Updated on 2024/02/22

写真a

 
SAGISAKA Ryo
 
Organization
Faculty of Science and Engineering Research Associate
Contact information
The inquiry by e-mail is 《here
External link

Degree

  • 博士(救急救命学) ( 国士舘大学 )

  • 修士(救急救命学) ( 国士舘大学 )

Education

  • 2018.3
     

    Graduate School of Kokushikan University   Emergency Medical System   doctor course   completed

  • 2015.3
     

    Graduate School of Kokushikan University   Emergency Medical System   master course   completed

  • 2013.3
     

    Kokushikan University   graduated

  • 2009.3
     

    國學院大學久我山高等學校   graduated

Research History

  • 2022.3 - Now

    株式会社PECPET   代表取締役(Chief Executive Officer)

  • 2019.4 - Now

    中央大学理工学部助教

  • 2021.11 - 2022.3

    株式会社PECPET   取締役(Chief Strategy Officer)

  • 2018.4 - 2019.3

    中央大学理工学部人間総合理工学科兼任講師

  • 2018.4 - 2019.3

    国士舘大学大学院救急システム研究科助手

  • 2017.4 - 2019.3

    産業能率大学情報マネージメント学部兼任講師

  • 2015.7 - 2019.3

    医療法人社団幸隆会多摩丘陵病院非常勤救急救命士

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Professional Memberships

  • 日本救護救急学会

  • Japanese Society for Emergency Medicine

  • Japanese Association for Acute Medicine

  • The Japan Society of Reanimatology

Research Interests

  • Utstein-Style Database

  • Paramedic

  • Pre-hopital Care

  • Emergency Medical System

  • Dispatcher

  • Adrenaline(Epinephrine)

  • バイスタンダーストレス

  • Reanimatology

  • バイスタンダー行動

Research Areas

  • Humanities & Social Sciences / Sociology  / Sociology

  • Life Science / Medical management and medical sociology  / Emergency medicine

  • Life Science / Medical management and medical sociology  / Pre-hospital Care

Papers

  • Characteristics of Fatal Accidents due to Exogenous Causes at Ski Resorts in Japan Over the Past 13 Years: A Retrospective Descriptive Study

    Shota Tanaka, Ryo Sagisaka, Koshi Nakagawa, Hideharu Tanaka

    Wilderness & Environmental Medicine   2024.2

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    Publishing type:Research paper (scientific journal)   Publisher:SAGE Publications  

    Introduction

    —The characteristics of ski- and snowboard-related fatalities at Japanese ski resorts remain unknown. We aimed to analyze the characteristics of this in the current study.

    Methods

    —Using the Ski Resort Injury Report data for the 13-y period between the 2011–12 and 2022–23 seasons, we described the characteristics of fatal accidents due to exogenous causes.

    Results

    —Eighty-four subjects (48 skiers and 36 snowboarders) were analyzed. Males accounted for 73 cases of all 84 fatalities (86.9%), including 44 skiers (91.7%) and 29 snowboarders (80.6%). Skiers aged ≥50 y and snowboarders aged 20–35 y had the highest number of fatal accidents (32 and 18 cases, respectively). Regarding location, 26 fatal accidents occurred on slopes, and 58 occurred out of slopes (skiers, 11 and 37 cases; snowboarders, 15 and 21 cases, respectively). Among skiers, head and neck trauma accounted for the cause of death in 13 cases (27.1%) and asphyxiation in 11 cases (22.9%). Among snowboarders, head and neck trauma accounted for the cause of death in 14 cases (38.9%) and asphyxiation in 14 cases (38.9%).

    Conclusions

    —Males, particularly those aged ≥50 among skiers and 20−35 among snowboarders, should be wary of the potential for injuries to the head, neck, and airway when skiing or snowboarding. In this study, traumatic deaths from crashing into trees and asphyxiation from deep snow immersion accidents accounted for approximately half of fatal ski accidents in Japan.

