埼玉医科大学国際医療センター埼玉医科大学国際医療センター

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Centers & Departments

Critical Care and Emergency Center (including trauma and shock)

Message from the director of Critical Care and Emergency Center

Under the philosophy of the International Medical Center as a whole, the Critical Care and Emergency Center is operated as a center that provides the highest level of emergency medical services in our country that is internationally acceptable. It is a full-scale tertiary critical care and emergency center with radiation related equipment such as 64 row MDCT, 3 Tesla MRI biplane flat panel cerebrovascular imaging modality, fluoroscopic DR, general X-ray imaging modality, etc. and with the emergency room equipped with an emergency operation room (separately 3 dedicated operating rooms for emergency care located in the Central Operating Division) and the like. Clinically, in order to ensure that patients can receive advanced medical treatment at ease, in every aspect including maintaining of high medical standards, medical safety, good communication between medical staff and patients / their families, ensuring a good hospitalization environment for patients, we provide the best medical treatment 24 hours a day. In addition, as an educational institution, we accept the training for medical staff including physicians, nurses, emergency medical technicians, and students, etc., from home / abroad and educate them on advanced emergency
In the Stroke Center, as a special center in the Critical Care and Emergency Center, specialists from four departments of Neurosurgery, Neuro-endovascular Therapy, Neurology and Rehabilitation cooperate with emergency specialists, and provide clinical care of all cerebrovascular disorders such as cerebral infarction, cerebral hemorrhage and subarachnoid hemorrhage, etc. around the clock. Regarding the treatment, an operating room for cerebrovascular disorder (Brain OR) newly developed exclusively for this facility, which can simultaneously perform cerebral angiography, brain CT examination, surgery and intravascular treatment is prepared and advanced treatment that other facilities would not perform can be provided. For acute cases of cerebral infarction, we actively engage in endovascular treatment as well as tissue plasminogen activator (t-PA) intravenous therapy. Endovascular treatment (coiling) or surgical treatment (clipping) is also properly selected in each case of cerebral aneurysm treatment. In addition, by initiating acute phase rehabilitation within 2 days after hospitalization, we provide a system to promptly recover the condition, and by constructing an active collaborative system with neighboring medical institutions, we also enhance the treatment after the acute stage. By that Stroke Center and Critical Care and Emergency Center cooperate closely to clinical care, we can provide a consistent and high-level medical care from the time of emergency transportation in front of the hospital, and respond adequately to the new era, which has become increasingly more advanced and specialized in acute treatment of stroke in recent years, furthermore, we provide patients with treatments beyond the standards of other facilities. We are highly evaluated with one of Japan's leading stroke centers. Regarding clinical training (within 2 years after graduation), we have prepared a system that allows trainees to experience all primary to tertiary emergency diseases in many cases through collaboration of our center and Saitama Medical University Hospital, and regarding the latter-stage training after the third year of graduation, a system for preparing and accepting the curriculum is in place.

Manabu Nemoto, Acting Director

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