6 results match your criteria: "Department of Emergency Medicine Yokohama City University Graduate School of Medicine Yokohama Japan.[Affiliation]"
Clinical Usefulness of Echocardiographic Measurement of Proximal Aortic Diameter in Early Differentiation Between Type A Acute Aortic Dissection and ST-Segment-Elevation Myocardial Infarction.
J Am Heart Assoc
November 2023
Division of Cardiology Yokohama City University Medical Center Yokohama Japan.
Background Contradictions between management modalities of type A acute aortic dissection (TAAAD) and ST-elevation-myocardial infarction (STEMI) may result in clinical catastrophe. Therefore, we aimed to explore which 2-dimensional echocardiography (2DE) findings are optimal for differentiating TAAAD from STEMI. Methods and Results This study included 340 patients with STEMI and 340 patients with TAAAD who underwent 2DE in the emergency department between 2012 and 2021.
View Article and Find Full Text PDFUtility of dual-energy computed tomography in the association of COVID-19 pneumonia severity.
Acute Med Surg
December 2022
Article Synopsis
- The study examines the use of dual-energy computed tomography (DECT) to assess the severity of coronavirus disease 2019 (COVID-19) pneumonia, which impacts lung blood flow differently than typical pneumonia.
- Findings revealed that patients classified as critical exhibited significantly greater blood flow loss than non-critical patients, highlighting the potential of DECT in evaluating COVID-19 pneumonia severity.
- The study suggests that DECT can effectively predict the severity of COVID-19 pneumonia, but further research is necessary to confirm these results.
Aim: Early judgments for treating severe trauma patients are essential for life-saving. Stress index (SI), obtained from a division of blood glucose level by serum potassium at arrival, might be useful for early prediction. However, the efficacy of SI was unknown.
View Article and Find Full Text PDFAim: We evaluated the status of the allocation of medical emergency equipment suitable for pediatric patients of all ages.
Methods: In 2019, we surveyed the emergency medical officers from 728 fire defense headquarters around Japan. The questionnaire was designed to evaluate the kind and size of equipment available to ambulance crews for prehospital emergency care of injured pediatric patients.
Case: Previous research has suggested that venovenous extracorporeal membrane oxygenation (vvECMO) is useful for patients refractory to conventional therapy. We report a pediatric case of influenza A(H1N1)pdm09 infection with a good outcome following rapid initiation of vvECMO.This patient was a 13-year-old boy with severe acute respiratory distress syndrome due to influenza virus.
View Article and Find Full Text PDFArticle Synopsis
- The study investigates two new indicators, the medical risk/resource ratio (RRR) and need for medical resources (NMR), to assess the imbalance between medical demand and supply during disasters.
- By calculating RRR and NMR for disaster base hospitals, researchers can prioritize medical support needs based on quantified data.
- The findings revealed a median RRR of 23 and median NMR of 943 across hospitals, leading to a classification of medical support priorities that helps identify which hospitals need the most assistance.