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日本における国際認定山岳医制度の誕生
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Durrer ‚vwvK•Øv#$%&p0 15 <L0+,ij0ÖM¦¹>"NOP#Qœ& Rn>./n0<=0&(Æi*S½0K•T GUVCïëshO+,ÝW0ûÖüýX•C öêYLh)Éóôn…L„…Z¶ÌÍhy” ¡#[\]ÌÍhù4ç^_noLhOpÍp (*1) •H> ƒICAR K•TGUV‰ 0P{`noê> Ñ#.an…óôÙnbN¹ÍMN&v¡—c (*2) ”d „ˆ&O Stechelberg n+,ijlmT5H$pˆ‡ÍhOAir Glacier, REGA „NLhefijg vÿVHFGhØ¡”CixsMðñQ&ìvjk”0kR‚>lm(#Hn?H¹¬# o¹ÍhpH!"n‚_)É08q^cnŽ¹b•N…¯¦ˆNrðsC…LMNhOt u‚ U vA 400m 0wŸx0ÙL°nijCy¬&–¢w!”0irØz×¢VO200m {"…0|wK0}#ij~7C¯ê•#hFGH€•NMļz—×¢w—ij(‚‚ C0âƒ&„è…noLhO i†‡Cˆ¬&+,ij‚irÉL„0‰Nnoê" N Durrer 0-4çK•TGUV… U. 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"+,e5!58>:+;"#$Y>+"É%P 25 Q58•sMÙÎHï&脈&>' ()*+,-·'675CïžÌƒhO ÒÓ./n0(#•‚,-sMNhOISMM n‚> B. Durrer ¦¹ Dr.Urs Hefti ¤>UIAA MedCom ‚>Buddha Basnyat HÀ너ê>H. Brugger H ICAR 0(#• „ˆLMNhO·'675‚¦Í¹„dÇC„êˆH ¹!"#p0./C)âsÔ§„*fshO!"3+ -450<¨ßð&+#ƒ)*+,-./0³Ã‰H ,#¹Íh0‚ 2006 <¦¹no&O"N·'675‚> Øz×¢V0T-C*¬¹./0012’”îânÄ LhH>•.#¥%hÁ¯Á¯h&3’•4”H5NM¼&#‚>…§s¥¹¼!"'Ù n06^H78noLhO 3 2007 < 10 =>vhžî¢—d0 Aviemore nćÍh ISMM/UIAA-Med/ICAR BÈ5- (*7) #$NM'()*+,-./#•Ž&9sN regulation H:*ÌÍhO1998 <# Bruno Durrer „ Urs Wiget #Ô껹ÍhÖ`>2004 < David Hilldebrandt #Ô&Pß`#;<> p0P=`‚ D. Hilldebrandt+John Ellerton #Ô&…0no& (*8) O International Diploma of Mountain Medicine_DiMMb ‚Žn#ÒÓn>C$Js>Ç”v îGK>dw»>ç'>¦¢—v>w¡GK>v½w—>vwv0?¦'H@%&¹Ah ”vHp0'(ç)*CÍ%M$ê>3500 è0-.HpÍân͹sMN&Op0BC` ‚>DiMM HsL¦ê„sh<=CghDô„ňÌÍMñhp„C´E#>'(ç3+ ßðH̹#ßï#ˆLMñhp„C%Fs>w—¡”’žîÉÀ#G>Ž&h¬#…> pÍC̹#HI•KíK#J#&p„CEKsh…0„ˆLMN&O ISMM 0 Milledge, UIAA-Med 0 Buddha • ICAR 0Øìíy—î„ú-shpL_ÙÎÆM NOïÆ:+¹b‚>…§pÍ{"!"n0ïž CP¹ƒ&‡%#‚4¦ˆN„%œ&#QLhO HIˆ0np0)*./C¼¬&ðñHo&> pLt%H2NM¦Í&‡%#‚N¦ˆNO 9sN regulation n‚>D. Hilldebrandt „ J. Ellerton HRSno&O9s¼TUŽ&'0Àë• ‚p0V•„e-s>regulation #NWÌÍhXÀYZÆÏÂC[žÌƒ&¾Dˆ•Ä\² TU]CŒrs>ISMM/UIAA-Med/ICAR 0^šC-MÉʈ_©Cgˆ¼M‚ˆ¹ˆNO 2008 </0!"3+-45¶Y5n)*+,-./#"ôç#öêÛ`p„H:*>:+ H•0a)0¶Y„ˆLhO =•Ô§•¼•bc~Hðñ¼¬& 2008 <d!"3+-45Á#>:+;Æ"ùefgÆhAiÆíîjïÆklm#Ô& '(+,)*-./·'•b•5-C@%&OD¦N•b»nHðñ¼¬&Oo,0Øz *9 ×¢V_ bCXÍ¥pqnñ&Ô§#>pÍ‚•#T,ˆ»nˆ0no&OÐûr><L 100 ÉL+40 ÉL0¶þ•A\²CÛÅÃMs¥ˆ¹ˆNO•ÍäÍ0¹º•AÁÂC© ª#Ž&>tî/z1//š/!É/uC™ZsM:*sˆ%Í¥ˆ¹ˆNO•0¯0ÒÓ„0 ™vH78no&Ow0x0Ù#‚>¶þy‚:+H>+,kRy‚"ùeH>+,ij y‚hAÆklmH>z{œ•y‚íîH>ℬͥì—î|ˆ&„0}pHoLh0 4 no&H>.•‚•nˆ#~N…0n‚ˆ¦LhO•b•5-0‘Ìâ#‚âp„#ÉL ç#…•€ç#…u•ç#…‚ƒaC¦%„…h¦„ø†Ž&¨PnoêâŽO é•P‡‚+² P‡‚0p#n…2âÍ&Oh„œ¥'(ÛÜ"0P‡no&O 2009 < 2 =:+‚!"z—˜¢—–¢˜Àë•0ˆPCÍ%hO)*+,-./Hnñ h‰#‚$Š‹NCshN„0Tsrno&OoêHhNp„no&O!"z—˜¢—– ¢˜‚>ICAR 0!"#$%&Œ{0Éʈ57no& (*10) O‚•®0Ô§#p0)*-0 ¡wî•‚>UIAA/ICAR/ISMM International Diploma of Mountain Medicine „ŽŽ&0no &OUIAA 0!"0À¶ÛÜ„sM‚>JMA_!"+,e5bHo&OÛÜçÑ•C$• NŽ&0‚)‘no&_Y•>}’"0“F…¸¬”Tˆ‚efCNhtNMN&b OISMM 0•Í‚ JSMM_!"3+-45b•0…0noê>ppH)*0•Öˆ0t¦¹P‡‚ ˆNOn‚ ICAR 0!"#$%&ÛÜçÀ¶è‚tͦ8•ÍH7–ˆ¹¥>)‘•0Û Ü0efCgˆ%Í¥ˆ¹ˆNO ICAR—International Commission for Alpine Rescue „‚>'(+,i jdÇe-50˜no&OÒÓn ‚+,ij™Ö0©SBÖno&O šL¥¦ê¦>c~•›~ân… Hª«Ž&'…o& (*10) O¯âê ICAR 0!"#$%&•8ˆÛÜ çÀ¶è„‚ˆ#¦‚>!"#$ %&+,ijÛÜCœBŽ&ÛÜ‚ˆ#¦>#•žŽ&O !"z—˜¢—–¢˜H•§noÍ¥w0…0'(ÛÜ"0P‡‚£:Ž&Os¦s> !"z—˜¢—–¢˜‚ ICAR 0!"#$%&Œ{0Éʈ57no&„N§78Ÿ ‚ [hsMN&H>‚hsMƒ!"#$%&+,ijÛÜCœBŽ&Û܉ˆ0noJ§¦O p0¡ä#w‚¢N0no&H>•Ín…>!+e•£+0åæ$¤675C‚?¬> ãÝäÆ,d0å$>ã+,50•€•>•sMc~•`a>!"+,¥wde5ˆ00 ¥wdÛÜ>FG5¦§>+,ìvjk”•€•H”¼N&p„‚®LMN&O¨ù©3 +XÀš_)Éb‚p͹åæ$¤•€•CS¬&Õ'+,åæ$¤e-5Cª<•Ës MN&‚«tOâhp0u<#+,¥wdCÙÚ# ICAR !"¬c@Ã0ÞÅHćÍh „ÛNMNhHpÍ‚0§ˆLh0tJ§¦O„âÍ!"z—˜¢—–¢˜-¿n®IŸ C[hsMN&„‚Nœˆ¦J§O ef0Tsrn‚oêHh¼¯°shH>ƒ!"#$%&+,ijÛÜCœBŽ&Û܉ ‚0ͦC±²Ž&0‚pL0ZYn‚ˆNOpÍH³¼³ÃÌÍ•0•jCg¹ÍÍ¥ pL„sM‚âp„#oêHhN0tHO 2009 < 3 = 18 !