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["指令日時",null,null,"Ｒ",1,null,"年",1,null,"月",1,null,"日","火",null,"00:00:00",null,null,null,"件番",null,null,99999,null,null,null,"救命士数",null,null,null,1,null,"名","認定",null,null,"□気管内挿管",null,null,null,null,null,null,"□薬剤投与",null,null,null,null,null,"ＰＡ",null,null,"□有",null,"□無"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□拡大２項目",null,null,null,null,null,null,"□認定無し"]
["指令書\n[追記含]",null,null,null,null,null,"７０歳代男性　突然倒れた。　現在、意識回復。　　"]
[]
["プレアライバルコール内容⇒",null,null,null,null,null,null,null,null,null,null,null,null,"トイレ内で突然倒れた。呼吸あり。開眼あり。既往歴：認知症、高血圧"]
["時間経過(分)",null,null,null,null,null,"入電~接触",null,null,null,null,10,null,"接触~車内",null,null,null,null,10,null,"車内~搬開",null,null,null,null,10,null,"搬開~引継",null,null,null,null,10,null,"入電~引継",null,null,null,null,{"$f":"SUM(L6+S6+Z6+AG6)","v":40},null,"接触~搬開",null,null,null,null,{"$f":"SUM(S6+Z6)","v":20},null,"接触~引継",null,null,null,null,{"$f":"SUM(S6+Z6+AG6)","v":30}]
["出動途上","評価",null,"□内因性　",null,null,null,null,"□外因性　",null,null,null,null,"□内因性先行型外因性　",null,null,null,null,null,null,null,null,null,null,"□詳細不明　",null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,null,null,"緊急度",null,null,null,"□高",null,null,"□中",null,null,"□低",null,null,"□非",null,null,"□判断つかず",null,null,null,null,null,null,null,"重症度",null,null,null,"□重",null,null,"□中",null,null,"□軽",null,null,"□非",null,null,"□判断つかず"]
[null,null,null,"□ＣＰＡ",null,null,null,null,null,"ＡＢＣ異常",null,null,null,null,null,"(","□有",null,null,"□無",null,null,")",null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,"症候①","□意識障害",null,null,null,null,null,"□頭痛",null,null,null,"□痙攣",null,null,null,"□運動麻痺",null,null,null,null,null,"□眩暈",null,null,null,"□呼吸困難",null,null,null,null,null,"□喀血",null,null,null,"□失神",null,null,null,"□胸痛",null,null,null,"□動悸",null,null,null,"□腹痛"]
[null,null,"□吐下血",null,null,null,null,"□腰背部痛",null,null,null,null,null,"□体温上昇",null,null,null,null,null,"□不明",null,null,null,"□他⇒"]
[null,null,"□外因⇒",null,null,null,null,"□頭部",null,null,null,"□顔面・頸部",null,null,null,null,null,null,"□脊椎・脊髄",null,null,null,null,null,null,"□胸部",null,null,null,"□腹部",null,null,null,"□骨盤",null,null,null,"□四肢",null,null,null,"□皮膚",null,null,null,"□熱傷",null,null,null,"□中毒"]
[null,null,null,null,null,null,null,"□環境因子",null,null,null,null,null,"□窒息",null,null,null,"□溺水",null,null,null,"□墜落・転落",null,null,null,null,null,null,"□交通",null,null,null,"□不明",null,null,null,"□他⇒"]
[null,"想定①","□脳神経",null,null,null,null,"□呼吸器",null,null,null,null,"□循環器",null,null,null,null,"□消化器",null,null,null,null,"□泌尿・生殖器",null,null,null,null,null,null,null,"□代謝・内分泌・栄養",null,null,null,null,null,null,null,null,null,"□血液・免疫",null,null,null,null,null,null,"□皮膚",null,null,null,"□眼耳鼻"]
[null,null,"□感染症",null,null,null,null,"□精神科",null,null,null,null,"□産婦人科",null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,null,"□脳梗塞",null,null,null,null,"□脳出血",null,null,null,null,"□くも膜下出血",null,null,null,null,null,null,null,null,"□心不全",null,null,null,null,"□急性冠症候群",null,null,null,null,null,null,null,"□不整脈",null,null,null,null,"□大動脈解離",null,null,null,null,null,null,"□胸腹部大動脈瘤"]
[null,null,"□肺血栓塞栓症",null,null,null,null,null,null,null,"□呼吸不全",null,null,null,null,null,"□肺炎",null,null,null,"□腹膜炎",null,null,null,null,"□消化管出血",null,null,null,null,null,null,"□腸閉塞",null,null,null,null,"□胆膵系",null,null,null,null,"□腎不全",null,null,null,null,"□肝不全"]
[null,null,"□敗血症",null,null,null,null,"□血糖異常",null,null,null,null,null,"□脱水",null,null,null,"□貧血",null,null,null,"□失神",null,null,null,"□想定傷病名⇒"]
[null,null,"□心タンポナーデ",null,null,null,null,null,null,null,null,"□気道閉塞",null,null,null,null,null,"□フレイルチェスト",null,null,null,null,null,null,null,null,null,null,null,"□開放性気胸",null,null,null,null,null,null,"□血胸",null,null,null,"□緊張性気胸",null,null,null,null,null,null,null,"□腹腔内出血"]
[null,null,"□骨盤骨折",null,null,null,null,null,"□両大腿骨骨折",null,null,null,null,null,null,null,"□大出血",null,null,null,null,"□脊髄損傷",null,null,null,null,null,"□重症頭部外傷",null,null,null,null,null,null,null,"□頭部打撲・擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,"□四肢等骨折"]
[null,null,"□頭部以外の打撲擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,null,null,"□その他軽微な外傷",null,null,null,null,null,null,null,null,null,"□他外傷⇒"]
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[null,null,null,"□他⇒"]
[null,null,null,"□未携行理由⇒"]
[]
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[null,null,null,"□屋外"]
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[null,null,null,"□座位(椅子等)",null,null,null,null,null,null,null,"□膝屈曲位",null,null,null,null,null,"□足側高位",null,null,null,null,null,"□他⇒"]
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[null,null,null,"□その他正常とは言えない感じ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□他⇒"]
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[null,null,null,"□普段と比較して悪い",null,null,null,null,null,null,null,null,null,"□認知症",null,null,null,"□難聴",null,null,null,"□評価困難",null,null,null,null,"□酩酊",null,null,null,"□過換気状態",null,null,null,null,null,null,"□他⇒"]
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[null,"他"]
[]
[]
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[null,"主訴等",null,null,null,null,"左上肢の痺れ。　軽度認知症のため訴えがはっきりせず。"]
[null,"発症状況",null,null,null,null,"トイレ内で突然倒れた。その後数秒間意識がなかった。"]
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[null,"ＰＩ値"]
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["観察実施項目　陽性・異常所見[有・無・❓判断つかず]　※活動中に気づいた項目はチェック可・未観察の項目を選択する必要無し"]
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["他想定-鑑別根拠\nとなり得る観察所見等⇒",null,null,null,null,null,null,null,null,null,null,null,"ふらつき感あり。右上肢にしびれ感あり。"]
[]
[]
["活動後期判断","想定","□脳神経",null,null,null,null,"□呼吸器",null,null,null,null,"□循環器",null,null,null,null,"□消化器",null,null,null,null,"□泌尿・生殖器",null,null,null,null,null,null,null,"□代謝・内分泌・栄養",null,null,null,null,null,null,null,null,null,"□血液・免疫",null,null,null,null,null,null,"□皮膚",null,null,null,"□眼耳鼻"]
[null,null,"□感染症",null,null,null,null,"□精神科",null,null,null,null,"□産婦人科",null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,null,"□脳梗塞",null,null,null,null,"□脳出血",null,null,null,null,"□くも膜下出血",null,null,null,null,null,null,null,null,"□心不全",null,null,null,null,"□急性冠症候群",null,null,null,null,null,null,null,"□不整脈",null,null,null,null,"□大動脈解離",null,null,null,null,null,null,"□胸腹部大動脈瘤"]
[null,null,"□肺血栓塞栓症",null,null,null,null,null,null,null,"□呼吸不全",null,null,null,null,null,"□肺炎",null,null,null,"□腹膜炎",null,null,null,null,"□消化管出血",null,null,null,null,null,null,"□腸閉塞",null,null,null,null,"□胆膵系",null,null,null,null,"□腎不全",null,null,null,null,"□肝不全"]
[null,null,"□敗血症",null,null,null,null,"□血糖異常",null,null,null,null,null,"□脱水",null,null,null,"□貧血",null,null,null,"□失神",null,null,null,"□想定傷病名⇒"]
[null,null,"□心タンポナーデ",null,null,null,null,null,null,null,null,"□気道閉塞",null,null,null,null,null,"□フレイルチェスト",null,null,null,null,null,null,null,null,null,null,null,"□開放性気胸",null,null,null,null,null,null,"□血胸",null,null,null,"□緊張性気胸",null,null,null,null,null,null,null,"□腹腔内出血"]
[null,null,"□骨盤骨折",null,null,null,null,null,"□両大腿骨骨折",null,null,null,null,null,null,null,"□大出血",null,null,null,null,"□脊髄損傷",null,null,null,null,null,"□重症頭部外傷",null,null,null,null,null,null,null,"□頭部打撲・擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,"□四肢等骨折"]
[null,null,"□頭部以外の打撲擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,null,null,"□その他軽微な外傷",null,null,null,null,null,null,null,null,null,"□他外傷⇒"]
[null,null,"□循環血液量減少性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□出血",null,null,null,"□体液喪失",null,null,null,null,"□体液分泌異常",null,null,null,null,null,null,"]"]
[null,null,"□心外閉塞拘束性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□緊張性気胸",null,null,null,null,null,"□心タンポナーデ",null,null,null,null,null,null,null,"□肺血栓塞栓症",null,null,null,null,null,null,"]"]
[null,null,"□心原性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□心収縮力低下",null,null,null,null,null,null,"□不整脈",null,null,null,null,"□心臓機械的障害",null,null,null,null,null,null,null,"]"]
[null,null,"□血液分布異常性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□アナフィラキシー",null,null,null,null,null,null,null,null,"□敗血症",null,null,null,null,"□神経原性",null,null,null,null,null,"]"]
[null,null,"□ショックだが判断つかず",null,null,null,null,null,null,null,null,null,null,null,null,null,"□プレショック"]
[null,"評価",null,"□内因性　",null,null,null,null,"□外因性　",null,null,null,null,"□内因性先行型外因性　",null,null,null,null,null,null,null,null,null,null,"□詳細不明　",null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,null,null,"緊急度",null,null,null,"□高",null,null,"□中",null,null,"□低",null,null,"□非",null,null,"□判断つかず",null,null,null,null,null,null,null,"重症度",null,null,null,"□重",null,null,"□中",null,null,"□軽",null,null,"□非",null,null,"□判断つかず"]
[null,null,null,"□ＣＰＡ",null,null,null,null,null,"ＡＢＣ異常",null,null,null,null,null,"(","□有",null,null,"□無",null,null,")",null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
["処置","□用手気道確保",null,null,null,null,null,"□酸素投与⇒",null,null,null,null,null,"□鼻カニューラ",null,null,null,null,null,"□マスク",null,null,null,null,null,"□オキシマスク",null,null,null,null,null,"□リザーバー付",null,null,null,null,null,"□インハレーター",null,null,null,null,null,"□補助換気",null,null,null,null,null,"□人工呼吸"]
[null,"□異物除去-吸引",null,null,null,null,null,"□喉頭観察",null,null,null,null,null,"□セリック法",null,null,null,null,null,"□保温",null,null,null,null,null,"□冷房起動",null,null,null,null,null,"□暖房起動",null,null,null,null,null,"□血糖測定",null,null,null,null,null,"□ブドウ糖溶液投与",null,null,null,null,null,"□胸骨圧迫"]
[null,"□除細動",null,null,null,null,null,"□自動式胸骨圧迫",null,null,null,null,null,"□気管挿管",null,null,null,null,null,"□コンビ-LT",null,null,null,null,null,"□CPA前ルート",null,null,null,null,null,"□CPA後ルート",null,null,null,null,null,"□アドレナリン",null,null,null,null,null,"□エピペン",null,null,null,null,null,"□被覆"]
[null,"□サムスリング",null,null,null,null,null,"□ターニケット",null,null,null,null,null,"□バックボード",null,null,null,null,null,"□ネックカラー",null,null,null,null,null,"□四肢固定",null,null,null,null,null,"□3辺テーピング",null,null,null,null,null,"□フレイル処置",null,null,null,null,null,"□熱傷処置",null,null,null,null,null,"□産科系処置"]
[null,"□体位管理",null,null,null,null,null,"□その他⇒"]
["搬送先",null,null,null,"□高度救命センター",null,null,null,null,null,null,null,null,"□聖マリア病院",null,null,null,null,null,null,"□新古賀病院",null,null,null,null,null,"□嶋田病院",null,null,null,null,"□田主丸中央病院",null,null,null,null,null,null,null,"□安本病院",null,null,null,null,"□高木病院",null,null,null,null,"□久留米総合病院"]
[null,null,null,null,"□その他⇒",null,null,null,null,null,"〇〇病院",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"転院・転送",null,null,null,null,null,"□無",null,null,"□不明",null,null,null,"□有⇒",null,null,null,"高度救命センター"]
["初診時傷病名",null,null,null,null,null,"脳血管障害",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□軽症",null,null,null,"□中等症",null,null,null,null,"□重症",null,null,null,"□死亡",null,null,null,"□他"]
["確定診断名",null,null,null,null,null,"Stanford　A型",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□外来",null,null,null,"□入院",null,null,null,"□ＩＣＵ等",null,null,null,null,"□死亡",null,null,null,"□他"]
["振り返り"]
["□",null,"①医療機関への搬送の間に不適切な遅延がなかったか"]
["□",null,"②救急現場でなすべき行為が行われていたか"]
["□",null,"③すべきでなかった行為が行われていなかったか"]
["□",null,"④適切な医療機関へ搬送されたか"]
["□",null,"⑤病院前における病態判断は、救急処置室での診断とおなじであったか"]
["□",null,"⑥ドクターカー到着前に先着隊搬送事案の先着隊判断に関する検証"]
["□",null,"⑦指令課キーワードに関する検証（他隊の出動途上の指令内容からのドクターカー要請も含む）"]
["出動隊検証",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"０次検証やり取り"]
["想定又は鑑別すべきであった病態",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ｑ（検証隊）\n＆\nＡ（出動隊）"]
["大動脈解離"]
[]
[]
[]
["想定又は鑑別のために必要であった観察・判断"]
["血圧の左右差を測定すること。\n問診にて胸痛や痛みの移動の有無を聴取すべきであった。"]
[]
[]
[]
["判断や評価に迷った部分"]
["高齢者で認知症もあったため、麻痺の有無について判断が難しかった。"]
[]
[]
[]
["緊急度重症度が高い若しくは低いと判断した根拠"]
["左上肢の痺れは、転倒時の打撲と判断していた。"]
[]
[]
[]
["改善すべきポイント"]
["先入観から神経調節性失神以外に想定していなかった。"]
[]
[]
[]
["病態判断以外の問題点(法的問題・活動障害等)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"検証救命士コメント"]
["・傷病者の家族も高齢で、車内収容や情報収集に苦慮した。\n・玄関が施錠されており、接触に時間を要した。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"例．\n・重要な症例であり、医学的な見解が必要であるため、署内一次検証及びＭＣ検証に提出することが妥当である。\n\n・署所間で十分な検証がなされており、過去にも同様症例があるため、署内一次検証非該当とする。\n\n・病態判断チェックｼｰﾄに矛盾点が見られる。再度、○○出張所において検証後に提出すること。\n\n・非典型例であったが、十分な観察の結果、適切な判断を行えている。奏功事例であるため参考･周知事例としたい。\n"]
[]
[]
[]
["搬送先根拠(傷病者の希望等の有無)"]
["本人及び家族の者が、かかりつけ医療機関を希望された。"]
[]
[]
[]
["出動隊振り返り"]
["・意識回復しており、歩行可能であったことからアンダーに捉えてしまったことから、神経調節性失神しか想定していなかった。\n・血圧低下は一時的なものと決めつけてしまっていた。\n・ふらつきや失神の場合、脳疾患、心血管系を想定すべきであった。"]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□署内一次\n検証非該当",null,null,null,null,null,null,"□参考・周知事例等",null,null,null,null,null,null,"□要署内\n一次検証",null,null,null,null,null,null,"□要本部内\n検証"]
[]
["出動隊検証完了日",null,null,null,null,null,null,null,null,null,"／",null,null,null,"同署所検証完了日",null,null,null,null,null,null,null,null,null,"／",null,null,null,"他署所コメント期限",null,null,null,null,null,null,null,null,null,"／",null,null,null,"指導救命士検証完了日",null,null,null,null,null,null,null,null,null,"／"]

