フルテキストURL fulltext.pdf
著者 Maeyama, Hiroki| Naitou, Hiromichi| Guyette, Francis X.| Yorifuji, Takashi| Banshotani, Yuki| Matsui, Daisaku| Yumoto, Tetsuya| Nakao, Atsunori| Kobayashi, Makoto|
キーワード Transportation Airway management Air ambulance Time-to-treatment
発行日 2020-09-07
出版物タイトル Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
28巻
1号
出版者 BMC
開始ページ 89
ISSN 1757-7241
資料タイプ 学術雑誌論文
言語 English
OAI-PMH Set 岡山大学
著作権者 © The Author(s). 2020
論文のバージョン publisher
PubMed ID 32894186
DOI 10.1186/s13049-020-00784-z
Web of Science KeyUT 000571093400001
関連URL isVersionOf https://doi.org/10.1186/s13049-020-00784-z
著者 Naitou, Hiromichi| Yumoto, Tetsuya| Yorifuji, Takashi| Tahara, Yoshio| Yonemoto, Naohiro| Nonogi, Hiroshi| Nagao, Ken| Takanori Ikeda| Sato, Naoki| Tsutsui, Hiroyuki|
キーワード Paramedic Prehospital Emergency medical services Cardiopulmonary resuscitation Advanced life support
備考 This fulltext is available in May 2021.|
発行日 2020-05-15
出版物タイトル Resuscitation
153巻
出版者 Elsevier
開始ページ 251
終了ページ 257
ISSN 0300-9572
NCID AA00817253
資料タイプ 学術雑誌論文
言語 English
OAI-PMH Set 岡山大学
論文のバージョン author
PubMed ID 32422240
DOI 10.1016/j.resuscitation.2020.05.007
関連URL isVersionOf https://doi.org/10.1016/j.resuscitation.2020.05.007
フルテキストURL fulltext.pdf
著者 Yumoto, Tetsuya| Naitou, Hiromichi| Ihoriya, Hiromi| Yorifuji, Takashi| Nakao, Atsunori|
発行日 2019-01-29
出版物タイトル PLoS ONE
14巻
1号
出版者 Public Library of Science
開始ページ e0207049
ISSN 1932-6203
資料タイプ 学術雑誌論文
言語 English
OAI-PMH Set 岡山大学
著作権者 © 2019 Yumoto et al.
論文のバージョン publisher
PubMed ID 30695039
DOI 10.1371/journal.pone.0207049
Web of Science KeyUT 000457046400004
関連URL isVersionOf https://doi.org/10.1371/journal.pone.0207049
フルテキストURL fulltext.pdf
著者 Yumoto, Tetsuya| Naitou, Hiromichi| Yorifuji, Takashi| Aokage, Toshiyuki| Fujisaki, Noritomo| Nakao, Atsunori|
キーワード Glasgow coma scale Japan Coma Scale Mortality Trauma Traumatic brain injury
発行日 2019-11-06
出版物タイトル BMC Emergency Medicine
19巻
1号
出版者 BMC
開始ページ 65
ISSN 1471-227X
資料タイプ 学術雑誌論文
言語 English
OAI-PMH Set 岡山大学
著作権者 © The Author(s). 2019
論文のバージョン publisher
PubMed ID 31694575
DOI 10.1186/s12873-019-0282-x
Web of Science KeyUT 000495573700001
関連URL isVersionOf https://doi.org/10.1186/s12873-019-0282-x
フルテキストURL fulltext.pdf
著者 Yumoto, Tetsuya| Naitou, Hiromichi| Yorifuji, Takashi| Tahara, Yoshio| Yonemoto, Naohiro| Nonogi, Hiroshi| Nagao, Ken| Ikeda, Takanori| Sato, Naoki| Tsutsui, Hiroyuki|
キーワード out-of-hospital cardiac arrest outcome national meeting cardiopulmonary resuscitation
発行日 2019-12-16
出版物タイトル International Journal of Environmental Research and Public Health
16巻
24号
出版者 MDPI
開始ページ 5130
ISSN 1661-7827
資料タイプ 学術雑誌論文
言語 English
OAI-PMH Set 岡山大学
著作権者 © 2019 by the authors.
