Emergency and Critical Care Medicine

Prof. Nobuaki Shime

【Research Keyword】
critical care medicine, intensive care medicine, sepsis, infectious diseases, extracorporeal membrane oxygenation (ECMO), mechanical ventilation, pneumonia, disaster medicine, information and communication technology (ICT), aeromedical service

【Recent highlights】
We have developed a novel computer-assisted electronic stethoscope as a medical device in the emergency and critical care medicine, which was published in Annals of Internal Medicine 2016 (impact factor 17.810). This device has a potential to be utilized in various medical fields. We have presented our achievements in the field of sepsis and respiratory managements (ECMO, NAVA) in a number of symposiums and educational lectures of domestic and international medical congresses.

Profiles of Faculty and Research Scholars

The main educational program is the emergency and critical care medicine for pediatric and adult patients including disaster and radiation medicine. Hiroshima University Hospital is the single advanced emergency and critical care center owning air ambulance in Hiroshima. There are only 3 advanced emergency and critical care centers with air ambulance in Chugoku and Shikoku Districts. We predominantly treat patients with severe emergent diseases and injuries, and carry out our duty as the last stand of the tertiary emergency medical center. A wealth of experience in managing sepsis and ECMO (extracorporeal membrane oxygenation) enables us a highly effective treatment for in- and out-hospital patients with severe sepsis. The number of ECMO run in our hospital is top-level in Japan, which can be well cooperated with a medical team consisting of various specialists. Doctors can train special managements for severe burn injury and pediatric critical care in Hiroshima University. Doctors can study in a number of collaborative institutes inside and outside Hiroshima.

Collaborative institutes in Hiroshima: Hiroshima Prefectural Hospital, Hiroshima City Hospital, JA Hiroshima General Hospital, JA Onomichi General Hospital, Hiroshima City Asa Citizens Hospital, NHO Kure Medicacl Center, Chugoku Rosai Hospital, Kure Kyosai Hospital, NHO Higashihiroshima Medical Center, Kousei General Hospital, Ohchi Hospital, etc.

Collaborative institutes outside Hiroshima: Kyoto University, Kyoto Prefectural University of Medicine, NHO Kyoto Medical Center, Japanese Red Cross Kyoto Daini Hospital, Fukuchiyama City Hospital, Nagano Children's Hospital, National Center for Child Health and Development, etc.

・Single center/ multicenter clinical researches (ventilator-associated pneumonia (VAP), antibiotic therapy against MRSA, etc)
・Basic researches for pneumonia, acute respiratory failure and sepsis (utility of veno-venous ECMO for interstitial pneumonia, utility of neurally adjusted ventilatory assist (NAVA) , genetic diagnosis of infectious diseases, etc)
・Novel development of medical devices in the emergency and critical care medicine (computer -assisted electronic stethoscope, etc)
・Novel development of information and communication technology (ICT) in the emergency and critical care medicine
・Promotion in the effective utilization of air ambulance (aeromedical service)

【Photo explanation】 Prof. Shime giving a lecture for young doctors

【Photo explanation】 Medical procedure for starting ECMO

【Photo explanation】 Dr. Ohshimo and Dr. Sadamori presenting a novel technology of computer-assisted electronic stethoscope at a press conference