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["呼吸不全","心不全","敗血症性ショック","頭部外傷","前庭神経炎","疾患",null,null,null,null,null,null,"発症様式",null,null,"特徴",null,null,null,null,null,null,"既往歴・他",null,null,null,null,null,null,"全身／重点観察",null,null,null,null,null,null,"疾病性",null,"甲状腺機能亢進症",null,null,null,null,"幅あり",null,null,"多汗、暑がり、手の震え、体重減少",null,null,null,null,null,null,null,null,null,null,null,null,null,"甲状腺腫瘤、圧痛",null,null,null,null,null,null,"消化器",null,"胃十二指腸潰瘍・急性胃粘膜病変",null,null,null,null,"突発",null,null,"空腹時の腹痛、食事と関係した腹痛",null,null,null,null,null,null,"消化性潰瘍の既往"]
["呼吸運動障害","虚血性心疾患","心肺停止(５Ｈ５Ｔ)","低酸素血症","中枢性めまい","【痙　攣】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"褐色細胞腫",null,null,null,null,"幅あり",null,null,"頭痛、発汗過多",null,null,null,null,null,null,"高血圧、高血糖",null,null,null,null,null,null,"著明な高血圧、規則性頻脈",null,null,null,null,null,null,null,null,"マロリーワイス",null,null,null,null,"突発",null,null,"飲酒後",null,null,null,null,null,null,null,null,null,null,null,null,null,"上腹部痛、嘔吐嘔気、発汗、発熱"]
["脳障害","高血圧","循環血液量減少","高二酸化炭素血症","椎骨脳底動脈循環不全","てんかん",null,null,null,null,null,null,"突発",null,null,"部分～全身性",null,null,null,null,null,null,"てんかん治療歴",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"低血糖",null,null,null,null,"徐々に",null,null,"振戦、不安、緊張",null,null,null,null,null,null,"食事摂取不足、運動過多、血糖降下薬、インスリン",null,null,null,null,null,null,"冷汗、顔面蒼白、紅潮、麻痺",null,null,null,null,null,null,"【下　痢】"]
["頚髄損傷","心臓弁膜症","低酸素症","一酸化炭素中毒","小脳出血","急性期頭部外傷",null,null,null,null,null,null,"突発",null,null,"部分～全身性",null,null,null,null,null,null,null,null,null,null,null,null,null,"外傷、脳ヘルニア徴候",null,null,null,null,null,null,null,null,"貧血",null,null,null,null,"徐々に",null,null,"息切れ、倦怠感",null,null,null,null,null,null,"赤血球生産低下と破壊喪失の亢進",null,null,null,null,null,null,"眼瞼結膜蒼白、下血吐血の有無",null,null,null,null,null,null,"感染症",null,"病原性大腸炎",null,null,null,null,"血便",null,null,"頻回の水様便、激しい腹痛、著しい血便"]
["ギランバレー症候群","心筋症","高/低カリウム血症","低血糖","小脳梗塞","急性期脳卒中",null,null,null,null,null,null,"突発",null,null,"部分～全身性",null,null,null,null,null,null,"心房細動治療歴",null,null,null,null,null,null,"神経徴候、不整脈の有無",null,null,null,null,null,null,null,null,"低カリウム血症",null,null,null,null,"徐々に",null,null,"筋力低下、筋肉痛、悪心、嘔吐、便秘、痙攣",null,null,null,null,null,null,"摂取不足、喪失過多",null,null,null,null,null,null,"麻痺性腸閉塞、多尿多飲、精神症状",null,null,null,null,null,null,null,null,"細菌性赤痢",null,null,null,null,"膿・粘血便",null,null,"当初は水様便",null,null,null,null,null,null,null,null,null,null,null,null,null,"発熱、(しぶり腹:便意強いがなかなか排便できない)"]
["神経筋疾患","心筋炎","アシドーシス","血圧上昇","脳幹梗塞","脳腫瘍",null,null,null,null,null,null,"突発",null,null,"部分～全身性",null,null,null,null,null,null,"脳腫瘍治療歴",null,null,null,null,null,null,"神経症候",null,null,null,null,null,null,null,null,"呼吸器疾患など",null,null,null,null,"徐々に",null,null,"息切れ、倦怠感",null,null,null,null,null,null,"喫煙、大気汚染、粉塵、化学物質",null,null,null,null,null,null,"チアノーゼ、ビア樽状胸郭、呼吸補助筋肥大",null,null,null,null,null,null,null,null,"サルモネラ腸炎",null,null,null,null,"時に緑色",null,null,"米のとぎ汁様、発熱、腹痛",null,null,null,null,null,null,"生卵の摂取",null,null,null,null,null,null,"腹痛、嘔吐、発熱"]
["筋萎縮性側索硬化症","【急性心不全症状】","低体温","発熱","失神性めまい","感染症",null,"髄膜炎・脳炎",null,null,null,null,"突発",null,null,"全身性",null,null,null,null,null,null,"上気道炎等の感染症",null,null,null,null,null,null,"意識障害・項部硬直",null,null,null,null,null,null,"薬剤性",null,"気管支拡張薬",null,null,null,null,"徐々に",null,null,"呼吸苦",null,null,null,null,null,null,"気管支喘息、ＣＯＰＤ、急性気管支炎",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コレラ",null,null,null,null,"白色~灰白色",null,null,"右背部~肩痛",null,null,null,null,null,null,"輸入感染症、渡航歴",null,null,null,null,null,null,"電解質異常に伴う痙攣"]
["重症筋無力症","心拍出量低下症状","緊張性気胸","緑内障","反射性失神",null,null,"破傷風",null,null,null,null,"徐々に",null,null,"発作は後弓反張、意識あり",null,null,null,null,null,null,"創傷",null,null,null,null,null,null,"意識清明、発熱、創傷",null,null,null,null,null,null,null,null,"血管作動薬",null,null,null,null,"徐々に",null,null,"不安、頭痛、振戦、高血圧",null,null,null,null,null,null,"心疾患",null,null,null,null,null,null,null,null,null,null,null,null,null,"抗菌薬",null,"偽膜性大腸炎",null,null,null,null,"血性",null,null,"水様便、クロストリジウムによる",null,null,null,null,null,null,"抗菌薬使用、長期入院後",null,null,null,null,null,null,"腹痛、発熱"]
["筋ジストロフィー","易疲労感","心タンポナーデ","副鼻腔炎","起立性低血圧","機能性\n疾患",null,"子癇",null,null,null,null,"突発",null,null,"全身性、頭痛等の前駆症状",null,null,null,null,null,null,"出産、産科治療歴",null,null,null,null,null,null,"高血圧",null,null,null,null,null,null,null,null,"甲状腺ホルモン製剤",null,null,null,null,"徐々に",null,null,"多汗、暑がり、手の震え、体重減少",null,null,null,null,null,null,"甲状腺機能低下症",null,null,null,null,null,null,null,null,null,null,null,null,null,"虚血性大腸炎",null,null,null,null,null,null,"血性",null,null,"腹痛あり、発熱少ない",null,null,null,null,null,null,"動脈硬化、不整脈、高齢者",null,null,null,null,null,null,"左側腹部~左下腹部痛"]
["中毒","集中力低下","薬物中毒","痙攣","循環血液量減少",null,null,"熱性けいれん",null,null,null,null,"突発",null,null,"部分～全身性",null,null,null,null,null,null,"治療歴",null,null,null,null,null,null,"発熱",null,null,null,null,null,null,null,null,"抗不整脈薬",null,null,null,null,"徐々に",null,null,"頭痛、めまい、呼吸器消化器症状",null,null,null,null,null,null,"不整脈",null,null,null,null,null,null,null,null,null,null,null,null,null,"【下血・不整性器出血】"]
["有機リン中毒","不穏","肺塞栓","脳血管障害","アダムストークス症候群",null,null,"痙攣性失神",null,null,null,null,"突発",null,null,"強直で短時間",null,null,null,null,null,null,"不整脈、心疾患",null,null,null,null,null,null,null,null,null,null,null,null,null,"【胸　痛】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"下血",null,"大腸がん",null,null,null,null,"徐々に",null,null,"種々の程度",null,null,null,null,null,null,null,null,null,null,null,null,null,"大量出血しなければ安定"]
["フグ中毒","冷汗","急性心筋梗塞","髄膜炎","心臓弁膜症","代謝性\n疾患",null,"電解質異常",null,null,null,null,"突発",null,null,"部分～全身性",null,null,null,null,null,null,"精神疾患、内服薬、多飲",null,null,null,null,null,null,"四肢硬直や筋肉痛",null,null,null,null,null,null,"胸壁",null,"肋間神経痛",null,null,null,null,"突発",null,null,"片側-誘発点あり、神経の走行に一致",null,null,null,null,null,null,"胸部外傷、帯状疱疹",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"潰瘍性大腸炎・クローン病",null,null,null,null,"徐々に",null,null,"種々の程度",null,null,null,null,null,null,null,null,null,null,null,null,null,"少量から中等症"]
["睡眠薬-麻薬-麻酔薬","冷感","意識障害","脳炎・脳症","急性大動脈解離",null,null,"肝性脳症",null,null,null,null,"突発",null,null,"部分～全身性",null,null,null,null,null,null,"肝疾患、アルコール",null,null,null,null,null,null,"アルコール臭",null,null,null,null,null,null,null,null,"帯状疱疹",null,null,null,null,"徐々に",null,null,"ピリピリした感覚",null,null,null,null,null,null,null,null,null,null,null,null,null,"体幹片側の発赤、水泡",null,null,null,null,null,null,null,null,"虚血性大腸炎・憩室炎",null,null,null,null,"徐々に",null,null,"種々の程度",null,null,null,null,null,null,null,null,null,null,null,null,null,"少量から中等症"]
["胸部外傷","蒼白","脳出血","無酸素性障害","その他",null,null,"低血糖",null,null,null,null,"突発",null,null,"全身性",null,null,null,null,null,null,"糖尿病",null,null,null,null,null,null,"発汗",null,null,null,null,null,null,"胸膜",null,"自然気胸",null,null,null,null,"突発",null,null,"吸気時増強、努責、咳が誘因",null,null,null,null,null,null,"やせた若い男性",null,null,null,null,null,null,"咳、呼吸音減弱",null,null,null,null,null,null,null,null,"血小板減少性紫斑病",null,null,null,null,"徐々に",null,null,"種々の程度",null,null,null,null,null,null,null,null,null,null,null,null,null,"他の部位にも紫斑が出る"]
["フレイルチェスト","チアノーゼ","くも膜下出血","本態性てんかん","低血糖","環境",null,"熱中症",null,null,null,null,"徐々に",null,null,"部分～全身性",null,null,null,null,null,null,"高温・多湿環境",null,null,null,null,null,null,"高体温、発汗、筋肉痛",null,null,null,null,null,null,null,null,"肺炎",null,null,null,null,"徐々に",null,null,"咳や吸気で増強",null,null,null,null,null,null,null,null,null,null,null,null,null,"咳、痰、呼吸音減弱、発熱",null,null,null,null,null,null,null,null,"白血病",null,null,null,null,"徐々に",null,null,"種々の程度"]
["開放性気胸","低血圧","脳梗塞","症候性てんかん","一次性頭痛","精神",null,"心因性非痙攣発作",null,null,null,null,"突発",null,null,"重症感に乏しい",null,null,null,null,null,null,"精神疾患",null,null,null,null,null,null,"ドロップテスト陽性",null,null,null,null,null,null,null,null,"胸膜炎",null,null,null,null,"徐々に",null,null,"吸気時に増強",null,null,null,null,null,null,"肺がん、結核",null,null,null,null,null,null,"咳、胸痛、打診で濁音、発熱",null,null,null,null,null,null,null,null,"腸間膜動脈塞栓症",null,null,null,null,"突然",null,null,"激烈な痛み",null,null,null,null,null,null,null,null,null,null,null,null,null,"状態の急激な変化があり得る。"]
["気道障害","乏尿","髄膜炎","熱性痙攣","貧血","【頭　痛】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"循環器",null,"急性冠症候群",null,null,null,null,"突発",null,null,"絞扼感、労作増悪、高齢-女性-糖尿患では非典型",null,null,null,null,null,null,null,null,null,null,null,null,null,"心電図異常、下顎部頸部痛、上腹部痛",null,null,null,null,null,null,null,null,"細菌性胃腸炎・赤痢",null,null,null,null,"徐々に",null,null,"種々の程度",null,null,null,null,null,null,"粘血便、膿粘血便"]
["上気道狭窄","肺うっ血症状","脳炎・脳症","子癇","薬剤性","二次性(症候性)",null,"クモ膜下出血",null,null,null,null,"突発",null,null,"突然の激しい後頭部痛、嘔吐、意識障害など様々",null,null,null,null,null,null,null,null,null,null,null,null,null,"髄膜刺激症状(発症直後は無し)",null,null,null,null,null,null,null,null,"急性大動脈解離",null,null,null,null,"突発",null,null,"背部から腰部へ移動",null,null,null,null,null,null,"家族歴",null,null,null,null,null,null,"左右差、胸痛、脳梗塞症状、失神など",null,null,null,null,null,null,null,null,"黄色ブドウ球菌食中毒",null,null,null,null,"数時間",null,null,"種々の程度",null,null,null,null,null,null,"集団発生"]
["下気道狭窄","呼吸困難","無酸素性脳障害","頭部外傷","呼吸困難",null,null,"小脳梗塞",null,null,null,null,"突発",null,null,"後頭部痛、回転性眩暈、嘔吐、運動失調",null,null,null,null,null,null,null,null,null,null,null,null,null,"椎骨脳底動脈解離は強い頭痛",null,null,null,null,null,null,null,null,"胸部大動脈瘤破裂",null,null,null,null,"突発",null,null,"背部の痛み",null,null,null,null,null,null,"既往歴、高齢者",null,null,null,null,null,null,"ショック",null,null,null,null,null,null,"不整性器出血",null,"流産・異所性妊娠など",null,null,null,null,"突発",null,null,"強い腹痛",null,null,null,null,null,null,"妊娠の可能性",null,null,null,null,null,null,"循環血液量減少性ショックに注意"]
["気道閉塞","頻呼吸","てんかん","アルコール離脱","呼吸器系",null,null,"小脳出血",null,null,null,null,"急に",null,null,"後頭部痛、回転性眩暈、嘔吐、運動失調、血種大のとき意識障害",null,null,null,null,null,null,null,null,null,null,null,null,null,"椎骨脳底動脈解離は強い頭痛",null,null,null,null,null,null,null,null,"肺血栓塞栓症",null,null,null,null,"突発",null,null,"鋭い痛み、鈍い痛み、呼吸困難",null,null,null,null,null,null,"生活歴",null,null,null,null,null,null,"心電図異常、過呼吸、低酸素血症",null,null,null,null,null,null,null,null,"子宮筋腫・子宮内膜ポリープなど",null,null,null,null,"突発",null,null,"軽度の腹痛",null,null,null,null,null,null,"不整性器出血と月経を間違えることもある",null,null,null,null,null,null,"少量から中等症"]
["肺胞障害","起坐呼吸","CO2ナルコーシス","低酸素血症","喉頭蓋炎",null,null,"高血圧性脳内出血",null,null,null,null,"急に",null,null,"頭蓋内圧亢進症状、神経局在徴候",null,null,null,null,null,null,null,null,null,null,null,null,null,"異常高血圧",null,null,null,null,null,null,null,null,"心不全",null,null,null,null,"徐々に",null,null,"鈍い痛み、呼吸困難",null,null,null,null,null,null,"既往歴",null,null,null,null,null,null,"頸静脈怒張、浮腫、異常心音",null,null,null,null,null,null,null,null,"性交後-排卵時出血・子宮頸部びらん",null,null,null,null,"徐々に",null,null,"軽度の腹痛"]
["肺炎","血性泡沫状痰","低血糖","循環虚脱(ｱﾀﾞﾑｽﾄｰｸｽ等)","クループ",null,null,"髄膜炎",null,null,null,null,"急に",null,null,"発熱、嘔吐",null,null,null,null,null,null,null,null,null,null,null,null,null,"発熱先行、髄膜刺激症状",null,null,null,null,null,null,null,null,"心膜炎",null,null,null,null,"徐々に",null,null,"体位により軽減、左肩痛",null,null,null,null,null,null,null,null,null,null,null,null,null,"心膜摩擦音、心電図異常"]
["肺水腫","喘鳴","高血糖性昏睡","低血糖","アナフィラキシー",null,null,"脳炎・脳症",null,null,null,null,"急に",null,null,"発熱、意識障害",null,null,null,null,null,null,null,null,null,null,null,null,null,"神経局在徴候、幻覚、異常行動",null,null,null,null,null,null,"消化器",null,"食道破裂",null,null,null,null,"突発",null,null,"嘔吐、息こらえ後",null,null,null,null,null,null,null,null,null,null,null,null,null,"咳、呼吸困難、頸部皮下気腫、上腹部痛"]
["急性呼吸促迫症候群","ラ音","敗血症","高浸透圧高血糖症候群","気管支喘息発作",null,null,"高血圧性脳症",null,null,null,null,"急に",null,null,"意識障害、痙攣、悪心、嘔吐、視力障害",null,null,null,null,null,null,null,null,null,null,null,null,null,"急激で高度な血圧上昇",null,null,null,null,null,null,null,null,"胃十二指腸潰瘍",null,null,null,null,"幅あり",null,null,"食事との関連",null,null,null,null,null,null,"ストレス、薬剤",null,null,null,null,null,null,"上腹部痛"]
["溺水","体循環系うっ血症状","医薬品中毒","肝不全","肺炎",null,null,"脳静脈洞血栓症",null,null,null,null,"急に",null,null,"悪心、嘔吐、痙攣、頭蓋内圧亢進",null,null,null,null,null,null,"経口避妊薬、不整脈",null,null,null,null,null,null,"片麻痺",null,null,null,null,null,null,null,null,"膵炎",null,null,null,null,"幅あり",null,null,"胸膝位で軽減、食後飲酒後",null,null,null,null,null,null,"膵炎、胆石症、飲酒、腹部手術",null,null,null,null,null,null,"上腹部痛、嘔吐嘔気、発熱、発汗"]
["気胸","食思不振","一酸化炭素中毒","腎不全","COPD増悪",null,null,"緑内障",null,null,null,null,"急に",null,null,"眼痛、眼圧上昇、視力障害、嘔気嘔吐",null,null,null,null,null,null,null,null,null,null,null,null,null,"痛みは片側性、充血、瞳孔散大",null,null,null,null,null,null,null,null,"胆石-胆嚢炎",null,null,null,null,"突発",null,null,"右背部~肩痛、過労や過食後",null,null,null,null,null,null,"右上腹部痛、発熱",null,null,null,null,null,null,"マーフィー徴候、発熱"]
["無気肺","腹部膨満感","農薬中毒","低ナトリウム血症","肺水腫",null,null,"脳膿瘍",null,null,null,null,"徐々に",null,null,"頭蓋内圧亢進症状",null,null,null,null,null,null,"副鼻腔炎、中耳炎",null,null,null,null,null,null,"先天性心疾患、慢性頭痛",null,null,null,null,null,null,"心因性",null,"心臓神経症",null,null,null,null,"突発",null,null,"チクチクした痛み",null,null,null,null,null,null,"ストレス、既往歴",null,null,null,null,null,null,"重篤な疾患の除外"]
["慢性閉塞性肺疾患","頸静脈怒張","重症熱中症","低カルシウム血症","急性呼吸促迫症候群",null,null,"脳腫瘍",null,null,null,null,"徐々に",null,null,"慢性頭蓋内圧亢進症状、起床時痛み強い",null,null,null,null,null,null,null,null,null,null,null,null,null,"発症部位に応じた神経局在症状",null,null,null,null,null,null,"【背部痛】"]