>!"3+-45)*Æ'(+,)*-_´Žb./·'5¦¹>_¦b !"+,e558µÙ¨¶>ȶYÆåæ$¤675678·Ái>È-ù4675MN Oï>¨cù4©3+XÀšš8 83¸> _¦b+,¥wde5eb¶Y¹qº» 0¼½ 5 C¾ñ3¿5CÄLhO 9 !"3+-45À‚>ùúûü¶Y8{•>:+;Æ"ùefgÆhAiÆíîjïÆ klm no&O 9 "#…ÒÓhÔ§#>JMA_!"+,e5b‚ UIAA C!"n‚ÀëŽ&O¨ù©3+ XÀš_)Éb‚Õ'+,åæ$¤e-5Cª<•ËsM$ê>âh3+kR¹A0!" 0ÙÚno&Oâh>p0)*./>3+-45H(#CÁLM¿ÀYZ0¤*>)*0 ^š>)*´0ïÄCħ0no&H>Âb#)hLM‚p0߯0ÛÜ0æ#…'( ç+,¥wd0´no& FIAGM DôCÁ¯+,¥wd••0Ä+,ij•€ÛÜ0ef Cg&78Ho&O 9 ÅN>‚ª«NhtNh¼½¦¹‚ŽÓMÚÆNef0ECësMNhtNhO•(0 ÂÇ#(sM…>•È爕jC¸`ÉTˆ‚efCNhtNMN&OÚ¦¹ÊËTs" #&O 2009 < 5 = 30 !#ćÍhP 29 Q!"3+-45©5n>'(+,-./0ïž#¯ NM•)Cg>!"3+-45'()*+,-./@÷'675_Àë:+;bCïž Ìƒ&OÌM>•(0™”U0ÌÍH78no&O!"3+-45#")#)*+,-ˆ 078ˆ0tJ§¦8570E¥•Ü5O2009 < 6 =>!"3+-4557C$Î#'( )*+,-./#¯NM0K—£”CħO QÏÌÍhž_CX&„>570•Ú‚Ð"#ˆNOs¦s><L 100 ÉL+40 ÉL0 XÀ#ª«nñ•§ˆ&‚7«s…”¼‚ˆNOÑö{"0&‚ƒNÒN 50 ÉLZ/ˆ¹ ©ªno&„0Qœno&O!"è-½•€•‚ÓsN0tOÉLçÔÕHˆNOXÀÉ LH<L 100 ÉLCÖŽ'()*-„ 50 ÉLZ/0'Á)*-0ß"ÃMnĦs¥ˆ¹ ˆNnoJ§OÉL0v×0h¬#‚ÄÛÜ0XÀ5„0ØÙŠêâÍ…ÚúŽ&78H oJ§O'(çÛ·n‚o&H>!"0+,ßð0Üs_Ý3êˆ0bCòI#¸¬hÁ Ân./-C%œ>aqn+,ßðsMN&-.H͹s•ŽNÁÂnÞqCJ#&78 Ho&O-.¥%t%n‚ˆN-½•€•Æ+,•€•¥%0h”v…%œM4¦s¥ˆ ¹ˆNtJ§O s¦s>©?MNœ¥>570Eí‚>ßgo”no&O à•ÒÓ"c„0áË ppn'Á0âN‚ˆ¼ˆLhOo„‚>ÒÓ"cno&Oe-mail H•êöê0»”• „ˆ&0no&H>ˆ¦ˆ¦ãH4N0no&Oä^°C³)ƒs¥TU]‚]%ˆNO D. Hilldebrandt „ J. Ellerton $ÔJ•0å]HØŠˆ0tH>*<„ñ‚7«ØŠ‚8±0 +Ä#MdÇHæÉŽ&ƒ(ç‰Ho&8è¦Í¹‚•ÍäÍ0'nXÀh”v0(#• CésMN&¦¹)‘ˆ0tHOØêŽ&0…Âën‚ˆNO 2009 <0 UIAA-Medcom ‚>11 =>|î!—U#MćÍ&p„#ˆLMN&ODr. Hilldebrandt ‚>p05B#.Í&¹sNO|î!—U#‚ì®0 UIAA-Medcom 0 Buddha Basnyat 678…N&OÔs>P‡°‚íî¬ê±n£:sÔ§>„5B0 3 ïLu#"ù e67C.Ý#ðñŽ&p„#:*OMNò"ùe0V„n>Japanese Diploma of Mountain Medicine 0Øìó—Cħ„„…#>P‡°C©Mî¬M£:sMñM…¹$§O 6 |î!—Un0^_‚ƒ"ùefg|î!—UÔÕ‰CôbsM$p§ (*11) OžþCõ œ¥>T^önoLhO ******ôb¼¬***************** 9 9 UIAA Med Com meeting_'(+,dÅ-½c5b#ª«Ž&h¬>2009 < 11 = 14 !ø÷îG˜ø—mù#úûs>|î!—U# 18 !ânüasâshO 11 = 15 !