研究者詳細 - 塚原　紘平

論文 - 塚原　紘平

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榎本有希, 賀来典之, 六車崇, クナウプ絵美里, 野坂宜之, 塚原紘平

日本臨床救急医学会雑誌 18 ( 6 ) 723 - 728 2015年12月

記述言語：日本語出版者・発行元：(一社)日本臨床救急医学会

目的:わが国の小児病院前救護に関する教育の実態は不明である。小児病院前救護に関する教育の課題を抽出するために本研究を行った。方法: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アンケートを施行し、そのうち教育に関する部分を抽出し解析した。結果:多くの項目で小児病院前救護に関する教育の必要性は認識されていた。一方で、教育が必要量の50%以上行われている(充足している)との回答は半数未満であった。また、救命救急センターの少ない地域では、多い地域に比べて教育の充足度が有意に低い分野が複数みられた。考察:小児病院前救護に関する教育の必要性は認識されているが、十分な教育がなされていない可能性がある。教育内容を再検討のうえで、処置基準や装備デバイスと一貫性をもった、効率的なoff the job trainingを行う必要がある。(著者抄録)

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その他リンク： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2015&ichushi_jid=J03405&link_issn=&doc_id=20160120510005&doc_link_id=10.11240%2Fjsem.18.723&url=https%3A%2F%2Fdoi.org%2F10.11240%2Fjsem.18.723&type=J-STAGE&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00007_3.gif

Superior ophthalmic vein thrombosis associated with severe facial trauma: a case report 査読国際誌

Mishima M, Yumoto T, Hashimoto H, Yasuhara T, Iida A, Tsukahara K, Sato K, Ugawa T, Otsuka F and Ujike Y

J. Med. Case Rep 9 244 - 244 2015年10月

病院前の小児声門上気道デバイスの配備状況査読

臨床救急医学会雑誌 2015年10月

Characteristics and costs of ladder fall injuries: a report from a single emergency center in Okayama 査読

Nosaka Nobuyuki, Goda Yu, Knaup Emily, Tsukahara Kohei, Yumoto Tetsuya, Ugawa Toyomu, Ujike Yoshihito

Acta Medica Okayama 69 ( 5 ) 275 - 278 2015年10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

We sought to identify the incidence, injury patterns, and financial burden of ladder fall injuries to provide a reference for reinforcing guidelines on the prevention of such injuries. We enrolled the patients who were injured in a ladder-related fall and required intensive care between April 2012 and March 2014 at Okayama University Hospital, a tertiary care hospital in Okayama City:9 patients injured in 7 stepladder falls and 2 straight ladder falls. The median patient age was 69 years, and 8 were males. Six falls occurred in non-occupational settings. Head injuries predominated, and the injury severity score ranged from 2 to 35 (mean＝21±12). At the time of discharge from the intensive care unit, one patient had died and 5 patients had some neurological disabilities. The case fatality rate was 11%. The total cost of care during the review period was ￥16,705,794, with a mean cost of￥1,856,199 per patient. Ladder fall injuries are associated with a high rate of neurological sequelae and pose a financial burden on the health insurance system. A prevention education campaign targeting at older-aged males in non-occupational settings may be a worthwhile health service investment in this community.

DOI： 10.18926/AMO/53673

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その他リンク： http://search.jamas.or.jp/link/ui/2016310201

Abnormal ranges of vital signs in children in Japanese prehospital settings. 国際誌

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

Acute medicine & surgery 2 ( 4 ) 267 - 270 2015年10月

記述言語：英語掲載種別：研究論文（学術雑誌）

Aim: The revised Fire Service Law obliges each prefectural government in Japan to establish a prehospital acuity scale. The Foundation for Ambulance Service Development (FASD) created an acuity scale for use as a reference. Our preliminary survey revealed that 32 of 47 prefectures directly applied the FASD scale for children. This scale shows abnormal ranges of heart rate and respiratory rate in young children. This study aimed to evaluate the validity of the abnormal ranges on the FASD scale to assess its overall performance for triage purposes in paediatric patients. Methods: We evaluated the validity of the ranges by comparing published centile charts for these vital signs with records of 1,296 ambulance patients. Results: A large portion of the abnormal ranges on the scale substantially overlapped with the normal centile charts. Triage decisions using the FASD scale of vital signs properly classified 22% (n = 287) of children. The sensitivity and specificity for high urgency were as high as 91% (95% confidence interval, 82-96%) and as low as 18% (95% confidence interval, 16-20%). Conclusion: We found there is room for improvement of the abnormal ranges on the FASD scale.

DOI： 10.1002/ams2.139

PubMed

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IMPROVED SURVIVAL WITH AN INNOVATIVE APPROACH TO THE TREATMENT OF SEVERELY BURNED PATIENTS: DEVELOPMENT OF A BURN TREATMENT MANUAL. 査読

Annals of Burns and Fire Disasters. 2015年9月

Ditch-related falls: Need for preventive educational campaigns．査読

Acute Medicine and Surgery 2015年8月

Abnormal ranges of vital signs in children in Japanese prehospital settings．査読

Acute Medicine and Surgery 2015年7月

Three cases of heparin-induced thrombocytepenia associated with polytrauma 査読

ACUTE MEDICINE & SURGERY 2015年5月

Acute respiratory distress syndrome in a child with severe epileptic disorder treated successfully by extracorporeal membrane oxygenation: a case report．査読

BMC Pediatrics 2015年5月

Acute respiratory distress syndrome in a child with severe epileptic disorder treated successfully by extracorporeal membrane oxygenation: a case report. 国際誌

Nobuyuki Nosaka, Shingo Ichiba, Kohei Tsukahara, Emily Knaup, Kumiko Hayashi, Shingo Kasahara, Yoshinori Kobayashi, Makio Oka, Katsuhiro Kobayashi, Harumi Yoshinaga, Yoshihito Ujike

