Graduate School of Medicine / School of Medicine, Faculty of Medicine

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Clinical Sciences

Emergency Medicine

Emergency medicine is one of the fundamental fields in medical science. The emergency physician is required broad knowledge, swift judgment, and accurate treatment. We engage not only in clinical activities but also in various basic and clinical researches related to emergency medicine to contribute to the progress and development of emergency medicine and regional medicine.

  • Staff
  • Research & education
  • Clinical Activities
  • Citizen Activities
  • Achievement
  • History

Staffs

Professor Ohshima Kiyohiro, MD, PhD
Assiatant Professors Murata Masato, MD, PhD
Assiatant Professors Kanbe Masahiko, MD

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Research & Education

Research content

Basic Medical Sciences:

・Study for the mechanism of vasopressor substance on cardiopulmonary arrest (CPR) patients
・Establishment of novel vasopressor administration method on CPR
・Development of severe burn patients treatment using mesenchymal stem cell

Clinical Sciences:

・Application of practical use with anti-coagulants examinations on emergency patients
・Verification of the usefulness of Sonoclot (Coagulation and platelet function analyzer)
・Analysis of senior citizens characteristics consulting emergency department
・Participation of case registration research (i.e. SOS-KANTO 2012 Study, Japan Trauma Data Bank)
・Development of cerebrovascular disease detective marker on dizziness patients
・Verification of the usefulness of interventional therapy on emergency patients
・Study of the usefulness of off-the-job training for trauma fields (JPTEC-FR course) to student doctors

Business education

We provide lectures and training with the simulator for CPR in accordance with the guideline to medical students before bed-side learning. On bed-side learning of medical students, we provide various opportunities to experience cardiopulmonary arrest (CPA)/CPR, multiple trauma, acute abdomen, cardiovascular diseases, poisoning, burns, and other emergency situations, and also explain the diagnosis and the treatment of those diseases. We also teach them how to make the slides and the way of presentation in the medical meeting.

Intern doctors can experience many emergency cases from slight illness including common diseases to severe conditions under the staff who attached the standard of emergency medical examination such as ACLS, ICLS, and JATEC. Intern doctors can understand not only the medical aspects including the procedure of medical examination and the circumstances from differential diagnosis to confirmed diagnosis but also the surgical aspects such as wound management (disposal, hemostasis, and suture) and drain insertion and its management. Moreover, we also guide scientific fields such as presentations in the medical meeting and writing medical papers.

We engage in medical awareness activities. We provide opportunities to learn basic medical treatments such as BLS, ICLS to in-hospital staff.

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Clinical Activities

We cooperate with the Department of General Medicine and examine out-patients as The Emergency and General Medical Center from 2009. Our center is open for 24 hours. We deal with diverse patients from walk-in patients to critically ill patients such as cardiopulmonary arrest, severe sepsis, and multiple trauma.

We are also physicians-in-charge and treat in the hospital for patients with post-cardiopulmonary resuscitation, multiple trauma, sepsis, poisonings, and other emergent diseases. Especially, critical ill cases are moved to Intensive Care Unit and treat with specialists of intensive care medicine (intensivists). Therefore, our institute is suitable for training not only of emergency physicians but also of general physicians and intensivists.

We operate Maebashi Doctor Car Gunma University for pre-hospital medical service in collaboration with the Maebashi City Fire Department. We dispatch doctors, nurses, and paramedics to start medical treatment as soon as possible.

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Citizenship Activities

・We manage the “Gunma Emergency Care Conference” which is an NPO, and the executive office of “Gunma Association for Emergency Medicine” to strive for awareness of emergency medicine.

・Several doctors, nurses, officers in our hospital are registered as members of DMAT (Disaster Medical Assistance Team) which is under the jurisdiction of the Ministry of Health, Labour, and Welfare. They are working as a Gunma DMAT party when disaster and/or the huge accident occur. Our DMAT members worked in The Mid Niigata Prefecture Earthquake in 2004, The Tohoku-Pacific Ocean Earthquake occurred in 2011, The Kumamoto Earthquake in 2016, The Eruption of Mt. Motoshirane in 2018, and The Flood Damage by Typhoon #19 in 2019.