‚ welcome party n670ýB‡ƒCsâshO3 ïLu# UIAA Med Com meeting n ßDiploma in Mountain Medicine in Japanþ 0ÿ!C̃MÃsN„"‘$•N sh0tH>p0c558no& Dr. Buddha Basnyat ‚?¼•#sM•Ì LhO{Ñ$£žî•%0Š“>!" n0ZY0Z¶>ïë“|º0»^ˆ 0Â0Q&Ô§ˆÓsÌtLhO 9 11 = 16 ! Medcom meeting #ª«s hO›&Ñy§ì”ân# 1 ÉL'( HoLh0n>Dr. David Hillebrandt _ç'OÒÓ#$%&'(+,efDiploma )*0Л(#•0{èb>M NOï}2>"ùe0 3 èn 2010 < / Diploma in Mountain Medicine in Japan 0}*ë_|Gjk¢VbC$)ž–shO“| ”ºw—îC$XƒsˆH¹3¿shH>D. Hillebrandt ‚•ÍCÅM>⫃OKOÔ¼r *MN&OpÍnòI•)ÌÍ&Ô‰„$Ls+LhO,;ˆ‚EX…”öNht%hO -L.no&O 9 11 = 17 !X/ïë5ODiploma in Mountain Medicine in Japan #¯NM0Øìó—ÿ”g 0—CÄLhO1# D. Hillebrandt „u!ÚsBLM‚NhH>“|”ºw—îCXƒˆH ¹…§ 1 Q UIAA Med Com 057ÕÖ#3¿shO ßDiploma in Mountain Medicine (DiMM) in Japan is now launching”9 „]NMo&H>application form ‚N¯ÉÊ#ŒrŽ&0¦‰ „ÈPÌ̓122 3={Á#‰„QœhO •'sh¹ÖÜ*n0»nH4LMN&O 9 ******ôb›‡ê***************** 5•ÐÑ06n7ê ÖÜ*#ŠêˆH¹…>'Án0û•ˆÛÜçˆ8³)…78no&Oppânñh¹ 9*爷'•b•5-n‚±âˆNO2009 </0©5#$NM'()*+,-./·' C:só¬&p„H)¬¹ÍM‚NhH>ÉÊ#ÒÓ"c#TUŽ&#‚p]¹0ÛÜç Ö.…ñ]n„ƒs¥ˆ¹;O•0h¬#‚>(#•ÖÛÜCÃ]"#s¥ˆ¹ˆNO (#•ÖÛÜ=!"3+-45)*+,-675ÛçC]ñ"#M¶Y50•)Cgh 0H>2009 < 12 = 5 !OP{Ÿ#•0ÂçHNÌÍ&O ƒ_ÂçbP•Ÿ9 !"3+-45‚<UIAA/IKAR/ISMM #·µsh'()*+,-=J !"3+-450)*Ž&'Á)*+,-./C³ÃÆÂÇŽ&p„CÂç#>¶Y50 7 •#!"3+-45)*+,-675_{•"675„N§bC2¼O"675‚>Âç ¤^0h¬# UIAA/IKAR/ISMM „0™ZCÄN>!"3+-4557C$Î#†[ˆ> ?Æ•AØz×¢VC»^Æ•Äs>ЛÞM=J<=CÄN>'()*+,-=J!" 3+-45)*+,-C@^Ž&O‰ ÛÜç#‚>(#•ÖÛÜ=)*+,-675‚¶Y50•cÛÜno&O678‚:+ no&O6750#b‚ _•b)*+,-0>?•AØz×¢V0»^>•A$ÔJDô)*#•Ž&YÏO _ßb)*+,-{{0-½B>?•AØz×¢V0»^>•A$ÔJDô)*#•Ž& YÏO _=b•0Ä)*+,-./#•Ž&YÏO no&O p06750•#>•Ä675C2¼O•Ä675678‚"ùeno&Oâh>67 8‚CP5-C2¼p„Hr*&OCP5--8‚ÙÎÏÐno&O oo>Ô§•¼Ö.HZ'ÌÍhO 0]#•Ä675ÙDE—ø”„ˆ&>:+;>"ùefg>UVW>F"sCê>í îjï>hAi>TGH¯>INÕ¿>÷ÎJK>LµM¶>klm>NVOè¹#Ô& ÖÜ*0ZY‚Ö.Z'„ÃÄsMónnNhO 5sJÖ¬M0-Mno&OÐû 100 ÉL_{¡h”vbò40 ÉL_Üoh”vbCy Pw—sˆ%Í¥N%ˆNOTUõQ‚çQno&OÒÓn‚•ïLZ/0zík”• x3-4 QnÄLMN&H>!"0ÓsN-.H•ïLdR#'¬&‚«…ˆNOïSCTbsh !"