論文のバージョン publisher
PubMed ID 31888125
DOI 10.3390/ijerph16245130
Web of Science KeyUT 000507312700245
関連URL isVersionOf https://doi.org/10.3390/ijerph16245130
JaLCDOI 10.18926/AMO/55433
フルテキストURL 71_5_363.pdf
著者 Yumoto, Tetsuya| Kosaki, Yoshinori| Yamakawa, Yasuaki| Iida, Atsuyoshi| Yamamoto, Hirotsugu| Yamada, Taihei| Tsukahara, Kohei| Naito, Hiromichi| Osako, Takaaki| Nakao, Atsunori|
抄録 Worldwide, hemorrhagic shock in major trauma remains a major potentially preventable cause of death. Controlling bleeding and subsequent coagulopathy is a big challenge. Immediate assessment of unidentified bleeding sources is essential in blunt trauma patients with hemorrhagic shock. Chest/pelvic X-ray in conjunction with ultrasonography have been established classically as initial diagnostic imaging modalities to identify the major sources of internal bleeding including intra-thoracic, intra-abdominal, or retroperitoneal hemorrhage related to pelvic fracture. Massive soft tissue injury, regardless of whether isolated or associated with multiple injuries, occasionally causes extensive hemorrhage and acute traumatic coagulopathy. Specific types of injuries, including soft tissue injury or retroperitoneal hemorrhage unrelated to pelvic fracture, can potentially be overlooked or be considered “occult” causes of bleeding because classical diagnostic imaging often cannot exclude such injuries. The purpose of this narrative review article is to describe “occult” or unusual sources of bleeding associated with blunt trauma.
キーワード soft tissue injury subcutaneous hematoma non-cavitary hemorrhage retroperitoneal hemorrhage hemorrhagic shock
Amo Type Review
発行日 2017-10
出版物タイトル Acta Medica Okayama
71巻
5号
出版者 Okayama University Medical School
開始ページ 363
終了ページ 368
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
著作権者 CopyrightⒸ 2017 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 29042693
JaLCDOI 10.18926/AMO/54590
フルテキストURL 70_5_331.pdf
著者 Iida, Atsuyoshi| Nosaka, Nobuyuki| Yumoto, Tetsuya| Knaup, Emily| Naito, Hiromichi| Nishiyama, Chihiro| Yamakawa, Yasuaki| Tsukahara, Kohei| Terado, Michihisa| Sato, Keiji| Ugawa, Toyomu| Nakao, Atsunori|
抄録 In recent years, it has become evident that molecular hydrogen is a particularyl effective treatment for various disease models such as ischemia-reperfusion injury; as a result, research on hydrogen has progressed rapidly. Hydrogen has been shown to be effective not only through intake as a gas, but also as a liquid medication taken orally, intravenously, or locally. Hydrogenʼs effectiveness is thus multifaceted. Herein we review the recent research on hydrogen-rich water, and we examine the possibilities for its clinical application. Now that hydrogen is in the limelight as a gaseous signaling molecule due to its potential ability to inhibit oxidative stress signaling, new research developments are highly anticipated.
キーワード hydrogen antioxidant effect medical gas gaseous signaling molecule clinical tests
Amo Type Review
発行日 2016-10
出版物タイトル Acta Medica Okayama
70巻
5号
出版者 Okayama University Medical School
開始ページ 331
終了ページ 337
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
著作権者 CopyrightⒸ 2016 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 27777424
Web of Science KeyUT 000388098700001
JaLCDOI 10.18926/AMO/53673
フルテキストURL 69_5_275.pdf
著者 Nosaka, Nobuyuki| Goda, Yu| Knaup, Emily| Tsukahara, Kohei| Yumoto, Tetsuya| Ugawa, Toyomu| Ujike, Yoshihito|
抄録 We sought to identify the incidence, injury patterns, and financial burden of ladder fall injuries to provide a reference for reinforcing guidelines on the prevention of such injuries. We enrolled the patients who were injured in a ladder-related fall and required intensive care between April 2012 and March 2014 at Okayama University Hospital, a tertiary care hospital in Okayama City:9 patients injured in 7 stepladder falls and 2 straight ladder falls. The median patient age was 69 years, and 8 were males. Six falls occurred in non-occupational settings. Head injuries predominated, and the injury severity score ranged from 2 to 35 (mean=21±12). At the time of discharge from the intensive care unit, one patient had died and 5 patients had some neurological disabilities. The case fatality rate was 11%. The total cost of care during the review period was ¥16,705,794, with a mean cost of ¥1,856,199 per patient. Ladder fall injuries are associated with a high rate of neurological sequelae and pose a financial burden on the health insurance system. A prevention education campaign targeting at older-aged males in non-occupational settings may be a worthwhile health service investment in this community.
