研究者詳細 - 塚原　紘平

Targeted age, device deployment, and problems associated with pediatric defibrillation in pediatric prehospital emergency medical care settings in Japan. 査読国際誌

Noriyuki Kaku, Masahiko Nitta, Takashi Muguruma, Kohei Tsukahara, Emily Knaup, Nobuyuki Nosaka, Yuki Enomoto

Acute medicine & surgery 3 ( 4 ) 356 - 359 2016年10月

記述言語：英語掲載種別：研究論文（学術雑誌）

Aim: The use of automated external defibrillators was expanded to include infants according to the 2010 cardiopulmonary resuscitation guidelines in Japan. However, deployment has been slower for pediatric patients in Japan, because there are fewer appropriate pediatric patients for automated external defibrillators than adults. This study aimed to investigate the targeted age range for pediatric defibrillation and device deployment of defibrillators for pediatric patients in prehospital emergency medical care settings in Japan, and present the issues associated with automated external defibrillators. Methods: We administered a web-based survey to the fire defense headquarters in Japan regarding prehospital emergency medical care for pediatric patients in June 2013. We extracted and analyzed some parts of the data related to pediatric defibrillation. Results: Eighty-eight percent of the fire defense headquarters responded to the survey. Sixty-two percent of the fire defense headquarters applied the expanded indication protocol for pediatric defibrillation, which included infants. Forty-three percent of the fire defense headquarters replied that their emergency medical service personnel were using semi-automatic defibrillators without a pediatric mode, whereas 21% of them were using automated external defibrillators that were not equipped with pediatric attenuators. Moreover, many of the semi-automatic defibrillators are not designed for pediatric defibrillation in patients aged <8 years. Conclusions: Pediatric prehospital emergency medical care in Japan is inadequately equipped for pediatric defibrillation. It will be necessary to use age-appropriate defibrillators as the targeted age range for automated external defibrillators rapidly expands to include infants.

DOI： 10.1002/ams2.194

PubMed

A successfully treated case of iliopsoas abscess affecting urinary tract infection caused by streptococcus sanguis. 査読

Takeuchi N, Emori K, Yoshitani M, Soneda J, Naito H, Yumoto T, Tsukahara K, Nakao A.

Surg Infect Case Rep. 1 ( 1 ) 123 - 125 2016年9月

Intraperitoneally administered, hydrogen-rich physiologic solution protects against postoperative ileus and is associated with reduced nitric oxide production. 査読

Okamoto A, Kohama K, Aoyama-Ishikawa M, Yamashita H, Fujisaki N, Yamada T, Yumoto T, Nosaka N, Naito H, Tsukahara K, Iida A, Sato K, Kotani J, Nakao A.

Surgery. 160 ( 3 ) 623 - 631 2016年9月

A case of cricothyroidotomy for facial trauma in a patient taking antiplatelet agents after a simple ground-level fall. 査読国際誌

Yumoto T, Matsumura T, Tsukahara K, Sato K, Ugawa T, Ujike Y.

Int J Surg Case Rep. 27 87 - 89 2016年8月

Soft tissue hematoma of the neck due to thyroid rupture with unusual mechanism. 査読

Tsukahara K, Sato K, Yumoto T, Iida A, Nosaka N, Terado M, Naito H, Orita Y, Naito T, Miki K, Sugihara M, Nagao S, Ugawa T, Nakao A.

Int J Surg Case Rep. 26 217 - 220 2016年8月

Validity of Mothers' Reports of Children's Weight in Japan. 査読

Nosaka N, Fujiwara T, Knaup E, Okada A, Tsukahara H.

Acta Med Okayama. 70 ( 4 ) 255 - 259 2016年8月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Okayama University Medical School

Estimation methods for pediatric weight have not been evaluated for Japanese children. This study aimed to assess the accuracy of mothersʼ reports of their childrenʼs weight in Japan. We also evaluated potential alternatives to the estimation of weight, including the Broselow tape (BT), Advanced Pediatric Life Support (APLS), and Parkʼs formulae. We prospectively collected cross-sectional data on a convenience sample of 237 children aged less than 10 years who presented to a general pediatric outpatient clinic with their mothers. Each weight estimation method was evaluated using Bland-Altman plots and by calculating the proportion within 10 and 20 of the measured weight. Mothersʼ reports of weight were the most accurate method, with 94.9 within 10 of the measured weight, the lowest mean difference (0.27kg), and the shortest 95 limit of agreement (－1.4 to 1.9kg). The BT was the most reliable alternative, followed by APLS and Parkʼs formulae. Mothersʼ reports of their children ʼs weight are more accurate than other weight estimation methods. When no report of a childʼs weight by the mother is available, BT is the best alternative. When an aged-based formula is the only option, the APLS formula is preferred.