・We participate in Gunma Prefecture and Maebashi City Medical Control Conference, supervise and advise pre-hospital medicine.

・We guide and lecture as an instructor in various courses such as JATEC, JPTEC, AHA-BLS and ACLS, and ICLS. Also, we guide BLS to citizens and lecture various emergency diseases and procedures in a paramedic’s hospital training.

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Achievements

1. Aoki M, Abe T, Saitoh D, Hagiwara S, Oshima K. Severe trauma patient volume was associated with decreased mortality. Eur J Trauma Emerg Surg. 2020 Mar 28. Online ahead of print.

2. Ichikawa Y, Murata M, Aoki M, Nakajima J, Isshiki Y, Sawada Y, Fukushima K, Oshima K. Streptococcus pneumoniae-associated thrombotic microangiopathy in an immunosuppressed adult. Open Med (Wars). 2020;15:204-210.

3. Aoki M, Tokue H, Yajima H, Isshiki Y, Sawada Y, Fukushima K, Aramaki Y, Oshima K. Selective angioembolization in a pelvic fracture patient with refractory bleeding and hemodynamic instability. Radiol Case Rep. 2020;15(5):624-627.

4. Aoki M, Abe T, Oshima K. Association of prehospital epinephrine administration with survival among patients with traumatic cardiac arrest caused by traffic collisions. Sci Rep. 2019;9(1):9922.

5. Oshima K, Aoki M, Murata M, Nakajima J, Sawada Y, Isshiki Y, Ichikawa Y, Fukushima K, Hagiwara S. Levels of catecholamines in the plasma of patients with cardiopulmonary arrest. Int Heart J. 2019;60(4):870-875.

6. Aoki M, Ogura T, Hagiwara S, Nakamura M, Oshima K. Prediction of arterial extravasation in pelvic fracture patients with stable hemodynamics using coagulation biomarkers. World J Emerg Surg. 2019;14:14.

7. Aoki M, Abe T, Saitoh D, Oshima K. Epidemiology, patterns of treatment, and mortality of pediatric trauma patients in Japan. Sci Rep. 2019;9(1):917.

8. Oshima K, Murata M, Aoki M, Nakajima J, Sawada Y, Isshiki Y, Ichikawa Y, Fukushima K, Hagiwara S, Hinohara H. Efficacy of the treatment of elderly trauma patients requiring intensive care. Emerg Med Int. 2018:2137658.

9. Aoki M, Abe T, Saitoh D, Hagiwara S, Oshima K. Use of vasopressor increases the risk of mortality in traumatic hemorrhagic shock: a nationwide cohort study in Japan. Crit Care Med. 2018;46(12):e1145-e1151.

10. Oshima K, Murata M, Aoki M, Nakajima J, Sawada Y, Isshiki Y, Ichikawa Y, Hagiwara S. Report of four cases with equestrian injury: therapeutic approach and outcome. Case Rep Emerg Med. 2018:8283179.

11. Murata M, Aoki M, Hagiwara S, Sekihara M, Kohri T, Shibuya K, Koike N, Miyazaki D, Oshima K. Successful endovascular therapy in an elderly patient with severe hemorrhage caused by traumatic injury. Open Med (Wars). 2018;13:203-207.

12. Aoki M, Tokue H, Miyazaki M, Shibuya K, Hirasawa S, Oshima K. Primary postpartum hemorrhage: outcome of uterine artery embolization. Br J Radiol. 2018;91(1087):20180132.

13. Hagiwara S, Kaneko M, Aoki M, Murata M, Ichikawa Y, Nakajima J, Isshiki Y, Sawada Y, Tamura J, Oshima K. Can the wish to receive intensive treatment in elderly patients with respiratory tract infection be predicted? Intern Med. 2018;57(14):1989-1993.

