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• MULTIPLE THORACOABDOMINAL INJURIES TREATED WITH ENDOVASCULAR REPAIR FOR THORACIC AORTIC INJURY

  KAWANO Fumiaki, NAKAMURA Eisaku, KANEMARU Katsuhiro, OCHIAI Hidenobu, NAKAMURA Kunihide, NANASHIMA Atsushi, TASHIRO Kousei, NAKAO Hironobu, MORI Hiroki, ICHIKI Nobuhiko, OGATA Shougo, ENDO Jouji, IKEDA Takuto, TAKENO Shinsuke

  Journal of the Japanese Association for the Surgery of Trauma   32   14 - 19   2018

  Joint Work

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  <p> We reported two patients who underwent emergency laparotomy and thoracic endovascular aortic repair (TEVAR) for traumatic abdominal and thoracic aortic injuries. Case 1 : Emergency laparotomy was performed for intra-abdominal hemorrhage following an accidental fall. Postoperative computed tomography (CT) revealed thoracic aortic injury and extravasation from the left renal artery. We performed transcatheter arterial embolization for the left renal artery bleeding and TEVAR for thoracic aortic injury. Case 2 : A patient injured in a traffic accident was transferred to our department. Trauma pan-scan demonstrated thoracic aortic injury, free air and extravasation in the abdomen, and unconfirmed contrast in the left femoral artery. We performed femorofemoral bypass for left lower limb ischemia, emergency laparotomy for gastrointestinal perforation with intra-abdominal hemorrhage, and TEVAR for thoracic arterial injury. Currently, endovascular aortic repair is widely performed for traumatic aortic injuries. This procedure has good efficacy in cases with multiple injuries.</p>

  DOI CiNii

• Weather Webcam System for the Safety of Helicopter Emergency Medical Services in Miyazaki, Japan

  Kanemaru K., Katzer R., Hanato S., Nakamura K., Matsuoka H., Ochiai H.

  Air Medical Journal   36   71 - 76   2017.03

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  © 2017 Air Medical Journal Associates Objective In Japan, the helicopter emergency medical services (HEMS) system was initiated in 2001 and introduced to Miyazaki Prefecture in 2012. Mountainous areas occupy 88% of Miyazaki's land area, and HEMS flights can be subject to the effects of weather. Therefore, ensuring safety in changing weather conditions is a necessity for HEMS. Methods The weather webcam system (WWS) was established to observe the meteorological conditions in 29 locations. Assessments of the probability of a flight based on conventional data including a weather chart provided by the Japan Meteorological Agency and meteorological reports provided by the Miyazaki Airport were compared with the assessment based on the combination of the information obtained from the WWS and the conventional data. Results The results showed that the probability of a flight by HEMS increased when using the WSS, leading to an increased transportation opportunity for patients in the mountains who rely on HEMS. In addition, the results indicate that the WWS may prevent flights in unfavorable weather conditions. Conclusion The WWS used in conjunction with conventional weather data within Miyazaki HEMS increased the pilot's awareness of current weather conditions throughout the Prefecture, increasing the probability of accepting a flight.

  DOI PubMed