DOI： 10.18926/AMO/54500

Development of a Japanese scale for assessment of aediatric normal weight. 査読

Nosaka N, Yorifuji T, Knaup E, Muguruma T, Okada A, Tsukahara H, Doi H.

Resuscitation. 105 A1 - A8 2016年8月

複数の原因が考えられた乳児期突発性危急事態の1例

越智元春, 野坂宜之, 塚原紘平, 佐藤圭路, 鵜川豊世武, 氏家良人, 渡邉宏和, 吉川知伸, 藤井洋輔, 八代将登, 塚原宏一

日本小児科学会雑誌 120 ( 7 ) 1128 - 1128 2016年7月

病院前の小児声門上気道デバイスの配備状況．査読

塚原紘平、賀来典之、六車崇、クナウプ絵美里、野坂宜之、榎本有希.

日本臨床救急医学会雑誌. 19 ( 3 ) 489 - 492 2016年6月

担当区分：筆頭著者記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：一般社団法人日本臨床救急医学会

背景：わが国の消防本部における小児の病院前救護の声門上気道デバイスの使用基準や配備状況は明らかではない。目的・方法：小児の病院前救護における声門上気道デバイスの配備状況を把握し，問題点の抽出を行う。2013年6月に，わが国の消防本部を対象に小児病院前救護に関するウェブアンケートを施行し，声門上気道デバイスに関する部分を解析した。結果：適応年齢は「規定なし」が63%，次いで「全年齢」が最も多く23％であった。また，60％のメディカルコントロール協議会で適応年齢の統一がされていなかった。ラリンゲルチューブ（LT）は98％，ラリンゲルマスク（LM）は59％の消防本部が配備していると回答したが，回答した適応年齢と一致していない現状が明らかになった。結論：小児病院前救護の声門上デバイスの配備状況を調査した。配備状況，適応，教育に関して課題は多く，現状解決のための方策が必要である。

DOI： 10.11240/jsem.19.489

小児病院前救護における静脈路確保と薬剤投与の施行体制の現況．査読

その他リンク： https://jlc.jst.go.jp/DN/JLC/20022985567?from=CiNii

Letter to the Editor regarding the paper by Sun G et al: Elevated serum levels of neutrophil elastase in patients with influenza virus-associated encephalopathy. 査読

Nosaka N, Hatayama K, Fujii Y, Yashiro M, Tsukahara H, Morishima T.

J Neuro Sci. 364 188 - 188 2016年5月

A Close Call: Lucky Man Survives Penetrating Chest Trauma. 査読

Terado M, Iida A, Tsukahara K, Sato K, Takagaki M, Hirayama T, Nakao A.

Med Case Rep. 2 ( 2:20 ) 1 - 1 2016年4月

クナウプ絵美里、賀典之、野坂宜之、塚原紘平、榎本有希、六車崇.

日本臨床救急医学会雑誌. 19 ( 1 ) 35 - 40 2016年2月

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：一般社団法人日本臨床救急医学会

背景：病院前救護での小児への救命処置は，地域メディカルコントロール協議会（以下，MCと略す）ごとに業務プロトコールが定められている。目的・方法：小児への静脈路確保と薬剤投与の基準の調査のため，全国767消防本部の救急責任者にメールでウェブアンケートを実施した。結果：アンケート回収率は87.5％。適応年齢は，静脈路確保で「規定なし」56％，薬剤投与で「8歳以上」82％が最多であった。小児を処置の対象と回答したものの，1割の消防本部では小児には不適切な太い留置針のみが配備されていた。複数の消防本部が所属するMCのうち，静脈路確保は60％，薬剤投与は24％で年齢基準が統一されていなかった。救命救急センターが少ない地域では，8割以上が小児を薬剤投与の適応としていた。小児CPR教育への充足度は低いが需要は高かった。結論：事後検証を行う体制の整備，地域に合った年齢基準の策定と徹底，基準にあった装備と教育が必要である。

DOI： 10.11240/jsem.19.35