Abstract
Our hospital began operating a Hybrid ER （HER） in September 2014. It was necessary to construct a HER system （HERS） that fits the characteristics of our hospital, therefore we established an in-hospital HERS study group with multiple medical professionals to discuss the system construction. First, we developed a trauma code, and when pre-hospital information met the criteria, we assembled HER staff from inside and outside of the hospital. Next, we made a set of supplies and medications for reception, and clarified staff assignments and role assignments. When patients arrive, only “A” of the primary survey is confirmed, pan-scan CT is taken to confirm the site of injury and to determine the policy for transition to “B”. We have created a database of patients accepted by HER and linked this to the Japan Trauma Data Bank. In the future, we would like to verify whether “preventable trauma deaths” can being avoided, and incorporate the problems identified in case reviews into HERS in order to improve trauma care.
