温泉地に位置する救命救急センターにおける入浴に関連した傷病者の救急受診の現状

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To clarify present status of outpatients related to bathing in the emergency critical center located in the hot spring area, medical records at the emergency room were analysed. In last year, 162 cases (1.2%) related to bathing of 13,386 patients who visited our emergency critical center from April, 2009 to March, 2010. There were limited because of poor records related to past history and hot spring, our data showed as follows: ①cases related to bathing were only 1.2% (162/13,386 patients), ②incidence of patients related to bathing was peaked December, ③two peaks were showed both 0-10 years old and 60-90 years old, ④males were dominant, ⑤physical diseases were accounted for 75% of diseases related to bathing, ⑥physical diseases mainly included cardiopulmonary arrest were suspected by drowned, syncope, and acute coronary syndrome, ⑦trauma mainly included hits and contusions treated by orthopedic surgery and neurosurgery, ⑧transportation was performed by ambulance account for 66%, ⑨outcome at discharge of emergency room were mainly stable condition including 69% of patients who returned home, and only cardiopulmonary arrest cases were dead. Although children and older people who had past medical history regarding cardiology and neuroloy suffered from diseases related bathing, self checking system was not sufficient to prevent all sickness except for sudden death. It had better not take a bath alone.
The Japanese Society of Balneology, Climatology and Physical Medicineの論文

温泉地に位置する救命救急センターにおける入浴に関連した傷病者の救急受診の現状

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