    DOI: 10.1177/10806032241226680

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    Other Link: http://journals.sagepub.com/doi/full-xml/10.1177/10806032241226680

  • 富士北麓医療圏の一地域における緊急・重症傷病者に対するドクターヘリ・ドクターカー搬送効果の検討 Reviewed

    萱沼 実, 匂坂 量, 田中 秀治, 岩瀬 史明, 田中 翔大, 堀川 浩之

    救急救命士ジャーナル   3 ( 4 )   180 - 190   2023.12

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    Language:Japanese   Publishing type:Research paper (scientific journal)  

    DOI: 10.60239/jsels.3.4_180

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  • Association between bystander intervention and emergency medical services and the return of spontaneous circulation in out-of-hospital cardiac arrests occurring at a train station in the Tokyo metropolitan area: A retrospective cohort study Reviewed

    Joji Miyako, Koshi Nakagawa, Ryo Sagisaka, Shota Tanaka, Hidekazu Takeuchi, Hiroshi Takyu, Hideharu Tanaka

    Resuscitation Plus   15   100438 - 100438   2023.9

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    Publishing type:Research paper (scientific journal)   Publisher:Elsevier BV  

    DOI: 10.1016/j.resplu.2023.100438

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  • Sport level and sex differences in sport-related concussion among Japanese collegiate athletes: Epidemiology, knowledge, reporting behaviors, and reported symptoms Reviewed

    Shota Tanaka, Ryo Sagisaka, Etsuko Sone, Hideharu Tanaka

    Sports Medicine and Health Science   2023.7

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    Publishing type:Research paper (scientific journal)   Publisher:Elsevier BV  

    DOI: 10.1016/j.smhs.2023.07.002

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  • アドレナリン投与時間と傷病者転帰の関連の検討:マルチレベル分析 Reviewed

    中川 洸志, 匂坂 量, 齋藤 駿佑, 都 城治, 田久 浩志, 田中 秀治

    蘇生   42 ( 1 )   7 - 15   2023.6

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    Language:Japanese   Publishing type:Research paper (scientific journal)  

    DOI: 10.11414/jjreanimatology.42.1_7

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  • Incidence and factor analysis for the heat-related illness on the Tokyo 2020 Olympic and Paralympic Games Reviewed

    Inoue H, Tanaka H, Sakanashi S, Kinoshi T, Numata H, Yokota H, Otomo Y, Masuno T, Nakano K, Sugita M, Tokunaga T, Sugimoto K, Inoue J, Kato N, Nakagawa K, Tanaka S, Sagisaka R, Miyamoto T, Akama T

    BMJ Open Sport & Exercise Medicine   9   e001467   2023.4

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    Publishing type:Research paper (scientific journal)   Publisher:BMJ  

    Introduction

    Among the 43 venues of Tokyo 2020 Olympic Games (OG) and 33 venues of Paralympic Games (PG) were held, the heat island effect was highly expected to cause heat-related illnesses in the outdoor venues with maximum temperatures exceeding 35°C. However, the actual number of heat-related illness cases during the competition was lower than that was initially expected, and it was unclear under what conditions or environment-related heat illnesses occurred among athletes.

    Object

    To clarify the cause and factors contributing to the occurrence of heat-related illness among athletes participating in the Tokyo 2020 Olympic and Paralympic Games.

    Method

    This retrospective descriptive study included 15 820 athletes from 206 countries. From 21 July 2021 to 8 August 2021 for the Olympics, and from 24 August 2021 to 5 September 2021 for the Paralympics. The number of heat-related illness cases at each venue, the incidence rate for each event, gender, home continent, as well as the type of competition, environmental factors (such as venue, time, location and wet-bulb globe temperature (WBGT)), treatment factor and the type of competition were analysed.

    Results

    More number of heat-related illnesses among athletes occurred at the OG (n=110, 76.3%) than at the PG (n=36, 23.7%). A total of 100 cases (100%) at the OG and 31 cases (86.1%) at the PG occurred at the outdoors venues. In the OG, a total of 50 cases (57.9%) occurred during the competition of marathon running and race walking at Sapporo Odori Park. Six of those, were diagnosed with exertional heat illness and treated with cold water immersion (CWI) at OG and one case at PG. Another 20 cases occurred in athletics (track and field) competitions at Tokyo National Olympic Stadium. In total, 10 cases (10.0%) were diagnosed with severe heat illness in the OG and 3 cases (8.3%) in the PG. Ten cases were transferred to outside medical facilities for further treatment, but no case has been hospitalised due to severe condition. In the factor analysis, venue zone, outdoor game, high WBGT (<28°C) and endurance sports have been found to have a higher risk of moderate and severe heat-related illness (p<0.05). The incidence rate and severity could be attenuated by proper heat-related illness treatment (CWI, ice towel, cold IV transfusion and oral hydration) reduced the severity of the illness, providing summer hot environment sports.

