All issues
Volume 25 (2006)
- Issue 3 Pages 149-
- Issue 2 Pages 84-
- Issue 1 Pages 1-
Volume 25, Issue 2
Displaying 1-7 of 7 articles from this issue
- |<
- <
- 1
- >
- >|
-
Takefumi Sakabe2006 Volume 25 Issue 2 Pages 84-87
Published: July 20, 2006
Released on J-STAGE: June 08, 2010
JOURNAL FREE ACCESSThe Japanese Society of Reanimatology was founded in 1982, and the concept and aim are to promote the scientific activity in the field of Reanimatology, to train profession, as well as to establish emergency life support system in the community and enlighten civilian about basic life support technique. Recently, there is a current towards extending the medical treatment by emergency life-saving technician and lay bystanders. Our society should contribute to help establishing this system and promote safe technical advancement. The Japanese Society of Reanimatology should continue to hold the characteristics and promote the activity that contributes to scientific advancement in the field of Reanimatology and makes good use of its profit in the society.View full abstractDownload PDF (681K) -
Hiroyuki Uchino, Saori Morota, Kazuo Ushijima, Chen Li, Toshiaki Takah ...2006 Volume 25 Issue 2 Pages 88-99
Published: July 20, 2006
Released on J-STAGE: June 08, 2010
JOURNAL FREE ACCESSMechanisms of ischemic brain damage is crucial problem in neuroscience.
Glutamate-Ca2+ theory was believed that it plays an important role to induce neuronal cell death. However, new breakthrough for the mechanisms of ischemic brain damage were suggested that calcineurin, phosphatase 2B and mitochondrial immunophilin which induces MPT (mitochondrial permeability transition) are key substrate to induce ischemic cell death. In this review, we have described the basic mechanisms of ischemic neuronal cell death.View full abstractDownload PDF (10952K) -
Xuefeng Gai, Kenji Taki2006 Volume 25 Issue 2 Pages 100-103
Published: July 20, 2006
Released on J-STAGE: June 08, 2010
JOURNAL FREE ACCESSBystander CPR just after cardiac arrest and lifesaving manipulation during the transportation were investigated by telephone interview to 65 patient's families in 105 CPAOA patients carried into our emergency room. And it is also investigated whether they felt satisfaction with the emergency medical treatment given to the patients. One third of families carried out bystander CPR, and only one fourth of them could recognize the CPR and the oxygenation given by paramedics in an ambulance. Although sixty-eight % of patient's families were satisfied with the lifesaving treatment for CPA patients, most of patient's families who appealed for“dissatisfaction”could not recognize lifesaving manipulation that was done in an ambulance justly. A citizen describes dissatisfaction without recognizing an emergency medical treatment precisely, and the dissatisfaction could be guessed to become a disorder of emergency care system at some times. Thus medical control (MC) should not only support relief activities in a prehospital care of paramedic, but also should regard as a lesson subject of meeting technique to a family and CPR education for a citizen.View full abstractDownload PDF (563K) -
Shinji Kusunoki, Masashi Kawamoto, Osafumi Yuge2006 Volume 25 Issue 2 Pages 104-109
Published: July 20, 2006
Released on J-STAGE: June 08, 2010
JOURNAL FREE ACCESSBackground : The sniffing position, Sellick maneuver (cricoid pressure), and BURP method (backward, upward, and rightward pressure on the thyroid cartilage) are emergency life-saving prehospital tracheal intubation procedures used by technicians trained by anesthesiologists. We evaluated anesthesiologists to determine their knowledge and implementation skills.
Methods : Twenty staff anesthesiologists (M : F, 14 : 6) answered questions about the 3 procedures and then applied the Sellick maneuver to a laryngopharynx model, with a digital scale used to measure compression force.
