Publications by authors named "Togo Masahito"

Background: Calcium channel blockers and angiotensin II receptor blockers are commonly prescribed to treat hypertension. Massive overdoses can cause both distributive and cardiogenic shock because of their effects on vascular smooth muscles and severe myocardial depression.

Case Presentation: We present the case of a 46-year-old man who was brought to our emergency department after ingesting 1210 mg amlodipine and 936 mg candesartan.

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Article Synopsis
  • The study aimed to evaluate the effectiveness of the Japan Coma Scale (JCS) for predicting mortality in children, as previous research focused mainly on adults.
  • Researchers conducted a multicenter cohort study using data from the Japan Trauma Data Bank, including patients under 16 years old treated between 2004 and 2015.
  • The results showed that the JCS was similarly effective as the Glasgow Coma Scale (GCS) in predicting in-hospital mortality, suggesting JCS is a valuable tool for pediatric trauma assessment.
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Article Synopsis
  • The study aimed to evaluate whether helicopter emergency medical services (HEMS) lead to lower mortality rates in pediatric trauma patients compared to ground emergency medical services (GEMS).
  • A total of 5,947 patients were analyzed, with HEMS patients showing higher injury severity and in-hospital mortality rates in unadjusted stats.
  • After controlling for various factors, the results indicated that HEMS was not associated with lower hospital mortality rates, suggesting that further research is needed to identify which patients might benefit more from HEMS.
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Objectives: The effectiveness of Japanese helicopter emergency medical services (HEMS) and interventions at the scene is not clear as regard children. For effective use of HEMS at the clinical scene, we need to clarify the characteristics of pediatric patients cared for by HEMS. Therefore, the objective of this study was to describe the characteristics of pediatric scene flights and to describe the procedures performed on the patients.

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