救急看護英語：必須語彙とフレーズ

"triage"

The process of rapidly sorting patients by the urgency of their condition to prioritise treatment when resources are limited

"The triage nurse assessed the patient's airway, breathing, and circulation within 30 seconds of arrival and assigned a category-two priority."

"chief complaint"

The patient's primary reason for attending the emergency department, expressed in their own words and used to guide initial assessment

"The chief complaint documented on arrival was "sudden severe headache unlike any I have had before," which prompted immediate CT head imaging."

"presenting problem"

The clinical description of the condition that brought the patient to the emergency department, as interpreted by the assessing nurse

"The presenting problem was an acute exacerbation of asthma with a peak flow of 40% predicted, requiring immediate nebulised bronchodilator therapy."

"acuity level"

A numerical or colour-coded rating that reflects the urgency and severity of a patient's condition and determines how quickly they must be seen

"Patients with an acuity level of one are resuscitation cases who require immediate intervention upon arrival to the emergency department."

"vital signs"

Objective measurements of essential body functions—heart rate, blood pressure, respiratory rate, temperature, and oxygen saturation—used to detect deterioration

"Serial vital signs documented every 15 minutes revealed a progressive rise in heart rate and fall in blood pressure consistent with developing shock."

"pain scale"

A standardised tool, such as the 0–10 numerical rating scale, used to quantify a patient's reported pain intensity and guide analgesia decisions

"The patient rated abdominal pain at 9 out of 10 on the pain scale, prompting rapid analgesia administration before further diagnostic workup."

"early warning score"

A composite score calculated from vital sign parameters that identifies deteriorating patients and triggers escalation to senior clinical staff

"An early warning score of 7 activated the rapid response team and the patient was transferred to resuscitation bay for closer monitoring."

"mechanism of injury"

The physical forces or events responsible for causing a traumatic injury, used to predict injury patterns and guide examination

"The mechanism of injury—a high-speed motor vehicle collision with airbag deployment—raised suspicion for thoracic aortic injury despite an initially normal examination."

"cardiac arrest"

The sudden cessation of effective cardiac activity resulting in loss of pulse, consciousness, and normal breathing, requiring immediate CPR

"The patient went into cardiac arrest in the waiting area; the emergency nurse initiated chest compressions and called for the crash trolley."

"cardiopulmonary resuscitation"

A life-saving technique combining chest compressions and rescue breaths to maintain circulation and oxygenation during cardiac arrest

"Cardiopulmonary resuscitation was commenced at a rate of 30 compressions to 2 breaths, with minimal interruptions to chest compressions throughout the resuscitation attempt."

"return of spontaneous circulation"

The resumption of a detectable pulse following cardiac arrest and CPR, indicating successful initial resuscitation

"Return of spontaneous circulation was achieved after 14 minutes of CPR and three defibrillation attempts, and the patient was transferred to the intensive care unit."

"shockable rhythm"

A cardiac arrest rhythm—ventricular fibrillation or pulseless ventricular tachycardia—that is amenable to treatment with electrical defibrillation

"The monitor identified a shockable rhythm and the team delivered a 200-joule unsynchronised shock, resuming compressions immediately afterward."

"pulseless electrical activity"

A cardiac arrest state in which organised electrical activity is present on the ECG but no pulse is palpable, requiring CPR and treatment of reversible causes

"Pulseless electrical activity was identified and the team systematically worked through the 4Hs and 4Ts to find and treat any reversible cause."

"adrenaline administration"

The intravenous injection of adrenaline (epinephrine) every 3–5 minutes during cardiac arrest to increase coronary and cerebral perfusion pressure

"Adrenaline administration 1 mg IV was given after the third defibrillation attempt and repeated every four minutes for the remainder of the arrest."

"post-resuscitation care"

A structured bundle of interventions—including targeted temperature management, haemodynamic optimisation, and neurological monitoring—given after ROSC to improve survival

"Post-resuscitation care was initiated in the emergency department, including targeted temperature management at 36°C and early coronary angiography referral."

"do not resuscitate order"

A documented medical decision that CPR should not be attempted in the event of cardiac or respiratory arrest, based on patient wishes and clinical appropriateness

"The senior emergency physician reviewed the patient's advance care plan and confirmed the do not resuscitate order with the family before discontinuing active resuscitation."

"airway obstruction"

A partial or complete blockage of the upper or lower airway that impairs breathing, caused by foreign bodies, secretions, soft tissue, or anatomical abnormalities

"The nurse detected signs of airway obstruction—stridor, accessory muscle use, and paradoxical chest movement—and immediately positioned the patient and called the airway team."

