Centers & Services

Department of Emergency and Critical Care Medicine

What is the Emergency and Critical Care Medicine?

Our department treats diverse patients in critical condition with acute illness, poisoning, or severe burn / trauma. The emergency physicians are trained to judge their patient's severity and urgency grades immediately and are also specialized in advanced life support and life-saving technique. We are responsible for the operation of Advanced Emergency and Critical Care Medical Center to save the lives of severely sickened patients.

Director, Emergency and Critical Care Medicine

Atsunori Nakao, Proffessor


Hiromichi Naito Associate professor, Vice director,
Advanced Emergency and Critical
Care Medical Center
[Emergency medicine, General critical care]
Takaaki Osako Assistant professor [Emergency medicine, General and pediatric critical care]
Kohei Tsukahara Assistant professor [Emergency medicine, General and pediatric critical care]
Taihei Yamada Assistant professor [Emergency medicine, Traumatology, General critical care,
Disaster medicine]
Atsuyoshi Iida Assistant professor [Emergency medicine, Surgery, Medical education]
Tetsuya Yumoto Assistant professor [Emergency medicine, Traumatology, General critical care]
Yasuaki Yamakawa Assistant professor [Emergency medicine, Orthopedic surgery]
Hirotsugu Yamamoto Medical staff [Emergency medicine, Pediatric critical care]
Yoshinori Kosaki Medical staff [Emergency medicine]

*Specialty for research shown in [ ].

Treatment system

Physicians of the department of Emergency and Critical Care Medicine are qualified as medical specialists in more than one licensed practice including emergency medicine. We provide the highest level of emergency medical services and critical care in the Chugoku and Shikoku districts. Our team is composed of more than 20 physicians working exclusively for emergency medicine, and working together with other specialists for 24 hours / 365 days based on the shift system. We keep close contact with other diagnostic and treatment services in the hospital. We also maintain the highest level of critical care medical service by systemic care approach. During the Great East Japan Earthquake, we dispatched ambulances and performed medical support activities in distant coastal areas of Iwate Prefecture.

Treatment policy

We ignite all the modalities available for saving the critically ill patients. All physicians, particularly attending doctors and primary doctors, are responsible for the treatment and resuscitation of the emergency patients. We hold conferences twice a day (morning, evening), to discuss every aspect of patient's condition including confirmation of therapeutic regimen. Complete shift-work system is utilized to prevent medical service personnel from being fatigued and to assign the utmost importance to the safety of patients.

Description of medical care

Physicians attending the Advanced Emergency and Critical Care Medical Center (AECCMC) outpatient department diagnose and provide resuscitation or first-aid treatment for critically ill patients taken to the hospital by ambulance. The center also accepts patients with severe organ failure who find difficulty in treatment in other hospitals, such as ARDS, neurological emergencies, cardiac failure, renal failure, severe multiple trauma / burn patients by accidents and disasters, acutely poisoned patient. As for stroke care, the neurological emergency team comprised of emergency, neurology and neurological surgery departments, has provided the newest treatments promptly by multimodality approach.
Physicians of the department of Emergency and Critical Care Medicine provide advanced Triage and advanced intensive care for severely ill patients daily in the unit of AECCMC. They also provide emergency medical treatment when any outpatient or inpatient has a condition deteriorated suddenly. (See the website of AECCMC.)
In some cases, physicians of the emergency department visit the scene of the accident to provide life-saving medical treatment by a pick-up system using fire and disaster rescue helicopters (Momotaro and Kibi) operated in cooperation with Okayama City and Okayama Prefecture. In the event of a large earthquake, tsunami or other large-scale such as a terrorist attack, they are also expected to play central roles in the medical service team and to work overseas under some circumstances.
As described above, connection to a widespread disaster network (optical circuit), direct line with fire department headquarter, Okayama City, and various databases relating to poisoning information is always available.

Emergency medical care education

Our department administers a regional medical course and provides on-the-job training ofemergency medicine for medical students and resident physicians. Our department also provides educational sessions ofcardiopulmonary resuscitation for medical students, resident physicians, resident dentists and nursing staffs of all wards.