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学校現場における「障害」の実態を調査し，学校現場におけるアスレティックトレーナーの必要性を検討した．

独立行政法人日本スポーツ振興センターの災害給付データベースを参照し，平成21年度から30年度までに中学校と高等学校の校舎内において発生した「障害」事例2,094件を抽出して検討した．

課外指導では98％，各教科等では86％，学校行事では71％がスポーツに関連する活動を行っていた際に「障害」が発生していた．運動場・校庭では93％，体育館・室内運動場では90％，プールでは96％がスポーツに関連する活動を行っていたことがわかった．

学校現場で発生する「障害」の多くはスポーツに関連したものであり，ATが学校現場に配置された場合は，それらに対する応急処置や「障害」の予防を含めた安全管理を行うことが可能となる．

This study aimed to investigate Catastrophic injuries as defined by Japan Sport Council (JSC) (grades I-XIV) documented on school campus and explore benefits of introducing athletic trainers on campus. All injury data submitted to JSC Injury and Accident Mutual Aid Benefit System between 2009 -2018 that occurred in junior high or high school (n=2,094) were included in the analysis. Injury data were categorized by activity (curricular course, curricular activity, school event, extracurricular activity, recess, other) and location (classroom, laboratory, indoor athletic facility, hallway, staircase, balcony, rooftop, restroom, outdoor athletic field, pool, other).

Athletic injuries were documented in 98%, 86%, and 71% of all injuries that occurred during extracurricular activity, curricular course, and school event. In addition, 93%, 90%, and 96% of all injuries that occurred at outdoor athletic field, indoor athletic facility, and pool, respectively, were related to athletic activity.

JSC data suggest that majority of injuries that occur on junior high and high school campus were related to athletic activities. Therefore, school administrators may benefit from having athletic trainers who can provide first aid and injury prevention services to help elevate the standard of care on school campus.