Misc - UEMURA Shuuji

ドクターヘリ搬送により良好な転帰を得た離島での心肺停止の一例—Successful use of Doctor helicopter for the transportation of patient who suffered cardiac arrest due to ventricular arrythmia on an Isolated island

青柳 有沙, 葛西 毅彦, 山岡 歩, 中山 龍一, 坂脇 英志, 坂脇 園子, 武山 佳洋, 上村 修二, 成松 英智

日本航空医療学会雑誌 = Journal of Japanese Society for Aeromedical Services ( 日本航空医療学会 )  22 ( 1 ) 28 - 32  2021.05

CiNii

ICTを用いた新型コロナウイルス感染症宿泊療養者の健康観察システム

小山 雅之, 谷川 琢海, 福田 潤, 氷見山 清子, 水野 浩利, 上村 修二, 石井 安彦, 大西 浩文

医療情報学連合大会論文集 ( (一社)日本医療情報学会 )  40回   453 - 454  2020.11

北海道胆振東部地震時におけるHOT・HMV救急搬送の実態調査

小山雅之, 上村修二, 石井安彦, 石井安彦, 樋室伸顕, 齋藤重幸, 大西浩文

日本疫学会学術総会講演集(Web)   30th  2020

J-GLOBAL

慢性硬膜下血腫を合併していた広範囲熱傷の1例

越前 栄次朗, 宮田 圭, 喜屋武 玲子, 平山 傑, 上村 修二, 成松 英智, 権田 綾子, 北 愛里紗, 加藤 慎二, 須貝 明日香, 山内 誠, 山下 建, 齋藤 有, 四ツ柳 高敏

熱傷 ( (一社)日本熱傷学会 )  42 ( 2 ) 100 - 100  2016.06

安全なモニタリング 救急現場での脳内酸素飽和度測定による心肺蘇生法の効果検証について

原 正浩, 長山 英太郎, 印藤 昌智, 菩提寺 浩, 早川 峰司, 硲 光司, 上村 修二, 大西 新介, 鹿野 恒, 松井 俊尚

日本臨床救急医学会雑誌 ( (一社)日本臨床救急医学会 )  19 ( 2 ) 242 - 242  2016.04

心肺蘇生（CPR）に伴う胃損傷から低体温療法中に大量出血を来した１例

葛西 毅彦, 武山 佳洋, 柿崎 隆一郎, 江濱 由松, 佐藤 昌太, 諸原 基貴, 俵 敏弘, 井上 弘行, 岡本 博之, 上村 修二

函館医学誌 = Hakodate medical journal ( 市立函館病院 )  38 ( 1 ) 19 - 21  2014

　View Summary

心肺蘇生（Cardiopulmonary resuscitation：CPR）は一般市民にも普及しつつあり，心肺停止患者の救命率向上に貢献している。 しかしCPR に伴う合併症も少なからず報告されており，その度合いによっては心拍再開後の治療に大きく影響することがある。今回，CPR に伴う胃損傷から低体温療法中に大量吐血するも，内視鏡治療にて止血を行い，神経学的予後良好に生存退院となった１例を経験したので報告する。

CiNii

当院に救急搬送された旅行者の現状について

上村 修二, 岡本 博之, 武山 佳洋, 江濵 由松, 諸原 基貴, 葛西 毅彦, 俵 敏弘, 井上 弘行

函館医学誌 = Hakodate medical journal ( 市立函館病院 )  37 ( 1 ) 4 - 6  2013

CiNii

緊急Ｏ型未クロス輸血とMassive transfusion が有効であった多発外傷の１例

葛西 毅彦, 江濱 由松, 俵 敏弘, 岡本 博之, 武山 佳洋, 上村 修二, 文屋 尚文, 井上 弘行, 諸原 基貴

函館医学誌 = Hakodate medical journal ( 市立函館病院 )  37 ( 1 ) 33 - 36  2013

CiNii

破傷風の長期鎮静管理に対し，Airway Pressure Release Ventilation を行った１例

諸原 基貴, 上村 修二, 江濵 由松, 葛西 毅彦, 俵 敏弘, 井上 弘行, 岡本 博之, 武山 佳洋

函館医学誌 = Hakodate medical journal ( 市立函館病院 )  37 ( 1 ) 26 - 29  2013

CiNii

重症トリカブト中毒の3名同時搬入例

俵 敏弘, 上村 修二, 江濱 由松, 諸原 基貴, 葛西 毅彦, 井上 弘行, 岡本 博之, 武山 佳洋, 藤田 友嗣, 遠藤 重厚

中毒研究 ( (株)へるす出版 )  25 ( 4 ) 338 - 338  2012.12

Clinical features of low-velocity, crushing head injury;A report of 6 cases

Miyata Kei, Mikami Takeshi, Mikuni Nobuhiro, Sawamoto Keigo, Uemura Syuji, Mori Kazuhisa, Asai Yasufumi