["肺間質障害","心窩部不快感","低体温","中毒","自然気胸",null,null,"慢性硬膜下血種",null,null,null,null,"徐々に",null,null,"頭蓋内圧亢進症状、嘔気嘔吐、意識障害、麻痺",null,null,null,null,null,null,"飲酒歴、外傷歴",null,null,null,null,null,null,"頭部外傷痕、片麻痺、認知症",null,null,null,null,null,null,"循環器",null,"急性大動脈解離",null,null,null,null,"突発",null,null,"背部から腰部へ移動",null,null,null,null,null,null,null,null,null,null,null,null,null,"左右差、胸痛、脳梗塞症状、失神、麻痺"]
["間質性肺炎","浮腫","悪性症候群","重症熱中症","胸膜炎","一次性(機能性)",null,"群発頭痛",null,null,null,null,"急に",null,null,"片側、充血、流涙、鼻漏、縮瞳、眼瞼下垂",null,null,null,null,null,null,"男性に多い、頭痛の既往",null,null,null,null,null,null,"持続性、片側性、拍動性、反復性など",null,null,null,null,null,null,null,null,"急性冠症候群",null,null,null,null,"突発",null,null,"高齢、女性、糖尿病では非典型症状",null,null,null,null,null,null,null,null,null,null,null,null,null,"心電図異常、下顎部-頸部痛、上腹部痛"]
["間質性肺水腫","ショック","頭部外傷","運動マヒ","循環器系",null,null,"片頭痛",null,null,null,null,"急に",null,null,"拍動性、悪心、嘔吐、蒼白、前兆",null,null,null,null,null,null,"頭痛の既往",null,null,null,null,null,null,"片側性、拍動性、前兆あり",null,null,null,null,null,null,"呼吸器",null,"自然気胸",null,null,null,null,"突発",null,null,"吸気時に増強、努責、咳が誘因",null,null,null,null,null,null,"やせた若い男性",null,null,null,null,null,null,"咳、呼吸音減弱"]
["肺線維症","循環血液量減少性ショック","ショック","高血圧性脳内出血","急性心筋梗塞",null,null,"筋緊張性頭痛",null,null,null,null,"急に~徐々に",null,null,"肩や首筋の凝り、日内変動あり",null,null,null,null,null,null,"頭痛の既往",null,null,null,null,null,null,"持続性、頭重感、圧迫感、肩凝り",null,null,null,null,null,null,null,null,"肺炎",null,null,null,null,"徐々に",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"咳、痰呼吸音減弱、発熱"]
["【呼吸不全症候】","出血","不整脈","脳梗塞","不整脈",null,null,"三叉神経痛",null,null,null,null,"急に",null,null,"三叉神経領域に限局の激烈、電撃痛、短時間",null,null,null,null,null,null,"中年以降の女性",null,null,null,null,null,null,"誘発帯あり、麻痺・知覚障害を認めない",null,null,null,null,null,null,null,null,"インフルエンザ",null,null,null,null,"徐々に",null,null,"意識障害、呼吸不全あれば緊急",null,null,null,null,null,null,null,null,null,null,null,null,null,"咳、痰、発熱"]
["チアノーゼ","体液喪失","低酸素血症","一過性脳虚血発作","肺血栓塞栓症","【めまい・ふらつき】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"胸膜炎",null,null,null,null,"徐々に",null,null,"吸気時に増強",null,null,null,null,null,null,"肺がん、結核",null,null,null,null,null,null,"咳、胸痛、打診で濁音、発熱"]
["冷汗","体液分布異常","肝不全","トッド麻痺","うっ血性心不全","脳疾患\n(回転性)",null,"椎骨脳底動脈循環不全",null,null,null,null,"頸回旋.伸展時",null,null,"顔面・上肢の痺れ",null,null,null,null,null,null,"高血圧、脂質異常症\n糖尿病、心房細動",null,null,null,null,null,null,"視覚障害(霧視-複視)、脱力",null,null,null,null,null,null,"消化器",null,"食道破裂",null,null,null,null,"突発",null,null,"嘔吐、息こらえ後",null,null,null,null,null,null,null,null,null,null,null,null,null,"咳、呼吸困難、頸部皮下気腫、上腹部痛"]
["呼吸困難","心原性ショック","腎不全","頭部外傷","心筋症",null,null,"小脳出血",null,null,null,null,"突発",null,null,"後頭部痛、嘔吐、麻痺がないが歩行不可",null,null,null,null,null,null,null,null,null,null,null,null,null,"四肢麻痺、項部硬直、小脳失調",null,null,null,null,null,null,null,null,"上部消化管出血",null,null,null,null,"突発",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"上腹部痛、嘔吐嘔気、発熱、発汗"]
["頻呼吸","・心収縮力低下","電解質異常","脊髄損傷","心筋炎",null,null,"小脳梗塞",null,null,null,null,"突発",null,null,"後頭部痛、嘔吐、ふらつき、眼振",null,null,null,null,null,null,null,null,null,null,null,null,null,"四肢麻痺、感覚障害、小脳失調",null,null,null,null,null,null,null,null,"膵炎",null,null,null,null,"幅あり",null,null,"胸膝位で軽減、食後飲酒後",null,null,null,null,null,null,"膵炎、胆石症、飲酒、腹部手術",null,null,null,null,null,null,"上腹部痛、嘔吐嘔気、発熱、発汗"]
["浅表性呼吸","急性心筋梗塞","内分泌異常","ギランバレー症候群","心タンポナーデ",null,null,"脳幹梗塞",null,null,null,null,"突発",null,null,"顔面-上下肢運動麻痺、知覚障害、意識障害",null,null,null,null,null,null,null,null,null,null,null,null,null,"四肢麻痺、感覚障害",null,null,null,null,null,null,null,null,"胆石/胆嚢炎",null,null,null,null,"幅あり",null,null,"右背部~肩痛",null,null,null,null,null,null,null,null,null,null,null,null,null,"右上腹部痛、発熱"]
["喘鳴","心筋炎","頭痛","末梢神経外傷","外因性","循環器\n(失神性)",null,"急性大動脈解離",null,null,null,null,"突発",null,null,"移動性の激烈な胸痛・背部痛",null,null,null,null,null,null,"加齢・男性、高血圧",null,null,null,null,null,null,"上肢血圧左右差、ショック、四肢麻痺",null,null,null,null,null,null,"泌尿器",null,"腎梗塞",null,null,null,null,"突発",null,null,"側背部",null,null,null,null,null,null,"心房細動、血尿",null,null,null,null,null,null,"側腹部痛、発熱、血圧上昇"]
["陥没呼吸","心筋症","片頭痛","神経筋疾患","気道異物",null,null,"循環血液量減少",null,null,null,null,"急に",null,null,"立ちくらみ",null,null,null,null,null,null,"消化性潰瘍の既往",null,null,null,null,null,null,"タール便、最近の外傷",null,null,null,null,null,null,null,null,"腎盂腎炎/腎周囲膿瘍",null,null,null,null,"急に",null,null,"側背部痛、叩打痛",null,null,null,null,null,null,"膀胱炎症症状、混濁尿",null,null,null,null,null,null,"背部叩打痛、高熱"]
["起坐呼吸","・不整脈","緊張型頭痛","四肢の急性阻血","胸部外傷",null,null,"アダムストークス",null,null,null,null,"突発",null,null,"突然の眼前暗黒感",null,null,null,null,null,null,"徐脈性・頻脈性不整脈",null,null,null,null,null,null,"失神、高度徐脈-頻脈、二次的頭部外傷",null,null,null,null,null,null,null,null,"尿路結石",null,null,null,null,"突発",null,null,"間欠的、体動著明",null,null,null,null,null,null,"血尿"]
["口すぼめ呼吸","高度徐脈","群発頭痛","クラッシュ症候群","脊髄損傷",null,null,"鎖骨下動脈盗血症候群",null,null,null,null,"突発",null,null,"ふらつき、構音障害",null,null,null,null,null,null,"加齢、高血圧",null,null,null,null,null,null,"激しい腕の運動で眩暈症状",null,null,null,null,null,null,"皮膚",null,"帯状疱疹",null,null,null,null,"徐々に",null,null,"ピリピリした感覚",null,null,null,null,null,null,null,null,null,null,null,null,null,"体幹片側の発赤、水泡"]
["呼吸補助筋肥大-収縮","高度頻脈","被殻出血","コンパートメント症候群","中毒",null,null,"心臓弁膜症",null,null,null,null,"徐々に",null,null,"動悸、息切れ、胸痛、むくみ",null,null,null,null,null,null,"加齢、リウマチ熱の後遺症",null,null,null,null,null,null,"体重増加、心不全症状",null,null,null,null,null,null,"神経",null,"肋間神経痛",null,null,null,null,"突発",null,null,"片側-誘発点あり、神経の走行に一致",null,null,null,null,null,null,"胸部外傷、帯状疱疹"]
["ラ音","・心臓の機械的障害","視床出血","低血糖","代謝性アシドーシス",null,null,"反射性失神",null,null,null,null,"急に",null,null,"気分不快、蒼白、冷汗",null,null,null,null,null,null,"疼痛、恐怖、長時間起立、不眠、疲労",null,null,null,null,null,null,"腹部不快",null,null,null,null,null,null,"運動器",null,"化膿性脊椎炎",null,null,null,null,"急に",null,null,"傍脊柱筋の圧痛、叩打痛、体動時痛",null,null,null,null,null,null,"糖尿病、泌尿器-婦人科疾患、胆嚢炎",null,null,null,null,null,null,"両(上)下肢運動感覚障害、両(上)下肢麻痺、高熱"]
["全肺野呼吸音減弱","心臓弁膜症","小脳出血","高血糖","過換気症候群",null,null,"起立性低血圧",null,null,null,null,"急に",null,null,"立ちくらみ、冷汗、蒼白、眼前暗黒色",null,null,null,null,null,null,"加齢、食後、運動後",null,null,null,null,null,null,"起立後眼前暗黒感、失神、二次的頭部外傷",null,null,null,null,null,null,null,null,"脊椎外傷後/術後",null,null,null,null,"徐々に",null,null,null,null,null,null,null,null,null,"各疾患の既往、治療歴",null,null,null,null,null,null,"両(上)下肢運動感覚障害"]
["頻脈などの不整脈","心室中隔欠損症","脳梗塞","低カリウム血症","喀血","耳鼻科\n(回転性)",null,"メニエール",null,null,null,null,"突発",null,null,"蝸牛症状",null,null,null,null,null,null,"内リンパ腫、強いストレス、不眠",null,null,null,null,null,null,"他に症状を認めることは少ない",null,null,null,null,null,null,null,null,"胸椎変性疾患",null,null,null,null,"徐々に"]
["血圧異常","心外閉塞拘束性ショック","小脳梗塞","有機リン中毒","呼吸器系",null,null,"突発性難聴",null,null,null,null,"突発",null,null,"突発の片側の難聴",null,null,null,null,null,null,"強いストレス、不眠",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"筋肉疲労",null,null,null,null,"徐々に",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"伸展による疼痛"]
["外頸静脈怒張","緊張性気胸","くも膜下出血","フグ中毒","気管支拡張症",null,null,"良性発作性頭位眩暈症",null,null,null,null,"突発",null,null,"嘔気嘔吐",null,null,null,null,null,null,"耳の感染症、頭部外傷",null,null,null,null,null,null,null,null,null,null,null,null,null,"【腰　痛】"]
["頭痛","心タンポナーデ","椎骨動脈解離","めまい","肺結核",null,null,"前庭神経炎",null,null,null,null,"急に",null,null,"嘔気嘔吐",null,null,null,null,null,null,"感冒症状の先行",null,null,null,null,null,null,null,null,null,null,null,null,null,"循環器",null,"腹部大動脈瘤破裂",null,null,null,null,"突発",null,null,"急激な痛み、体性痛",null,null,null,null,null,null,null,null,null,null,null,null,null,"ショックバイタル、腹部拍動性腫瘤、腹部緊張"]
["不穏","肺血栓塞栓症","脳静脈洞血栓症","末梢性めまい","気管支炎","その他\n(浮動性)",null,"貧血",null,null,null,null,"徐々に",null,null,"ふらつき、動悸、疲労感",null,null,null,null,null,null,"鉄分不足、出血",null,null,null,null,null,null,"顔面・眼瞼結膜蒼白",null,null,null,null,null,null,null,null,"大動脈解離",null,null,null,null,"突発",null,null,"背中から腰部へ移動",null,null,null,null,null,null,null,null,null,null,null,null,null,"左右差、胸痛-収縮期雑音、脳梗塞症状、失神、麻痺"]
["意識障害","血液分布異常性ショック","高血圧性脳症","メニエール病","肺膿瘍",null,null,"低血糖",null,null,null,null,"徐々に",null,null,"動悸、空腹感、脱力感、ふらつき",null,null,null,null,null,null,"糖尿病の治療歴",null,null,null,null,null,null,"冷汗、痙攣、意識低下、体温低下",null,null,null,null,null,null,"泌尿器",null,"腎結石",null,null,null,null,"徐々に",null,null,"側背部、叩打痛",null,null,null,null,null,null,"混濁尿、血尿",null,null,null,null,null,null,"背部叩打痛、感染があれば腎盂腎炎(発熱)"]
["痙攣","アナフィラキシー","髄膜炎","突発性難聴","肺梗塞",null,null,"薬剤性",null,null,null,null,"徐々に",null,null,"ふらつき",null,null,null,null,null,null,"降圧薬、抗てんかん薬、抗不安薬、睡眠薬など",null,null,null,null,null,null,"顔面・眼瞼結膜蒼白",null,null,null,null,null,null,null,null,"尿管結石",null,null,null,null,"突発",null,null,"間欠的、体動に関係しない痛み",null,null,null,null,null,null,"血尿",null,null,null,null,null,null,"内臓痛、自律神経症状を伴う"]
["樽状胸郭","神経原性ショック","脳炎・脳症","良性発作性頭位めまい","循環器系",null,null,"一次性頭痛",null,null,null,null,"徐々に",null,null,"嘔気嘔吐",null,null,null,null,null,null,"眼性疲労、ストレス、同症状の既往",null,null,null,null,null,null,"他に症状を認めることは少ない",null,null,null,null,null,null,null,null,"急性腎盂腎炎",null,null,null,null,"徐々に",null,null,"敗血症性ショックによる症候、嘔吐",null,null,null,null,null,null,"膀胱炎(混濁尿-排尿時痛-頻尿など)",null,null,null,null,null,null,"発熱、悪寒、発汗、脱水、腰背部叩打痛"]
["僧帽弁狭窄症","心因性","隣接部位/腹壁疾患","急性胆道感染症","膵損傷","【しびれ・麻痺】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"産科系",null,"異所性妊娠",null,null,null,null,"突発",null,null,"急激な痛み、体性痛",null,null,null,null,null,null,"妊娠の可能性",null,null,null,null,null,null,"ショックバイタル、腹部膨隆"]
["大動脈瘤の気道内破裂","動悸","急性心筋梗塞","皮膚軟部組織感染症","管腔臓器損傷","脳血管\n障害",null,"クモ膜下出血",null,null,null,null,"突発",null,null,"最悪の頭痛、意識障害、嘔吐、時に片麻痺",null,null,null,null,null,null,"脳動脈瘤、脳動静脈奇形、高血圧、もやもや病",null,null,null,null,null,null,"意識障害、高血圧、脳ヘルニア、髄膜刺激症状",null,null,null,null,null,null,"運動器",null,"腰椎椎間板ヘルニア",null,null,null,null,"急に",null,null,"傍脊柱筋の圧痛、叩打痛、体動時痛",null,null,null,null,null,null,null,null,null,null,null,null,null,"両(上)下肢運動感覚障害"]
[null,"心臓性","下葉肺炎","急性中耳炎","血管損傷",null,null,"脳出血",null,null,null,null,"突発",null,null,"意識障害、片麻痺、頭痛、めまいなど",null,null,null,null,null,null,"脳動静脈奇形、もやもや病、糖尿病、動脈硬化",null,null,null,null,null,null,"意識障害、知覚障害、脳ヘルニア、共同偏視、バビンスキー",null,null,null,null,null,null,null,null,"変形性脊椎症",null,null,null,null,"徐々に"]
["全身性","不整脈性","精索捻転症","ウイルス感染症","後腹膜臓器損傷",null,null,"脳梗塞",null,null,null,null,"突発",null,null,"意識障害、段階的悪化、片麻痺、失語など",null,null,null,null,null,null,"高血圧、心房細動、糖尿病、動脈硬化、脂質異常",null,null,null,null,null,null,"意識障害、知覚障害、脳ヘルニア、共同偏視、バビンスキー",null,null,null,null,null,null,null,null,"筋肉疲労",null,null,null,null,"徐々に",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"伸展による疼痛"]
["出血性疾患","頻脈性","帯状疱疹","重度熱中症","腹壁損傷",null,null,"一過性脳虚血発作",null,null,null,null,"突発",null,null,"脳梗塞症状が短時間で消失",null,null,null,null,null,null,null,null,null,null,null,null,null,"意識障害、知覚障害、共同偏視、瞳孔不同",null,null,null,null,null,null,"【血尿・側腹部痛】"]
[null,"徐脈性","全身性疾患","覚醒剤中毒","骨盤外傷",null,null,"痙攣後状態(トッド麻痺)",null,null,null,null,"突発",null,null,"痙攣後、発作部位に残る運動麻痺",null,null,null,null,null,null,"てんかんの既往",null,null,null,null,null,null,null,null,null,null,null,null,null,"腎尿路",null,"尿管結石",null,null,null,null,"徐々に",null,null,"移動する痛み、血尿",null,null,null,null,null,null,"尿路結石の既往",null,null,null,null,null,null,"腹部所見の有無、肋骨脊柱角の叩打痛"]
["外因性","期外収縮","糖尿病性ケトアシ","アスピリン中毒","安定型骨盤骨折","末梢神経\n障害-筋-\nその他",null,"ギランバレー",null,null,null,null,"徐々に",null,null,"上行性運動麻痺、知覚障害、眼球運動障害",null,null,null,null,null,null,"感染症",null,null,null,null,null,null,"対麻痺、知覚障害、呼吸筋麻痺",null,null,null,null,null,null,null,null,"尿路感染症",null,null,null,null,"徐々に",null,null,"血性混濁尿",null,null,null,null,null,null,"尿路系、糖尿病",null,null,null,null,null,null,"膀胱刺激症状、外陰部の汚染、発熱、ショック"]
["気道異物","非不整脈性","アルコール性ケトアシ","三環系抗うつ薬中毒","不安定型骨盤骨折",null,null,"クラッシュ症候群",null,null,null,null,"徐々に",null,null,"運動麻痺、知覚異常",null,null,null,null,null,null,"長時間圧挫、寝たきり",null,null,null,null,null,null,"患部の腫脹、黒褐色尿、テント状Ｔ波",null,null,null,null,null,null,null,null,"腎梗塞",null,null,null,null,"突発",null,null,"背部痛",null,null,null,null,null,null,"不整脈、弁膜症の有無",null,null,null,null,null,null,"発熱、悪心、尿量減少"]
["肺の外傷","先天性シャント疾患","アレルギー性紫斑病","褐色細胞腫クリーゼ","前後圧迫型",null,null,"四肢の急性阻血",null,null,null,null,"突発",null,null,"知覚異常、疼痛",null,null,null,null,null,null,"心房細動、心臓弁膜症",null,null,null,null,null,null,"蒼白、脈拍消失",null,null,null,null,null,null,"外因",null,"クラッシュシンドローム",null,null,null,null,null,null,null,"褐色尿",null,null,null,null,null,null,"長時間の挟まれ、圧迫、臥床",null,null,null,null,null,null,"圧迫部位の腫脹、痺れ、感覚鈍麻"]
["気管・気管支損傷","後天性弁膜症","副腎クリーゼ","副腎発症","側方圧迫型",null,null,"コンパートメント症候群",null,null,null,null,"徐々に",null,null,"前腕-下腿の骨折や挫傷、自発痛、知覚異常",null,null,null,null,null,null,"外傷-血行障害、挫滅などの経過",null,null,null,null,null,null,null,null,null,null,null,null,null,"皮膚",null,"帯状疱疹",null,null,null,null,"徐々に",null,null,"ピリピリした感覚、発赤、水泡、湿疹様皮疹",null,null,null,null,null,null,"糖尿病、ステロイド内服、免疫不全",null,null,null,null,null,null,"皮膚の状態を観察する"]
["失神","肥大型心筋症","鉛中毒","悪性症候群","垂直せん断型","血管",null,"大動脈解離",null,null,null,null,"突発",null,null,"胸背部痛、片麻痺、めまい、痛みの移動",null,null,null,null,null,null,"高血圧、動脈硬化",null,null,null,null,null,null,"左右差、脳梗塞症状、失神、麻痺、ホルネル症候群",null,null,null,null,null,null,null,null,"神経痛",null,null,null,null,"徐々に",null,null,"疼痛は間欠的、反復性、刺すような、灼熱感、電撃痛",null,null,null,null,null,null,"帯状疱疹",null,null,null,null,null,null,"皮膚への軽い接触で疼痛増強"]
