Emergency

What we do

1) Emergency Medical Care
We have beds only for ER.
We treat all patients such as patients who come here by the ambulance and the doctor helicopter, and come here on foot or car by themselves.

2）Intensive Care
Patients who need intensive care, such as for respiratory failure, unstable circulation, and the serious illness septicemias, have the treatment in the intensive care unit.
Emergency and Trauma department liaises closely with other departments.
If a patient's condition is stable and a physician thinks it's time for this patient to move to another department, we will change the patient's department.

3) Disaster Medical Care
We have 2 DMATs (Disaster Medicine Associated Team), and 10 certified persons who practice to be dispatched to the disaster area.

Conditions we handle

1) External Injuries
Almost all cases are blunt traumas such as injuries by traffic accidents or falling.( Stab wounds and gunshot wounds are very rare.)
Since the law requires all persons to wear the seatbelts, the cases of clavicle fractures, fracture of the sternum, damages to intestine, and damages to the mesenterium have increased.
80% of hepatic injuries, splenic injuries, and kidney injuries which are highest in frequency in abdominal injuries can be treated with conservative measures.

2) Burn Injuries
The case that the extent of burn is over 20% is necessary to have operations several times.

3) Toxicosis
There are toxicosis such as psychoactive drugs, hypnotic drugs, analgesic antipyretic drug (aspirin, acetaminophen), organic phosphorus, paraquat (diquat), cyanide compound, and acid.
In the case that a patient took a lethal drug, the patient needs to have a treatment such as blood purification (hemodialysis) in the intensive-care unit.

4) Others
Near-drownings, heat disorders ( heat strokes, heat exhaustions, heat cramps, heat syncopes), accidental hypothermias( Severe: under 28℃, Moderate: 28~32℃, Mild: 32℃), sting & bite wounds( anaphylactic shock by bite from a pit viper & sting by bee), death by hanging, and asphyxias, etc…

5) Medical Emergency
Severe sepsis (sepsis shocks), severe acute pancreatitis, deep-vein thrombosis, and aspiration pneumonitis, etc…

6) Serious Infection
Tetanus, Cellulitis, Group A streptococcal necrotizing fasciitis, Gas gangrene

Number of cases

ER patients: 25,063/year
Ambulance car：3,229/year
Ambulance helicopter：138/year
ER inpatients: 731/year
（2011）

Operation results

Please see "Number of cases".

List of Doctors

Chief of Emergency and Trauma Center Chief of Emergency and Trauma Dept.

Junmei FUDOJI

Subspeciality
Acute Medicine， General Surgery，

Department name	Emergency
Medical School	Miyazaki Medical University
Special Qualifications	Board Certified Physician， Certified Specialist and Advanced Certified Specialist of Japanese Association for Acute Medicine Board Certified Physician of Japan Surgical Society
Education & Career	1991.Mar. Graduated from Miyazaki Medical University 1991.Jun. Residency in Chigasaki Tokushukai General Hospital 1992.Jun. General Surgery， Chigasaki Tokushukai General Hospital 1994.Jun. Resident of General Surgery， Shonan Kamakura General Hospital 1995.Jun. Chief Resident of General Surgery， Chigasaki Tokushukai General Hospital 1996.Jun. General Surgery， Shonai Amarume Hospital 1997.Jun. General Surgery， Chigasaki Tokushukai General Hospital 2002.Sep. Emergency and Trauma Department， Kameda Medical Center 2003.Dec. Chief of Emergency and Trauma Department， Kameda Medical Center 2008.May. Awa Regional Medical Center 2015.Nov. Chief of Emergency and Trauma Center， Chief of Emergency Trauma Dept. Kameda Medical Center

Chief of Emergency and Trauma Department and Chief of Hyperbaric Oxygen Therapy Center