Nihon Kyukyu Igakukai Zasshi ( Japanese Association for Acute Medicine )  23 ( 9 ) 415 - 420  2012

　View Summary

Head injuries produced by static loading mechanisms have been called low-velocity, crushing head injuries (CHI). If the injury is not fatal, there is usually no severe disturbance of consciousness, but CHI are characterized by damage to the cranial nerves caused by traction, stretching, and fractures of the cranial base due to the distortion of the skull. In this paper, we report on six cases of low-velocity CHI. There were four adults and two pediatric cases (less than five years of age). Cranial nerve palsy was observed in five cases. Skull base fractures traversing the clivus were recognized in four cases, optic canal fractures in two cases, and carotid canal fractures in two cases. The final neurological outcomes were as follows: full recovery (three cases), and minor (two cases) and severe (one case) morbidity. CHI is a rare condition with a unique injury mechanism and clinical symptoms. CHI patients present with a variety of cranial nerve injuries caused by distortion of the cranial base and the distribution of basilar skull fractures. In occupational accidents in adults and traffic accidents in children, CHI caused by static loading forces should be considered, and proper imaging studies are necessary to make an accurate diagnosis.

DOI CiNii

Review of medical support system for Rally Japan

沢本 圭悟, 丹野 克俊, 上村 修二

日本集団災害医学会誌 ( 日本集団災害医学会 )  16 ( 2 ) 237 - 243  2011.10

CiNii

CALCIUM AND SHOCK HEART IN BURN PATIENTS: HYPOCALCEMIA IS ASSOCIATED WITH BURN SHOCK REQUIRING INOTROPIC SUPPORT.

Kunihiko Maekawa, Keigo Sawamoto, Shuji Uemura, Katsutoshi Tanno, Kazuhisa Mori, Yasufumi Asai

CRITICAL CARE MEDICINE ( LIPPINCOTT WILLIAMS & WILKINS )  38 ( 12 ) U55 - U55  2010.12

Research paper, summary (international conference)  

PROLONGED ARTERIAL LACTATE ELEVATION PREDICTS A POOR NEUROLOGICAL OUTCOME IN PATIENTS WITH SEVERE TRAUMATIC BRAIN INJURY

Keigo Sawamoto, Kunihiko Maekawa, Kei Miyata, Shuji Uemura, Katsutoshi Tanno, Kazuhisa Mori, Yasufumi Asai

CRITICAL CARE MEDICINE ( LIPPINCOTT WILLIAMS & WILKINS )  38 ( 12 ) U55 - U55  2010.12

Research paper, summary (international conference)  

Drug resistant mechanisms of multidrug-resistant Pseudomonas aeruginosa (MDRP)

横田 伸一, 上村 修二, 藤井 暢弘

Japanese journal of intensive care medicine ( 医学図書出版 )  34 ( 11 ) 973 - 979  2010.11

CiNii

The history of air medical transport in Hokkaido and the air transport simulation for critical ill patient using fixed wing

鈴木 靖, 前川 邦彦, 上村 修二

Journal of Japanese Society for Aeromedical Services ( 日本航空医療学会 )  11 ( 1 ) 9 - 13  2010.08

CiNii

Emergency medical management to the traffic accident in Hokkaido

ASAI Yasufumi, MAEKAWA Kunihiko, OKAMOTO Hiroyuki, UEMURA Shouji, TAKEYAMA Yoshihiro, TANNO Katsutoshi, NARA Satoshi, MORI Kazuhisa, KURIMOTO Yoshihiko, NARIMATSU Eichi

Journal of the Japanese Council of Traffic Science ( 日本交通科学協議会 )  8 ( 2 ) 3 - 9  2009.03