&Ê_–¢v¡„ŽŽ&bC%œ&78Ho&OhUn!"n{Ρ¦ˆ)*-./ #ˆ&tJ§O!"0ÜVo&3+_朥Ý3êˆ0bC0§•LMÛÅâÍÔ§Oc ~•`a„0dÇ‚0§sÔ§O{Ö5è0͹•Ho&tJ§O/š‚³Wnñ&¦> âtÉÊ#)©ÌÍMN&‡%n…ˆN0#¹.CXnnTYü¦O•…•…}’\²‚ TYütJ§¦8 ª!ö®•…0Ew•HIJKN>N¼¯…0TU]BC`H»¹ÍM‚Z[ÌÍM4 ¼O•0Ùn…{#rƒ&Á‚›¨!"3+-45 HP #WƒM4¼p„#Ž&O57 0Â#\Í&Ô§#sˆ%Í¥N%ˆNO !"#$%&)*+,-./0qr0/‚>UVWHT58Cb¬& 2010 < 5 =Ö]> AB,nćÍ&P 30 Q4RS5#sÔ§„%œMNhO{&>ÒÓ"c#TU]CŒr Ñß3=Z/0^š±LH^sN„õ‡ÍMN&O_ÁÆ`S0ÉL>./·'0ÉLC %œ&„>ˆ&Ó¼³¼>nñÍ¥ 2009 <Ù#‚abshNO Ìo>*Hs¥ˆ¹;O ÖÜ*0cdoLM>675Л`HnñoHLh0H–Gv!vweO!"3+-4 5¶Y50•)CgM³*`C]Nh0H 2009 < 12 = 30 !OD¦NfÉC fix sMÒÓ "c#aLh0H 2009 <0Tg!O•Í•ÍL#BLhOùúûü¶Y8{•h70‘Ì 8 â#‚<0i…ê…êân PC 0u#v¡—øw̃>‚jkC$¦%sâshO covering letter ‚{•0ÜsO Dear Dr John Ellerton9 9 We, Japanese Society of Mountain Medicine, are pleased to send you our application for approval of Japanese courses leading to the UIAA/IKAR/ISMM Diploma of Mountain Medicine. Please open an attached file, DIPLOMA APPLICATION from Japan.doc Our plan consists of two courses, common course and wilderness and expedition medicine course. Outline of the courses were presented by Dr. Kamikomaki and Horii at the UIAA Medcom Kathmandu meeting in November 2009 and generally accepted by the attending members including Dr. David Hilldebrandt. We plan to start this program in 2010 May. Your kind and prompt screening and reviewing would be appreciated. December 30, 2009 Shigeru Masuyama, M.D., Ph.D. Secretary General of Japanese Society of Mountain Medicine http://www.jsmmed.org/ ?