["起立性低血圧","高血圧","吐血・下血","頭部外傷","四肢外傷","全身性",null,"低血糖",null,null,null,null,"徐々に",null,null,"意識障害、片麻痺、頭痛、蒼白、冷汗",null,null,null,null,null,null,"糖尿病",null,null,null,null,null,null,"意識障害、運動麻痺、発汗",null,null,null,null,null,null,"【悪心・嘔吐】"]
["自律神経障害","うっ血性心不全","吐血","頭蓋骨骨折","コンパートメント症候群",null,null,"高血糖",null,null,null,null,"徐々に",null,null,"多飲多尿、脱水、ストレス、意識障害",null,null,null,null,null,null,"糖尿病",null,null,null,null,null,null,"皮膚粘膜乾燥、意識障害、クスマウル",null,null,null,null,null,null,"消化器",null,"消化性潰瘍",null,null,null,null,"徐々に",null,null,"上腹部圧痛",null,null,null,null,null,null,"潰瘍の既往",null,null,null,null,null,null,"上腹部痛、吐血"]
["薬物","虚血性心疾患","食道静脈瘤破裂","急性硬膜外血腫","大腿骨骨幹部骨折",null,null,"低カリウム血症",null,null,null,null,"徐々に",null,null,"下痢、嘔吐、利尿薬使用、低栄養",null,null,null,null,null,null,"内分泌疾患",null,null,null,null,null,null,"平坦Ｔ波、Ｕ波、四肢麻痺",null,null,null,null,null,null,null,null,"腸閉塞",null,null,null,null,"徐々に",null,null,"腹部膨満、腸雑音亢進",null,null,null,null,null,null,"手術の既往",null,null,null,null,null,null,"腹部膨満、脱水、腸雑音亢進"]
["循環血液量減少","心筋炎","マロリーワイス症候群","急性硬膜下血腫","股関節脱臼",null,null,"過換気症候群",null,null,null,null,"突発",null,null,"口唇部や四肢の痺れ、呼吸困難",null,null,null,null,null,null,"精神疾患の既往",null,null,null,null,null,null,"呼吸回数増大、四肢しびれ、テタニー",null,null,null,null,null,null,null,null,"胆石-胆嚢炎",null,null,null,null,"突発",null,null,"右上腹部圧痛、黄疸",null,null,null,null,null,null,"胆石の既往",null,null,null,null,null,null,"右上腹部痛、マーフィー徴候"]
["アナフィラキシー","非心臓性","消化性潰瘍","脳挫傷","大腿骨頸部/転子部骨折","【呼吸困難】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"汎発性腹膜炎",null,null,null,null,"急に",null,null,"腹痛、腹膜刺激症状",null,null,null,null,null,null,null,null,null,null,null,null,null,"圧痛、反跳痛、ショック"]
["神経調節性失神","発熱","急性胃粘膜病変","外傷性脳内出血","皮膚軟部組織外傷","呼吸器\n系疾患",null,"急性喉頭蓋炎",null,null,null,null,"徐々に",null,null,"吸気の呼吸困難",null,null,null,null,null,null,"咽頭炎、感冒",null,null,null,null,null,null,"吸気喘鳴、咽頭痛、発赤、咳嗽、嗄声、流涎",null,null,null,null,null,null,"中枢神経",null,"クモ膜下出血",null,null,null,null,"突発",null,null,"高血圧、意識障害",null,null,null,null,null,null,"家族歴",null,null,null,null,null,null,"血圧上昇、呼吸困難"]
["血管迷走神経反射","貧血","胃癌","外傷性くも膜下出血","切創",null,null,"アナフィラキシー",null,null,null,null,"突発",null,null,null,null,null,null,null,null,null,"アレルギーあり",null,null,null,null,null,null,"吸気喘鳴、全身発赤、皮疹、浮腫、ショック",null,null,null,null,null,null,null,null,"脳出血",null,null,null,null,"突発",null,null,"高血圧、意識障害、片麻痺、構音障害",null,null,null,null,null,null,"高血圧",null,null,null,null,null,null,"血圧上昇、発汗"]
["頸動脈洞症候群","甲状腺疾患","下血","びまん性軸索損傷","刺創",null,null,"気管支喘息発作",null,null,null,null,"徐々に",null,null,"呼気の呼吸困難",null,null,null,null,null,null,"気管支喘息",null,null,null,null,null,null,"呼気喘鳴、咳嗽",null,null,null,null,null,null,null,null,"脳梗塞",null,null,null,null,"突発",null,null,"意識障害、片麻痺、構語障害",null,null,null,null,null,null,"心房細動、高血圧",null,null,null,null,null,null,"片麻痺、構語障害"]
["状況失神","低血糖","上部消化管出血","脳震盪","割創",null,null,"ＣＯＰＤ急性増悪",null,null,null,null,"徐々に",null,null,null,null,null,null,null,null,null,"ＣＯＰＤ",null,null,null,null,null,null,"呼気喘鳴、胸鎖乳突筋発達、ビア樽状胸郭",null,null,null,null,null,null,null,null,"脳炎-髄膜炎",null,null,null,null,"徐々に",null,null,"発熱、髄膜刺激症状",null,null,null,null,null,null,"インフルエンザ、肺炎などの感染症",null,null,null,null,null,null,"発熱、髄膜刺激症状"]
["心原性失神","褐色細胞腫","メッケル憩室炎","顔面頸部外傷","よく創",null,null,"自然気胸",null,null,null,null,"突発",null,null,"胸痛とともに呼吸困難",null,null,null,null,null,null,"やせ型の若い男性、肺気腫の既往",null,null,null,null,null,null,"呼吸左右差、皮下気腫、頸静脈怒張、気管偏位",null,null,null,null,null,null,"薬物\n内分泌",null,"急性中毒",null,null,null,null,"急に",null,null,"意識障害",null,null,null,null,null,null,"内服薬、精神疾患",null,null,null,null,null,null,"意識障害、ショック"]
["急性心筋梗塞","低カリウム血症","腸重積","上顎骨骨折","銃創",null,null,"肺炎",null,null,null,null,"徐々に",null,null,null,null,null,null,null,null,null,"糖尿病など免疫抑制状態では重症化",null,null,null,null,null,null,"発熱、咳嗽、ラ音、呼吸左右差",null,null,null,null,null,null,null,null,"糖尿病ケトアシドーシス",null,null,null,null,"徐々に",null,null,"頻呼吸",null,null,null,null,null,null,"糖尿病",null,null,null,null,null,null,"頻呼吸、脱水"]
["狭心症","呼吸器疾患","大腸憩室炎","下顎骨骨折","裂創",null,null,"クループ",null,null,null,null,"徐々に",null,null,"咽頭の疼痛、咳嗽、発熱",null,null,null,null,null,null,"咽頭炎、感冒",null,null,null,null,null,null,"犬吠様咳嗽",null,null,null,null,null,null,null,null,"肝不全",null,null,null,null,"徐々に",null,null,"頻呼吸",null,null,null,null,null,null,"肝疾患、アルコール",null,null,null,null,null,null,"黄疸、ショック"]
["心臓弁膜症","気管支拡張薬","大腸がん","頬骨骨折","擦過傷",null,null,"胸膜炎",null,null,null,null,"徐々に",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"体動で増悪する胸痛、発熱",null,null,null,null,null,null,"その他",null,"末梢性めまい",null,null,null,null,"突発",null,null,"歩行困難",null,null,null,null,null,null,null,null,null,null,null,null,null,"眼振、歩行障害"]
["心筋症","血管作動薬","感染性大腸炎","眼外傷","挫滅創","循環器\n系疾患",null,"急性心筋梗塞",null,null,null,null,"突発",null,null,"胸痛、肩-背中-顎に放散",null,null,null,null,null,null,"高血圧、高脂血症、糖尿病",null,null,null,null,null,null,"胸痛、ショック、徐脈、血圧変動",null,null,null,null,null,null,null,null,"急性心筋梗塞",null,null,null,null,"突発",null,null,"胸痛、血圧低下",null,null,null,null,null,null,null,null,null,null,null,null,null,"胸痛、上腹部痛"]
["急性大動脈解離","甲状腺ホルモン製剤","虚血性大腸炎","鼻外傷","挫創",null,null,"肺血栓塞栓症",null,null,null,null,"突発",null,null,"刺すような胸痛",null,null,null,null,null,null,"長時間同一姿勢、ステロイドホルモン剤使用",null,null,null,null,null,null,"胸痛、ショック、喀血、深部静脈血栓に伴う下腿浮腫",null,null,null,null,null,null,null,null,"偏頭痛",null,null,null,null,"徐々に",null,null,"頭痛",null,null,null,null,null,null,null,null,null,null,null,null,null,"頭痛"]
["肺血栓塞栓症","抗不整脈薬","潰瘍性大腸炎","耳外傷","挫傷",null,null,"うっ血性心不全",null,null,null,null,"徐々に",null,null,"意識障害、呼吸不全あれば緊急",null,null,null,null,null,null,"心疾患、高血圧",null,null,null,null,null,null,"咳、痰、発熱、下腿浮腫",null,null,null,null,null,null,null,null,"悪阻(つわり)",null,null,null,null,"幅あり",null,null,"食欲不振",null,null,null,null,null,null,"妊娠の可能性",null,null,null,null,null,null,"腹部膨隆(妊娠)"]
["肺高血圧症","腹痛","出血性直腸潰瘍","口唇口腔外傷","爆傷","外因性",null,"気道異物",null,null,null,null,"突発",null,null,"食事中の呼吸苦",null,null,null,null,null,null,"脳梗塞など誤嚥を来す可能性のある疾患",null,null,null,null,null,null,"ストライダー",null,null,null,null,null,null,"【腹　痛】"]
["心タンポナーデ","消化管疾患","痔疾","頸部外傷","咬傷",null,null,"中毒",null,null,null,null,"徐々に",null,null,"吸入後の呼吸苦",null,null,null,null,null,null,"薬物空き瓶など",null,null,null,null,null,null,"ショック、意識障害、喘鳴",null,null,null,null,null,null,"循環器",null,"大動脈解離",null,null,null,null,"突発",null,null,"背部から腰部へ移動する痛み",null,null,null,null,null,null,null,null,null,null,null,null,null,"左右差、胸痛、脳梗塞症状、失神、麻痺"]
["不整脈","消化性潰瘍穿孔","腰痛・背部痛","脊椎脊髄外傷","剝皮創","神経筋\n疾患",null,"筋ジストロフィー-ＡＬＳ-重症筋無力症",null,null,null,null,"徐々に",null,null,null,null,null,null,null,null,null,"同疾患の既往",null,null,null,null,null,null,"筋力低下、腱反射低下、呼吸音減弱",null,null,null,null,null,null,null,null,"急性冠症候群",null,null,null,null,"突発",null,null,"高齢、女性、糖尿病では非典型症状",null,null,null,null,null,null,null,null,null,null,null,null,null,"心電図異常、下顎部-頸部痛、上腹部痛"]
["胸痛","急性胃粘膜病変","内臓疾患","頸椎脱臼骨折","クラッシュ",null,null,"ギランバレー",null,null,null,null,"徐々に",null,null,null,null,null,null,null,null,null,"感冒の既往",null,null,null,null,null,null,"末梢神経障害、自律神経障害、腱反射消失",null,null,null,null,null,null,"消化器",null,"上部消化管出血",null,null,null,null,"急に",null,null,"腹部全体~上腹部痛、腹膜刺激症状",null,null,null,null,null,null,null,null,null,null,null,null,null,"上腹部痛、腹膜刺激症状、嘔吐嘔気、発汗、発熱、ショック"]
["心疾患","急性胃炎","自然気胸","胸腰椎脱臼骨折","その他","その他",null,"貧血",null,null,null,null,"徐々に",null,null,"労作時の呼吸苦",null,null,null,null,null,null,"消化管出血、血液疾患、栄養失調",null,null,null,null,null,null,"眼瞼結膜蒼白、下血吐血の有無",null,null,null,null,null,null,null,null,"急性膵炎",null,null,null,null,"急に",null,null,"胸膝位で軽減、食後飲酒後",null,null,null,null,null,null,"膵炎、胆石症、飲酒、腹部手術",null,null,null,null,null,null,"上腹部痛、嘔吐嘔気、発熱、発汗"]
["急性心筋梗塞","胃アニサキス症","消化性潰瘍","椎間板損傷","熱傷",null,null,"甲状腺機能亢進症",null,null,null,null,"徐々に",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"るい痩、頻脈、発熱、四肢振戦、甲状腺腫大",null,null,null,null,null,null,null,null,"食道破裂",null,null,null,null,"突発",null,null,"嘔吐、息こらえ後",null,null,null,null,null,null,null,null,null,null,null,null,null,"咳、呼吸困難、頸部皮下気腫、上腹部痛"]
["狭心症","虫垂炎","急性膵炎","外傷性頸部症候群","化学損傷",null,null,"代謝性アシドーシス",null,null,null,null,"徐々に",null,null,null,null,null,null,null,null,null,"慢性腎臓病、感染症、糖尿病",null,null,null,null,null,null,"クスマウル呼吸、血圧低下",null,null,null,null,null,null,null,null,"胆石-胆嚢炎",null,null,null,null,"突発",null,null,"右背部~肩痛",null,null,null,null,null,null,null,null,null,null,null,null,null,"右上腹部痛、発熱"]
["急性心膜炎","腸閉塞","胆石発作","脊髄損傷","電撃雷撃症",null,null,"精神的過換気",null,null,null,null,"突発",null,null,"吸気困難",null,null,null,null,null,null,"精神疾患、不安神経症",null,null,null,null,null,null,"頻呼吸、四肢のしびれ、意識障害",null,null,null,null,null,null,null,null,"虫垂炎",null,null,null,null,"徐々に",null,null,"右下腹部痛",null,null,null,null,null,null,null,null,null,null,null,null,null,"発熱"]
["心筋炎","感染性胃腸炎","急性胆嚢炎","胸部外傷","縊頸","【動　悸】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"腸閉塞",null,null,null,null,"急に",null,null,"腹部全体",null,null,null,null,null,null,"腹膜刺激症状、金属音"]
["心筋症","大腸穿孔","尿管結石","心筋挫傷","絞頸","頻脈性",null,"心室頻拍",null,null,null,null,"突発",null,null,"血圧低下を伴う",null,null,null,null,null,null,"心疾患",null,null,null,null,null,null,"アダムストークス",null,null,null,null,null,null,null,null,"急性胃粘膜病変・食道炎",null,null,null,null,"急に",null,null,"心窩部痛、胸部痛"]
["心臓弁膜症","大腸憩室炎","急性腎盂腎炎","心タンポナーデ","刺咬傷",null,null,"洞性頻脈",null,null,null,null,"徐々に",null,null,"血圧は正常~上昇",null,null,null,null,null,null,"貧血、甲状腺機能亢進症",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"潰瘍性大腸炎-憩室炎-炎症性腸炎",null,null,null,null,"幅あり",null,null,"疝痛、間欠痛、血便"]
["血管疾患","肝胆膵疾患","女性内性器疾患","心臓振盪","睡眠薬中毒",null,null,"上室頻拍",null,null,null,null,"突発",null,null,"ふらつき、眼前暗黒感、胸部不快感、胸痛",null,null,null,null,null,null,"ＷＰＷ症候群、甲状腺機能亢進、心疾患",null,null,null,null,null,null,null,null,null,null,null,null,null,"血液",null,"脾梗塞",null,null,null,null,"突発",null,null,"側背部痛、側腹部痛",null,null,null,null,null,null,null,null,null,null,null,null,null,"左上腹部痛"]
["急性大動脈解離","胆石発作","血管疾患","大血管損傷","向精神薬中毒",null,null,"心房粗動",null,null,null,null,"突発",null,null,"胸部違和感",null,null,null,null,null,null,"弁膜症、心筋症、心肥大",null,null,null,null,null,null,null,null,null,null,null,null,null,"泌尿器",null,"腎梗塞",null,null,null,null,"突発",null,null,"側背部痛",null,null,null,null,null,null,"心房細動、血尿",null,null,null,null,null,null,"側腹部痛、発熱、血圧上昇"]
["胸部大動脈瘤破裂","急性胆嚢炎","腹部大動脈瘤破裂","肺損傷","解熱鎮痛薬中毒",null,null,"心房細動",null,null,null,null,"突発",null,null,"呼吸苦、息切れ、易疲労感",null,null,null,null,null,null,"75歳以上、脳梗塞、慢性肺疾患、心疾患糖尿病",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"精巣捻転症",null,null,null,null,"急に",null,null,"陰嚢、下腹部",null,null,null,null,null,null,null,null,null,null,null,null,null,"陰嚢腫大と圧痛、思春期男性"]
["肺血栓塞栓症","急性胆管炎","急性大動脈解離","気胸","農薬中毒","徐脈性",null,"高度房室ブロック",null,null,null,null,"突発",null,null,"眩暈、ふらつき、眼前暗黒感、失神",null,null,null,null,null,null,"下壁梗塞、異型狭心症、薬剤性、電解質異常",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"腎盂腎炎/腎周囲膿瘍",null,null,null,null,"急に",null,null,"側背部痛、叩打痛",null,null,null,null,null,null,"膀胱炎症状、混濁尿",null,null,null,null,null,null,"背部叩打痛、高熱"]
["胸膜疾患","急性膵炎","筋骨格系","緊張性気胸","工業用品中毒",null,null,"洞不全症候群",null,null,null,null,"徐々に",null,null,"眩暈、失神",null,null,null,null,null,null,"虚血性心疾患、サルコイドーシス、心筋症",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"尿路結石",null,null,null,null,"突発",null,null,"間欠痛、体動著明",null,null,null,null,null,null,"血尿",null,null,null,null,null,null,"背部痛、下腹部痛"]
["自然気胸","肝がん破裂","急性腰痛症","血胸","ガス中毒",null,null,"洞性徐脈",null,null,null,null,"徐々に",null,null,"眩暈、疲労感、失神",null,null,null,null,null,null,"加齢、心疾患",null,null,null,null,null,null,null,null,null,null,null,null,null,"代謝系",null,"糖尿病ケトアシドーシス",null,null,null,null,"急に",null,null,null,null,null,null,null,null,null,"糖尿病",null,null,null,null,null,null,"意識障害、脱水、呼気アセトン臭、クスマウル"]
["胸膜炎","消化管以外","腰椎椎間板ヘルニア","気管気管支損傷","アルコール中毒","期外収縮",null,"心室性期外収縮",null,null,null,null,"幅あり",null,null,"息切れ、ＱＴ延長、ＲonＴに注意",null,null,null,null,null,null,"心疾患",null,null,null,null,null,null,null,null,null,null,null,null,null,"婦人科",null,"異所性妊娠",null,null,null,null,"突発",null,null,null,null,null,null,null,null,null,"妊娠",null,null,null,null,null,null,"下腹部痛、性器出血、ショック"]
["食道疾患","泌尿生殖系疾患","脊椎圧迫骨折","肋骨骨折","自然毒中毒",null,null,"心房期外収縮",null,null,null,null,"幅あり",null,null,"息切れ、ショートランに注意",null,null,null,null,null,null,"心疾患",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"卵巣出血-茎捻転",null,null,null,null,"急に",null,null,"間欠性~持続性",null,null,null,null,null,null,null,null,null,null,null,null,null,"下腹部痛"]
["特発性食道破裂","尿管結石","腰部脊柱管狭窄症","フレイルチェスト","家庭用品中毒","器質的\n心疾患",null,"先天性心疾患",null,null,null,null,"徐々に",null,null,"息切れ",null,null,null,null,null,null,"心臓の形態異常",null,null,null,null,null,null,"チアノーゼ、ばち状指、赤血球増加症",null,null,null,null,null,null,null,null,"骨盤内感染症",null,null,null,null,"突発",null,null,"下腹部痛、圧痛",null,null,null,null,null,null,null,null,null,null,null,null,null,"発熱"]
["胃食道逆流症","卵巣嚢腫茎捻転","体温上昇","横隔膜損傷","乱用薬物中毒",null,null,"心臓弁膜症",null,null,null,null,"徐々に",null,null,"息切れ",null,null,null,null,null,null,"先天性、リウマチ熱、動脈硬化、心筋梗塞",null,null,null,null,null,null,"右心不全で顔面下腿浮腫、肝腫大、腹部膨満",null,null,null,null,null,null,"【喀血・吐血】"]
