A5071477554- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Sedative Agents
- Trauma and Emergency Care Studies
- Respiratory Support and Mechanisms
- Intensive Care Unit Cognitive Disorders
- Sepsis Diagnosis and Treatment
- Airway Management and Intubation Techniques
- Palliative Care and End-of-Life Issues
- Disaster Response and Management
- Heart Failure Treatment and Management
- Bacterial Identification and Susceptibility Testing
- COVID-19 and Mental Health
- Simulation-Based Education in Healthcare
- Traumatic Brain Injury and Neurovascular Disturbances
- Tracheal and airway disorders
- Cardiac Imaging and Diagnostics
- Ultrasound in Clinical Applications
- Hemodynamic Monitoring and Therapy
- Injury Epidemiology and Prevention
- Urinary Tract Infections Management
- Acute Myocardial Infarction Research
- Nausea and vomiting management
- Innovations in Medical Education
Chiba Kaihin Municipal Hospital
2022-2025
Kokushikan University
2024
St. Marianna University School of Medicine
2022
Shizuoka Medical Center
2021
Weatherford College
2019
St. Luke's International University
2017-2018
Tokyo Dental College Ichikawa General Hospital
2015
St. Luke's International Hospital
2015
Excessive workload among medical residents remains a social issue, particularly in Japan. The government requires management of overtime work health institutions. Among young healthcare workers, the demand for sustainable work-life balance is increasing. This study evaluated current and allocation postgraduate using mobile application. A cross-sectional including trainees from three major teaching hospitals was conducted 2021 recorded their (direct patient care, indirect education, research,...
Abstract Aim In Japan, emergency ambulance dispatches involve minor cases requiring outpatient services, emphasizing the need for improved public guidance regarding care. This study evaluated both medical plausibility of GPT model in aiding laypersons to determine care and laypersons' interpretations its outputs. Methods cross‐sectional was conducted from December 10, 2023, March 7, 2024. We input clinical scenarios into visits based on A total 314 were labeled with red tags (emergency,...
The Canadian Triage and Acuity Scale is a valid triage system. system was translated implemented in the Japanese emergency departments (EDs) from 2012. This named Scale; however, validation studies of have been limited. In addition, for patient with multiple complaints, it could become challenging, due to its requirement single complaint. Therefore, we hypothesized that modified version using first-order modifiers without chief complaint detection accurate. A retrospective cohort study...
AimOur study aimed at filling the fundamental knowledge gap on characteristics of regional brain oxygen saturation (rSO2) levels in out-of-hospital cardiac arrest (OHCA) patients with or without return spontaneous circulation (ROSC) upon arrival hospital for estimating quality cardiopulmonary resuscitation and neurological prognostication these patients.MethodsWe enrolled 1921 OHCA from Japan – Prediction Neurological Outcomes Patients Post-cardiac Arrest Registry measured their rSO2...
Objective We examined whether the use of Airway Scope (AWS) and C-MAC PM (C-MAC) decreased force applied on oral structures during intubation attempts as compared with Macintosh direct laryngoscope (DL). Design Prospective cross-over study. Participants A total 35 novice physicians participated. Interventions used 6 simulation scenarios based difficulty devices. Outcome measures Our primary outcome were maximum maxillary incisors tongue attempts, measured by a high-fidelity simulator....
Rapid response system (RRS) efficacy and national early warning score (NEWS) performances have largely been reported in inpatient settings, with few such reports undertaken outpatient settings.This study aimed to investigate NEWS validity predicting poor clinical outcomes among outpatients who had activated the RRS using single-parameter criteria.A single-center retrospective cohort studyFrom April 1, 2014 November 30, 2017 an urban 350-bed referral hospital JapanWe collected patient...
Japan has no official guidelines for do-not-resuscitate (DNR) orders. Therefore, we investigated the effect of DNR orders on physician decision making in relation to performing noncardiopulmonary resuscitation (CPR) and CPR procedures.A case-scenario-based questionnaire that included a case advanced cancer, dementia, nonadvanced heart failure was administered physicians. The questions determined whether physicians would perform different non-CPR procedures presence or absence number each who...