Results : For all, the percentages of correct answers regarding the sniffing position, Sellick maneuver, and BURP method were 95%, 50%, and 35%, respectively, while only 2 answered correctly regarding the Sellick maneuver recommended force (3kg) . For that maneuver, the measured forces were 4.2±1.9kg (mean ± SD) and 4.5±2.0kg for the right and left hands, respectively, and 4.2±2.1kg and 4.5±1.6kg for males and females, respectively, which were not significantly different between sides and between sexes.
Conclusion : We found confusion regarding the procedures, with the BURP method easily confused with the Sellick maneuver. Unless performed correctly, these emergency techniques may interfere with tracheal intubation. Anesthesiologists who teach emergency life-saving technicians must acquire effective knowledge and skills regarding these procedures.View full abstractDownload PDF (2130K) -
Yasuhiro Myojo, Kazuki Tohyama2006 Volume 25 Issue 2 Pages 110-113
Published: July 20, 2006
Released on J-STAGE: June 08, 2010
JOURNAL FREE ACCESSHeatstroke is a medical emergency, and initial treatment takes part in the life prognosis. We experienced two cases, in from course and prognosis were different. One case was 18-years old man and suffered from exertional heatstroke at outdoor work in a burning sun. He had received alcohol sprinkle and air blast on his body at emergency room, and his temperature reduced to 38°C within 2 hours by means of cooling the body surface, infusion and gastrolavage with cold fluid. DIC, rhabdomyolysis, and liver dysfunction were seen at the early stage, and the cerebellum symptom and the articulation disorder remained as sequelae. Another case was 16-years old man with exertional heatstroke in extracurricular activities of the baseball club. The whole body cooling was immediately begun on the site by large quantities tap water. He recovered without sequelae although he had rhabdomyolysis and the liver dysfunction. It is necessary to begin cooling and the fluid infusion as immediately as possible.View full abstractDownload PDF (2678K) -
Tomoki Nishiyama2006 Volume 25 Issue 2 Pages 114-117
Published: July 20, 2006
Released on J-STAGE: June 08, 2010
JOURNAL FREE ACCESSA 70 years-old man with a history of myocardial infarction, diabetes mellitus, and unknown arrhythmia was admitted to the emergency room twice resuscitated from cardiac arrest and conscious loss. He had atrial fibrillation at the first time and ventricular fibrillation at the second time in the ambulance. The ventricular fibrillation was successfully treated by cardioversion in the ambulance. He had a lot of atrial and ventricular extrasystoles and paroxysmal atrial fibrillation in the 24hours Holter ECG, while otherwise sinus rhythm was observed. There was severe hypokinesis in the inferior and posterior myocardium and ejection fraction was 47%. No other abnormalities were found to suspect cardiac arrest and conscious loss. Paroxysmal atrial fibrillation was suspected to cause cardiac arrest and conscious loss. He had no more symptoms of paroxysmal atrial fibrillation without any treatments. We experienced a case with cardiac arrest probably by paroxysmal atrial fibrillation already resuscitated when admitted twice.View full abstractDownload PDF (442K) -
Jun'ichi Nishiyama, Keiichiro Hasegawa, Toshihiro Yoshino, Toshiyasu S ...2006 Volume 25 Issue 2 Pages 118-121
Published: July 20, 2006
Released on J-STAGE: June 08, 2010
JOURNAL FREE ACCESSHere described are the summary and results of one-year Experience in Conducting tracheal Intubation training for emergency medical technicians (EMTs) at the Department of Anesthesiology, Tokai University Hospital in July 2004. Six EMTs participated in the training course, and the total number of participating patients was 184. The average tracheal Intubation success rate was 89.3±6.9%, and the incidence of adverse events associated with tracheal intubation was 1.1%. The mean number of patients who received tracheal intubation and the mean training duration were 30.7±0.8 and 46.2±13.4 days, respectively, until 30 successful cases were obtained. The entire duration of the training course required a period of about 1.5 months. All EMT participants completed the course and received their qualification. The training course was safely conducted with good technical guidance; however, there were some issues to be resolved regarding practical training.View full abstractDownload PDF (2695K)
- |<
- <
- 1
- >
- >|