Emergency Medical Care Center


Patient Care

Our emergency medical care center in Toho University Omori Medical Center has been constantly moving forward in providing medical care that “leads to the next step.”
We are responsible for the overall process from primary care in the ER to intensive care after hospitalization for patients transported by an ambulance. When special medical treatments including surgery or endovascular treatment are necessary, we work together with other departments to perform them. Some surgery has to be done in the ER.
We are not a stand-alone emergency care center but a cooperative one, where we work with other departments and provide team-based care; this is our strength. 1100 critical patients are transported annually. The details are as follows. CPA before arrival (25%), problems related to pulmonology (8%), cardiology (10%), gastroenterology (5%), neurology (15%). These account for about 50% of total. We have performed the following intensive treatments for critical patients and achieved excellent outcomes.
  • ECMO (Extracorporeal Membrane Oxygenation) for CPA cases
  • Respiratory ECMO for severe respiratory failure such as COVID-19
  • IMPELLA (circulatory support pump catheter) to treat for severe heart failure
Furthermore, targeted temperature management and early-stage rehabilitation are performed proactively for patients after cardiopulmonary resuscitation. We strive to improve neurological prognoses that better help for patients’ social reintegration. In addition, we provide medical treatments for a wide spectrum of severe emergency conditions including multiple trauma, large vessel disease, toxicities, and severe burn. For some cases with heart disease or large vessel disease required an emergency surgery, we cooperate with the cardiovascular surgery department to provide consistent medical care from primary care to postoperative management. This enables us to accept a large number of the patients. It is impossible to save patients’ lives just by emergency physicians and intensivists because critical patients often have a wide variety of diseases. Thus, we provide medical care in close contact with specialists in pulmonology, cardiology, gastroenterology, neurology, etc. Additionally, medical care is not completed just only by doctors. We need to work with a team composed of various medical staff including nurses, clinical engineers, physical therapists, pharmacists, dieticians, and medical social workers. We have certified nurse specialists in emergency and intensive care (e.g. emergency care, critical care nursing, and intensive care) and clinical engineers, and they are on duty at all times. It enables us to provide advanced medical service and compassionate patient care. We also have exclusive physical therapists. Early-stage rehabilitation by our physical therapists shortens the periods of patients’ hospitalization in ICU and extremely speeds up patients’ functional recovery. Support for families of critical patients is also essential. We provide an environment where patient’s families leave the patients to our hospital without anxiety by interacting with our medical social workers and discharge support nurses.
Lastly, emergency medical care service in southern Tokyo can’t be maintained just by the effort of our hospital. We believe it is important to cooperate and share roles with medical facilities in our community. Thus, we aspire to provide superior medical service in cooperation with not only patients but also medical facilities in our community.