["胸壁疾患","骨盤内感染症","インフルエンザ","外傷性窒息","異物",null,null,"肥大型心筋症",null,null,null,null,"幅あり",null,null,"息切れ、胸痛、失神",null,null,null,null,null,null,"貧血、甲状腺機能亢進、大動脈弁疾患",null,null,null,null,null,null,null,null,null,null,null,null,null,"呼吸器",null,"気管支拡張症",null,null,null,null,"徐々に",null,null,"乾性ラ音",null,null,null,null,null,null,"既往あり、痩せた老人",null,null,null,null,null,null,"咳、呼吸音減弱"]
["帯状疱疹","異所性妊娠破裂","扁桃炎","腹部外傷","溺水",null,null,"うっ血性心不全",null,null,null,null,"幅あり",null,null,"呼吸苦、息切れ、易疲労感",null,null,null,null,null,null,"高血圧、心疾患",null,null,null,null,null,null,"ピンクの泡沫状痰、咳嗽",null,null,null,null,null,null,null,null,"肺がん",null,null,null,null,"徐々に",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"咳、痰呼吸音減弱"]
["肋骨骨折","血管疾患","肺炎","肝損傷","熱中症",null,null,"虚血性心疾患",null,null,null,null,"突発",null,null,"胸痛、呼吸困難、冷汗、嘔気嘔吐",null,null,null,null,null,null,"加齢、喫煙、肥満、糖尿病",null,null,null,null,null,null,"眼瞼黄色腫、放散痛",null,null,null,null,null,null,null,null,"肺アスペルギルス症・結核",null,null,null,null,"徐々に",null,null,"食思不振、発熱、るい痩",null,null,null,null,null,null,null,null,null,null,null,null,null,"咳、痰、発熱"]
["その他","腹部大動脈瘤破裂","急性腎盂腎炎","脾損傷","偶発性低体温症",null,null,"心筋炎",null,null,null,null,"幅あり",null,null,"感冒症状、消化器症状などの前駆症状",null,null,null,null,null,null,"ウイルス感染、化学物質、膠原病",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食道静脈瘤",null,null,null,null,"突発",null,null,"肝性昏睡、黄疸、腹水",null,null,null,null,null,null,"肝硬変",null,null,null,null,null,null,"肝性昏睡、黄疸、腹水"]
["上腹部臓器疾患","上腸間膜動脈閉塞症","感染性腸炎","腎損傷","放射線障害",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"消化器",null,"食道がん・胃がん",null,null,null,null,"突発",null,null,null,null,null,null,null,null,null,"腹部手術",null,null,null,null,null,null,"上腹部痛、嘔吐嘔気"]

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["症候別ポイント"]
["【痙　攣】"]
["・ＡＢＣの評価を最優先に行う(特に痙攣反復・持続時）。"]
["・痙攣が停止していたら、目撃者から痙攣の様子などの情報を得る。"]
["・痙攣発作の既往、発作の原因となる基礎疾患の有無について確認する。"]
["・痙攣時の転倒などによる二次的な外傷の有無を見落とさない。"]
["・非痙攣性てんかん発作では意識障害が前面に出る。"]
["・痙攣以外の症状、すなわち凝視、共同偏視、反復する異常言動や異常行動に留意する。"]
["[緊急度が高い疾患・病態]"]
["・発作がすぐに止まる場合は緊急処置を要しないことが多いが、バイタルサインに変化が出た場合は緊急性が高い。"]
["・必ず心室細動又は無脈性心室頻拍を想定すること。"]
["・痙攣が繰り返される、または５分以上続く場合は重積発作を考える。"]
[]
["【頭　痛】"]
["・突然の激しい頭痛は、まず、くも膜下出血を疑う。"]
["・くも膜下出血を疑う場合は、再出血(再破裂)の危険性を考え愛護敵な活動を行う。"]
["・搬送中に血圧上昇、嘔吐あるいは意識レベル低下を認めた場合は再出血した可能性がある。"]
["・血圧上昇と徐脈(クッシング徴候)は、頭蓋内圧亢進あるいは脳ヘルニアを考える。"]
["・眼痛を伴う頭痛では急性緑内障発作が疑われる。"]
["[緊急度が高い疾患・病態]"]
["・緊急度の高い疾患は、脳卒中・髄膜炎・脳炎・脳症であり、失明が切迫しているという点では緑内障も含まれる。"]
["・随伴症状として意識障害、発熱、視野障害、痙攣を伴うもの、あるいは急速に悪化している場合は緊急性が高い。"]
[]
["【めまい・ふらつき】"]
["・人により訴えが異なる。　緊急を要する脳幹・小脳症状に注意すること。　"]
["・症状とバイタルサインの変化に注意。"]
["・単純に「眩暈」「ふらつき」と表現されても原因はさまざまである。"]
["[緊急度が高い疾患・病態]"]
["・脳卒中、アダムストークス症候群、不整脈などの循環器系"]
["・消化管出血、急性大動脈解離が原因で循環血液量減少を起こす病態"]
[]
["【しびれ・麻痺】"]
["・脳卒中を疑った場合は迅速な搬送を心掛ける。"]
["・脳梗塞に対する血栓溶解療法の適応は４．５時間である。"]
["・急性発症である脳卒中は、発症様式（突然　や　急に）の問診が重要である。"]
["・内服薬（抗凝固薬・抗血小板薬など）の情報は重要である。"]
["・ショックバイタルを呈している場合は血管系疾患を考慮。この場合、胸部症状や背部痛の有無を確認する。"]
["・代謝性疾患、中毒や末梢神経障害疾患は、既往歴やエピソードを正確に聴取することが手掛かりとなる。"]
["[緊急度が高い疾患・病態]"]
["・脳血管系疾患：脳梗塞、脳出血、クモ膜下出血"]
["・血管系疾患　：大動脈解離"]
["・末梢神経系　：クラッシュシンドローム、コンパートメント症候群"]
["・全身性疾患　：低血糖"]
["・中枢神経系　：髄膜炎、脳炎、脳症"]
[]
["【呼吸困難】"]
["・低酸素血症の症候を迅速に評価し、早期に改善に努める。"]
["・異物が原因の上気道閉塞を見逃さない。"]
["・アナフィラキシーを確認する。"]
["[緊急度が高い疾患・病態]"]
["・呼吸器系疾患：急性喉頭蓋炎、アナフィラキシー、気管支喘息発作、ＣＯＰＤ増悪、自然気胸など。"]
["・循環器系疾患：急性心筋梗塞、肺血栓塞栓症、肺水腫、うっ血性心不全など。"]
["・外因性疾患　：気道異物、中毒など。"]
[]
["【動　悸】"]
["・初期評価の段階で生理学的徴候に異常をきたしている場合は、致命的な不整脈が起こっている可能性が高い。"]
["・ショックの有無を早期に確認する。"]
["・失神、めまい、胸痛を伴えば重症である可能性を考える。"]
["[緊急度が高い疾患・病態]"]
["・心室頻拍、高度房室ブロック、洞不全症候群、うっ血性心不全、急性心筋梗塞など"]
[]
["【胸　痛】"]
["・急変に備える。　ショックの有無の確認。　"]
["・危険な不整脈(多源性・連発・ＲonＴ)を早期に認識する。"]
["[緊急度が高い疾患・病態]"]
["・急性心筋梗塞、急性大動脈解離、腹部大動脈瘤破裂、肺血栓塞栓症、緊張性気胸、特発性食道破裂など"]
[]
["【背部痛】"]
["・随伴症状として胸痛を確認する。　ショックの有無の確認。"]
["[緊急度が高い疾患・病態]"]
["・急性大動脈解離、急性冠症候群、自然気胸、重症肺炎、特発性食道破裂、上部消化管穿孔、腎梗塞など。"]
[]
["【腰　痛】"]
["・疼痛の性状に注意する。　ショックの有無の確認。"]
["[緊急度が高い疾患・病態]"]
["・腹部大動脈瘤破裂、大動脈解離、異所性妊娠など"]
[]
["【血尿・側腹部痛】"]
["・頻度として尿管結石が多く、移動する間欠痛で、痛みは非常に強い。"]
["・発熱を伴う場合、ショックの有無を確認する。　"]
["・大動脈疾患を鑑別に入れる。"]
["[緊急度が高い疾患・病態]"]
["・血圧低下を伴う尿路感染症、腎梗塞"]
["・腹部大動脈瘤破裂、大動脈解離、クラッシュシンドロームなど"]
["【悪心・嘔吐】"]
["・消化器系疾患以外に、中枢神経系疾患や循環器系疾患も考慮する。"]
["・嘔吐による二次的な窒息のリスクがある。"]
["・吐物の性状は重要な現場情報である。"]
["[緊急度が高い疾患・病態]"]
["・消化器系疾患　：汎発性腹膜炎、絞扼性イレウス、敗血症を伴う胆石／胆嚢炎など"]
["・中枢神経系疾患：くも膜下出血、脳出血"]
["・薬物／内分泌系：急性中毒、糖尿病性ケトアシドーシス、肝不全など"]
["・循環器系疾患　：急性心筋梗塞、ショック"]
[]
["【腹　痛】"]
["・腹膜刺激症状の有無を確認する。"]
["・腹膜刺激症状の有無を確認する。発熱、胸痛、背部痛の有無の確認をする。"]
["[緊急度が高い疾患・病態]"]
["・出血や敗血症に伴うショック：腹膜炎"]
["・消化器系疾患　　：消化管穿孔、急性膵炎、食道破裂、絞扼性イレウス"]
["・消化器系疾患以外：大動脈解離、大動脈瘤破裂、急性冠症候群、脾梗塞、腎梗塞、精巣捻転、異所性妊娠、卵巣出血など"]
[]
["【喀血・吐血】"]
["・喀血と吐血の区別は容易ではない。"]
["・大量喀血は短時間で気道閉塞、呼吸不全に陥る。"]
["・吐血は循環血液量減少性ショックを引き起こす。"]
["・大量吐血では誤嚥による気道閉塞、低酸素血症に注意する。"]
["[緊急度が高い疾患・病態]"]
["・大量出血による出血性ショック"]
["・気道内出血による窒息、低酸素血症"]
[]
["【下　痢】"]
["・脱水による循環血液量減少性ショックが増悪する場合は輸液プロトコルを考慮する。"]
["・下痢の色調や性状が脱水の程度の評価に有用な情報となる。"]
["[緊急度が高い疾患・病態]"]
["・下痢に伴う脱水、脱水による循環血液量減少性ショック"]
[]
["【下血・不整性器出血】"]
["・下血か、不整性器出血か、血尿かの鑑別が重要である。"]
["・女性では妊娠を疑う。"]
["[緊急度が高い疾患・病態]"]
["・ショックを伴うもの"]
["・不整性器出血では妊娠に関係したもの"]

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["指令日時",null,null,"Ｒ",null,null,"年",null,null,"月",null,null,"日",null,null,"：",null,null,null,"件番",null,null,null,null,null,null,"救命士数",null,null,null,null,null,"名","認定",null,null,"□気管内挿管",null,null,null,null,null,null,"□薬剤投与",null,null,null,null,null,"ＰＡ",null,null,"□有",null,"□無"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□拡大２項目",null,null,null,null,null,null,"□認定無し"]
["指令書\n[追記含]"]
[]
["プレアライバルコール内容⇒"]
["時間経過(分)",null,null,null,null,null,"入電~接触",null,null,null,null,null,null,"接触~車内",null,null,null,null,null,null,"車内~搬開",null,null,null,null,null,null,"搬開~引継",null,null,null,null,null,null,"入電~引継",null,null,null,null,{"$f":"SUM(L6+S6+Z6+AG6)","v":0},null,"接触~搬開",null,null,null,null,{"$f":"SUM(S6+Z6)","v":0},null,"接触~引継",null,null,null,null,{"$f":"SUM(S6+Z6+AG6)","v":0}]
["出動途上","評価",null,"□内因性　",null,null,null,null,"□外因性　",null,null,null,null,"□内因性先行型外因性　",null,null,null,null,null,null,null,null,null,null,"□詳細不明　",null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,null,null,"緊急度",null,null,null,"□高",null,null,"□中",null,null,"□低",null,null,"□非",null,null,"□判断つかず",null,null,null,null,null,null,null,"重症度",null,null,null,"□重",null,null,"□中",null,null,"□軽",null,null,"□非",null,null,"□判断つかず"]
[null,null,null,"□ＣＰＡ",null,null,null,null,null,"ＡＢＣ異常",null,null,null,null,null,"(","□有",null,null,"□無",null,null,")",null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,"症候①","□意識障害",null,null,null,null,null,"□頭痛",null,null,null,"□痙攣",null,null,null,"□運動麻痺",null,null,null,null,null,"□眩暈",null,null,null,"□呼吸困難",null,null,null,null,null,"□喀血",null,null,null,"□失神",null,null,null,"□胸痛",null,null,null,"□動悸",null,null,null,"□腹痛"]
[null,null,"□吐下血",null,null,null,null,"□腰背部痛",null,null,null,null,null,"□体温上昇",null,null,null,null,null,"□不明",null,null,null,"□他⇒"]
[null,null,"□外因⇒",null,null,null,null,"□頭部",null,null,null,"□顔面・頸部",null,null,null,null,null,null,"□脊椎・脊髄",null,null,null,null,null,null,"□胸部",null,null,null,"□腹部",null,null,null,"□骨盤",null,null,null,"□四肢",null,null,null,"□皮膚",null,null,null,"□熱傷",null,null,null,"□中毒"]
[null,null,null,null,null,null,null,"□環境因子",null,null,null,null,null,"□窒息",null,null,null,"□溺水",null,null,null,"□墜落・転落",null,null,null,null,null,null,"□交通",null,null,null,"□不明",null,null,null,"□他⇒"]
[null,"想定①","□脳神経",null,null,null,null,"□呼吸器",null,null,null,null,"□循環器",null,null,null,null,"□消化器",null,null,null,null,"□泌尿・生殖器",null,null,null,null,null,null,null,"□代謝・内分泌・栄養",null,null,null,null,null,null,null,null,null,"□血液・免疫",null,null,null,null,null,null,"□皮膚",null,null,null,"□眼耳鼻"]
[null,null,"□感染症",null,null,null,null,"□精神科",null,null,null,null,"□産婦人科",null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,null,"□脳梗塞",null,null,null,null,"□脳出血",null,null,null,null,"□くも膜下出血",null,null,null,null,null,null,null,null,"□心不全",null,null,null,null,"□急性冠症候群",null,null,null,null,null,null,null,"□不整脈",null,null,null,null,"□大動脈解離",null,null,null,null,null,null,"□胸腹部大動脈瘤"]
[null,null,"□肺血栓塞栓症",null,null,null,null,null,null,null,"□呼吸不全",null,null,null,null,null,"□肺炎",null,null,null,"□腹膜炎",null,null,null,null,"□消化管出血",null,null,null,null,null,null,"□腸閉塞",null,null,null,null,"□胆膵系",null,null,null,null,"□腎不全",null,null,null,null,"□肝不全"]
[null,null,"□敗血症",null,null,null,null,"□血糖異常",null,null,null,null,null,"□脱水",null,null,null,"□貧血",null,null,null,"□失神",null,null,null,"□想定傷病名⇒"]
[null,null,"□心タンポナーデ",null,null,null,null,null,null,null,null,"□気道閉塞",null,null,null,null,null,"□フレイルチェスト",null,null,null,null,null,null,null,null,null,null,null,"□開放性気胸",null,null,null,null,null,null,"□血胸",null,null,null,"□緊張性気胸",null,null,null,null,null,null,null,"□腹腔内出血"]
[null,null,"□骨盤骨折",null,null,null,null,null,"□両大腿骨骨折",null,null,null,null,null,null,null,"□大出血",null,null,null,null,"□脊髄損傷",null,null,null,null,null,"□重症頭部外傷",null,null,null,null,null,null,null,"□頭部打撲・擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,"□四肢等骨折"]
[null,null,"□頭部以外の打撲擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,null,null,"□その他軽微な外傷",null,null,null,null,null,null,null,null,null,"□他外傷⇒"]
["携行\n資機材",null,null,"□救急バック[喉頭鏡等・各種エアウェイ]",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□血糖測定セット",null,null,null,null,null,null,null,"□輸液セット",null,null,null,null,null,null,"□薬剤セット"]
[null,null,null,"□携帯酸素",null,null,null,null,null,"□ＢＶＭ",null,null,null,null,"□吸引器",null,null,null,null,"□除細動器",null,null,null,null,null,"□聴診器",null,null,null,null,"□ペンライト",null,null,null,null,null,null,"□血圧計",null,null,null,null,"□マシモ",null,null,null,null,"□体温計",null,null,null,null,"□毛布"]
[null,null,null,"□外傷バック",null,null,null,null,null,null,"□ターポリン担架",null,null,null,null,null,null,null,null,"□ネックカラー",null,null,null,null,null,null,null,"□バックボード",null,null,null,null,null,null,null,"□スクープストレッチャー"]
[null,null,null,"□他⇒"]
[null,null,null,"□未携行理由⇒"]
[]
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[null,null,null,"□屋外"]
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[]
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["観察実施項目　陽性・異常所見[有・無・❓判断つかず]　※活動中に気づいた項目はチェック可・未観察の項目を選択する必要無し"]
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["他想定-鑑別根拠\nとなり得る観察所見等⇒"]
[]
[]
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[null,null,"□敗血症",null,null,null,null,"□血糖異常",null,null,null,null,null,"□脱水",null,null,null,"□貧血",null,null,null,"□失神",null,null,null,"□想定傷病名⇒"]
[null,null,"□心タンポナーデ",null,null,null,null,null,null,null,null,"□気道閉塞",null,null,null,null,null,"□フレイルチェスト",null,null,null,null,null,null,null,null,null,null,null,"□開放性気胸",null,null,null,null,null,null,"□血胸",null,null,null,"□緊張性気胸",null,null,null,null,null,null,null,"□腹腔内出血"]
[null,null,"□骨盤骨折",null,null,null,null,null,"□両大腿骨骨折",null,null,null,null,null,null,null,"□大出血",null,null,null,null,"□脊髄損傷",null,null,null,null,null,"□重症頭部外傷",null,null,null,null,null,null,null,"□頭部打撲・擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,"□四肢等骨折"]
[null,null,"□頭部以外の打撲擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,null,null,"□その他軽微な外傷",null,null,null,null,null,null,null,null,null,"□他外傷⇒"]
[null,null,"□循環血液量減少性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□出血",null,null,null,"□体液喪失",null,null,null,null,"□体液分泌異常",null,null,null,null,null,null,"]"]
[null,null,"□心外閉塞拘束性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□緊張性気胸",null,null,null,null,null,"□心タンポナーデ",null,null,null,null,null,null,null,"□肺血栓塞栓症",null,null,null,null,null,null,"]"]
[null,null,"□心原性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□心収縮力低下",null,null,null,null,null,null,"□不整脈",null,null,null,null,"□心臓機械的障害",null,null,null,null,null,null,null,"]"]
[null,null,"□血液分布異常性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□アナフィラキシー",null,null,null,null,null,null,null,null,"□敗血症",null,null,null,null,"□神経原性",null,null,null,null,null,"]"]
[null,null,"□ショックだが判断つかず",null,null,null,null,null,null,null,null,null,null,null,null,null,"□プレショック"]
[null,"評価",null,"□内因性　",null,null,null,null,"□外因性　",null,null,null,null,"□内因性先行型外因性　",null,null,null,null,null,null,null,null,null,null,"□詳細不明　",null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,null,null,"緊急度",null,null,null,"□高",null,null,"□中",null,null,"□低",null,null,"□非",null,null,"□判断つかず",null,null,null,null,null,null,null,"重症度",null,null,null,"□重",null,null,"□中",null,null,"□軽",null,null,"□非",null,null,"□判断つかず"]
[null,null,null,"□ＣＰＡ",null,null,null,null,null,"ＡＢＣ異常",null,null,null,null,null,"(","□有",null,null,"□無",null,null,")",null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
["処置","□用手気道確保",null,null,null,null,null,"□酸素投与⇒",null,null,null,null,null,"□鼻カニューラ",null,null,null,null,null,"□マスク",null,null,null,null,null,"□オキシマスク",null,null,null,null,null,"□リザーバー付",null,null,null,null,null,"□インハレーター",null,null,null,null,null,"□補助換気",null,null,null,null,null,"□人工呼吸"]