•$$>•)ÌÍh 2 3=hhˆN§]#lYHmLMñhO É‚ 2010 < 2 = 21 !O Dear Shigeru, I enclose a certificate that you may wish to use as it confirms the UIAA/ICAR/ISMM approval status of your courses. John Ellerton nnnnnnnnnnnnnnnnn Certificate for Courses in Mountain Medicine This is to certify that the courses in Mountain Medicine organized by: Japanese Society of Mountain Medicine are in accordance with the minimum requirements of the Medical Commissions 9 of Union Internationale Des Associations D'alpinisme (UIAA) and International Commission for Alpine Rescue (ICAR), and the International Society for Mountain Medicine (ISMM). The organization is entitled to use the UIAA, ICAR and ISMM logos for their courses for two years from May 2010, and award the title UIAA/ICAR/ISMM Diploma/Certificate in Mountain Medicine to successful candidates as set out in the Diploma n nnnnnnnnnnnnnnnnnnnnnnnn „oê>3 ¯0'(ÛÜ President 0o„Ho&O Dr Buddha Basnyat M.D. President UIAA Medcom Dr Fidel Elsensohn M.D. President ICAR Medcom Dr Marco Maggiorini M.D. President ISMM ÔsÔsOpÍn!"H 8 ÎÂ0>UIAA/ICAR/ISMM Diploma in Mountain Medicine9 C ïÄŽ&'#ˆÍ&O10 <L0QêÏCsMsâLhH>Ô§•¼ÙÎÆTýV}¤#@ ÍMÔÕnñ&O n…>qr}*0 2010 < 5 =AB,nćÍ&P 30 Q4R©5âno„ 2 3=ÑOÖ Ü*·'‚ÐÑânRñ•§tO p•qr 2010 < 5 =OAB,OP 30 Q!"3+-454R©5OÔ§•¼qrtOÌM>•( 5è0͹•Ho&tJ§¦>•Í#Ôê}’ÃMHÕ¼qLM¼&Oã–¢v¡0(# •#‚>͹•H 10 è0/B>20 è0/B0}’CŒrsM…¹LMN&O5 ètLh¹ 0§sÔ§O rCÊ%MÅ&„>)!0TU•C¸¬M>®®öèOÃL„>sCˆn•JŽO 9 '(H¯NMN&s>)*-no&s>Øz×¢V‚•(tLsNÃ0ˆ0tH_2010 </`S8ÏCªu (*9) b>p0)*-DôCgh¦¹„Mˆ#¦-±çˆÜvH)w-. #xœ¹Í&‡%n‚ˆNO ƒ™—ÿwwyz‰n‚o êâƒnÔ>ÐÖ¦¹•ÍC{LM$êâŽO|}# ˆÅCÂ~Ž4Pç*f0<=0h¬#•aŽ&Op 0h¬t%#><L 111 ÉL_100 ÉLHp0ÉL# €ÍoHLhbò40 ÉL_Üoh”vb>N¼ˆN¹ A•b•K•%‚•>•Í#…:sM,;ˆÉLC• •Ž…0H0ͼ¹NN&noJ§¦>{ƒ0äNH oLh0tO ?@0AB,CDE#>UVWHZ[&>\]^_` ab>\]^c>\],d0efCgh+,ijkRl mHćÍMN&OFGkR‚>vwvn0•Í#„ CuNMNh 13 <u„‚…ó0÷Ho&Oò!0\] 0a†FGˆ¹¥ REGA ˆê„•p•p‰œ&0n‚ ˆN¦O !"#…+,ijCù4Ž&ÝEHnñMñh„N§p„tO\]^+,c'~ò\] 10 ,d0ëÿ¢—#Ô&ijkR¹A‚!"