BMC pediatrics 15 29 - 29 2015年4月

記述言語：英語掲載種別：研究論文（学術雑誌）

BACKGROUND: Extracorporeal membrane oxygenation (ECMO) is now a candidate therapy for children with acute respiratory failure. CASE PRESENTATION: We report our experience of using central ECMO therapy for acute respiratory distress syndrome followed by seizure in a 15-month-old girl with a severe epileptic disorder. Her respiratory distress was refractory to standard medical treatment and mechanical ventilatory support. Her condition was complicated by development of a pneumothorax. The patient was successfully weaned off ECMO and discharged without deterioration of her neurological status. CONCLUSION: The successful outcome in this case resulted from the central ECMO, which enabled "lung rest" and adequate cerebral blood flow. In skilled ECMO facilities, early implementation of ECMO would give some advantages to patients such as the one presented here. Given the invasiveness and the ease of the procedure, introduction of dual-lumen catheters adequately sized for pediatric patients in Japan is required.

DOI： 10.1186/s12887-015-0348-1

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人工呼吸管理中における食道内圧測定の使用経験

平山隆浩, 平山敬浩, 林久美子, 井口浩貴, 湯本哲也, 塚原紘平, 飯田淳義, 山内英雄, 佐藤圭路, 鵜川豊世武, 市場晋吾, 氏家良人

日本臨床工学技士会会誌 ( 54 ) 196 - 196 2015年4月

血中一酸化炭素ヘモグロビン(CO-Hb)濃度が0%であった一酸化炭素中毒死の1症例

神原由依, 飯田淳義, 湯本哲也, 平山敬浩, 塚原紘平, 佐藤圭路, 鵜川豊世武, 氏家良人, 三浦雅布, 宮石智

中毒研究 28 ( 1 ) 72 - 72 2015年3月

敗血症性ショック患者における動脈圧波形変化の解析による血管状態の推定

平山隆浩, 北脇知己, 林久美子, 佐藤圭路, 平山敬浩, 湯本哲也, 塚原紘平, 鵜川豊世武, 市場晋吾, 氏家良人

日本集中治療医学会雑誌 22 ( Suppl. ) [MO2 - 1] 2015年1月

乳児期から特異な経過を示すDravet症候群の1例

小林由典, 岡牧郎, 小林勝弘, 吉永治美, 野坂宜之, 塚原紘平, 鵜川豊世武, 笠原真悟

脳と発達 47 ( 1 ) 60 - 60 2015年1月

Septic shock due to Aeromonas hydrophila bacteremia in a patient with alcoholic liver cirrhosis: a case report. 査読国際誌

J Med Case Rep 8 402 - 402 2014年12月

Current experience and limitations of extracorporeal cardiopulmonary resuscitation for cardiac arrest in children: a single-center retrospective study

Kohei Tsukahara, Chiaki Toida, Takashi Muguruma

Journal of Intensive Care 2 ( 1 ) 2014年12月

Immediate screening method for predicting the necessity of massive transfusions in trauma patients: a retrospective single-center study. 査読国際誌

J Intensive Care 2 ( 1 ) 54 - 54 2014年9月

岡山大学病院高度救命救急センターにおける薬剤経管投与方法への薬剤師の介入症例

座間味義人, 名倉弘哲, 飯田淳義, 塚原紘平, 寺戸通久, 鵜川豊世武, 芝直基, 山内英雄, 市場晋吾, 氏家良人

日本集中治療医学会雑誌 20 ( Suppl. ) 413 - 413 2013年1月

Evaluating the Need for and Effect of Percutaneous Transluminal Angioplasty on Arteriovenous Fistulas by Using Total Recirculation Rate per Dialysis Session ("Clearance Gap")

Ugawa Toyomu, Sakurama Kazufumi, Yorifuji Takashi, Takaoka Munenori, Fujiwara Yasuhiro, Kabashima Narutoshi, Azuma Daisuke, Hirayama Takahiro, Tsukahara Kohei, Morisada Sunao, Iida Atsuyoshi, Tada Keitaro, Shiba Naoki, Sato Nobuo, Ichiba Shingo, Kino Koichi, Fukushima Masaki, Ujike Yoshihito

Acta Medica Okayama 66 ( 6 ) 443 - 447 2012年12月

記述言語：英語出版者・発行元：Okayama University Medical School

The functioning of an arteriovenous fistula (AVF) used for vascular access during hemodialysis has been assessed mainly by dilution methods. Although these techniques indicate the immediate recirculation rate, the results obtained may not correlate with Kt/V. In contrast, the clearance gap (CL-Gap) method provides the total recirculation rate per dialysis session and correlates well with Kt/V. We assessed the correlation between Kt/V and CL-Gap as well as the change in radial artery (RA) blood flow speed in the fistula before percutaneous transluminal angioplasty (PTA) in 45 patients undergoing continuous hemodialysis. The dialysis dose during the determination of CL-Gap was 1.2 to 1.4 Kt/V. Patients with a 10% elevation or more than a 10% relative increase in CL-Gap underwent PTA (n＝45), and the values obtained for Kt/V and CL-Gap before PTA were compared with those obtained immediately afterward. The mean RA blood flow speed improved significantly (from 52.9 to 97.5cm/sec) after PTA, as did Kt/V (1.07 to 1.30) and CL-Gap (14.1% to －0.2%). A significant correlation between these differences was apparent (r＝－0.436 and p＝0.003). These findings suggest that calculating CL-Gap may be useful for determining when PTA is required and for assessing the effectiveness of PTA, toward obtaining better dialysis.

DOI： 10.18926/AMO/49040

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その他リンク： http://search.jamas.or.jp/link/ui/2013307113

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