"jaw thrust manoeuvre"

A technique for opening the airway in a patient with a suspected cervical spine injury by displacing the jaw forward without extending the neck

"The first responder used the jaw thrust manoeuvre to open the airway while maintaining inline cervical spine stabilisation after the road traffic collision."

"endotracheal intubation"

The insertion of a tube through the mouth or nose into the trachea to secure the airway and enable mechanical ventilation

"Rapid sequence induction was performed and endotracheal intubation confirmed by waveform capnography before the patient was transferred to the ICU."

"bag-valve-mask ventilation"

The manual delivery of positive pressure breaths using a self-inflating bag connected to a face mask and oxygen supply, used before or instead of intubation

"Two-person bag-valve-mask ventilation with an oropharyngeal airway in situ maintained adequate oxygenation while the anaesthetist prepared for definitive airway management."

"oxygen saturation"

The percentage of haemoglobin in arterial blood that is bound to oxygen, measured non-invasively by pulse oximetry and used to guide supplemental oxygen therapy

"Oxygen saturation fell to 88% on air and improved to 97% following application of a non-rebreather mask at 15 litres per minute."

"rapid sequence induction"

A technique for emergency intubation involving simultaneous administration of a sedative and a fast-acting neuromuscular blocking agent to minimise aspiration risk

"Rapid sequence induction was chosen because the patient had a full stomach from a meal one hour prior to the traumatic injury."

"surgical airway"

An emergency procedure—such as cricothyroidotomy—that creates an opening directly into the trachea through the neck when all other airway techniques have failed

"When intubation and supraglottic airway insertion both failed, the surgical airway team performed an emergency cricothyroidotomy to restore oxygenation."

"capnography"

The continuous measurement and graphic display of exhaled carbon dioxide concentration, used to confirm tracheal tube placement and monitor ventilation

"Waveform capnography confirming a consistent carbon dioxide trace was the primary method used to verify correct endotracheal tube position after intubation."

"primary survey"

A rapid, systematic ABCDE assessment performed immediately on all trauma patients to identify and treat immediately life-threatening conditions

"The primary survey identified tension pneumothorax during the breathing assessment and needle decompression was performed before the secondary survey began."

"haemorrhagic shock"

A life-threatening state of circulatory failure caused by significant blood loss, characterised by hypotension, tachycardia, pallor, and reduced consciousness

"The patient arrived in class III haemorrhagic shock with a systolic pressure of 70 mmHg and was immediately taken to the operating theatre for damage control surgery."

"massive transfusion protocol"

A pre-agreed institutional plan for the rapid delivery of large volumes of red cells, plasma, and platelets in a fixed ratio to patients with life-threatening haemorrhage

"The trauma team activated the massive transfusion protocol after the patient required more than ten units of packed red cells within the first six hours."

"tension pneumothorax"

A rapidly life-threatening condition in which air accumulates under pressure in the pleural space, compressing the heart and great vessels and reducing cardiac output

"Clinical signs of tension pneumothorax—absent breath sounds, tracheal deviation, and hypotension—prompted immediate needle decompression without waiting for a chest X-ray."

"damage control resuscitation"

An approach to severely injured patients that limits crystalloid, corrects coagulopathy early with blood products, and minimises interventions to temporise until definitive surgery

"Damage control resuscitation was initiated with a 1:1:1 ratio of packed red cells, fresh frozen plasma, and platelets while the patient was prepared for the operating theatre."

"anaphylactic shock"

A severe, life-threatening systemic allergic reaction causing vasodilation, airway compromise, and cardiovascular collapse, requiring immediate intramuscular adrenaline

"Anaphylactic shock developed within minutes of the contrast injection and the emergency nurse administered intramuscular adrenaline 0.5 mg to the anterolateral thigh immediately."

"Glasgow Coma Scale"

A standardised neurological assessment tool scoring eye, verbal, and motor responses (maximum 15) to quantify level of consciousness in injured or ill patients

"The patient's Glasgow Coma Scale score was 8 on arrival, with eye opening to voice, incomprehensible sounds, and withdrawal to pain, indicating the need for airway protection."

"focused assessment sonography in trauma"

A bedside ultrasound examination performed during trauma assessment to rapidly identify free fluid in the pericardial and abdominal cavities indicating haemorrhage

"Focused assessment sonography in trauma revealed free fluid in Morrison's pouch and prompted urgent transfer to the operating theatre for exploratory laparotomy."

"sepsis"

A life-threatening organ dysfunction caused by a dysregulated host response to infection, identified clinically by a SOFA score increase of 2 or more points

"Sepsis was suspected when the patient's lactate returned at 3.2 mmol/L and the Sequential Organ Failure Assessment score rose by three points from baseline."

