Current status of trauma surgery at a Japanese prefectural academic institute: improved organization in a regional prefecture

Kawano, Fumiaki; Tashiro, Kotaro; Ikenoue, Makoto; Munakata, Shun; Nakao, Hironobu; Mizuno, Tadahiko; Mori, Hiroki; Ikeda, Takuto; Takeno, Shinsuke; Furukawa, Koji; Tomita, Masaki; Endo, George; Ochiai, Hidenobu; Nakamura, Kunihide; Nanashima, Atsushi

doi:10.1007/s00595-020-02196-z

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…Surgical outcomes were monitored by our trauma team starting in 2012 at the time the department of emergency medicine began in our region, Miyazaki. The preventable trauma death A B rate until 2019 was not dramatically decreased, but the organization and related awareness of surgeons regarding trauma surgery were gradually shaped by hard work (8). Some staff members can teach first-class instruction at the present.…”

Section: Discussionmentioning

confidence: 99%

“…We hypothesize that efforts for such a specific education may lead to the recruitment of trauma surgeons and the improvement of the clinical ability of general physicians in case of a crisis. Some special attractive programs initiated in the last decade still seek to improve the recruitment system of physicians from rural areas of Japan (8,9). Thus, education on trauma surgery will be included in the recent program under the development of the macrochair system of the Department of Surgery at the University of Miyazaki Faculty of Medicine since 2015 (http://www.med.miyazaki-u.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, education on trauma surgery will be included in the recent program under the development of the macrochair system of the Department of Surgery at the University of Miyazaki Faculty of Medicine since 2015 (http://www.med.miyazaki-u. ac.jp/home/english/departments/surgery/) (8).…”

Section: Introductionmentioning

confidence: 99%

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Knowledge survey regarding blast wound education of student doctors at a local academic medical university in Japan

et al. 2022

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Objective: To improve knowledge about blast injury for medical student doctors or surgeons. In the modern uncertain era, education and training programs for blast injuries for medical student doctors or surgeons are recently necessary worldwide. Material and Methods: To understand primary corresponding ability to treat blast injuries, leading to improvement of the trauma education curriculum, a retrospective study by a knowledge survey was performed between 2018 and 2019. The subject had the title of Student Doctor (SD) at university. Results: The answers of 183 participants who answered the interview questionnaire with 16 questions were summarized. Although most SDs received basic lectures for trauma medicine and majority of SDs knew about mass casualty incidents and primary treatment, the existence of knowledge on soft targets is limited. One-fourth of the SDs knew the characteristics of blast wounds. Most SDs understood priority triage for a conscious person with massive bleeding from a limb with hemostasis to save lives. The 17% selected cardiopulmonary resuscitation first and 72% of SDs could explain hemorrhagic shock; however, only four could explain adequate hemostatic procedures. Most had no interest regarding necessity of their knowledge in the field of serious blast trauma wounds. Conclusion: Experience in trauma surgery training from stages in SDs and authorized education are important for raising students’ knowledge of unexpected serious blast incidents.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Knowledge survey regarding blast wound education of student doctors at a local academic medical university in Japan

et al. 2022

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Multivariate analysis of the factors affecting medical students’ decision to join the cardiovascular surgery department

Nakajima,

Iba,

Shibata

et al. 2023

Gen Thorac Cardiovasc Surg

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Rhinological tactics in the complex treatment of patients with severe combined cranio-facial trauma who are on mechanical ventilation

et al. 2021

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Introduction. In recent years, injuries ranked fourth among the main causes of death of the population after diseases of the cardiovascular system, malignant neoplasms and infectious diseases. The clinical course of associated injuries, as a rule, is characterized by a high number of complications, much more than in isolated injuries.Objective. Explore approaches to improving otorynolaryngological tactics from the standpoint of normalizing the functional state of the nasal mucosa, as well as increasing the effectiveness of treatment of patients with severe concomitant trauma on prolonged mechanical ventilation.Materials and methods. In the process of studying the problem of impaired mucociliary clearance of the nasal mucosa, the functional state of the mucous membrane in patients with severe concomitant head trauma undergoing prolonged artificial lung ventilation was analyzed. We studied the state of one of the most important mechanisms of sanitation and local protection of the respiratory tract - mucociliary clearance, which provides the necessary potential for barrier, cleansing and immune functions. A study was made of the thermal effect of the nasal cavity, pH + of the mucous membrane, the study of the frequency of beating of the cilia of the ciliated epithelium and the rate of mucociliary transportResults and discussion. The results of the study showed that the problem of post-traumatic and nosocomial sinusitis in patients with severe concomitant head trauma must be resolved as soon as possible, with the involvement of modern diagnostic and treatment methods, including the proposed method of artificial ventilation of the nose. The severity of the patient's condition, the severity of the injuries received excludes the use of advanced methods of surgical, otorhinolaryngological treatment.Conclusion. 12:30 PMThe use of minimally invasive methods of treatment, precision technical execution, including under endovideo control, polysinusotomy made it possible not to burden the condition of the victims and exclude iatrogenic damage that could entail irreversible changes in the body and condition of the victim.

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Current status of trauma surgery at a Japanese prefectural academic institute: improved organization in a regional prefecture

Cited by 3 publications

References 18 publications

Knowledge survey regarding blast wound education of student doctors at a local academic medical university in Japan

Knowledge survey regarding blast wound education of student doctors at a local academic medical university in Japan

Multivariate analysis of the factors affecting medical students’ decision to join the cardiovascular surgery department

Rhinological tactics in the complex treatment of patients with severe combined cranio-facial trauma who are on mechanical ventilation

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