キーワード accidental falls accident prevention hospital costs injuries ladder
Amo Type Original Article
発行日 2015-10
出版物タイトル Acta Medica Okayama
69巻
5号
出版者 Okayama University Medical School
開始ページ 275
終了ページ 278
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
著作権者 CopyrightⒸ 2015 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 26490024
Web of Science KeyUT 000365519600003
JaLCDOI 10.18926/AMO/53557
フルテキストURL 69_4_213.pdf
著者 Yumoto, Tetsuya| Sato, Keiji| Ugawa, Toyomu| Ichiba, Shingo| Ujike, Yoshihito|
抄録 Hyponatremia, a common electrolyte disorder associated with traumatic brain injuries (TBIs), has high mortality and morbidity rates. The aim of this study was to identify the risk factors for hyponatremia associated with TBI. We retrospectively analyzed the cases of TBI patients who were admitted to the emergency intensive care unit at Okayama University Hospital between October 2011 and September 2014. A total of 82 TBI patients were enrolled. The incidences of hyponatremia (serum sodium level of<135mEq/L) and severe hyponatremia (serum sodium level of<130mEq/L) within the first 14 days after admission were 51オ (n=42) and 20オ (n=16), respectively. After admission, hyponatremia took a median period of 7 days to develop and lasted for a median of 3 days. Multivariate analysis demonstrated that higher fluid intake from days 1 to 3 and the presence of cranial fractures were risk factors for hyponatremia. The 58 patients with hyponatremia experienced fewer ventilator-free days, longer intensive care unit stays, and less favorable outcomes compared to the 24 patients without hyponatremia;however, these differences were not significant. Further studies are needed to determine the optimal management strategy for TBI-associated hyponatremia in the intensive care unit setting.
キーワード traumatic brain injury hyponatremia cranial fracture fluid intake
Amo Type Original Article
発行日 2015-08
出版物タイトル Acta Medica Okayama
69巻
4号
出版者 Okayama University Medical School
開始ページ 213
終了ページ 218
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
著作権者 CopyrightⒸ 2015 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 26289912
Web of Science KeyUT 000365519100004
JaLCDOI 10.18926/AMO/53021
フルテキストURL 68_6_323.pdf
著者 Hirayama, Takahiro| Nagano, Osamu| Shiba, Naoki| Yumoto, Tetsuya| Sato, Keiji| Terado, Michihisa| Ugawa, Toyomu| Ichiba, Shingo| Ujike, Yoshihito|
抄録 In adult high-frequency oscillatory ventilation (HFOV), stroke volume (SV) and mean lung pressure (PLung) are important for lung protection. We measured the airway pressure at the Y-piece and the lung pressure during HFOV using a lung model and HFOV ventilators for adults (R100 and 3100B). The lung model was made of a 20-liter, airtight rigid plastic container (adiabatic compliance: 19.3ml/cmH<sub>2</sub>O) with or without a resistor (20cmH<sub>2</sub>O/l/sec). The ventilator settings were as follows: mean airway pressure (MAP), 30cmH2O;frequency, 5-15Hz (every 1Hz);airway pressure amplitude (AMP), maximum;and % of inspiratory time (IT), 50% for R100, 33% or 50% for 3100B. The measurements were also performed with an AMP of 2/3 or 1/3 maximum at 5, 10 and 15Hz. The PLung and the measured MAP were not consistently identical to the setting MAP in either ventilator, and decreasing IT decreased the PLung in 3100B. In conclusion, we must pay attention to the possible discrepancy between the PLung and the setting MAP during adult HFOV.
キーワード HFOV mean lung pressure mean airway pressure
Amo Type Original Article
発行日 2014-12
出版物タイトル Acta Medica Okayama
68巻
6号
出版者 Okayama University Medical School
開始ページ 323
終了ページ 329
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
著作権者 CopyrightⒸ 2014 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 25519026
Web of Science KeyUT 000346882200002
関連URL http://ousar.lib.okayama-u.ac.jp/metadata/53132