+,0܇C2¦s¯¯€Àçˆ'Cixsh XY#•Žçˆ…0noLhOWMS(Wilderness Medicine Society)ë”v0¦‰”vî3w d¹A0yz…HI•ê0E^o&ßð 犕#ÔLMćÍhO p0Ô§ˆ&L„„…#>wh])* +,-‚XÀC;s>„…ŽÍ¥>¬è 0-M•°#‹sH]ˆ!"0+,-½ ¦§”•d#"#KžØy”îÌÍ&' (v¡—c”dCŒ•ÌƒM4¼78H o&tJ§O p0ABn0!"3+-45)*+,-./0rïC‚?¬•0ßð‚>"Ž9Û•• !9Û••‘9Û••q9Û•!-9Ûˆ0n’Eç#öê"#MNhtNhO•0$¦ #…oJ§¦>)*-+,-h”v͹TU•‚.a_2011 < 1 =bn‚ 60 èC“Ž” Nno&O ••9sNf 10 <…ïžHPÍh¶–‚ 5tLh0tJ§ON•>—# õ§Óñ¦…s͈NOÔ§• ¼qrŽ&p„Hnñh¶–‚ ˆntJ§O TU‚…„Ôê>2010 </0 •(çÂÇ#$NM…>˜™0 ÖÜ*nbCpˆsMñhòˆ ¹‚Lñê„w‚õ§p„Hn ñ&O•Í‚>!"03+-40óô#9sNfH2âÍMñh¦¹no&Of„‚tî no&Otî0Á•no&O9sNÞÅ‚9sNtîns¦r*ˆNO $0z¢—!3¯ÑŠ~05"¦Cš›n[²Ž&p„#ˆLhH•ÍC…ù4çœy 0$΄sÔ§„Ž&•žŸ-> ¡„t!¢¢Æ3ëìvîC£u0øw–¢wdnž Ui*—{ù->+,åæ0¤aÍ%âÍRS#N&R^{ù-#sM3+¥wdn…o &!•$¡ì—î>Õ'çKwv–¢w 2—×h—½#â¥H"d0v”“”K vG”î¦8>ç'0)*+,-h”v #_§#¨ÅhLh{<npÍC©gs !"nÖ¬M'()*+,-„ˆLhª «o&¨‰•>5/0@ÇÆHP 0¬¶ ˆ0[&C-@¹sNYb'¶ªfnp ˆŽz—×y§v¡—v®w–¢”Oó ô00p#rsM…¯Ž&p„0ˆN¦5s#°`¨±VÏ#lnh¤èHp0qrC© 11 ª#shO)*+,-h”v#TUŽ&-.#…X…sN&H”NO!"+,0â+²³ 0i*´$“¦>+ù´0I+µ½šCÂÇŽ&T4>‚tNhN|ø”sMN&Ô§tO 2009 <0K—£”î_u,bn‚<L 100 ÉL{"…¦¦&'()*-h”v‚¶œÌÍ &‚«noLhOs¦s•(CÅ&„>60 è0TU•0Än0H'(h”v·¸•ˆ0 no&O¦Í¹05覂>p0'()*+,-h”vCöêh¼M>‡¹‡¹!"3+ -45#â5sMñh0tO pp#…9sNfH§âͯ¯o&O9sN…0H»¹Í&}÷Ho&O •º•¨0ÉÀ¤ s¦s>pL-.t%np0YnH©ªˆ‚«‚ˆNO)*-•0…0#¯NM‚!" 3+-45H(#CÁLM¿ÀYZ0¤*>)*0^š>)*´0ïÄCħ0no&H> Âb#)hLM‚!"0+,ôCa§!"+,e5_-ù4675>åæ$¤675b>¨ cù4©3+XÀš_.'Ã3+XÀšb>ãÝäÆ,d0å$>ã+,50•€•>•s Mc~•`a>FIAGM DôCÁ¯+,¥wd„•0ÛÜ>FG5¦§0+,ìvjk”• €•0efHä©»no&O .É°_2011 < 1 =bn>)*+,-0XÀ5‚Ö</0P 4 h”ì”C¼Lh„pJ #N&OpÍân•#½ŽÔ§#+,kR•ijkR¹A#•sM>•#”¼0&L0e fCNhtNMñhO 9 2010 < 5 =9 AB–¢v¡—\]^+,dÅ>\]^c+,c'~>\]^`a 9 2010 < 6 =9 ¾¿–¢v¡—«Î•€•>(À•€• (*12) O (*13) (*14) 9 2010 < 7 =9 Ã+–¢v¡—+,¥wd>'Ã3+XÀš•€• 9 2010 < 9 =9 œ•–¢v¡ I—Øz–¢w!”>3+Á>+,¥wd> JICA> (*15) (*16) 9 2010 < 10 =9 ²Ö¢v¡—+,¥wd>ÄÅ^+,dÅ 9 2011 < 1 =9 Æ3,–¢v¡—+,¥wd>3+Á (*17) !"