ID 110322
Title Transcription
ERガタ キュウキュウ ニ トリクム ニジ キュウキュウ イリョウ キカン ノ ゲンジョウ
Title Alternative
Present status of US-style emergency medicine (ER-style) of a secondary emergency hospital in Tokushima Prefecture
Author
Ueyama, Yuuji Department of Emergency , Izankai Taoka Hospital
Yamanaka, Akemi Department of Emergency , Izankai Taoka Hospital
Yoshioka, Kazuo Department of Surgery , Izankai Taoka Hospital
Keywords
US-style emergency medicine
ER physician
Tokushima Prefecture
Content Type
Journal Article
Description
Background : In Japan, the emergency doctor’s job has traditionally been to care for critically ill patients presenting to the emergency department(ED), a role similar to that of an intensivist. Recently, US-style emergency medicine, referred to in Japan as ER-style emergency medicine, has been adopted. This emergency medicine is not dissimilar to that practiced in western countries such as the United States. Objectives : The aim of this study was to clarify the role of US-style emergency room(ER)physicians in the ED of a single local hospital in Tokushima Prefecture, Japan. Methods : Using medical records, we analyzed the emergency patients who visited our ED from April2009to March2010. Results : Of the 5497 cases examined, the number of severe, moderate, and mild cases were 145(2.6%), 813(14.8%), and 4539(82.6%), respectively. Of these patients, 2186(39.8%)were transported to the hospital by ambulance and3245(59.0%)made their own way. The number of injured and ill patients were 2756(50.1%) and 2741(49.9%), respectively. The number of cardiopulmonary arrests on arrival was 38. Nine(0.3%)fatal illnesses were identified during this period. Conclusions : ER physicians have to respond adequately to all patients presenting to the ED regardless of the severity or nature of the injury or illness. In addition, it is necessary to maintain relationships between the ER and neighboring hospitals for patient transfer, and this is considered fundamental for building a safety net for community residents.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
66
Issue
3-4
Start Page
95
End Page
100
Sort Key
95
Published Date
2010-08-25
FullText File
language
jpn
TextVersion
Publisher