DOI CiNii

ヘリ搬送チームの活動

早川 峰司, 上村 修二, 奈良 理, 藤瀬 尚子, 鈴木 裕子, 山本 環, 大西 新介

救急医療ジャーナル ( (株)プラネット )  16 ( 6 ) 60 - 61  2008.12

CiNii

Emergency medical system for Hokkaido-Touyako Summit in 2008

浅井 康文, 上村 修二, 岡本 博之

放射線防護医療 ( 放射線防護医療研究会 )  ( 4 ) 21 - 23  2008.12

CiNii

EMERGENCY TOPIC 北海道洞爺湖サミットと救急医療

浅井 康文, 上村 修二, 岡本 博之

エマージェンシー・ケア ( メディカ出版 )  21 ( 10 ) 1025 - 1031  2008.10

CiNii

新しい時代を迎えた北海道の航空機救急医療について

奈良 理, 水野 浩利, 前川 邦彦, 上村 修二, 丹野 克俊, 森 和久, 浅井 康文

交通科学研究資料   49   50 - 51  2008.05

CiNii

A Case of Adrenal Insufficiency That Presented as Hypothermia

HIRAYAMA Suguru, TANNO Katsutoshi, WARABI Ryoko, UEMURA Shuji

日本救急医学会雑誌   19 ( 2 ) 131 - 135  2008.02

DOI CiNii

A Case of Adrenal Insufficiency That Presented as Hypothermia

Hirayama Suguru, Tanno Katsutoshi, Warabi Ryoko, Uemura Shuji

Nihon Kyukyu Igakukai Zasshi ( Japanese Association for Acute Medicine )  19 ( 2 ) 131 - 135  2008

　View Summary

This case involves a 29-year-old male who had, until 8 years ago, undergone radiation therapy for pituitary germinoma and was taking 20mg hydrocortisone daily for panhypopituitarism. Suffering profuse diarrhea, he was transported to our emergency department with exhaustion and hypothermia. Hypothermia treatment started with electric blankets for surface rewarming and warm gastric lavage for internal rewarming. Hypotension resulted from rewarming and rewarming shock suspected. Fluid loading was performed with no response. Dopamine was started but hypotension continued. Acute adrenal insufficiency was suspected due to the patient's medical history and catecholamine resistant shock, so 100 mg of hydrocortisone was administered intravenously 11 hours after arrival. Blood pressure slowly increased, allowing gradual reduction of fluid loading and dopamine. Before administering the hydrocortisone, serum cortisol concentration was 1.4μg/dl. On the 4th day of hospitalization, the patient was transferred from ICU and on the 11th day received an ambulatory discharge. Acute adrenal insufficiency is well known, but emergency room encounters are rare. Symptoms vary and lab findings are non-specific, making diagnosis difficult. When faced with catecholamine resistant shock, early diagnosis and treatment can influence the prognosis. Based upon the patient's medical history and developments, acute adrenal insufficiency should initially be suspected and steroids administered.

DOI CiNii

A Case of Methemoglobinemia by Hyponex^【○!R】 in Toxication

UEMURA Shuji, TANNO Katsutoshi, HIRAYAMA Suguru

Nihon Kyukyu Igakukai Zasshi ( Japanese Association for Acute Medicine )  18 ( 10 ) 713 - 717  2007.10

　View Summary

A 63-year-old female was admitted to our Emergency Department 18 hrs after ingesting 0.9 L of distilled white liquor and about 150 ml of liquid fertilizer (Hyponex®), in an attempted suicide. Hyperkalemia and methemoglobinemia (arterial methemoglobin 25.6%) were present. Following admission, the level of methemoglobin gradually decreased and at 12 hrs after admission, the level had returned to normal. The patient was discharged on the third day of hospitalization. Deaths due to Hyponex? have been reported but there have been no reports of it leading to the development of methemoglobinemia. Methemoglobin is produced when nitrates are reduced to nitrites within the body. We suspected oxidation of hemoglobin to methemoglobin by nitrates within the blood. Reports of poisoning by liquid fertilizer are uncommon, but caution is advised because there is the possibility that it may lead to methemoglobinemia.

DOI CiNii

Pain management for extensine burns

上村 修二, 奈良 理, 浅井 康文

The Japanese journal of acute medicine ( へるす出版 )  31 ( 7 ) 796 - 798  2007.07

CiNii

Low back pain

上村 修二, 森 和久, 浅井 康文

The Japanese journal of acute medicine ( へるす出版 )  31 ( 5 ) 557 - 561  2007.05

CiNii

敗血症ショックにおける high mobility group box-1 (HMGB-1) 血中濃度と予後に関する検討

升田 好樹, 須佐 泰之, 今泉 均, 黒田 浩光, 巽 博臣, 杉山 由紀, 上村 修二, 宮庄 拓, 浅井 康文, 山田 晋吾

Shock : 日本Shock学会雑誌   21 ( 2 ) 43 - 48  2006.12

CiNii

A Case of Generalized Tetanus Complicated with Hyperglycemic Coma

UEMURA Shuji, TANNO Katsutoshi, HIRAYAMA Suguru

Nihon Kyukyu Igakukai Zasshi ( Japanese Association for Acute Medicine )  17 ( 9 ) 645 - 650  2006.09

　View Summary

The patient was a 62-year-old male. The patient had collapsed an estimated 5 days before being discovered and was transported to our hospital after first being brought to another hospital. The patient was treated in the ICU for hyperglycemic coma and infectious disease. On the third day of hospitalization, sudden respiratory arrest occurred following suction induced irritation, and nasal intubation was performed. Antificial ventilation was undertaken. Following those clinical course, stimulation evoked worsening rigidity and autonomic dysfunction in the limbs. On the seventh day of hospitalization, tetanus was diagnosed and treatment for tetanus was begun. Under intensive care, the patient's status improved. On the 82nd day of hospitalization, the patient changed hospitals for rehabilitation. Even though clinical signs indicating tetanus were present from the first day of hospitalization, it was very difficult to establish correct diagnosis due to comorbid conditions. This case showed the importance of early diagnosis of tetanus from the clinical symptoms, anticipation of the condition worsening and early treatment.