14. Nishida O, Ogura H, Egi M, Fujishima S, Hayashi Y, Iba T, Imaizumi H, Inoue S, Kakihana Y, Kotani J, Kushimoto S, Masuda Y, Matsuda N, Matsushima A, Nakada TA, Nakagawa S, Nunomiya S, Sadahiro T, Shime N, Yatabe T, Hara Y, Hayashida K, Kondo Y, Sumi Y, Yasuda H, Aoyama K, Azuhata T, Doi K, Doi M, Fujimura N, Fuke R, Fukuda T, Goto K, Hasegawa R, Hashimoto S, Hatakeyama J, Hayakawa M, Hifumi T, Higashibeppu N, Hirai K, Hirose T, Ide K, Kaizuka Y, Kan’o T, Kawasaki T, Kuroda H, Matsuda A, Matsumoto S, Nagae M, Onodera M, Ohnuma T, Oshima K, Saito N, Sakamoto S, Sakuraya M, Sasano M, Sato N, Sawamura A, Shimizu K, Shirai K, Takei T, Takeuchi M, Takimoto K, Taniguchi T, Tatsumi H, Tsuruta R, Yama N, Yamakawa K, Yamashita C, Yamashita K, Yoshida T, Tanaka H, Oda S. The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J-SSCG 2016). Acute Med Surg. 2018;5(1):3-89.

15. Nishida O, Ogura H, Egi M, Fujishima S, Hayashi Y, Iba T, Imaizumi H, Inoue S, Kakihana Y, Kotani J, Kushimoto S, Masuda Y, Matsuda N, Matsushima A, Nakada TA, Nakagawa S, Nunomiya S, Sadahiro T, Shime N, Yatabe T, Hara Y, Hayashida K, Kondo Y, Sumi Y, Yasuda H, Aoyama K, Azuhata T, Doi K, Doi M, Fujimura N, Fuke R, Fukuda T, Goto K, Hasegawa R, Hashimoto S, Hatakeyama J, Hayakawa M, Hifumi T, Higashibeppu N, Hirai K, Hirose T, Ide K, Kaizuka Y, Kan’o T, Kawasaki T, Kuroda H, Matsuda A, Matsumoto S, Nagae M, Onodera M, Ohnuma T, Oshima K, Saito N, Sakamoto S, Sakuraya M, Sasano M, Sato N, Sawamura A, Shimizu K, Shirai K, Takei T, Takeuchi M, Takimoto K, Taniguchi T, Tatsumi H, Tsuruta R, Yama N, Yamakawa K, Yamashita C, Yamashita K, Yoshida T, Tanaka H, Oda S. The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J-SSCG 2016). J Intensive Care. 2018;6:7.

16. Aoki M, Hagiwara S, Oshima K, Suzuki M, Sakurai A, Tahara Y, Nagao K, Yonemoto N, Yaguchi A, Morimura N; SOS-KANTO 2012 Study Group. Obesity was associated with worse neurological outcome among Japanese patients with out-of-hospital cardiac arrest. Intensive Care Med. 2018;44(5):665-666.

17. Takazawa T, Oshima K, Saito S. Drug-induced anaphylaxis in the emergency room. Acute Med Surg. 2017;4(3):235-245.

18. Aoki M, Tokue H, Shibuya K, Murata M, Hagiwara S, Oshima K. Transcatheter Arterial Embolization of a Lumbar Artery Injury with Traumatic Aortic Dissection. Ann Vasc Surg. 2017;45:262.e11-262.e14.

19. Kaneko M, Hagiwara S, Aoki M, Murata M, Nakajima J, Oshima K. The significance of strong ion gap for predicting return of spontaneous circulation in patients with cardiopulmonary arrest. Open Med (Wars). 2017;12:33-38.

20. Hagiwara S, Aoki M, Murata M, Kaneko M, Ichikawa Y, Nakajima J, Isshiki Y, Sawada Y, Tamura J, Oshima K. FDP/fibrinogen ratio reflects the requirement of packed red blood cell transfusion in patients with blunt trauma. Am J Emerg Med. 2017;35(8):1106-1110.

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History

April 1988    Emergency room of Gunma University Hospital was established.

January 1997  Department of Emergency Medicine was established in Gunma University, School of Medicine and Dr. Yuichi Iino assumed the first professor.

March 2010   Prof. Iino retired from the professor.

July 2010    Dr. Kiyohiro Oshima assumed the second professor.

October 2012  Gunma University Hospital was designated as the disaster base hospital.

April 2016    Gunma University Hospital was designated as the Emergency Medical Center.

March 2018   Maebashi Doctor Car Gunma University (pre-hospital medical service) was launched.