2019 Volume 39 Issue 5 Pages 855-858
In this report, I will report on the present status of critical care in Oita prefecture and the Advanced Trauma, Emergency and Critical Care Center of the Oita University Hospital, and consider the future. In Oita, 62％ of secondary emergency hospital and 75％ of critical care centers were dispatched the doctor from the Department of Gastroenterological and Pediatric Surgery, Oita university faculty of Medicine. However, there is not any trauma surgeon in the department. The Critical Care Center started from October 2012 and the Helicopter Emergency Medical Service started at the same time. From 2013 to 2016, 10,853 patients were treated at the Critical Care Center. Two thousand, six hundred and seventy-eight patients (25％) had an exogenous disease and a resuscitative procedure was required in 20 patients. On the other hand, 2,002 surgical procedures were performed in the Department of Gastroenterological and Pediatric Surgery and of these, an emergency operation was required in 103 cases (5.1％). Resuscitative procedures were rarely required and it is important to collect severe injury cases using the helicopter, and to educate the trauma surgeon.