[null,"□異物除去-吸引",null,null,null,null,null,"□喉頭観察",null,null,null,null,null,"□セリック法",null,null,null,null,null,"□保温",null,null,null,null,null,"□冷房起動",null,null,null,null,null,"□暖房起動",null,null,null,null,null,"□血糖測定",null,null,null,null,null,"□ブドウ糖溶液投与",null,null,null,null,null,"□胸骨圧迫"]
[null,"□除細動",null,null,null,null,null,"□自動式胸骨圧迫",null,null,null,null,null,"□気管挿管",null,null,null,null,null,"□コンビ-LT",null,null,null,null,null,"□CPA前ルート",null,null,null,null,null,"□CPA後ルート",null,null,null,null,null,"□アドレナリン",null,null,null,null,null,"□エピペン",null,null,null,null,null,"□被覆"]
[null,"□サムスリング",null,null,null,null,null,"□ターニケット",null,null,null,null,null,"□バックボード",null,null,null,null,null,"□ネックカラー",null,null,null,null,null,"□四肢固定",null,null,null,null,null,"□3辺テーピング",null,null,null,null,null,"□フレイル処置",null,null,null,null,null,"□熱傷処置",null,null,null,null,null,"□産科系処置"]
[null,"□体位管理",null,null,null,null,null,"□その他⇒"]
["搬送先",null,null,null,"□高度救命センター",null,null,null,null,null,null,null,null,"□聖マリア病院",null,null,null,null,null,null,"□新古賀病院",null,null,null,null,null,"□嶋田病院",null,null,null,null,"□田主丸中央病院",null,null,null,null,null,null,null,"□安本病院",null,null,null,null,"□高木病院",null,null,null,null,"□久留米総合病院"]
[null,null,null,null,"□その他⇒",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"転院・転送",null,null,null,null,null,"□無",null,null,"□不明",null,null,null,"□有⇒"]
["初診時傷病名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□軽症",null,null,null,"□中等症",null,null,null,null,"□重症",null,null,null,"□死亡",null,null,null,"□他"]
["確定診断名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□外来",null,null,null,"□入院",null,null,null,"□ＩＣＵ等",null,null,null,null,"□死亡",null,null,null,"□他"]
["振り返り"]
["□",null,"①医療機関への搬送の間に不適切な遅延がなかったか"]
["□",null,"②救急現場でなすべき行為が行われていたか"]
["□",null,"③すべきでなかった行為が行われていなかったか"]
["□",null,"④適切な医療機関へ搬送されたか"]
["□",null,"⑤病院前における病態判断は、救急処置室での診断とおなじであったか"]
["□",null,"⑥ドクターカー到着前に先着隊搬送事案の先着隊判断に関する検証"]
["□",null,"⑦指令課キーワードに関する検証（他隊の出動途上の指令内容からのドクターカー要請も含む）"]
["出動隊検証",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"０次検証やり取り"]
["想定又は鑑別すべきであった病態"]
[]
[]
[]
[]
["想定又は鑑別のために必要であった観察・判断"]
[]
[]
[]
[]
["判断や評価に迷った部分"]
[]
[]
[]
[]
["緊急度重症度が高い若しくは低いと判断した根拠"]
[]
[]
[]
[]
["改善すべきポイント"]
[]
[]
[]
[]
["病態判断以外の問題点(法的問題・活動障害等)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"検証救命士コメント"]
[]
[]
[]
[]
["搬送先根拠(傷病者の希望等の有無)"]
[]
[]
[]
[]
["出動隊振り返り"]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□署内一次\n検証非該当",null,null,null,null,null,null,"□参考・周知事例等",null,null,null,null,null,null,"□要署内\n一次検証",null,null,null,null,null,null,"□要本部内\n検証"]
[]
["出動隊検証完了日",null,null,null,null,null,null,null,null,null,"／",null,null,null,"同署所検証完了日",null,null,null,null,null,null,null,null,null,"／",null,null,null,"他署所コメント期限",null,null,null,null,null,null,null,null,null,"／",null,null,null,"指導救命士検証完了日",null,null,null,null,null,null,null,null,null,"／"]

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["指令日時",null,null,"Ｒ",null,null,"年",null,null,"月",null,null,"日","(　)",null,"：",null,null,null,"件番",null,null,null,null,null,null,"救命士数",null,null,null,null,null,"名","認定",null,null,"□気管内挿管",null,null,null,null,null,null,"□薬剤投与",null,null,null,null,null,"ＰＡ",null,null,"□有",null,"□無"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□拡大２項目",null,null,null,null,null,null,"□認定無し"]
["指令書\n[追記含]",null,null,null,null,null,"※指令書に記載されている内容、センターから無線で伝えられた内容をそのまま記載する。"]
[]
["プレアライバルコール内容⇒",null,null,null,null,null,null,null,null,null,null,null,null,"※得られた情報を記載する。又は実施しなかった理由を記載する。"]
["時間経過(分)",null,null,null,null,null,"入電~接触",null,null,null,null,null,null,"接触~車内",null,null,null,null,null,null,"車内~搬開",null,null,null,null,null,null,"搬開~引継",null,null,null,null,null,null,"入電~引継",null,null,null,null,null,null,"接触~搬開",null,null,null,null,null,null,"接触~引継"]
["出動途上","評価",null,"□内因性　",null,null,null,null,"□外因性　",null,null,null,null,"□内因性先行型外因性　",null,null,null,null,null,null,null,null,null,null,"□詳細不明　",null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,null,null,"緊急度",null,null,null,"□高",null,null,"□中",null,null,"□低",null,null,"□非",null,null,"□判断つかず",null,null,null,null,null,null,null,"重症度",null,null,null,"□重",null,null,"□中",null,null,"□軽",null,null,"□非",null,null,"□判断つかず"]
[null,null,null,"□ＣＰＡ",null,null,null,null,null,"□ＡＢＣ異常あり",null,null,null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,null,null,"□他⇒"]
[null,"症候①","□意識障害",null,null,null,null,null,"□頭痛",null,null,null,"□痙攣",null,null,null,"□運動麻痺",null,null,null,null,null,"□眩暈",null,null,null,"□呼吸困難",null,null,null,null,null,"□喀血",null,null,null,"□失神",null,null,null,"□胸痛",null,null,null,"□動悸",null,null,null,"□腹痛"]
[null,null,"□吐下血",null,null,null,null,"□腰背部痛",null,null,null,null,null,"□体温上昇",null,null,null,null,null,"□不明",null,null,null,"□他⇒"]
[null,null,"□外因⇒",null,null,null,null,"□頭部",null,null,null,"□顔面・頸部",null,null,null,null,null,null,"□脊椎・脊髄",null,null,null,null,null,null,"□胸部",null,null,null,"□腹部",null,null,null,"□骨盤",null,null,null,"□四肢",null,null,null,"□皮膚",null,null,null,"□熱傷",null,null,null,"□中毒"]
[null,null,null,null,null,null,null,"□環境因子",null,null,null,null,null,"□窒息",null,null,null,"□溺水",null,null,null,"□墜落・転落",null,null,null,null,null,null,"□交通",null,null,null,"□不明",null,null,null,"□他⇒"]
[null,"想定①","□脳神経",null,null,null,null,"□呼吸器",null,null,null,null,"□循環器",null,null,null,null,"□消化器",null,null,null,null,"□泌尿・生殖器",null,null,null,null,null,null,null,"□代謝・内分泌・栄養",null,null,null,null,null,null,null,null,null,"□血液・免疫",null,null,null,null,null,null,"□皮膚",null,null,null,"□眼耳鼻"]
[null,null,"□感染症",null,null,null,null,"□精神科",null,null,null,null,"□産婦人科",null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,null,"□脳梗塞",null,null,null,null,"□脳出血",null,null,null,null,"□くも膜下出血",null,null,null,null,null,null,null,null,"□心不全",null,null,null,null,"□急性冠症候群",null,null,null,null,null,null,null,"□不整脈",null,null,null,null,"□大動脈解離",null,null,null,null,null,null,"□胸腹部大動脈瘤"]
[null,null,"□肺血栓塞栓症",null,null,null,null,null,null,null,"□呼吸不全",null,null,null,null,null,"□肺炎",null,null,null,"□腹膜炎",null,null,null,null,"□消化管出血",null,null,null,null,null,null,"□腸閉塞",null,null,null,null,"□胆膵系",null,null,null,null,"□腎不全",null,null,null,null,"□肝不全"]
[null,null,"□敗血症",null,null,null,null,"□血糖異常",null,null,null,null,null,"□脱水",null,null,null,"□貧血",null,null,null,"□失神",null,null,null,"□想定傷病名⇒"]
[null,null,"□心タンポナーデ",null,null,null,null,null,null,null,null,"□気道閉塞",null,null,null,null,null,"□フレイルチェスト",null,null,null,null,null,null,null,null,null,null,null,"□開放性気胸",null,null,null,null,null,null,"□血胸",null,null,null,"□緊張性気胸",null,null,null,null,null,null,null,"□腹腔内出血"]
[null,null,"□骨盤骨折",null,null,null,null,null,"□両大腿骨骨折",null,null,null,null,null,null,null,"□大出血",null,null,null,null,"□脊髄損傷",null,null,null,null,null,"□重症頭部外傷",null,null,null,null,null,null,null,"□頭部打撲・擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,"□四肢等骨折"]
[null,null,"□頭部以外の打撲擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,null,null,"□その他軽微な外傷",null,null,null,null,null,null,null,null,null,"□他外傷⇒"]
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[]
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[]
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["観察実施項目　陽性・異常所見[有・無・❓判断つかず]"]
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[null,null,"対光反射消失",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"ビオ―",null,null,null,null,null,"有",null,"無",null,"❓",null,null,"打","鼓音",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"ドロップテスト左右差",null,null,null,null,null,"有",null,"無",null,"❓"]
[null,null,"瞳孔不整形",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"失調性",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"濁音",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"ケルニッヒ徴候",null,null,null,null,null,"有",null,"無",null,"❓"]
["他想定-鑑別根拠\nとなり得る観察所見等⇒",null,null,null,null,null,null,null,null,null,null,null,"※上記以外で判断の根拠とした観察結果などを入力。"]
[]
[]
["活動後期判断","想定③ ","□脳神経",null,null,null,null,"□呼吸器",null,null,null,null,"□循環器",null,null,null,null,"□消化器",null,null,null,null,"□泌尿・生殖器",null,null,null,null,null,null,null,"□代謝・内分泌・栄養",null,null,null,null,null,null,null,null,null,"□血液・免疫",null,null,null,null,null,null,"□皮膚",null,null,null,"□眼耳鼻"]
[null,null,"□感染症",null,null,null,null,"□精神科",null,null,null,null,"□産婦人科",null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,null,"□脳梗塞",null,null,null,null,"□脳出血",null,null,null,null,"□くも膜下出血",null,null,null,null,null,null,null,null,"□心不全",null,null,null,null,"□急性冠症候群",null,null,null,null,null,null,null,"□不整脈",null,null,null,null,"□大動脈解離",null,null,null,null,null,null,"□胸腹部大動脈瘤"]
[null,null,"□肺血栓塞栓症",null,null,null,null,null,null,null,"□呼吸不全",null,null,null,null,null,"□肺炎",null,null,null,"□腹膜炎",null,null,null,null,"□消化管出血",null,null,null,null,null,null,"□腸閉塞",null,null,null,null,"□胆膵系",null,null,null,null,"□腎不全",null,null,null,null,"□肝不全"]
[null,null,"□敗血症",null,null,null,null,"□血糖異常",null,null,null,null,null,"□脱水",null,null,null,"□貧血",null,null,null,"□失神",null,null,null,"□想定傷病名⇒"]
[null,null,"□心タンポナーデ",null,null,null,null,null,null,null,null,"□気道閉塞",null,null,null,null,null,"□フレイルチェスト",null,null,null,null,null,null,null,null,null,null,null,"□開放性気胸",null,null,null,null,null,null,"□血胸",null,null,null,"□緊張性気胸",null,null,null,null,null,null,null,"□腹腔内出血"]
[null,null,"□骨盤骨折",null,null,null,null,null,"□両大腿骨骨折",null,null,null,null,null,null,null,"□大出血",null,null,null,null,"□脊髄損傷",null,null,null,null,null,"□重症頭部外傷",null,null,null,null,null,null,null,"□頭部打撲・擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,"□四肢等骨折"]
[null,null,"□頭部以外の打撲擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,null,null,"□その他軽微な外傷",null,null,null,null,null,null,null,null,null,"□他外傷⇒"]
[null,null,"□循環血液量減少性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□出血",null,null,null,"□体液喪失",null,null,null,null,"□体液分泌異常",null,null,null,null,null,null,"]"]
[null,null,"□心外閉塞拘束性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□緊張性気胸",null,null,null,null,null,"□心タンポナーデ",null,null,null,null,null,null,null,"□肺血栓塞栓症",null,null,null,null,null,null,"]"]
[null,null,"□心原性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□心収縮力低下",null,null,null,null,null,null,"□不整脈",null,null,null,null,"□心臓機械的障害",null,null,null,null,null,null,null,"]"]
[null,null,"□血液分布異常性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□アナフィラキシー",null,null,null,null,null,null,null,null,"□敗血症",null,null,null,null,"□神経原性",null,null,null,null,null,"]"]
[null,null,"□ショックだが判断つかず",null,null,null,null,null,null,null,null,null,null,null,null,null,"□プレショック"]
[null,"評価",null,"□内因性　",null,null,null,null,"□外因性　",null,null,null,null,"□内因性先行型外因性　",null,null,null,null,null,null,null,null,null,null,"□詳細不明　",null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,null,null,"緊急度",null,null,null,"□高",null,null,"□中",null,null,"□低",null,null,"□非",null,null,"□判断つかず",null,null,null,null,null,null,null,"重症度",null,null,null,"□重",null,null,"□中",null,null,"□軽",null,null,"□非",null,null,"□判断つかず"]
[null,null,null,"□ＣＰＡ",null,null,null,null,null,"ＡＢＣ異常",null,null,null,null,null,"(","□有",null,null,"□無",null,null,")",null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
["処置","□用手気道確保",null,null,null,null,null,"□酸素投与⇒",null,null,null,null,null,"□鼻カニューラ",null,null,null,null,null,"□マスク",null,null,null,null,null,"□オキシマスク",null,null,null,null,null,"□リザーバー付",null,null,null,null,null,"□インハレーター",null,null,null,null,null,"□補助換気",null,null,null,null,null,"□人工呼吸"]
[null,"□異物除去-吸引",null,null,null,null,null,"□喉頭観察",null,null,null,null,null,"□セリック法",null,null,null,null,null,"□保温",null,null,null,null,null,"□冷房起動",null,null,null,null,null,"□暖房起動",null,null,null,null,null,"□血糖測定",null,null,null,null,null,"□ブドウ糖溶液投与",null,null,null,null,null,"□胸骨圧迫"]
[null,"□除細動",null,null,null,null,null,"□自動式胸骨圧迫",null,null,null,null,null,"□気管挿管",null,null,null,null,null,"□コンビ-LT",null,null,null,null,null,"□CPA前ルート",null,null,null,null,null,"□CPA後ルート",null,null,null,null,null,"□アドレナリン",null,null,null,null,null,"□エピペン",null,null,null,null,null,"□被覆"]
[null,"□サムスリング",null,null,null,null,null,"□ターニケット",null,null,null,null,null,"□バックボード",null,null,null,null,null,"□ネックカラー",null,null,null,null,null,"□四肢固定",null,null,null,null,null,"□3辺テーピング",null,null,null,null,null,"□フレイル処置",null,null,null,null,null,"□熱傷処置",null,null,null,null,null,"□産科系処置"]
[null,"□体位管理",null,null,null,null,null,"□その他⇒"]
["搬送先",null,null,null,"□高度救命センター",null,null,null,null,null,null,null,null,"□聖マリア病院",null,null,null,null,null,null,"□新古賀病院",null,null,null,null,null,"□嶋田病院",null,null,null,null,"□田主丸中央病院",null,null,null,null,null,null,null,"□安本病院",null,null,null,null,"□高木病院",null,null,null,null,"□久留米総合病院"]
[null,null,null,null,"□その他⇒",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"転院・転送",null,null,null,null,null,"□無",null,null,"□不明",null,null,null,"□有⇒"]
["初診時傷病名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□軽症",null,null,null,"□中等症",null,null,null,null,"□重症",null,null,null,"□死亡",null,null,null,"□他"]
