u5168\u56fa\u5b9a\u3057\u305f\u50b7\u75c5\u8005\u306e\u65b9\u304c\u6709\u610f\u306b\u795e\u7d4c\u969c\u5bb3\u3092\u793a\u3057\u305f\u3002\u3053\u306e\u7814\u7a76\u306f\u3001\u3053\u308c\u307e\u3067\u306e\u810a\u690e\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u306e\u65b9\u6cd5\u306b\u8b66\u9418\u3092\u9cf4\u3089\u3057\u3001\u65b0\u305f\u306a\u810a\u690e\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u306e\u7814\u7a76\u306b\u706b\u3092\u3064\u3051\u305f\u3002<\/p>\n 2012\u5e74\u3001\u5f7c\u306f\u810a\u690e\u640d\u50b7\u306e\u529b\u5b66\u7684\u3001\u75c5\u7406\u5b66\u7684\u7814\u7a76<\/a>\u3092\u767a\u8868\u3057\u3001\u65e2\u5b58\u306e\u810a\u690e\u56fa\u5b9a\u306e\u7406\u8ad6\u3092\u5426\u5b9a\u3057\u305f\u3002\u3053\u306e\u8ad6\u6587\u3067\u3001\u307b\u3068\u3093\u3069\u306e\u810a\u690e\u640d\u50b7\u306f\u3001\u529b\u5b66\u7684\u306b\u306f\u5b89\u5b9a\u3057\u3066\u304a\u308a\u3001\u810a\u9ac4\u640d\u50b7\u3092\u6709\u3059\u308b\u5c11\u6570\u306e\u50b7\u75c5\u8005\u306e\u5927\u90e8\u5206\u306f\u3001\u53d7\u50b7\u6642\u306b\u3059\u3067\u306b\u810a\u9ac4\u640d\u50b7\u3057\u3066\u304a\u308a\u3001\u642c\u9001\u4e2d\u306e\u56fa\u5b9a\u306e\u5f71\u97ff\u3092\u53d7\u3051\u306a\u3044\u3053\u3068\u3092\u793a\u3057\u305f\u3002\u3064\u307e\u308a\u3001\u810a\u9ac4\u3084\u795e\u7d4c\u969c\u5bb3\u306f\u3001\u53d7\u50b7\u90e8\u4f4d\u3078\u306e\u4e8c\u6b21\u7684\u306a\u5916\u50b7\u306b\u306e\u307f\u5f71\u97ff\u3092\u53d7\u3051\u3001\u901a\u5e38\u306e\u52d5\u304d\u3067\u3042\u308c\u3070\u5b89\u5168\u3067\u3042\u308b\u3053\u3068\u3092\u610f\u5473\u3057\u3066\u3044\u308b\u3002<\/p>\n \u3053\u306e20\u5e74\u9593\u3067\u591a\u304f\u306e\u7814\u7a76\u304c\u767a\u8868\u3055\u308c\u3001\u810a\u690e\u306e\u5b8c\u5168\u56fa\u5b9a\u306b\u3064\u3044\u3066\u4ee5\u4e0b\u306e\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u3063\u305f\u3002 \u810a\u690e\u8a55\u4fa1\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/span> MOI\u304c\u5916\u50b7\u304b\u5206\u304b\u3089\u306a\u3044\u3001\u3082\u3057\u304f\u306fVPU\u306e\u50b7\u75c5\u8005\u306f\u3001\u810a\u690e\u640d\u50b7\u3092\u7591\u3044\u3001BLS\u4e2d\u306b\u810a\u690e\u640d\u50b7\u3068\u3057\u3066\u6271\u3046\u3002\u4e00\u6b21\u8a55\u4fa1\u3067\u5927\u51fa\u8840\u306e\u89b3\u5bdf\u3001\u51e6\u7f6e\u3092\u3057\u3066\u3044\u308b\u9593\u3001\u610f\u8b58\u306e\u3042\u308b\u50b7\u75c5\u8005\u306b\u306f\u3001\u52d5\u304b\u306a\u3044\u3088\u3046\u306b\u6307\u793a\u3059\u308b\u3002\u50b7\u75c5\u8005\u3001\u7279\u306b\u4e0d\u5b89\u3084\u653b\u6483\u7684\u306a\u5834\u5408\u306b\u306f\u3001\u982d\u3092\u6301\u3063\u305f\u308a\u56fa\u5b9a\u3057\u306a\u3044\u3002\u810a\u690e\u8a55\u4fa1\u306f\u3001\u50b7\u75c5\u8005\u8a55\u4fa1\u30b7\u30b9\u30c6\u30e0\u306e\uff13\u3064\u306e\u4e09\u89d2\u5f62\u3092\u7d42\u308f\u3063\u305f\u5f8c\u3067\u3042\u308b\u3002<\/p>\n \u810a\u690e\u640d\u50b7\u3001\u810a\u9ac4\u640d\u50b7\u306e\u51e6\u7f6e\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/span> WMTC\u306e\u810a\u690e\u8a55\u4fa1\u30c6\u30b9\u30c8\u306f\u3001\u6975\u3081\u3066\u4fdd\u5b88\u7684\u306a\u3082\u306e\u3067\u3042\u308b\u3002\u9670\u6027\u4e88\u6e2c\u5024\u306f99%\u304c\u3067\u3042\u308b\u3002\u3064\u307e\u308a\u3001\u810a\u690e\u640d\u50b7\u306e\u3042\u308b\u50b7\u75c5\u8005\u304c\u5408\u683c\u3059\u308b\u53ef\u80fd\u6027\u306f1\uff05\u672a\u6e80\u3067\u3042\u308b\u3002\u4e00\u65b9\u3067\u3001\u967d\u6027\u4e88\u6e2c\u5024\u306f4%\u3067\u3042\u308b\u3002\u3064\u307e\u308a\u3001\u810a\u690e\u8a55\u4fa1\u30c6\u30b9\u30c8\u3092\u4e0d\u5408\u683c\u306b\u306a\u3063\u305f\u50b7\u75c5\u8005\u306e96%\u306f\u3001\u810a\u690e\u640d\u50b7\u3067\u306f\u306a\u3044\u3002\u810a\u690e\u306e\u75db\u307f\u3001\u5727\u75db\u304c\u5897\u3059\u306b\u4f34\u3044\u3001\u810a\u690e\u640d\u50b7\u306e\u53ef\u80fd\u6027\u304c\u9ad8\u307e\u308a\u3001\u795e\u7d4c\u7cfb\u306e\u554f\u984c\u306b\u3088\u3063\u3066\u3055\u3089\u306b\u9ad8\u307e\u308b\u3002\u810a\u690e\u8a55\u4fa1\u30c6\u30b9\u30c8\u306b\u4e0d\u5408\u683c\u306b\u306a\u3063\u305f\u50b7\u75c5\u8005\u306b\u3001\u81ea\u5df1\u907f\u96e3\u3092\u3055\u305b\u308b\u304b\u3069\u3046\u304b\u306e\u5224\u65ad\u306b\u3064\u3044\u3066\u3001S\/Sx\u306e\u7a0b\u5ea6\uff08\u4ee5\u4e0b\u306e\u56f3\uff09\u3001\u907f\u96e3\u306e\u96e3\u3057\u3055\uff08\u3055\u3089\u306a\u308b\u30c0\u30e1\u30fc\u30b8\u3092\u53d7\u3051\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u304b\u3069\u3046\u304b\uff09\u3001\u5916\u90e8\u306e\u6551\u52a9\u3092\u5f85\u3064\u3053\u3068\u306b\u3088\u308b\u30c0\u30e1\u30fc\u30b8\u3092\u7dcf\u5408\u7684\u306b\u8003\u3048\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n \u810a\u690e\u640d\u50b7\u306b\u95a2\u3057\u3066\u8003\u3048\u308b\u3079\u304d\u5371\u967a\u56e0\u5b50<\/span> VPU\u306e\u50b7\u75c5\u8005\u306e\u79fb\u52d5\u3001\u642c\u9001\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/span> \u6b69\u3051\u306a\u3044\u50b7\u75c5\u8005\u306e\u79fb\u52d5\u3001\u642c\u9001\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3 \u3088\u308a\u8a73\u3057\u3044\u60c5\u5831\u306f\u30c7\u30b8\u30bf\u30eb\u30cf\u30f3\u30c9\u30d6\u30c3\u30af<\/a>\u3092\u53c2\u7167\u3057\u3001\u6b63\u3057\u3044\u6280\u8853\u3092\u8eab\u306b\u3064\u3051\u308b\u305f\u3081\u306b\u306fWFA\/WFR\u30b3\u30fc\u30b9<\/a>\u306b\u53c2\u52a0\u3057\u3001\u8a55\u4fa1\u3068\u51e6\u7f6e\u3092SOAP\u30ce\u30fc\u30c8<\/a>\u306b\u6b63\u3057\u304f\u8a18\u9332\u3059\u308b\u3053\u3068\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/p>\n Author: Paul Nicolazzo\/ Translator: Taito Okamura<\/p>\n \u5f15\u7528\u6587\u732e<\/p>\n Mark Hauswald, Gracie Ong, Dan Tandberg, Zaliha Omal(1998)Out-of-hospital Spinal Immobilization: Its Effect on Neurologic Injury,Academic Emergency Medicine,5(3)214-219<\/p>\n Mark Hauswald(2012)A re-conceptualisation of acute spinal care,EMJ Online First,2012(00)1-4<\/p>\n","protected":false},"excerpt":{"rendered":" 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\n\u30fb\u96e2\u308c\u305f\u74b0\u5883\u3067\u306f\u3001\u62c5\u67b6\u642c\u9001\u306f\u3001\u50b7\u75c5\u8005\u3068\u6551\u52a9\u8005\u306e\u5371\u967a\u3092\u9ad8\u3081\u308b\u3002
