Hybrid emergency room: Installation, establishment, and innovation in the emergency department

Wada, Daiki; Maruyama, Shuhei; Yoshihara, Toshio; Saito, Fukuki; Yoshiya, Kazuhisa; Nakamori, Yasushi

doi:10.1002/ams2.856

Cited by 3 publications

(2 citation statements)

References 36 publications

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“…This emergency unit allows four functions: resuscitation, CT, surgery, and angiography. 1 , 2 We previously showed that this novel trauma workflow allowing immediate CT diagnosis and rapid bleeding control without patient transfer may improve mortality in severe trauma. 3 Another study reported that trauma treatment in a hybrid ER reduced blood transfusion amounts during resuscitation.…”

Section: Introductionmentioning

confidence: 99%

Treatment strategy for severe trauma patients requiring aortic occlusion for impending cardiopulmonary arrest in the hybrid emergency room

Maruyama,

Wada,

Yoshihara

et al. 2024

Acute Medicine & Surgery

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AimComputed tomography (CT) is useful in trauma care. Severely ill trauma patients may not tolerate whole‐body CT even without patient transfer. This study examined clinical flow of severe trauma patients requiring aortic occlusion (AO) such as resuscitative thoracotomy or REBOA in the hybrid emergency room (ER) and investigated patient clinical courses prioritizing CT first versus resuscitation including AO first.MethodsThis retrospective, single‐center observational study included consecutive trauma patients visiting our ER between May 2016 and February 2023. Patients were divided into the CT first group (whole‐body CT preceded AO) and AO first group (AO preceded whole‐body CT) and into two subgroups: AO after CT (AO/interventions for hemorrhage performed just after CT in the CT first group), and CT after AO (CT or damage control surgery performed after AO in the AO first group). We investigated 28‐day survival rates.ResultsSurvival probability by TRISS method was 49% (range: 3.3–94) in the CT first group (n = 6) and 20% (range: 0.7–45) in the AO first group (n = 7). Actual 28‐day survival rates were 50% and 57%, respectively. Survival rates of the AO after CT subgroup (CT first group) were 75% (3/4) and 0% (0/2), respectively, and those of the CT after AO subgroup (AO first group) were 25% (1/4) and 100% (3/3), respectively.ConclusionIn severe trauma patients with low predicted probability of survival treated in the hybrid ER, survival rates might be better if resuscitation including AO is performed before CT and if damage control surgery is performed first before CT.

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Section: Introductionmentioning

confidence: 99%

Treatment strategy for severe trauma patients requiring aortic occlusion for impending cardiopulmonary arrest in the hybrid emergency room

Maruyama,

Wada,

Yoshihara

et al. 2024

Acute Medicine & Surgery

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“…As the world rapidly evolves, so does the landscape of prehospital care, presenting an intricate matrix of challenges and innovations for emergency medical services (EMS) worldwide. This constant evolution is punctuated by ground-breaking treatments such as novel bleeding control practices like REBOA (resuscitative endovascular balloon occlusion of the aorta), the introduction of whole blood and blood products, and tranexamic acid [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

The Use of Prehospital Intensive Care Units in Emergencies—A Scoping Review

Alruwaili,

Khorram-Manesh,

Ratnayake

et al. 2023

Healthcare

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Background: Amidst a rising tide of trauma-related emergencies, emergency departments worldwide grapple with the challenges of overcrowding and prolonged patient wait times. Addressing these challenges, the integration of prehospital intensive care units has appeared as a promising solution, streamlining trauma care and enhancing patient safety. Nevertheless, the feasibility of such an initiative becomes murky when considered globally. This review delves into the intricacies of prehospital intensive care units’ deployment for trauma care, scrutinizing their configurations, operational practices, and the inherent challenges and research priorities. Methods: A scoping review was performed for eligible studies. The result was uploaded to the RAYYAN research platform, facilitating simultaneous evaluation of the studies by all researchers. Results: A total of 42 studies were initially selected. Four studies were duplicates, and 25 studies were unanimously removed as irrelevant. The remaining studies (n = 13) were included in the review, and the outcomes were categorized into diverse subgroups. Conclusions: A country’s emergency medical services must achieve specific milestones in education, competency, resource availability, and performance to effectively harness the potential of a prehospital intensive care unit. While certain nations are equipped, others lag, highlighting a global disparity in readiness for such advanced care modalities.

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Comprehensive Review of Hybrid Emergency Room Systems: Benefits, Challenges, and Future Prospects

Akpınar,

Koç,

Özşahin

et al. 2023

eamr

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Hybrid emergency room: Installation, establishment, and innovation in the emergency department

Cited by 3 publications

References 36 publications

Treatment strategy for severe trauma patients requiring aortic occlusion for impending cardiopulmonary arrest in the hybrid emergency room

Treatment strategy for severe trauma patients requiring aortic occlusion for impending cardiopulmonary arrest in the hybrid emergency room

The Use of Prehospital Intensive Care Units in Emergencies—A Scoping Review

Comprehensive Review of Hybrid Emergency Room Systems: Benefits, Challenges, and Future Prospects

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