+,e5>'Ã3+XÀš¦¹‚>¬o–¢v¡0ef{{#…>h”vÕÖ#$ sMôo0“FCNhtNMN&O ‚efNhtNhňÌâ#Ú¦¹÷†CTs"#âŽOõÇt%n‚N%ˆNOp0 )*-XÀ5‚pͦ¹…5<…;RsMćÍ&noJ§OpÍt%”¼0&0‚jf CNhtNMN&„ŽÍ¥>pL0&…È*ˆ#¦0$lsC%œs¥N%ˆNO p L H ò Ä L M N & ! " 3 + - 4 5 ) * - + , - h ” v ‚ > ¯ â ê ‚ > UIAA, IKAR,ISMM #·µsh'(çDôCDE#Á¯-½•¥%0+,¡än0!"Êi*½ JMPTEC gvÿVCÛÜsÔ§„Ž&ÞÅn…o&OpÍC")#!"0./#2¦Ž h¬#‚>"NC+,•€•b#É_sh'(ç#•bŽ&DôH!"#…78t„%œ &O•Í‚>UIAA, IKAR,ISMM •sM>HIC%œ&„ WMS #)¬¹Í&¦‰”vî3 wd>ADô0+,•€•`„ˆ&ÓñnoJ§O p0LÒI0㹄ݣsMáËsMñhwh]ˆ¹p0$Š‹NHnñ&O•ÍH+ ,•€•¤0pL0$ls#ˆ&„NN0tHO 12 References (*1)Recommendation REC M 0013 of the Commission for Mountain9 Emergency Medicine of 19999 On Site Treatment of Avalanche Victims9 H Brugger, B Durrer http://www.alpinmedizin.org/pdf/ikar_recm013avalanche.pdf (*2)The Medical On-site Treatment of Hypothermia: ICAR-MEDCOM Recommendation Bruno Durrer, Hermann Brugger, David Syme. High Altitude Medicine & Biology. March 2003, 4(1): 99-103. doi:10.1089/152702903321489031. (*3)ÙÎÏÐ9 g—ºíÑV 1—+,åæ9 3+-4 19 u 15 Ê>1989 < (*4)ÙÎÏЗ-.#Ô&+,ijgvÿVOi*-½íË”ì• 7(36):8-11,1994 (*5)http://www.thebmc.co.uk/Feature.aspx?id=1366 (*6)http://www.klinikum.uni-heidelberg.de/index.php?id=92/med7/ (*7)http://www.worldcongress2007.org.uk/ (*8)http://www.jsmmed.org/_userdata/DIMMReg2007-1.pdf (*9)http://www.jsmmed.org/_userdata/2010DiMM_yokou_20100616.pdf (*10) http://www.ikar-cisa.org/eXtraEngine3/WebObjects/eXtraEngine3.woa/wa/menu?id=241&lang=en (*11)http://www.jsmmed.org/_userdata/uiaa_kamikomaki.pdf (*12)http://www.jsmmed.org/pg49.html (*13)http://www.jsmmed.org/pg78.html (*14)http://www.jsmmed.org/pg79.html (*15)http://www.jsmmed.org/pg83.html (*16)http://www.jsmmed.org/pg84.html (*17)http://www.jsmmed.org/pg89yatsugatake.html 13