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Profile of Nagoya University Hospital 2012

Part2 Information on Departments, Facilities, etc.

Emergency and Medical Intensive Care Unit
Director MATSUDA, Naoyuki (Professor)
Covering all acute-phase management
The Emergency and Medical ICU (EM-ICU) responds swiftly to acute clinical conditions and provides advanced acute-phase management. In addition to treating primary conditions, we provide basic management, such as reduction of systemic inflammation, acceleration of regeneration, infection control, and nutritional management, to ensure appropriate management and prevent multiple organ failure.

Medical Care System

There are 10 beds in total. Open seven days a week, the department is staffed by emergency medicine specialists and ICU specialists. It is a highly independent, completely closed ICU. A full-time doctor specialized in emergency medicine / ICU is assigned as the attending physician for each patient in the ICU. This helps achieve acute-phase medical services with a consistent treatment course. Professors, associate professors, lecturers and assistant professors give appropriate guidance to the attending physicians.

Target Conditions

The ICU covers adults and children with conditions requiring acute-phase systemic management, such as disturbed consciousness or coma, acute respiratory failure or acute exacerbation of chronic respiratory failure, shock, acute drug intoxication, serious metabolic disorder (e.g., hepatic or renal dysfunction, diabetic ketoacidosis or environmental disorder), multiple trauma, postresuscitation encephalopathy and severe sepsis.

Features

Our results in treating systemic inflammatory response syndromes such as sepsis and disseminated intravascular coagulation syndrome are far better than the world average. The ICU is staffed by personnel highly skilled in acute-phase management and handling acute clinical conditions systemically and comprehensively from multiple perspectives.

Clinical Results

The ICU opened in May 2011. The number of beds was increased to six on June 1, 2011 and to ten on October 1, 2011. The ICU is designed to handle more than 400 urgent cases in serious conditions a year.

Specialized Outpatient Clinic

At the Emergency and Medical Intensive Care Unit, we are considering how to build a rapid response system in case of an acute deterioration of patients, by immediately detecting such condition and promptly transferring the patient to our unit.

Other Undertakings

We provide state-of-the-art acute-phase treatment, which is a strength of university hospitals. We understand the global level of evidence-based medicine (EBM), and possess world-leading knowledge about refractory cases. Clinical research on such treatments is carried out after obtaining approval from the Ethics Committee and informed consent from the patients.

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