    Conclusion

    The Tokyo 2020 Olympic and Paralympic summer games were held. Contrary to expectations, we calculated that about 1 in 100 Olympic athletes suffered heat-related illness. We believe this was due to the risk reduction of heat-related illness, such as adequate prevention and proper treatment. Our experience in avoiding heat-related illness will provide valuable data for future Olympic summer Games.

    DOI: 10.1136/bmjsem-2022-001467

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  • Improvement in regional disparities in prehospital emergency medical care systems using the prehospital care index: a study of how the timing of adrenaline administration by paramedics impacts cerebral functioning prognosis Reviewed

    Ueta H, Tanaka H, Takyu H, Sagisaka R, Tanaka S, Higuchi T, Akihama H, Takahashi H, Kinoshi T, Sakanashi S

    Journal of EMS Medicine   2 ( 1 )   31 - 38   2023.2

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    Language:English   Publishing type:Research paper (scientific journal)  

    DOI: 10.35616/jemsm.2021.00080

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  • AN EXPLORATORY QUESTIONNAIRE SURVEY ON VIRTUAL REALITY SOLUTIONS IN TRAUMA CARE Reviewed

    TANIKAWA Atsushi, SAGISAKA Ryo, HIRA Eiji, FUKUMA Hiroshi, MATSUOKA Tetsuya, YOKOBORI Shoji, JOJI Kensuke

    Journal of the Japanese Association for the Surgery of Trauma   37 ( 1 )   1 - 8   2023.1

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    Language:Japanese   Publisher:The Japanese Association for the Surgery of Trauma  

    Background : Virtual reality (VR) has potential for effective learning in medical education. Objective : The objective of this study was to explore the demands and challenges of VR education in trauma care. Methods : On the 30th of June 2022, a seminar on the use of VR was held during the 36th annual meeting of the Japanese Association for the Surgery of Trauma, and this was followed by a questionnaire survey. The participants were doctors. Analysis was performed by facility affiliation and age group. Results : In total, we included 102 participants, of which 79 had valid responses. The demand for content focusing on therapeutic procedures, such as surgery and intervention radiology, accounted for 40.5% (32/79) of the responses. Meanwhile, the demand from university hospital workers accounted for 26.7% (8/30) of the responses. When asked about their availability for editing VR contents, approximately 60% of the respondents stated that they have no time or less than 2 hours to perform the task per week. Conclusion : Despite the high demand for VR content focusing on therapeutic procedures, needs differed at each facility. Expectations for VR education in trauma care were high ; however, securing the time to edit VR content was a challenge.

    DOI: 10.11382/jjast.37.1_02

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  • The association of delayed advanced airway management and neurological outcome after out-of-hospital cardiac arrest in Japan Reviewed International journal

    Nakagawa K, Sagisaka R, Morioka D, Tanaka S, Takyu H, Tanaka H

    The American Journal of Emergency Medicine   62   89 - 95   2022.12

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    Language:English   Publishing type:Research paper (scientific journal)   Publisher:Elsevier BV  

    INTRODUCTION: The effectiveness of advanced airway management (AAM) for out-of-hospital cardiac arrest (OHCA) has been reported differently in each region; however, no study has accounted for the regional differences in the association between the timing of AAM implementation and neurological outcomes. OBJECTIVE: This study aimed to evaluate the association between the timing of patient or prefecture level AAM and a favorableneurological outcome defined by cerebral performance category 1 or 2 (CPC 1-2). METHODS: A retrospective cohort study was conducted using data from the All-Japan Utstein Registry between 2013 and 2017. We included patients aged ≥8 years with OHCA for whom AAM (i.e., supraglottic airway or endotracheal intubation) was performed in a prehospital setting (n = 182,913). We divided the patients into shockable (n = 11,740) and non-shockable (n = 171,173) cohorts based on the initial electrocardiogram rhythm. Multilevel logistic regression analysis estimated the association between AAM time (patient contact-to-AAM performance interval) at the patient level (1-min unit increments), prefecture level (> 9.2 min vs. ≤ 9.2 min) and CPC 1-2. RESULTS: A delay in AAM time was negatively associated with CPC 1-2 (adjusted odds ratio [AOR], 0.92, 0.96; 95% confidence interval [CI], 0.90-0.93, 0.95-0.97, respectively), regardless of initial rhythm. At the prefecture level, a delay in AAM time was negatively associated with CPC 1-2 (AOR, 0.77, 0.68; 95% CI, 0.58-1.04, 0.50-0.94, respectively) only in the non-shockable cohort. CONCLUSION: A delay in AAM performance was negatively associated with CPC 1-2 in both shockable and non-shockable cohorts. Moreover, a delay in AAM performance at the prefecture level was negatively associated with CPC 1-2 in the non-shockable cohort.

