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More from Hirohisa Shimizu (20)
教育講演「Fast」 のコピー
- 6. 2 "
3 "
195 "
17 "
"
12 1 29
- 7. 62 #
#
(AM2:22)
!
SpO2:97%!
BP!149/97mmHg!
!
JCS!I51, !4mm/4mm! !
!
12 1 29
- 8. X"P, X"P order)
4~7 $
(AM4:00)
12 1 29
- 9. !
AM10:00 !
BP149/97mmHg,!HR99/min,SpO2!96%(room!air)!
12 1 29
- 10. !
AM10:00 !
BP149/97mmHg,!HR99/min,SpO2!96%(room!air)!
CT#order
12 1 29
- 11. !
AM10:00 !
BP149/97mmHg,!HR99/min,SpO2!96%(room!air)!
CT#order
PM2:30'CT '
'
call
12 1 29
- 12. !
!
32/min), !
: !
SpO2!100%(O2!3l !
BP146/102mmHg,HR110/min!
GCS:15 4mm/4mm, !
BT37.1 !
12 1 29
- 14. MAP $
$
ICU $
2ℓ,MAP'4U '
BP90/50mmHg'HR130/min'
FAST
!
!
RBC 307 Hb10.3g/dl!
MAP4 !
RBC 271 Hb!9.2g/dl
12 1 29
- 15. MAP $
$
ICU $
2ℓ,MAP'4U '
BP90/50mmHg'HR130/min'
FAST
!
!
RBC 307 Hb10.3g/dl!
MAP4 !
RBC 271 Hb!9.2g/dl
12 1 29
- 19. ICU,"22%"
," ,"61%
17%"
,(6%
,(7%(
PTD $ Priority, ,(
33%(
$
$ 26%(
,(
,(
(EMSQ)5432 28%(
12 1 29
- 34. 80 DPL
high sensitivity
1997~ FAST
250ml Free Fluid
Morison
e(extended)FAST:FAST+
12 1 29
- 37. FAST
Focused Assessment with Sonography for Trauma
12 1 29
- 38. FAST
Focused Assessment with Sonography for Trauma
12 1 29
- 43. 出血は腹腔内のどこに溜まるか？
FASTではさ
らに・・・ 脊椎
・心嚢液
・大量血胸
胸腔
横隔膜
生理的湾曲
腹腔内出血は こ Ｌ３：最高点
の3点に溜まる
腹腔
12 1 29
- 44. FAST
Focused Assessment with Sonography for Trauma
(1)
(2)Morison
(3) +
(4) Douglas
12 1 29
- 47. eFAST
(Sliding Lung sign ) (Sliding Lung sign−)
98.1%, 99.2%
(Acad Emerg Med 2005;12:844-9.
J Trauma 2004;57:288-95)
12 1 29
- 48. FAST
Focused Assessment with Sonography for Trauma
12 1 29