DOI CiNii

重症例における早期経腸栄養の実際とその問題点 (特集 Critical Care Nutrition)

奈良 理, 上村 修二, 浅井 康文

ICUとCCU ( 医学図書出版 )  30 ( 9 ) 617 - 623  2006.09

CiNii

敗血症ショックにおける High mobility group box-1 (HMGB1) 血中濃度と予後に関する検討

升田 好樹, 須佐 泰之, 今泉 均, 黒田 浩光, 巽 博臣, 上村 修二, 浅井 康文, 山田 晋吾

Shock : 日本Shock学会雑誌   21 ( 1 ) 25 - 25  2006.04

CiNii

International Repatriation from the Far Eastern Russia and Medical Exchange by Hokkaido/Russia Medical Fund

ASAI Yasufumi, ITOH Yasushi, YOSHIDA Masashi, NARA Satoshi, UEMURA Shuji, MAEKAWA Kunihiko, IMAIZUMI Hitoshi, KANEKO Masamitsu, SAITOH Yuu, EZOE Kyouri, ABE Seishu

熱傷   31 ( 2 ) 96 - 101  2005.06

CiNii

日本外傷学会臓器損傷分類改正のための再評価 : 心・大血管損傷分類の問題点

浅井 康文, 栗本 義彦, 上村 修二, 武山 佳洋, 米田 斉史, 鹿野 恒, 丹野 克俊, 佐藤 守仁, 奈良 理, 森 和久

日本外傷学会雑誌 = Journal of the Japanese Association for the Surgery of Trauma   18 ( 1 ) 76 - 81  2004.01

CiNii

A Case Of A Ruptured Abdominal Aortic Aneurysm Referred Due To Acute Cardiac Failure

MATSUO Kunihiro, ASAI Yasufumi, KURIMOTO Yoshihiko, TAGUCHI Dai, UEMURA Shuuji, URA Hideki, IMAIZUMI Hitoshi

Nihon Kyukyu Igakukai Zasshi ( Japanese Association for Acute Medicine )  14 ( 9 ) 467 - 470  2003.09

　View Summary

We report a case of an abdominal aortic aneurysm which ruptured into the inferior vena cava indicated by CT and angiography in a patient that had been transferred to our hospital with a diagnosis of acute cardiac failure. The patient was a 73-year-old male who had been examined at another hospital for chest pain, hypotension, vomiting and vertigo and had been admitted to our hospital for examination of acute cardiac failure of unknown cause. A pulsating giant mass was palpable in the abdomen, and a continuous murmur was also audible in the abdomen. The patient showed no anemia or abdominal pain, but CT indicated the possibility of the rupture of an abdominal aortic aneurysm into the inferior vena cava. Emergency surgery was successfully performed following confirmation of the rupture by angiography. The results of this case indicate the need to consider a ruptured abdominal aortic aneurysm as a possible cause of symptoms resembling acute cardiac failure.

DOI CiNii

A Case Of A Ruptured Abdominal Aortic Aneurysm Referred Due To Acute Cardiac Failure

Matsuo Kunihiro, Asai Yasufumi, Kurimoto Yoshihiko, Taguchi Dai, Uemura Shuuji, Ura Hideki, Imaizumi Hitoshi

Nihon Kyukyu Igakukai Zasshi ( Japanese Association for Acute Medicine )  14 ( 9 ) 467 - 470  2003

　View Summary

We report a case of an abdominal aortic aneurysm which ruptured into the inferior vena cava indicated by CT and angiography in a patient that had been transferred to our hospital with a diagnosis of acute cardiac failure. The patient was a 73-year-old male who had been examined at another hospital for chest pain, hypotension, vomiting and vertigo and had been admitted to our hospital for examination of acute cardiac failure of unknown cause. A pulsating giant mass was palpable in the abdomen, and a continuous murmur was also audible in the abdomen. The patient showed no anemia or abdominal pain, but CT indicated the possibility of the rupture of an abdominal aortic aneurysm into the inferior vena cava. Emergency surgery was successfully performed following confirmation of the rupture by angiography. The results of this case indicate the need to consider a ruptured abdominal aortic aneurysm as a possible cause of symptoms resembling acute cardiac failure.

DOI CiNii