    DOI: 10.1016/j.ajem.2022.10.010

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  • STUDY OF DETERMINING RISK LEVEL REGARDING SWIMMING CONDITION ON BATHING BEACH USING AI Reviewed

    Haruki TOGUCHI, Ryo SHIMADA, Ryo SAGISAKA, Toshinori ISHIKAWA, Tsutomu KOMINE

    Journal of Japan Society of Civil Engineers, Ser. B3 (Ocean Engineering)   78 ( 2 )   I_757 - I_762   2022.10

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    Language:Japanese   Publishing type:Research paper (scientific journal)   Publisher:Japan Society of Civil Engineers  

    DOI: 10.2208/jscejoe.78.2_i_757

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  • 東京都の地下鉄駅で発生した病院外心停止の発生階層と脳機能予後の関連 Reviewed

    都 城治, 中川 洸志, 匂坂 量, 田中 秀治, 田中 翔大, 田久 浩志, 竹内 栄一

    国士舘 防災・救急救助総合研究所   ( 8 )   3 - 12   2022.10

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  • Prehospital interventions and neurological outcomes in marathon-related sudden cardiac arrest using a rapid mobile automated external defibrillator system in Japan: a prospective observational study Reviewed International journal

    Hideharu Tanaka, Tomoya Kinoshi, Shota Tanaka, Ryo Sagisaka, Hiroyuki Takahashi, Etsuko Sone, Takahiro Hara, Yui Takeda, Hiroshi Takyu

    British Journal of Sports Medicine   56   1210 - 1217   2022.5

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    Language:English   Publishing type:Research paper (scientific journal)   Publisher:BMJ  

    Objective

    To describe neurological outcomes after sudden cardiac arrests (SCAs) in road and long-distance races using a rapid mobile automated external defibrillator system (RMAEDS) intervention.

    Methods

    A total of 42 SCAs from 3 214 701 runners in 334 road and long-distance races from 1 February 2007 to 29 February 2020 were examined. Demographics, SCA interventions, EMS-related data and SCA-related outcomes were measured. Primary endpoints were favourable neurological outcomes (Cerebral Performance Categories 1–2) at 1-month and 1-year post-SCA. Secondary endpoints were factors related to the field return of spontaneous circulation (ROSC) and resuscitation characteristics, including the initial ECG waveform classification and resuscitation sequence times according to the initial ECG rhythm.

    Results

    The SCA incidence rate was 1.31 per 100 000 runners (age: median (IQR), 51 (36.5, 58.3) years). Field ROSC and full neurological recovery at 1-month post-SCA was achieved 90.4% and 92.9% of cases, respectively. In 22 cases in which bystander cardiopulmonary resuscitation was initiated within 1 min and defibrillation performed within 3 min, full neurological recovery was achieved at 1-month and 1-year post-SCA in 95.5.% and 95.5% of cases, respectively.

    Conclusions

    The RMAEDS successfully treated patients with SCA during road and long-distance races yielding a high survival rate and favourable neurological outcomes. These findings support rapid intervention and the proper placement of healthcare teams along the race course to initiate chest compressions within 1 min and perform defibrillation within 3 min.

