Publications by authors named "T Muronoi"
Background: The hybrid emergency room (ER) system can provide resuscitation, computed tomography imaging, endovascular treatment, and emergency surgery, without transferring the patient. However, although several reports have demonstrated the effectiveness of the hybrid ER for trauma conditions, only a few case reports have demonstrated its usefulness for non-traumatic critical diseases. In this observational cohort study, we aimed to identify endogenous diseases that may benefit from treatment in the hybrid ER.
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- This study evaluated the effectiveness of restrictive versus liberal red blood cell transfusion strategies in patients with severe trauma to see which approach led to better survival rates during the acute post-injury phase.
- Conducted in Japan, the trial involved 22 hospitals and compared transfusion target hemoglobin levels of 7-9 g/dL in the restrictive group to 10-12 g/dL in the liberal group, measuring outcomes like 28-day survival, transfusion volume, and complications.
- Results showed no significant difference in 28-day survival rates (92.1% for restrictive vs. 91.3% for liberal), nor in complication rates, but the restrictive group required lower transfusion
Background: A hybrid emergency room (ER) is defined as an emergency unit with four functions-performing resuscitation, computed tomography (CT), surgery, and angiography. However, the safety and efficacy of performing CT in a hybrid ER are unclear in primary surveys. Therefore, this study aimed to evaluate the safety and clinical effects of hybrid ERs.
View Article and Find Full Text PDFBackground: Although spontaneous perforation of pyometra is very rare, it sometimes causes severe peritonitis, leading to lethal conditions. Damage control surgery reportedly improves the survival of critically ill patients; however, there has been no report describing damage control surgery for ruptured pyometra.
Case Presentation: An 83-year-old postmenopausal woman with generalized peritonitis and septic shock was admitted and underwent emergency laparotomy.
Introduction: Delayed massive hemothorax after blunt trauma is rare, although associated with significant morbidity and mortality. In most cases, the intercostal artery is the main bleeding source. We report a rare case of delayed massive hemothorax due to a diaphragm injury with a lower rib fractures.
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