Centers & Services

Advanced Critical Care and Emergency Medical Center

Okayama University Hospital’s “Critical Care Medical Center,” which opened October in 2011 as a central medical practice section to address emergency or disaster medical care, was approved by Okayama Prefecture as an “Advanced Critical Care and Emergency Medical Center” on April 1, 2012. The emergency medical service facility has a total of 20 members, consisting mainly of emergency medicine department licensed emergency lifesaving and emergency care workers and senior fellows of the Japanese Association of Acute Medicine. It also includes full-time members selected from other departments (excluding residents, as of April 2016). In addition, it has dentists, pharmacists, clinical engineers, and physical therapists.
Advanced Critical Care and Emergency Medical Center has the most advanced function among emergency medical care centers, providing emergency medical care for special patients with multiple trauma, extensive burns, cardiac arrest, septic shock, finger or limb amputation, and acute intoxication. We receive severe critical-care patients with endogenous and exogenous diseases in and out of the hospital of all ages. As a “bastion of last resort” among Okayama Prefecture’s emergency medical care services, we have a framework in place for accepting patients who require highly multidisciplinary treatments to which other medical institutes or emergency care centers cannot respond, 24 hours a day, every day, to the greatest extent possible.
In terms of in-patient beds, we have 16 beds for the emergency room (including 8 beds for ICU) and 6 beds for circulatory CICU. Additionally, we collaborate with Okayama City Hospital and other affiliated and subcontracting medical institutes to consolidate the system for accepting inpatients on a steady basis.

Management System

The center is a central medical practice sector in which all the departments are engaged. The full-time doctors including ER specialists are always present for 24-hours. The emergency medicine department director is responsible for the administrative operation of the whole system as an advanced critical care director.
Critically ill patients are sent to the center by the ambulance, air ambulance, and fire and disaster rescue helicopters. Patients in the hospital whose condition changes suddenly can be examined by full-time doctors of the center at all hours. However in terms of patients who are referred from other hospitals to this special diagnosis and treatment department and who are not at the risk their life, each associated department responds to them. The center helps them when necessary. Sometimes, when doctors must rush to the scene of an emergency or disaster, the emergency physicians who are present at the center can travel by helicopter or by other means.
To maintain the system which enables the provision of treatments for severe patients whose “life is now put in danger,” Okayama University Hospital does not fundamentally provide examinations and treatments for patients who are not severely ill and who visit this hospital by themselves after office hours. Such patients are referred to emergency duty hospitals in Okayama City.

Management Policy

We endeavor to provide critical care, maintain functions, and improve the clinical state for severe patients in collaboration with all other departments, emphasizing the emergency medicine department. We deal with cases that emergency medical technicians regard as severe, and cases for which patients are judged by other hospitals to be in danger of dying, as well as cases for which patients cannot be treated adequately at other hospitals, such as multiple trauma, severe burn injury, amputated extremity, and unexplained intoxication.

Medical facilities

The Advanced Critical Care and Emergency Medical Center consists of an emergency outpatient unit, heliport, and the Emergency Intensive Care Unit (EICU).

Heliport

The heliport is installed on the roof of the hospital ward. Patients can directly enter the emergency outpatient unit, operation rooms, or the Emergency Intensive Care Unit (EICU).
Small helicopters used for air ambulance and disaster safety, such as “Momotaro” of Okayama City and medium-sized helicopters, such as “Kibi” of the Okayama prefectural fire department are available. They have a good track record in having emergency and transplant patients transported from within and without Okayama Prefecture, such as Tottori, Kochi, and Hyogo Prefecture, to the center.

Emergency Intensive Care Unit (EICU)

The core of Advanced Critical Care and Emergency Medical Center is located on the floor of the west wing, which has been called the “EICU” in the hospital since it opened as a High Care Unit in 2003. The HCU used to have emergency beds and therefore many severely ill patients. Consequently, it came to have intensive care beds in 2004, and later became the emergency ICU and HCU. In August 2011, it was designated as a critical care medical center. Eventually, when six beds were added for the CICU to specialize in circulatory diseases such as myocardial infarction, it became the Advanced Critical Care and Emergency Medical Center.