["確定診断名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□外来",null,null,null,"□入院",null,null,null,"□ＩＣＵ等",null,null,null,null,"□死亡",null,null,null,"□他"]
["振り返り"]
["□",null,"①医療機関への搬送の間に不適切な遅延がなかったか"]
["□",null,"②救急現場でなすべき行為が行われていたか"]
["□",null,"③すべきでなかった行為が行われていなかったか"]
["□",null,"④適切な医療機関へ搬送されたか"]
["□",null,"⑤病院前における病態判断は、救急処置室での診断とおなじであったか"]
["□",null,"⑥ドクターカー到着前に先着隊搬送事案の先着隊判断に関する検証"]
["□",null,"⑦指令課キーワードに関する検証（他隊の出動途上の指令内容からのドクターカー要請も含む）"]
["出動隊検証",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"０次検証やり取り"]
["想定又は鑑別すべきであった病態",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ｑ（検証隊）\n＆\nＡ（出動隊）"]
["例．\n大動脈解離\n脳卒中(脳梗塞)"]
[]
[]
[]
["想定又は鑑別のために必要であった観察・判断"]
["例．\n血圧の左右差を測定すること。\n問診にて胸痛や痛みの移動の有無を聴取すべきであった。"]
[]
[]
[]
["判断や評価に迷った部分"]
["例．\n高齢者で認知症もあったため、麻痺の有無について判断が難しかった。"]
[]
[]
[]
["緊急度重症度が高い若しくは低いと判断した根拠"]
["\n例．\n症状は左片麻痺のみであった。重症度は高いと判断したが、緊急度は低いと判断した。"]
[]
[]
[]
["改善すべきポイント"]
["例．\n神経学的所見から、脳梗塞しか想定出来ていなかった。また、出動途上に十分なブリーフィングをすべきであった。"]
[]
[]
[]
["病態判断以外の問題点(法的問題・活動障害等)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"検証救命士コメント"]
["例．\n・傷病者の家族も高齢で、車内収容や情報収集に苦慮した。\n・玄関が施錠されており、接触に時間を要した。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"例．\n・重要な症例であり、医学的な見解が必要であるため、署内一次検証及びＭＣ検証に提出することが妥当である。\n\n・署所間で十分な検証がなされており、過去にも同様症例があるため、署内一次検証非該当とする。\n\n・病態判断チェックｼｰﾄに矛盾点が見られる。再度、○○出張所において検証後に提出すること。\n\n・非典型例であったが、十分な観察の結果、適切な判断を行えている。奏功事例であるため参考･周知事例としたい。\n"]
[]
[]
[]
["搬送先根拠(傷病者の希望等の有無)"]
["例．\nｔＰＡ適応と判断し、対応可能病院へ搬送することを説明したが、本人及び家族の者が他病院を希望された。"]
[]
[]
[]
["出動隊振り返り"]
["例．\n指令情報の｢意識有。左麻痺有。｣との内容であったことから、脳梗塞しか想定出来ていなかった。\n"]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□署内一次\n検証非該当",null,null,null,null,null,null,"□参考・周知事例等",null,null,null,null,null,null,"□要署内\n一次検証",null,null,null,null,null,null,"□要本部内\n検証"]
[]
["出動隊検証完了日",null,null,null,null,null,null,null,null,null,"／",null,null,null,"同署所検証完了日",null,null,null,null,null,null,null,null,null,"／",null,null,null,"他署所コメント期限",null,null,null,null,null,null,null,null,null,"／",null,null,null,"指導救命士検証完了日"]

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["指令日時",null,null,"Ｒ","○",null,"年","○",null,"月","○",null,"日","(　)",null,"12:00:00",null,null,null,"件番",null,null,99999,null,null,null,"救命士数",null,null,null,2,null,"名","認定",null,null,"□気管内挿管",null,null,null,null,null,null,"□薬剤投与",null,null,null,null,null,"ＰＡ",null,null,"□有",null,"□無"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□拡大２項目",null,null,null,null,null,null,"□認定無し"]
["指令書\n[追記含]",null,null,null,null,null,"40歳男性　本人通報　腹痛の訴え　薬を飲んでも良くなりません。　\n意識【開眼有　発語有】呼吸あり　既往：高血圧　精神疾患　DM"]
[]
["プレアライバルコール内容⇒",null,null,null,null,null,null,null,null,null,null,null,null,"実施するも不通"]
["時間経過(分)",null,null,null,null,null,"入電~接触",null,null,null,null,7,null,"接触~車内",null,null,null,null,9,null,"車内~搬開",null,null,null,null,3,null,"搬開~引継",null,null,null,null,10,null,"入電~引継",null,null,null,null,{"$f":"SUM(L6+S6+Z6+AG6)","v":29},null,"接触~搬開",null,null,null,null,{"$f":"SUM(S6+Z6)","v":12},null,"接触~引継",null,null,null,null,{"$f":"SUM(S6+Z6+AG6)","v":22}]
["出動途上","評価",null,"□内因性　",null,null,null,null,"□外因性　",null,null,null,null,"□内因性先行型外因性　",null,null,null,null,null,null,null,null,null,null,"□詳細不明　",null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,null,null,"緊急度",null,null,null,"□高",null,null,"□中",null,null,"□低",null,null,"□非",null,null,"□判断つかず",null,null,null,null,null,null,null,"重症度",null,null,null,"□重",null,null,"□中",null,null,"□軽",null,null,"□非",null,null,"□判断つかず"]
[null,null,null,"□ＣＰＡ",null,null,null,null,null,"ＡＢＣ異常",null,null,null,null,null,"(","□有",null,null,"□無",null,null,")",null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,"症候①","□意識障害",null,null,null,null,null,"□頭痛",null,null,null,"□痙攣",null,null,null,"□運動麻痺",null,null,null,null,null,"□眩暈",null,null,null,"□呼吸困難",null,null,null,null,null,"□喀血",null,null,null,"□失神",null,null,null,"□胸痛",null,null,null,"□動悸",null,null,null,"□腹痛"]
[null,null,"□吐下血",null,null,null,null,"□腰背部痛",null,null,null,null,null,"□体温上昇",null,null,null,null,null,"□不明",null,null,null,"□他⇒"]
[null,null,"□外因⇒",null,null,null,null,"□頭部",null,null,null,"□顔面・頸部",null,null,null,null,null,null,"□脊椎・脊髄",null,null,null,null,null,null,"□胸部",null,null,null,"□腹部",null,null,null,"□骨盤",null,null,null,"□四肢",null,null,null,"□皮膚",null,null,null,"□熱傷",null,null,null,"□中毒"]
[null,null,null,null,null,null,null,"□環境因子",null,null,null,null,null,"□窒息",null,null,null,"□溺水",null,null,null,"□墜落・転落",null,null,null,null,null,null,"□交通",null,null,null,"□不明",null,null,null,"□他⇒"]
[null,"想定①","□脳神経",null,null,null,null,"□呼吸器",null,null,null,null,"□循環器",null,null,null,null,"□消化器",null,null,null,null,"□泌尿・生殖器",null,null,null,null,null,null,null,"□代謝・内分泌・栄養",null,null,null,null,null,null,null,null,null,"□血液・免疫",null,null,null,null,null,null,"□皮膚",null,null,null,"□眼耳鼻"]
[null,null,"□感染症",null,null,null,null,"□精神科",null,null,null,null,"□産婦人科",null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,null,"□脳梗塞",null,null,null,null,"□脳出血",null,null,null,null,"□くも膜下出血",null,null,null,null,null,null,null,null,"□心不全",null,null,null,null,"□急性冠症候群",null,null,null,null,null,null,null,"□不整脈",null,null,null,null,"□大動脈解離",null,null,null,null,null,null,"□胸腹部大動脈瘤"]
[null,null,"□肺血栓塞栓症",null,null,null,null,null,null,null,"□呼吸不全",null,null,null,null,null,"□肺炎",null,null,null,"□腹膜炎",null,null,null,null,"□消化管出血",null,null,null,null,null,null,"□腸閉塞",null,null,null,null,"□胆膵系",null,null,null,null,"□腎不全",null,null,null,null,"□肝不全"]
[null,null,"□敗血症",null,null,null,null,"□血糖異常",null,null,null,null,null,"□脱水",null,null,null,"□貧血",null,null,null,"□失神",null,null,null,"□想定傷病名⇒"]
[null,null,"□心タンポナーデ",null,null,null,null,null,null,null,null,"□気道閉塞",null,null,null,null,null,"□フレイルチェスト",null,null,null,null,null,null,null,null,null,null,null,"□開放性気胸",null,null,null,null,null,null,"□血胸",null,null,null,"□緊張性気胸",null,null,null,null,null,null,null,"□腹腔内出血"]
[null,null,"□骨盤骨折",null,null,null,null,null,"□両大腿骨骨折",null,null,null,null,null,null,null,"□大出血",null,null,null,null,"□脊髄損傷",null,null,null,null,null,"□重症頭部外傷",null,null,null,null,null,null,null,"□頭部打撲・擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,"□四肢等骨折"]
[null,null,"□頭部以外の打撲擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,null,null,"□その他軽微な外傷",null,null,null,null,null,null,null,null,null,"□他外傷⇒"]
["携行\n資機材",null,null,"□救急バック[喉頭鏡等・各種エアウェイ]",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□血糖測定セット",null,null,null,null,null,null,null,"□輸液セット",null,null,null,null,null,null,"□薬剤セット"]
[null,null,null,"□携帯酸素",null,null,null,null,null,"□ＢＶＭ",null,null,null,null,"□吸引器",null,null,null,null,"□除細動器",null,null,null,null,null,"□聴診器",null,null,null,null,"□ペンライト",null,null,null,null,null,null,"□血圧計",null,null,null,null,"□マシモ",null,null,null,null,"□体温計",null,null,null,null,"□毛布"]
[null,null,null,"□外傷バック",null,null,null,null,null,null,"□ターポリン担架",null,null,null,null,null,null,null,null,"□ネックカラー",null,null,null,null,null,null,null,"□バックボード",null,null,null,null,null,null,null,"□スクープストレッチャー"]
[null,null,null,"□他⇒"]
[null,null,null,"□未携行理由⇒"]
[]
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[null,null,"□感染症",null,null,null,null,"□精神科",null,null,null,null,"□産婦人科",null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,null,"□脳梗塞",null,null,null,null,"□脳出血",null,null,null,null,"□くも膜下出血",null,null,null,null,null,null,null,null,"□心不全",null,null,null,null,"□急性冠症候群",null,null,null,null,null,null,null,"□不整脈",null,null,null,null,"□大動脈解離",null,null,null,null,null,null,"□胸腹部大動脈瘤"]
[null,null,"□肺血栓塞栓症",null,null,null,null,null,null,null,"□呼吸不全",null,null,null,null,null,"□肺炎",null,null,null,"□腹膜炎",null,null,null,null,"□消化管出血",null,null,null,null,null,null,"□腸閉塞",null,null,null,null,"□胆膵系",null,null,null,null,"□腎不全",null,null,null,null,"□肝不全"]
[null,null,"□敗血症",null,null,null,null,"□血糖異常",null,null,null,null,null,"□脱水",null,null,null,"□貧血",null,null,null,"□失神",null,null,null,"□想定傷病名⇒"]
[null,null,"□心タンポナーデ",null,null,null,null,null,null,null,null,"□気道閉塞",null,null,null,null,null,"□フレイルチェスト",null,null,null,null,null,null,null,null,null,null,null,"□開放性気胸",null,null,null,null,null,null,"□血胸",null,null,null,"□緊張性気胸",null,null,null,null,null,null,null,"□腹腔内出血"]
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[null,null,"□頭部以外の打撲擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,null,null,"□その他軽微な外傷",null,null,null,null,null,null,null,null,null,"□他外傷⇒"]
[null,null,"□循環血液量減少性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□出血",null,null,null,"□体液喪失",null,null,null,null,"□体液分泌異常",null,null,null,null,null,null,"]"]
[null,null,"□心外閉塞拘束性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□緊張性気胸",null,null,null,null,null,"□心タンポナーデ",null,null,null,null,null,null,null,"□肺血栓塞栓症",null,null,null,null,null,null,"]"]
[null,null,"□心原性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□心収縮力低下",null,null,null,null,null,null,"□不整脈",null,null,null,null,"□心臓機械的障害",null,null,null,null,null,null,null,"]"]
[null,null,"□血液分布異常性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□アナフィラキシー",null,null,null,null,null,null,null,null,"□敗血症",null,null,null,null,"□神経原性",null,null,null,null,null,"]"]
[null,null,"□ショックだが判断つかず",null,null,null,null,null,null,null,null,null,null,null,null,null,"□プレショック"]
["観察実施項目　陽性・異常所見[有・無・❓判断つかず]"]
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[null,null,"手術痕等",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"頸静脈怒張",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"過呼吸",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"膨隆",null,null,null,null,null,"有",null,"無",null,"❓"]
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[null,null,"チアノーゼ",null,null,null,null,null,"有",null,"無",null,"❓",null,null,"聴","頸静脈雑音",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"手術痕",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"腹膜刺激症状",null,null,null,null,null,"有",null,"無",null,"❓"]
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[null,null,"乾燥",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"薬物毒物付着",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"低体温",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"濁音",null,null,null,null,null,"有",null,"無",null,"❓"]
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[null,null,"眼瞼結膜蒼白",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"アンモニア臭",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"左右差",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"蒼白",null,null,null,null,null,"有",null,"無",null,"❓"]
[null,null,"眼瞼結膜黄染",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"ニンニク臭",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"吸気性喘鳴",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"発赤",null,null,null,null,null,"有",null,"無",null,"❓"]
[null,null,"眼瞼結膜紅色",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"薬品臭/異臭",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"呼気性喘鳴",null,null,null,null,null,"有",null,"無",null,"❓",null,null,"触","湿潤/冷汗",null,null,null,null,null,"有",null,"無",null,"❓"]
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[null,null,"眼位異常",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"分泌物増加",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"捻髪音ﾌｧｲﾝｸﾗｯｸﾙ",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"浮腫",null,null,null,null,null,"有",null,"無",null,"❓"]
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["瞳孔","視","縮瞳",null,null,null,null,null,"有",null,"無",null,"❓",null,"胸部","視","チェーンストークス",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"いびき音ロンカイ",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"シャント",null,null,null,null,null,"有",null,"無",null,"❓"]
[null,null,"散大",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"中枢性過換気",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"胸膜摩擦音",null,null,null,null,null,"有",null,"無",null,"❓",null,null,"運動","知覚異常",null,null,null,null,null,"有",null,"無",null,"❓"]
[null,null,"瞳孔不同",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"クスマウル",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"心雑音",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"運動麻痺/不全麻痺",null,null,null,null,null,"有",null,"無",null,"❓"]
[null,null,"対光反射消失",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"ビオ―",null,null,null,null,null,"有",null,"無",null,"❓",null,null,"打","鼓音",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"ドロップテスト左右差",null,null,null,null,null,"有",null,"無",null,"❓"]
[null,null,"瞳孔不整形",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"失調性",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"濁音",null,null,null,null,null,"有",null,"無",null,"❓",null,null,null,"ケルニッヒ徴候",null,null,null,null,null,"有",null,"無",null,"❓"]
["他想定-鑑別根拠\nとなり得る観察所見等⇒",null,null,null,null,null,null,null,null,null,null,null,"臍周囲の圧痛あり。　表情がうつろである印象を受けたため、薬の多量服用を訊ねたが、多量服用していないとのこと。　下痢、嘔吐、背部痛なし。　便通正常。大便は本日朝。"]
[]
[]
