Introduction: For the background of the super-aging society in Japan, the number of emergency requests are increasing from elderly patients receiving medical care at home. In these emergency requests, there are many elderly patients suffering from respiratory failure. For these patients, the emergency medical team decides to support their respiration using respiratory assist device such as bag valve mask (BVM), BVM with Gas Supply Valve® (GSV), or Jackson Reese (JR). However, it is not clear what features these respiratory assist devices have in pre-hospital care.

Purpose: The purpose of this study was to clarify the characteristics and points to be noted of the above-mentioned respiratory assist devices in pre-hospital care.

Method: Ten healthy adults were fitted with a respiratory assist device under spontaneous breathing, and changes in vital signs and ETCO2 were discussed.

Conclusion: Our study is suggested that a certain amount of inspiratory effort is required in the BVM group with a case spontaneous respiration, the load on ventilation is greater than in the BVM ＋ GSV group and JR group. Therefore, these results should be aware, when choosing a respiratory assist devices.

　Most primary malignant brain tumors recur and follow an unfortunate turning point despite aggressive treatment. In particular, the prognosis of cerebrospinal fluid dissemination due to recurrence is 1-2 months, and death usually occurs during hospitalization. We report a case of discharge from the hospital due to home-based continuous ventricular cerebrospinal fluid drainage.

　A 24-year-old woman was in remission after surgery and chemotherapy for medulloblastoma. But five years later she developed hydrocephalus from tumor recurrence and meningeal dissemination. Severe headache and vomiting improved due to ventricular reservoir placement and intermittent cerebrospinal fluid removal, and she was discharged from the hospital. Although the cerebrospinal fluid was removed intermittently, the amount of cerebrospinal fluid removed increased and continuous cerebrospinal fluid drainage was required, so a siphon system for cerebrospinal fluid drainage was installed at home. She was able to live at home for about a month during the day, including eating and taking a walk with caregiving, while performing continuous cerebrospinal fluid drainage at night.

　We will discuss and report on the effectiveness and problems of introducing a siphon system in home medical care.

Objective: We performed remote monitoring using the ICT health management system "Anshin-net" in Nagano Prefecture for accommodation treatment for asymptomatic and mild patients with COVID-19.

Method: Triage is calculated using MEWS (Modified Early Warning Score) for vitals obtained from the patient's own room, creating nursing records by video chat interviews, and medical information of underlying diseases shared on-site nurses and remote doctors etc. using the system, and performed medical management in the facility and screening for hospital transportation.

Result: By listing the patients with higher triage and worsening symptoms, it was possible to screen the patients who require attention and to make the judgment of hospital transportation efficiently. In addition, since information can be shared directly at the three levels connecting patients = nurses = remote doctors and health centers / prefectural offices, it was possible to grasp symptoms as if they were in a hospital even if they were remote.

Conclusion: With the simple and necessary and sufficient information sharing function based on vital signs, symptoms, and underlying diseases in temporary medical facilities, we were able to quickly build a medical management system similar to ward management.