Objective In recent years, large-scale sports events have been held in Japan, making it necessary to ensure a strategic and systematic emergency medical system stadiums. This study aimed clarify the characteristics of care at stadiums facilities Japan. Methods cross-sectional used national transport data recorded from 2015 2019. The population included all cases that occurred athletic fields, stadiums, throughout Cases during competition were classified into sports-related incidents (SrETi)...
Abstract Background Nontraumatic Stanford type A acute aortic dissection is a life‐threatening condition; thus, the ability to make precise diagnosis of nontraumatic essential for emergency physician. Several reports have shown that mediastinal widening on chest radiograph useful dissection; however, exact cutoff value width plain radiographs rarely defined. Methods single‐center retrospective case‐control study was conducted between October 1, 2013, and March 31, 2015. We evaluated maximal...
A patient's ability to clear secretions and protect the airway with an effective cough is important part of pre-extubation evaluation. An increase in intra-abdominal pressure (IAP) generating flow rate necessary for a cough. This study investigated whether from baseline IAP during coughing episode induced by routine suctioning associated extubation outcome after successful spontaneous breathing trial (SBT).Three hundred thirty-five (335) mechanically ventilated patients who passed SBT were...
Capnography is recommended for use in procedural sedation and analgesia (PSA); however, limited studies assess its impact on recovery time. We investigated the association between capnography time of PSA emergency department (ED).
Riding a bicycle under the influence of alcohol is illegal in Japan. Nevertheless, intoxicated bicyclists are frequently treated at hospital emergency departments for bicycle-related injuries. This patient population usually requires more resources, even relatively minor Therefore, we hypothesized that crashes involving cost to treat than those do not involve intoxication. The aim present study was examine costs associated with injuries and intoxication bicyclist. conducted Tokyo Bay Urayasu...
Background: Code status discussion is associated with a decrease in invasive procedures among terminally ill cancer patients. We investigated the association between code on admission and incidence of procedures, cardiopulmonary resuscitation (CPR), opioid use inpatients advanced stages noncancer diseases. Methods: performed retrospective cohort study single center, Ito Municipal Hospital, Japan. Participants were patients who admitted to Department Internal Medicine October 1, 2013 August...
Introduction Although the implementation of simulation-based education (SBE) is essential for emergency medicine residency programs (EMRPs), little known about factors associated with its degree SBE in EMRPs. Therefore, this study aimed to investigate We hypothesized that number simulation faculty was implementation. Methods conducted a multicenter, cross-sectional survey on resident education, accredited EMRPs Greater Tokyo area, Japan. Survey question themes included institutional...
Background: A do-not-resuscitate (DNR) order is reportedly associated with a decrease in performance measures, but it should not be applied to noncardiopulmonary resuscitation procedures. Good measures are improvement heart failure outcomes. Aim: To analyze the influence of DNR on at our hospital, where lectures held every 3 months. Design: Retrospective cohort study. Methods: The medical report patients acute who were admitted between April 2013 and March 2015 retrospectively analyzed. We...
Little evidence on Japanese frequent presenters (FPs) is available. Therefore, this retrospective cohort study compared characteristics between FPs and non-frequent (NFPs) in emergency departments (EDs) Japan.Frequent included those who presented to an ED ≥4 times during the period from August 1, 2012 July 21, 2013. The primary outcomes were triage level disposition. Secondary length of stay, method arrival, discharge diagnosis.During period, 195 had 1,154 visits ED, 15,953 by 13,838 NFPs....
Objectives Many registry studies on patients with out-of-hospital cardiac arrest (OHCA) have reported that conventional bag-valve-mask (BVM) ventilation is independently associated favourable outcomes. This study aimed to compare the data of OCHA confirmed output emergency medical services (EMS) arrival and consider confounding factors in prehospital airway management studies. Methods was a cohort using for survivors after out-of hospital Kanto region at 2012 Japan (SOS-KANTO 2012)....