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

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Socio-environmental Health Sciences

Emergency Medicine

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

Staffs

Professor Kiyohiro Ohshima, M.D.
Assiatant Professors Takuro Nakamura, M.D.
Shuichi Hagiwara

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Research & Education

Research content

(Basic Research)

Experimental study for the brain prevention following cardiopulmonary resuscitation (CPR)

Experimental study to clarify the mechanism of ischemia-reperfusion injury following CPR and to reduce its injury

(Clinical study)

Study of clinical factors to predict the prognosis in patients with cardiopulmonary arrest

Study of clinical factors to predict the injury severity in patients with multiple traumas

Study of clinical factors to predict the prognosis in elderly patients in emergency room (ER)

Study of the relationship between vascular disease and periodontopathic bacteria in ER patients

Study of clinical significance of Endotoxin Activity Assay (new method to measure endotoxin)

Study of lipid metabolism in critical patients (especially, the change of apoC1)

Study of nutrition management in critical patients

Participation in SOS-KANTO

Business education

We provide lecture and training with simulator for cardiopulmonary resuscitation (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 gazing presentation in medical meeting.
Intern doctors can experience many emergency cases from slight illness including common diseases to severe condition 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 side including the procedure of medical examination and the circumstances from differential diagnosis to confirmed diagnosis but also the surgical side such as the wound management (disposal, hemostasis and suture) and drain insertion and its management. Moreover, we also guide scientific field such as presentation in medical meeting and writing medical papers.

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

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Citizenship Activities

・We manage the “Gunma Emergency Care Conference” which is an NPO.
・Five doctors (all five doctors belong to Emergency and General Medical Center, Gunma University hospital), 5 nurses and 4 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 Tohoku-Pacific Ocean Earthquake occurred on March 11, 2011.
・Member of Medical control conference: Gunma Prefecture and Maebashi.
・We guide and lecture as a instructor in various course such as JATEC, JPTEC, AHA-BLS and ACLS, and ICLS. In addition, we guide BLS to citizen, and lecture various emergency diseases and procedures in a paramedic’s hospital training.
those activities, we are making efforts to enlighten the importance of primary care, emergency care and disaster medicine. In addition, we are contributing to cooperation with various occupational categories including not only doctors but also other medical stuffs and paramedics.

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Achievements

1. Hagiwara S, Oshima K, Aoki M, Murata M, Ishihara K, Kaneko M, Furukawa K, Nakamura T, Ohyama Y, Tamura J. Usefulness of fibrin degradation products and d-dimer levels as biomarkers that reflect the severity of trauma. J Trauma Acute Care Surg 2013; 74: 1275-8.

2. Hagiwara S, Oshima K, Furukawa K, Nakamura T, Ohyama Y, Tamura J. The significance of albumin corrected anion gap in patients with cardiopulmonary arrest. Ann Thorac Cardiovasc Surg 2013; 19: 283-8.

3. Hagiwara S, Murata M, Aoki M, Kaneko M, Oshima K. Septic shock caused by Klebsiella oxytoca: An autopsy case and a survival case with driving Extracorporeal Membrane Oxygenation. Hippokratia 2013; 17: 171-3.

4. Ogino T, Ogawa T, Ishikawa T, Tanaka T, Aiba M, Sakamoto I, Shimizu H, Toya H, Yamazaki H, Motegi Y, Sakata K, Yamagishi T, Sugano M, Atsumi J, Masubuchi H, Hagiwara S, Ohshima K, Iino Y, Takahashi T, Takeyoshi I. Traumatic thoracic aortic dissection with oral administration of antiplatelet drugs in multiple trauma: A case report. Kitakanto Med J 2012; 62: 411-4.

5. Ogino T, Ohbayashi T, Kaneko T, Satoh Y, Hasegawa Y, Koyano T, Ohki S, Sakata K, Yamagishi T, Hagiwara S, Ohshima K, Iino Y, Takahashi T, Takeyoshi I, Morishita Y. Surgical treatment of an aneurysm of the common and deep femoral arteries: A case report. Kitakanto Med J 2012; 62: 395-7.

6. Ogino T, Sakata K, Yamagishi T, Hagiwara S, Oshima K, Iino Y, Ohki S, Takahashi T, Takeyoshi I, Morishita Y. Mitral valve malfunction of a St.Jude medical prosthetic due to pannus formation and thrombosis. Kitakanto Med J 2012; 62: 301-3.

7. Hagiwara S, Yamada T, Furukawa K, Ishihara K, Nakamura T, Ohyama Y, Tamura J, Oshima K. Survival after 385 min of cardiopulmonary resuscitation with extracorporeal membrane oxygenation and rewarming with haemodialysis for hypothermic cardiac arrest. Resuscitation 2011; 82: 790-1.

8. Yamazaki H, Oshima K, Sato H, Kobayashi K, Suto Y, Hirai K, Matsumoto K, Takeyoshi I. The effect of nicorandil on ischemia-reperfusion injury in a porcine total hepatic vascular exclusion model. J Surg Res 2011; 167: 49-55.

9. Suto Y, Oshima K, Arakawa K, Sato H, Yamazaki H, Matsumoto K, Takeyoshi I. The effect of nicorandil on small intestinal ischemiareperfusion injury in a canine model. Dig Dis Sci 2011; 56: 2276-82.

10. Oshima K, Kunimoto F, Hinohara H, Okawa M, Mita N, Kanemaru Y, Tajima Y, Saito S. Evaluation of Prognosis with Respiratory Failure Requiring Venovenous Extracorporeal Membrane Oxygenation (ECMO). Ann Thorac Cardiovasc Surg 2010; 16: 156-62.

11. Oshima K, Kunimoto F, Hinohara H, Ohkawa M, Mita N, Tajima Y, Saito S. Extracorporeal membrane oxygenation (ECMO) for respiratory failure: Comparison of venovenous versus venoarterial bypass. Surg Today 2010; 43: 216-22.

12. Hagiwara S, Ogino T, Morimura M, Yamada T, Furukawa K, Ishihara K, Nakamura T, Sekihara M, Ohyama Y, Tamura J, Iino Y. Bilateral internal mammary artery injury without fracture of the chest following a traffic accident. Kitakanto Med J 2010; 60: 159-62.

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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.