["活動後期判断","想定③ ","□脳神経",null,null,null,null,"□呼吸器",null,null,null,null,"□循環器",null,null,null,null,"□消化器",null,null,null,null,"□泌尿・生殖器",null,null,null,null,null,null,null,"□代謝・内分泌・栄養",null,null,null,null,null,null,null,null,null,"□血液・免疫",null,null,null,null,null,null,"□皮膚",null,null,null,"□眼耳鼻"]
[null,null,"□感染症",null,null,null,null,"□精神科",null,null,null,null,"□産婦人科",null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,null,"□脳梗塞",null,null,null,null,"□脳出血",null,null,null,null,"□くも膜下出血",null,null,null,null,null,null,null,null,"□心不全",null,null,null,null,"□急性冠症候群",null,null,null,null,null,null,null,"□不整脈",null,null,null,null,"□大動脈解離",null,null,null,null,null,null,"□胸腹部大動脈瘤"]
[null,null,"□肺血栓塞栓症",null,null,null,null,null,null,null,"□呼吸不全",null,null,null,null,null,"□肺炎",null,null,null,"□腹膜炎",null,null,null,null,"□消化管出血",null,null,null,null,null,null,"□腸閉塞",null,null,null,null,"□胆膵系",null,null,null,null,"□腎不全",null,null,null,null,"□肝不全"]
[null,null,"□敗血症",null,null,null,null,"□血糖異常",null,null,null,null,null,"□脱水",null,null,null,"□貧血",null,null,null,"□失神",null,null,null,"□想定傷病名⇒",null,null,null,null,null,null,"急性胃腸炎"]
[null,null,"□心タンポナーデ",null,null,null,null,null,null,null,null,"□気道閉塞",null,null,null,null,null,"□フレイルチェスト",null,null,null,null,null,null,null,null,null,null,null,"□開放性気胸",null,null,null,null,null,null,"□血胸",null,null,null,"□緊張性気胸",null,null,null,null,null,null,null,"□腹腔内出血"]
[null,null,"□骨盤骨折",null,null,null,null,null,"□両大腿骨骨折",null,null,null,null,null,null,null,"□大出血",null,null,null,null,"□脊髄損傷",null,null,null,null,null,"□重症頭部外傷",null,null,null,null,null,null,null,"□頭部打撲・擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,"□四肢等骨折"]
[null,null,"□頭部以外の打撲擦過傷程度",null,null,null,null,null,null,null,null,null,null,null,null,null,"□その他軽微な外傷",null,null,null,null,null,null,null,null,null,"□他外傷⇒"]
[null,null,"□循環血液量減少性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□出血",null,null,null,"□体液喪失",null,null,null,null,"□体液分泌異常",null,null,null,null,null,null,"]"]
[null,null,"□心外閉塞拘束性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□緊張性気胸",null,null,null,null,null,"□心タンポナーデ",null,null,null,null,null,null,null,"□肺血栓塞栓症",null,null,null,null,null,null,"]"]
[null,null,"□心原性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□心収縮力低下",null,null,null,null,null,null,"□不整脈",null,null,null,null,"□心臓機械的障害",null,null,null,null,null,null,null,"]"]
[null,null,"□血液分布異常性ショック",null,null,null,null,null,null,null,null,null,null,null,null,"[","□アナフィラキシー",null,null,null,null,null,null,null,null,"□敗血症",null,null,null,null,"□神経原性",null,null,null,null,null,"]"]
[null,null,"□ショックだが判断つかず",null,null,null,null,null,null,null,null,null,null,null,null,null,"□プレショック"]
[null,"評価",null,"□内因性　",null,null,null,null,"□外因性　",null,null,null,null,"□内因性先行型外因性　",null,null,null,null,null,null,null,null,null,null,"□詳細不明　",null,null,null,null,null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
[null,null,null,"緊急度",null,null,null,"□高",null,null,"□中",null,null,"□低",null,null,"□非",null,null,"□判断つかず",null,null,null,null,null,null,null,"重症度",null,null,null,"□重",null,null,"□中",null,null,"□軽",null,null,"□非",null,null,"□判断つかず"]
[null,null,null,"□ＣＰＡ",null,null,null,null,null,"ＡＢＣ異常",null,null,null,null,null,"(","□有",null,null,"□無",null,null,")",null,"□判断つかず",null,null,null,null,null,null,"□他⇒"]
["処置","□用手気道確保",null,null,null,null,null,"□酸素投与⇒",null,null,null,null,null,"□鼻カニューラ",null,null,null,null,null,"□マスク",null,null,null,null,null,"□オキシマスク",null,null,null,null,null,"□リザーバー付",null,null,null,null,null,"□インハレーター",null,null,null,null,null,"□補助換気",null,null,null,null,null,"□人工呼吸"]
[null,"□異物除去-吸引",null,null,null,null,null,"□喉頭観察",null,null,null,null,null,"□セリック法",null,null,null,null,null,"□保温",null,null,null,null,null,"□冷房起動",null,null,null,null,null,"□暖房起動",null,null,null,null,null,"□血糖測定",null,null,null,null,null,"□ブドウ糖溶液投与",null,null,null,null,null,"□胸骨圧迫"]
[null,"□除細動",null,null,null,null,null,"□自動式胸骨圧迫",null,null,null,null,null,"□気管挿管",null,null,null,null,null,"□コンビ-LT",null,null,null,null,null,"□CPA前ルート",null,null,null,null,null,"□CPA後ルート",null,null,null,null,null,"□アドレナリン",null,null,null,null,null,"□エピペン",null,null,null,null,null,"□被覆"]
[null,"□サムスリング",null,null,null,null,null,"□ターニケット",null,null,null,null,null,"□バックボード",null,null,null,null,null,"□ネックカラー",null,null,null,null,null,"□四肢固定",null,null,null,null,null,"□3辺テーピング",null,null,null,null,null,"□フレイル処置",null,null,null,null,null,"□熱傷処置",null,null,null,null,null,"□産科系処置"]
[null,"□体位管理",null,null,null,null,null,"□その他⇒"]
["搬送先",null,null,null,"□高度救命センター",null,null,null,null,null,null,null,null,"□聖マリア病院",null,null,null,null,null,null,"□新古賀病院",null,null,null,null,null,"□嶋田病院",null,null,null,null,"□田主丸中央病院",null,null,null,null,null,null,null,"□安本病院",null,null,null,null,"□高木病院",null,null,null,null,"□久留米総合病院"]
[null,null,null,null,"□その他⇒",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"転院・転送",null,null,null,null,null,"□無",null,null,"□不明",null,null,null,"□有⇒"]
["初診時傷病名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□軽症",null,null,null,"□中等症",null,null,null,null,"□重症",null,null,null,"□死亡",null,null,null,"□他"]
["確定診断名",null,null,null,null,null,"腸炎",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□外来",null,null,null,"□入院",null,null,null,"□ＩＣＵ等",null,null,null,null,"□死亡",null,null,null,"□他"]
["振り返り"]
["□",null,"①医療機関への搬送の間に不適切な遅延がなかったか"]
["□",null,"②救急現場でなすべき行為が行われていたか"]
["□",null,"③すべきでなかった行為が行われていなかったか"]
["□",null,"④適切な医療機関へ搬送されたか"]
["□",null,"⑤病院前における病態判断は、救急処置室での診断とおなじであったか"]
["□",null,"⑥ドクターカー到着前に先着隊搬送事案の先着隊判断に関する検証"]
["□",null,"⑦指令課キーワードに関する検証（他隊の出動途上の指令内容からのドクターカー要請も含む）"]
["出動隊検証",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"０次検証やり取り"]
["想定又は鑑別すべきであった病態"]
["心筋梗塞、腹膜炎"]
[]
[]
[]
["想定又は鑑別のために必要であった観察・判断"]
["12誘導心電図"]
[]
[]
[]
["判断や評価に迷った部分"]
["かなりの肥満体系であり、腸雑音がはっきりとは分からなかった。"]
[]
[]
[]
["緊急度重症度が高い若しくは低いと判断した根拠"]
["体格が大柄で基礎疾患にDMがあり、腹痛を訴えており、心筋梗塞を否定する必要があったが、圧痛があるため可能性は低いと判断した。"]
[]
[]
[]
["改善すべきポイント"]
["心筋梗塞を、より否定するためには、12誘導心電図評価すべきであった。"]
[]
[]
[]
["病態判断以外の問題点(法的問題・活動障害等)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"検証救命士コメント"]
["なし"]
[]
[]
[]
["搬送先根拠(傷病者の希望等の有無)"]
["精神疾患による訴えである可能性は低いこと、約3分の距離で、本人希望有のため。"]
[]
[]
[]
["出動隊振り返り"]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□署内一次\n検証非該当",null,null,null,null,null,null,"□参考・周知事例等",null,null,null,null,null,null,"□要署内\n一次検証",null,null,null,null,null,null,"□要本部内\n検証"]
[]
["出動隊検証完了日",null,null,null,null,null,null,null,null,null,"／",null,null,null,"同署所検証完了日",null,null,null,null,null,null,null,null,null,"／",null,null,null,"他署所コメント期限",null,null,null,null,null,null,null,null,null,"／",null,null,null,"指導救命士検証完了日",null,null,null,null,null,null,null,null,null,"／"]

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["令和","月","日","曜日","救命士数","時間経過","ＪＣＳ",null,"ＧＣＳ",null,null,null,"年齢","時刻"]
[1,1,1,"月",0,"00","←","Ｉ失禁",1,1,1,3,"不明","不明",null,"血圧","呼吸","ＳＰＯ２","酸素","脈","血圧",null,"瞳孔","眼位等","体温","体位","持続時間"]
[2,2,2,"火",1,"01",0,"Ｒ不穏",2,2,2,4,0,0,0,"不明","←","←","←","←","←","←","←","←","←","←",1]
[3,3,3,"水",2,"02",1,"Ａ自発性喪失",3,3,3,5,1,1,1,"60未満",0,100,15,0,"50未満","ー","不明","不明",20,"立位",5]
[4,4,4,"木",3,"03",2,null,4,4,4,6,2,2,2,60,2,99,14,1,51,10,"変形","正中",20.100000000000001,"仰臥位",10]
[5,5,5,"金",4,"04",3,null,null,5,5,7,3,3,3,70,4,98,13,2,52,11,1,"右共同偏視",20.2,"伏臥位",15]
[6,6,6,"土",5,"05",10,null,null,"Ｔ",6,8,4,4,4,80,6,97,12,3,53,12,1.5,"左共同偏視",20.3,"右側臥位",20]
[null,7,7,"日",null,"06",20,null,null,null,null,9,5,5,5,90,8,96,11,4,54,13,2,"内下方偏視",20.399999999999999,"左側臥位",25]
[null,8,8,null,null,"07",30,null,null,null,null,10,6,6,6,100,10,95,10,5,55,14,2.5,"左右差有",20.5,"頭側高位(15~30)",30]
[null,9,9,null,null,"08",100,null,null,null,null,11,7,7,7,110,12,94,9,6,56,15,3,null,20.6,"半坐位(40~60)",35]
[null,10,10,null,null,"09",200,null,null,null,null,12,8,8,8,120,14,93,8,7,57,16,3.5,null,20.7,"起坐位(70~)",40]
[null,11,11,null,null,10,300,null,null,null,null,13,9,9,9,130,16,92,7,8,58,17,4,null,20.8,"座位(椅子等)",45]
[null,12,12,null,null,11,null,null,null,null,null,14,10,10,10,140,18,91,6,9,59,18,4.5,null,20.9,"膝屈曲位",50]
[null,null,13,null,null,12,null,null,null,null,null,15,11,11,11,150,20,90,5,10,60,19,5,null,21,"足側高位",55]
[null,null,14,null,null,13,null,null,null,null,null,"２Ｔ",12,12,12,160,22,89,4,11,61,20,5.5,null,21.1,"四つん這い",60]
[null,null,15,null,null,14,null,null,null,null,null,"３Ｔ",13,13,13,170,24,88,3,12,62,21,6,null,21.2,"抱っこ",90]
[null,null,16,null,null,15,null,null,null,null,null,"４Ｔ",14,14,14,180,26,87,2,13,63,22,6.5,null,21.3,null,120]
[null,null,17,null,null,16,null,null,null,null,null,"５Ｔ",15,15,15,190,28,86,1,14,64,23,7,null,21.4,null,"不明"]
[null,null,18,null,null,17,null,null,null,null,null,"６Ｔ",16,16,16,200,30,85,null,15,65,24,7.5,null,21.5,null,1]
[null,null,19,null,null,18,null,null,null,null,null,"７Ｔ",17,17,17,210,32,84,null,16,66,25,8,null,21.6,null,2]
[null,null,20,null,null,19,null,null,null,null,null,"８Ｔ",18,18,18,220,34,83,null,17,67,26,"散大",null,21.7,null,3]
[null,null,21,null,null,20,null,null,null,null,null,"９Ｔ",19,19,19,230,36,82,null,18,68,27,"縮瞳",null,21.8,null,4]
[null,null,22,null,null,21,null,null,null,null,null,"１０Ｔ",20,20,20,240,38,81,null,19,69,28,null,null,21.9,null,5]
[null,null,23,null,null,22,null,null,null,null,null,null,21,21,21,250,40,80,null,20,70,29,null,null,22,null,6]
[null,null,24,null,null,23,null,null,null,null,null,null,22,22,22,260,42,79,null,21,71,30,null,null,22.1,null,7]
[null,null,25,null,null,24,null,null,null,null,null,null,23,23,23,270,44,78,null,22,72,31,null,null,22.2,null,8]
[null,null,26,null,null,25,null,null,null,null,null,null,24,null,24,280,46,77,null,23,73,32,null,null,22.3,null,9]
[null,null,27,null,null,26,null,null,null,null,null,null,25,null,25,290,48,76,null,24,74,33,null,null,22.4,null,10]
[null,null,28,null,null,27,null,null,null,null,null,null,26,null,26,300,50,75,null,25,75,34,null,null,22.5,null,11]
[null,null,29,null,null,28,null,null,null,null,null,null,27,null,27,null,52,74,null,26,76,35,null,null,22.6,null,12]
[null,null,30,null,null,29,null,null,null,null,null,null,28,null,28,null,54,73,null,27,77,36,null,null,22.7,null,13]
[null,null,31,null,null,30,null,null,null,null,null,null,29,null,29,null,56,72,null,28,78,37,null,null,22.8,null,14]
[null,null,null,null,null,"31以上",null,null,null,null,null,null,30,null,30,null,58,71,null,29,79,38,null,null,22.9,null,15]
[null,null,null,null,null,null,null,null,null,null,null,null,31,null,31,null,60,70,null,30,80,39,null,null,23,null,16]
[null,null,null,null,null,null,null,null,null,null,null,null,32,null,32,null,62,69,null,31,81,40,null,null,23.1,null,17]
[null,null,null,null,null,null,null,null,null,null,null,null,33,null,33,null,64,68,null,32,82,41,null,null,23.2,null,18]
[null,null,null,null,null,null,null,null,null,null,null,null,34,null,34,null,66,67,null,33,83,42,null,null,23.3000000000001,null,19]
[null,null,null,null,null,null,null,null,null,null,null,null,35,null,35,null,68,66,null,34,84,43,null,null,23.4,null,20]
[null,null,null,null,null,null,null,null,null,null,null,null,36,null,36,null,70,65,null,35,85,44,null,null,23.5,null,21]
[null,null,null,null,null,null,null,null,null,null,null,null,37,null,37,null,72,64,null,36,86,45,null,null,23.600000000000101,null,22]
[null,null,null,null,null,null,null,null,null,null,null,null,38,null,38,null,74,63,null,37,87,46,null,null,23.7,null,23]
[null,null,null,null,null,null,null,null,null,null,null,null,39,null,39,null,76,62,null,38,88,47,null,null,23.8000000000001,null,24]
[null,null,null,null,null,null,null,null,null,null,null,null,40,null,40,null,78,61,null,39,89,48,null,null,23.900000000000102,null,25]
[null,null,null,null,null,null,null,null,null,null,null,null,41,null,41,null,80,60,null,40,90,49,null,null,24.000000000000099,null,26]
[null,null,null,null,null,null,null,null,null,null,null,null,42,null,42,null,82,59,null,41,91,50,null,null,24.100000000000101,null,27]
[null,null,null,null,null,null,null,null,null,null,null,null,43,null,43,null,84,58,null,42,92,51,null,null,24.200000000000099,null,28]
[null,null,null,null,null,null,null,null,null,null,null,null,44,null,44,null,86,57,null,43,93,52,null,null,24.3000000000001,null,29]
[null,null,null,null,null,null,null,null,null,null,null,null,45,null,45,null,88,56,null,44,94,53,null,null,24.400000000000102,null,30]
[null,null,null,null,null,null,null,null,null,null,null,null,46,null,46,null,90,55,null,45,95,54,null,null,24.500000000000099,null,31]
[null,null,null,null,null,null,null,null,null,null,null,null,47,null,47,null,92,54,null,46,96,55,null,null,24.600000000000101,null,32]
[null,null,null,null,null,null,null,null,null,null,null,null,48,null,48,null,94,53,null,47,97,56,null,null,24.700000000000099,null,33]
[null,null,null,null,null,null,null,null,null,null,null,null,49,null,49,null,96,52,null,48,98,57,null,null,24.8000000000001,null,34]
[null,null,null,null,null,null,null,null,null,null,null,null,50,null,50,null,98,51,null,49,99,58,null,null,24.900000000000102,null,35]
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