    DOI: 10.1136/bjsports-2021-104964

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  • EXPERIMENTAL STUDY ON CAUSES OF LOST CHILDREN ON THE BEACH USING VR Reviewed

    Taketo WADA, Ryo SAGISAKA, Ryo SHIMADA, Toshinori ISHIKAWA, Tsutomu KOMINE

    Journal of Japan Society of Civil Engineers, Ser. B3 (Ocean Engineering)   78 ( 2 )   I_751 - I_756   2022

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    Language:Japanese   Publishing type:Research paper (scientific journal)   Publisher:Japan Society of Civil Engineers  

    DOI: 10.2208/jscejoe.78.2_i_751

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  • Neurological outcomes of out-of-hospital cardiac arrest occurring in Tokyo train and subway stations Reviewed

    Miyako J, Nakagawa K, Sagisaka R, Tanaka S, Takeuchi H, Takyu H, Tanaka H

    Resuscitation Plus   8   100175   2021.11

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    Language:English   Publishing type:Research paper (scientific journal)  

    Objectives: The purpose of this study was to identify a relationship between the background environment, bystander and emergency medical services intervention, and favourable neurological outcomes (CPC1-2) one-month after out-of-hospital cardiac arrest (OHCA) occurred at Tokyo train and subway stations. Methods: This retrospective observational study used OHCA data between 2014 and 2018 that occurred at train stations in Tokyo. The eligible 954 patients were analysed for correlation between background, time frame, and location. Multivariable logistic regression models were used to estimate factors associated with CPC1-2 in patients with cardiogenic OHCA. Results: A total of 886 OHCA cases, cardiogenic (n=562) and non-cardiogenic (n=324), met the inclusion criteria. Of the cardiogenic cases, 71.9% occurred at the platform and on-a-train. One-month CPC1-2 was achieved in 32.0% of cardiogenic OHCAs, which included 47.3% during morning rush hour, 24.7% during daytime hours, 40.2% during evening rush hour, and 20.5% during night-time/early morning hours. CPC1-2 had significant correlation with morning rush hour (adjusted odds ratio [AOR],4.52; 95% confidence interval [CI], 1.09–18.78), evening rush hour (AOR, 6.85; 95% CI, 1.51–31.15), public access defibrillation (AOR, 5.19; 95% CI, 1.38–19.51), and ventricular fibrillation or pulseless ventricular tachycardia (AOR, 7.56; 95% CI, 1.35–42.43). Conclusion: A total of 71.9% of cardiogenic OHCAs occurred at platforms and on trains. To improve neurological outcomes of OHCAs at stations, AED installations on train platforms are necessary. Additionally, using artificial intelligence-based platform monitoring for early detection of OHCAs and offering CPR training are required.

    DOI: 10.1016/j.resplu.2021.100175

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  • 高齢者による心停止通報に関するコミュニケーション特性の分析 Reviewed

    萱沼実, 田中秀治, 匂坂量, 武田唯, 堀川浩之

    国士舘 防災・救急救助総合研究   ( 7 )   21 - 33   2021.10

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    Language:Japanese   Publishing type:Research paper (bulletin of university, research institution)   Publisher:国士舘大学  

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  • Increasing the shockable rhythm and survival rate by dispatcher-assisted cardiopulmonary resuscitation in Japan Reviewed International journal

    Kayanuma M, Sagisaka R, Tanaka H, Tanaka S

    Resuscitation Plus   6   100122 - 100122   2021.6

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    PURPOSE: This study aimed to examine the effectiveness of cardiopulmonary resuscitation (CPR) directions by dispatchers. We analysed the relationship of dispatcher-assisted bystander cardiopulmonary resuscitation (DA-BCPR) with favourable cerebral function, shockable rhythm rate, and emergency medical service (EMS) arrival time. METHODS: This nationwide study was based on CPR statistical data of out-of-hospital cardiac arrest (OHCA) patients (n = 629,471) from 1 January 2011 to 31 December 2015, and included 107,669 patients with bystander-witnessed cardiogenic cardiac arrest.The primary outcome was good brain function prognosis after 1 month, while the secondary outcome was the rate of shockable rhythm on ECG at the time of EMS arrival.EMS arrival time at the site was stratified into 7 min, 8-10 min, and 11-20 min using tertiles. Adjusted odds ratios (AORs) and 95% confidence intervals (95% CIs) were estimated using multivariate logistic regression analysis to assess the association between DA-BCPR and outcomes in each tertile. RESULTS: There were 37,269 (35%), 18,109 (17%), and 52,291 (49%) patients in the DA-BCPR, Only-BCPR, and no-BCPR groups, respectively. Compared to No-BCPR, DA-BCPR was associated with favourable neurological outcomes regardless of the time from 119 call to EMS contact (AOR, 1.56, 2.01, 1.82; 95% CI, 1.43-1.71, 1.80-2.24, 1.52-2.19; ≤7 min, 8-10 min, and 11-20 min, respectively). DA-BCPR showed association with the shockable rhythm rate upon EMS arrival regardless of the time 119 call to EMS contact (AOR, 1.30, 1.60, 1.90; 95% CI, 1.23-1.38, 1.51-1.70, 1.75-2.06; ≤7 min, 8-10 min, and 11-20 min, respectively). CONCLUSION: Providing dispatcher assistance with CPR to 119 callers improves the long-term outcome regardless of the patient's age and EMS response time. Thus, encouraging dispatchers to promote BCPR is important for increasing the shockable rhythm rate and improving the brain function prognosis.

