徳島県における小児在宅医療の今後の展望と医学教育

Thanks to advanced neonatal medical technologies, many children as very-low-birth-weight infants became to be survived in Japan. But as a result, the children with severe disabilities who need constant medical care were increased, and the same situation has also occurred in local communities in Tokushima. They used to be cared only in hospitals, therefore enough supports are not provided from welfare system as well as its system for mature patients. But majority of the health care worker doesn’t grasp the current state of this matter sufficiently. We had an opportunity to discuss about this issue with young medical students of Tokushima University Pediatric Seminar（TUPS）. They are very interested in pediatrics and working at activities in and out of medical school with enthusiasm. We believe that having more chances of hearing the real voices of children with disabilities and their families before graduate will become the good triggers for increasing young medical students who aspire to become pediatricians or home doctors

ビョウインマエ シンパイ テイシ ニオケル キュウキュウ キュウメイシ ノ キカン ソウカン ニツイテ : ホンケン ノ ゲンジョウ ト コンゴ ノ カダイ

Activities of Japanese Paramedics have increased and advanced year by year. Especially, intubation for OHCPA（out of hospital cardiopulmonary arrest） is approved since July 2004, but it is necessary to finish the training in Fire-fighter’s school and intubation practice in hospitals. In Fire-fighter’s school, Paramedics attend lectures and simulation, and in hospital, intubation practice for patients. Medical-control is the system for keeping the qualities and verification of details in the scene of pre-hospital medical care. This report discusses the states and problems of paramedic intubation, practice in hospital, airway management, from the questionnaire survey