論文 - 上村　修二

北海道マラソンにおける救護体制と心停止事例への対応

山岡 歩, 宮田 圭, 丹野 克俊, 窪田 生美, 上村 修二, 成松 英智

日本救急医学会雑誌 ( (一社)日本救急医学会 )  25 ( 8 ) 542 - 542  2014年08月

Outcome from severe accidental hypothermia with cardiac arrest resuscitated with extracorporeal cardiopulmonary resuscitation

Keigo Sawamoto, Steven B. Bird, Yoichi Katayama, Kunihiko Maekawa, Shuji Uemura, Katsutoshi Tanno, Eichi Narimatsu

AMERICAN JOURNAL OF EMERGENCY MEDICINE ( W B SAUNDERS CO-ELSEVIER INC )  32 ( 4 ) 320 - 324  2014年04月  [査読有り]

　概要を見る

Purpose: This study aimed to identify factors of neurologic prognosis in severe accidental hypothermic patients with cardiac arrest. Basic procedures: This retrospective observational study was performed in a tertiary care university hospital in Sapporo, Japan (January 1994 to December 2012). We investigated 26 patients with accidental hypothermic cardiac arrest resuscitated with extracorporeal cardiopulmonary resuscitation (ECPR). We evaluated the neurologic outcome in patients who were resuscitated with ECPR at discharge from hospital. Main findings: In those 26 patients, their median age was 50.5 years; and 69.2% were male. The cause of hypothermia was exposure to cold air in 46.1%, submersion in 46.1%, and avalanche in 7.8%. Ten (38.5%) of these patients survived to favorable neurological outcome at discharge. Factors associated with favorable neurological outcome were a cardiac rhythm other than asystole (P=.009), nonasphyxial hypothermia (P=.006), higher pH (P =.01), and lower serum lactate (P =.01). In subgroup analyses, the patients with hypothermic cardiac arrest due to submersion or avalanche (asphyxia group) showed no factors associated with good neurological outcome, whereas the nonasphyxia group showed a significantly lower core temperature (P =.02) and a trend towards a lower serum lactate (P =.09). Principal conclusions: Patients with hypothermic cardiac arrest due to nonasphyxial hypothermia have improved neurologic outcomes when treated with ECPR compared to patients with asphyxial hypothermic cardiac arrest. Further investigation is needed to develop a prediction rule for patients with nonasphyxial hypothermic cardiac arrest to determine which patients would benefit from treatment with ECPR. (c) 2014 Elsevier Inc. All rights reserved.

DOI PubMed

DMATと消防機関とのCSR・CSM合同訓練の経験

田口 裕紀子, 春名 純平, 平山 傑, 坂脇 英志, 稲村 広敏, 酒井 智史, 上村 修二, 丹野 克俊

日本集団災害医学会誌 ( (一社)日本災害医学会 )  18 ( 3 ) 403 - 403  2013年12月

救急医療における飲酒の影響

武山 佳洋, 岡本 博之, 上村 修二, 諸原 基貴, 葛西 毅彦, 俵 敏弘, 井上 弘行, 松本 博志

日本救急医学会雑誌 ( (一社)日本救急医学会 )  23 ( 10 ) 543 - 543  2012年10月

アルコールと外傷 救急医療における飲酒の影響 特に外傷との関連について

武山 佳洋, 岡本 博之, 上村 修二, 井上 弘行, 松本 博志

日本アルコール・薬物医学会雑誌 ( (一社)日本アルコール・アディクション医学会 )  47 ( 4 ) 88 - 88  2012年08月

Acquisition of a Transposon Encoding Extended-Spectrum beta-Lactamase SHV-12 by Pseudomonas aeruginosa Isolates during the Clinical Course of a Burn Patient

Shuji Uemura, Shin-ichi Yokota, Hirotoshi Mizuno, Eiji Sakawaki, Keigo Sawamoto, Kunihiko Maekawa, Katsutoshi Tanno, Kazuhisa Mori, Yasufumi Asai, Nobuhiro Fujii

ANTIMICROBIAL AGENTS AND CHEMOTHERAPY ( AMER SOC MICROBIOLOGY )  54 ( 9 ) 3956 - 3959  2010年09月  [査読有り]

　概要を見る

Three of seven clonally related Pseudomonas aeruginosa strains isolated from a burn patient produced the extended-spectrum beta-lactamase (ESBL) SHV-12. Its gene was flanked by two IS26 elements with a large transposon (>24 kb). The transposon also contained at least five IS26 elements and a gene encoding the amikacin resistance determinant aminoglycoside 6'-N-acetyltransferase type Ib [aac(6')-Ib]. It was inserted into the gene PA5317 in the P. aeruginosa chromosome.

DOI PubMed