"septic shock"

The most severe form of sepsis, defined by persistent hypotension requiring vasopressors to maintain a mean arterial pressure of 65 mmHg or more, and a serum lactate above 2 mmol/L despite adequate fluid resuscitation

"Septic shock was diagnosed after 30 mL/kg of intravenous crystalloid failed to restore adequate blood pressure and noradrenaline was commenced via central venous access."

"blood culture"

A diagnostic test in which a sample of blood is incubated in culture media to detect the presence of bacteria or fungi causing a bloodstream infection

"Two sets of blood cultures were collected from separate venepuncture sites before the first dose of broad-spectrum antibiotics was administered."

"broad-spectrum antibiotics"

Antimicrobial agents effective against a wide range of bacteria used empirically in sepsis when the causative organism has not yet been identified

"Broad-spectrum antibiotics—piperacillin-tazobactam and gentamicin—were administered within 45 minutes of the sepsis alert being raised by the emergency nurse."

"fluid resuscitation"

The rapid intravenous administration of crystalloid or colloid fluid to restore circulating volume and tissue perfusion in shock or sepsis

"Fluid resuscitation with 30 mL/kg of sodium chloride 0.9% was completed within one hour and reassessment showed improvement in urine output and capillary refill time."

"lactate level"

A blood test measuring serum lactate as a marker of tissue hypoperfusion and anaerobic metabolism, used to screen for and monitor the severity of sepsis

"A lactate level of 4.8 mmol/L on arrival triggered immediate sepsis management and repeat measurement two hours later showed clearance to 2.1 mmol/L after resuscitation."

"source control"

The physical removal or drainage of a focus of infection—such as an abscess or infected device—to eliminate the driving cause of sepsis and improve antibiotic efficacy

"Source control of the infected biliary obstruction was achieved by emergency ERCP and stent insertion, after which the patient's inflammatory markers began to fall."

"neutropenic sepsis"

A medical emergency defined by fever or signs of infection in a patient with a low neutrophil count, most commonly occurring as a complication of chemotherapy

"Neutropenic sepsis was diagnosed in the patient on day 12 of chemotherapy when the neutrophil count fell below 0.5 and she presented with a temperature of 38.6°C."

"febrile convulsion"

A seizure triggered by a rapid rise in body temperature in a child aged between 6 months and 5 years, usually self-limiting but requiring assessment to exclude serious causes

"The three-year-old presented with a febrile convulsion that had self-terminated before arrival; the nurse initiated temperature management and assessment for the source of fever."

"paediatric early warning score"

A composite scoring tool adapted for children that combines vital signs, behaviour, and clinical observations to identify those at risk of rapid deterioration

"A paediatric early warning score of 5 prompted immediate escalation to the paediatric registrar and the child was moved to the resuscitation area for closer observation."

"weight-based dosing"

The calculation of drug doses according to a child's body weight in kilograms to ensure safe and effective therapeutic levels in paediatric patients

"Weight-based dosing of paracetamol at 15 mg/kg was calculated using the child's actual weight of 18 kg, giving a dose of 270 mg."

"bronchiolitis"

A common viral lower respiratory tract infection in infants under 12 months causing wheeze, crepitations, and feeding difficulty, managed supportively in the emergency department

"The three-month-old was admitted with bronchiolitis, oxygen saturations of 90% on air, and poor feeding, and was commenced on low-flow nasal cannula oxygen."

"mental health crisis"

An acute episode of severe psychological distress, suicidal ideation, or behavioural emergency requiring urgent assessment and safe management in the emergency department

"The emergency nurse completed a structured mental health crisis assessment using a validated risk tool and arranged for the patient to be seen by the liaison psychiatry team."

"deliberate self-harm"

Intentional injury to one's own body without suicidal intent, including cutting or overdose, presenting frequently to emergency departments and requiring both physical and psychological care

"The patient presented with deliberate self-harm to both forearms requiring wound closure; the nurse provided a calm, non-judgemental approach while awaiting psychiatric review."

"de-escalation"

A verbal and non-verbal communication technique used to reduce agitation, aggression, or distress in a patient without the use of restraint or sedation wherever possible

"The experienced emergency nurse used de-escalation strategies—speaking calmly, reducing environmental stimuli, and validating the patient's feelings—to prevent a potentially violent situation."

"safe discharge planning"

A structured process ensuring that patients leaving the emergency department have appropriate follow-up, safety netting information, and access to crisis support if needed

"Safe discharge planning for the patient following a self-harm episode included a written crisis plan, the contact number for the mental health crisis team, and a follow-up appointment within 48 hours."