Shinya SUZUKI

Department name	Emergency
Medical School	National Defense Medical College， Division of Medicine
Special Qualifications	Clinical Training Guidance Physician Clinical Training Program Manager Board Certified Industrial Physician of Medical Association Board Certified Advanced Specialist of The Japanese Respiratory Society Board Certified Specialist of The Japanese Society of Hyperbaric and Undersea Medicine Board Certified Specialist of The Japan Society for Respiratory Endoscopy Board Cerfified Physician of The Japanese Society of Internal Medicine
Education & Career	1984 Mar. Graduated from National Defense Medical College， Division of Medicine 1984 Apr. Residency in National Defense Medical College， Division of Medicine 1985 Nov. Residency in Self-Defense Forces Central Hospital 1986 Jun. Japan Maritime Self-Defense Forces Hospital Yokosuka 1989 Aug. Residency in National Defense Medical College， Division of Medicine 1991 Aug. Japan Maritime Self-Defense Forces Underwater Medical Center 2000 Mar. Health Planning Div，Maritime Staff Office， Agency of Defense 2001 Jul. Visiting Professor of Bergen University 2003 Aug Vice President of Self-Defense Forces Maizuru Hospital 2004 Mar. Presiden of Self-Defense Forces Maizuru Hospital 2005 Apr. Professor of Div. of Environmental Medicine， National Defense Medical Institute 2010 Dec. Pulmonology， Self-Defense Forces Central Hospital 2011 Mar. Chief of Institute and Clinical Training Medicine of Self-Defense Forces Central Hospital 2015 Apr. Chief of Emergency and Trauma Department and Chief of Hyperbaric Oxygen Therapy Center， Kameda Medical Center

Chief of Emergency

Masaki OHASHI

Subspeciality
Emergency care of Internal Medicine

Department name	Emergency
Medical School	Osaka City University， School of Medicine
Special Qualifications	Board Certified Specialist of Japanese Association for Acute Medicine Board Certified Sports Doctor of Japan Sports Association
Education & Career	1996.Mar. Graduated from Osaka City University， School of Medicine 1997.Nov. Residency in Kameda Medical Center 2001.Jul. Emergency and Trauma Department， Kameda Medical Center 2005.Nov. Assistant Chief of Emergency and Trauma Department， Kameda Medical Center 2009.Apr. Vice Chief of Emergency and Trauma Department， Kameda Medical Center 2012.Apr. Chief of Emergency and Trauma Department， Kameda Medical Center 2014.Apr. Chief of Emergency and Trauma Department， Vice Chief of Emergency and Trauma Center， Kameda Medical Center

Chief of Emergency

Kensuke ITO

Subspeciality
Diagnositic Imaging

Department name	Emergency
Medical School	Jichi Medical University
Special Qualifications	Board Certified Specialist of Japan Radiological Society Board Certified Specialist of Registerd Doctor， the Japanese Society of Nuclear Medicine
Education & Career	1993.Mar. Graduated from Jichi Medical University 1993.Apr. Kokuho Matsudo City Hospital 1995.May. Kamogawa City Kokuho Hospital 1998.May. Niigata Tokamachi Hospital 1999.Apr. Niigata Matsushiro Hospital 2002.Apr. Tateyama Hospital 2003.Apr. Kokuho Kyonan Hospital 2003.Jul. Radiology， Kameda Medical Center 2009.May. Vice Chief of Radiology， Kameda Medical Center 2010.Jul. Vice Chief of Emergency and Trauma Department， Kameda Medical Center 2012.Apr. Chief of Emergency and Trauma Department， Kameda Medical Center

Chief of Emergency and Trauma Department

Atsushi SHIRAISHI

Subspeciality
Neurological Emergencies(Apolexy)， Traumatic Epidemiology Research， Diagnosis Brain Imaging

Department name	Emergency
Medical School	Tokyo Medical and Dental University Faculty of Medicine
Education & Career	1994 Mar. Graduated from Tokyo Medical and Dental University Faculty of Medicine 1994 Apr. Residency in Tokyo Medical and Dental University Faculty of Medicine Hospital 1995 Apr. Residency in Cardiology of Tokyo Metropolitan Hiroo Hospital 1995 Oct. Residency in Neurology of Nagano Prefectural Rihabilitation Center Kakeyu Hospital 1996 Apr. Neurology， Toride Medical Center 1998 Apr. Neurology， Japanese Red Cross Musashino Hospital 1999 Apr. Neurology， Tokyo Medical and Dental University Faculty of Medicine Hospital 2000 Mar. Graduate School of Medicine and Denatal Siences， Tokyo Medical and Dental University 2004 Apr. Assistant Chief of Neurology， Toride Medical Center 2005 Apr. Research Assistant of Neurology， Tokyo Medical and Dental University Faculty of Medicine Hospital 2006 Mar. Emergency and Trauma Center， Tokyo Medical and Dental University Faculty of Medicine Hospital 2016 Apr. Chief of Emergency and Trauma Department， Kameda Medical Center