\n\u30fb\u80f8\u90e8\u306e\u30b9\u30c8\u30e9\u30c3\u30d7\u3084C\u30ab\u30e9\u30fc\u306f\u3001\u547c\u5438\u3092\u59a8\u3052\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002
\n\u30fb\u75db\u307f\u306e\u539f\u56e0\u3068\u306a\u308b\u3002
\n\u30fb\u62c5\u67b6\u306e\u30d1\u30c3\u30c9\u304c\u4e0d\u5341\u5206\u3060\u3068\u5727\u8feb\u306b\u3088\u308b\u75db\u307f\u306e\u539f\u56e0\u306b\u306a\u308b\u3002<\/p>\n
\n2000 National Emergency X-Radiography Utilization Study(NEXUS)<\/a>\u3068\u30012001 Canadian Cervical Spine Rule(CCR)<\/a>\u306f\u3001\u810a\u690e\u640d\u50b7\u306e\u7591\u3044\u3092\u9664\u53bb\u3059\u6700\u3082\u5e83\u304f\u4f7f\u308f\u308c\u3066\u3044\u308b\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u3092\u767a\u8868\u3057\u305f\u3002\u81ea\u899a\u75c7\u72b6\u306e\u306a\u3044\u3001\u981a\u690e\u640d\u50b7\u306e\u7591\u3044\u3092\u9664\u53bb\u3059\u308b\u305f\u3081\u306e\u30e1\u30bf\u5206\u6790\u306e\u7d50\u679c\u3001NEXUS\u3068CCR\u306b\u3088\u308b\u9670\u6027\u306f\u300199.6%\u3067\u3001\u967d\u6027\u306f3.7%\u3067\u3042\u3063\u305f\u3002\u30c6\u30b9\u30c8\u306b\u4e0d\u5408\u683c\u306e\u50b7\u75c5\u8005\u306e96.3%\u306f\u4e0d\u5b89\u5b9a\u306a\u810a\u690e\u640d\u50b7\u3067\u306a\u304b\u3063\u305f\u3002NEXUS\u3092\u30d9\u30fc\u30b9\u3068\u3057\u305f\u30e1\u30fc\u30f3\u5dde\u57fa\u6e96<\/a>\u306f\u3001\u810a\u690e\u306e\u75db\u307f\u3068\u810a\u690e\u4e21\u5074\u306e\u5727\u75db\u304c\u52a0\u308f\u3063\u3066\u3044\u305f\u3002\u307b\u3068\u3093\u3069\u306e\u91ce\u5916\u6551\u6025\u6cd5\u306e\u30d7\u30ed\u30d0\u30a4\u30c0\u30fc\u306f\u3001NEXUS\u306b\u57fa\u3065\u3044\u3066\u810a\u690e\u8a55\u4fa1\u3092\u6307\u5c0e\u3057\u3066\u3044\u308b\u304c\u3001\u4fee\u6b63\u7248NEXUS<\/a>\u3067\u306f\u3001\u810a\u690e\u306e\u75db\u307f\u3068\u810a\u690e\u5168\u4f53\u306e\u8a55\u4fa1\u304c\u52a0\u3048\u3089\u308c\u3066\u3044\u308b\u3002\u3044\u305a\u308c\u306e\u8a55\u4fa1\u306b\u305b\u3088\u3001\u5408\u683c\u3057\u305f\u50b7\u75c5\u8005\u306f\u3001\u810a\u690e\u306e\u554f\u984c\u3092\u7406\u7531\u306b\u907f\u96e3\u3059\u308b\u5fc5\u8981\u306f\u306a\u3044\u3002
\n\u30fb\u610f\u8b58\u304c\u3042\u308a\u3001\u4fe1\u983c\u6027\u304c\u3042\u308a\u3001\u6b69\u884c\u53ef\u80fd\u306a\u50b7\u75c5\u8005\u304c\u810a\u690e\u640d\u50b7\u3001\u810a\u9ac4\u640d\u50b7\u3092\u8ca0\u3063\u3066\u3044\u308b\u53ef\u80fd\u6027\u306f\u4f4e\u3044\u3002
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<\/p>\n
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<\/p>\n
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<\/p>\n