J.Jpn. Surg. Soc.. 120(3): 290-296, 2019

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Feature topic

THE HYBRID EMERGENCY ROOM

In general, many major urban trauma centers have elected to install computed tomography (CT) scanners and/or operating rooms close to their emergency rooms (ERs). Although this concept substantially diminishes delays resulting from transferring patients to CT scanners and bleeding control procedures, the ultimate trauma management system should enable trauma teams to perform all time-consuming life-saving procedures in one trauma resuscitation room. In August 2011, Osaka General Medical Center implemented a new trauma workflow concept with a sliding CT scanner system with interventional radiology features allowing all emergency therapeutic interventions without relocating the patient. Our new concept can facilitate definitive interventions more quickly in comparison with a conventional trauma care protocol. Due to the numerous reports on hybrid ERs, many level I trauma centers in Japan are interested in and enthusiastic about hybrid ER installation in their institutes. We established the Japanese Association for Hybrid Emergency Room System. The primary objective of the association is to standardize trauma management care specialized for hybrid ERs, to educate and upgrade trauma teams, and ultimately to prevent all trauma deaths.

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