The study of standardization for emergency and critical care medicine using new method of framework.

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Medical risk or quality management by the standardization of medical care has been insufficient in emergency and critical care medicine. In this study, we clarified underlying risk factor of emergency and critical care medicine, and difference between emergency and critical care medicine, and other kinds of medical care, comparing the frameworks of medical care. The main results we obtained are as follows : 1) We found that we can describe most of our critical care using framework consist of Airway(A), Breathing(B), Circulation(C), Dysfunction of central and peripheral nervous system(D), additionally, Infection/Inflammation/DIC(I), Nutrition(N), rehabilitation(R), Family(F), and transfer/transport/discharge(T). 2) This framework is very useful for education to young doctor and medical student. 3) This standardization of critical care is helpful for medical safety management. 4) This also make approaches to critical care familiar. In conclusion, this new framework of medical care should be shared between medical staff.