- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Thermal Regulation in Medicine
- Disaster Response and Management
- Heart Rate Variability and Autonomic Control
- Intensive Care Unit Cognitive Disorders
- Adipokines, Inflammation, and Metabolic Diseases
- Food Allergy and Anaphylaxis Research
- Traumatic Brain Injury Research
- Sepsis Diagnosis and Treatment
- Adipose Tissue and Metabolism
- Healthcare Policy and Management
- Disaster Management and Resilience
- Asthma and respiratory diseases
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Mechanical Circulatory Support Devices
- Cardiovascular Disease and Adiposity
- Respiratory Support and Mechanisms
- Anesthesia and Sedative Agents
- Myasthenia Gravis and Thymoma
- Clinical Reasoning and Diagnostic Skills
- Electroconvulsive Therapy Studies
- Complement system in diseases
- Healthcare Systems and Practices
Research Canada
2023-2024
University of Fukui Hospital
2015-2024
University of British Columbia
2017-2020
Fukui Prefecture Special Education Center
2020
University of Northern British Columbia
2020
University of Fukui
2014-2019
Clark County Public Health
2019
St. Paul's Hospital
2016-2018
Fukui Prefectural Hospital
2013
Heiwa (Japan)
2010
Background Targeted temperature management ( TTM ) is a recommended treatment modality to improve neurological outcomes in patients with out-of-hospital cardiac arrest. The impact of the duration from hospital admission initiation (door-to- ; DTT on clinical has not been well elucidated. We hypothesized that shorter intervals would be associated improved survival favorable outcome. Methods and Results performed post hoc analysis nontraumatic paramedic-treated arrests. primary outcome was...
The impact of extreme heat on out-of-hospital cardiac arrest (OHCA) incidence and outcomes is under-studied. We investigated OHCA over increasing temperatures.
Objective Although it has been suggested that the increase in older population contributes to overcrowding emergency departments (EDs), there are limited data defining this relationship. This study examines whether patients’ mean age per day affects length of ED stay. Methods cross-sectional analysis evaluated how patient The was conducted at an attached Fujisawa City Hospital, Japan, between 1 November 2009 and 31 October 2010. Patients scheduled visit for childbirth patients under 15 were...
Abstract To determine whether ketamine use for tracheal intubation, compared to other sedative use, is associated with a lower risk of post-intubation hypotension in hemodynamically-unstable patients the emergency department (ED), we analyzed data prospective, multicenter, observational study—the second Japanese Emergency Airway Network (JEAN-2) Study—from February 2012 through November 2017. The current analysis included adult non-cardiac-arrest ED pre-intubation shock index ≥0.9. primary...
Objectives We determined whether crowding at emergency shelters is associated with a higher incidence of sleep disturbance among disaster evacuees and identified the minimum required personal space shelters. Design Retrospective review medical charts. Setting 30 shelter-based clinics in Ishinomaki, Japan, during 46 days following Great Eastern Japan Earthquake Tsunami 2011. Participants Shelter residents who visited eligible clinics. Outcome measures Based on result locally weighted...
SUMMARY Although outbreaks of acute respiratory infection (ARI) at shelters are hypothesized to be associated with shelter crowding, no studies have examined this relationship. We conducted a retrospective study by reviewing medical records evacuees presenting one the 37 clinics in Ishinomaki city, Japan, during 3-week period after Great Eastern Japan Earthquake and tsunami 2011. On basis locally weighted scatter-plot smoothing technique, we categorized into crowded (mean space <5·5 m 2...
Objective: Prognostication bias, in which a clinician predicts negative outcome and terminates resuscitation (TR) thereby ensuring poor outcome, is rarely identified limitation of out-of-hospital cardiac arrest (OHCA) research. We sought to estimate the number deaths due intra-arrest prognostication cohort OHCA's, use this data incremental benefit continuing resuscitation. Methods: This study examined consecutive non-traumatic EMS-treated OHCAs from provincial ambulance service, between 2007...
Abstract Objective After the Great Eastern Japan Earthquake and tsunami, World Health Organization cautioned that evacuees at shelters would be increased risk of infectious disease transmission; however, frequency occurred in this population was not known. Methods We reviewed medical charts who visited clinics 6 from March 19, to April 8, 2011. Excluded were patients did reside within or whose records lacked a name date. investigated cumulative incidences acute respiratory infection [ARI],...
Although increasing staff numbers during shifts when emergency department (ED) crowding is severe can help meet patient demand, it remains unclear how different types of added staff, particularly junior residents, may affect crowding.
Study Objective We compared the effects of execution diagnostic tests in emergency department (ED) and other common factors on length ED stay to identify those with greatest impacts crowding. Methods Between February 2010 January 2012, we conducted a cross-sectional, single-center study large, urban, teaching hospital Japan. Patients who visited during period were enrolled. excluded (1) patients scheduled for admission or pharmaceutical prescription, (2) neonates requiring intensive care...