    DOI: 10.1016/j.resplu.2021.100122

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  • Early endotracheal intubation improves neurological outcome following witnessed out‐of‐hospital cardiac arrest in Japan: a population‐based observational study Reviewed

    Nakagawa K, Sagisaka R, Tanaka S, Takyu H, Tanaka H

    Acute Medicine & Surgery   8 ( 1 )   e650   2021.5

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    DOI: 10.1002/ams2.650

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  • 自動胸骨圧迫装置が救急救命士の静脈路確保に及ぼす影響 Reviewed

    中村 秀明, 匂坂 量, 阪本 奈美子, 刈間 理介, 鈴木 宏昌

    蘇生   40 ( 1 )   7 - 14   2021.4

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    Language:Japanese   Publishing type:Research paper (scientific journal)  

    DOI: 10.11414/jjreanimatology.40.1_7

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  • 消防組織における通信指令員の専門的職務技能に関する検討 Reviewed

    木村 昌紀, 塩谷 尚正, 北小屋 裕, 大西 保, 谷口 慶, 匂坂 量, 田中 秀治

    日本臨床救急医学会雑誌   23 ( 6 )   741 - 750   2020.12

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    Language:Japanese   Publishing type:Research paper (scientific journal)   Publisher:日本臨床救急医学会  

    DOI: 10.11240/jsem.23.741

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  • AEDの色がAEDの使用意欲に与える影響―国士舘大学新入学生アンケートに基づく一考察― Reviewed

    津波古憲, 田中秀治, 月ヶ瀬恭子, 曽根悦子, 城所勇太郎, 谷川真莉菜, 匂坂量

    国士舘 防災・救急救助総合研究   ( 6 )   3 - 12   2020.10

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    Language:Japanese   Publishing type:Research paper (bulletin of university, research institution)   Publisher:国士舘大学防災・救急救助総合研究所  

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  • 海水浴場における紫外線強度の特性と決定要因の検討 Reviewed

    佐藤結, 石川仁憲, 島田良, 匂坂量, 小峯力

    土木学会論文集B3(海洋開発)   76 ( 2 )   I_923-I_928   2020.9

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    Language:Japanese   Publishing type:Research paper (scientific journal)   Publisher:土木学会  

    DOI: 10.2208/jscejoe.76.2_I_923

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  • 海水浴場における傷病の発生特性と早期救護システムの提案 Reviewed

    伊藤夢衣, 石川仁憲, 島田良, 匂坂量, 小峯力

    土木学会論文集B3(海洋開発)   76 ( 2 )   I_1025-I_1030   2020.9

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    Language:Japanese   Publishing type:Research paper (scientific journal)   Publisher:土木学会  

    DOI: 10.2208/jscejoe.76.2_I_1025

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  • 気管挿管訓練におけるビデオ硬性挿管用喉頭鏡の有用性に関する比較・検討 Reviewed

    中尾誠宏, 田中秀治, 曽根悦子, 匂坂量, 白川透, 後藤奏, 吉岡耕一, 田久浩志

    日本臨床救急医学会雑誌   23 ( 4 )   539 - 545   2020.9

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    Language:Japanese   Publishing type:Research paper (scientific journal)   Publisher:日本救急医学会  

    DOI: 10.11240/jsem.23.539

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  • Sustaining improvement of dispatcher-assisted cardiopulmonary resuscitation for out-of-hospital cardiac arrest patients in Japan: An observational study Reviewed

    R.Sagisaka, K.Nakagawa, M.Kayanuma, S.Tanaka, H.Takahashi, T.Komine, H.Tanaka

    Resuscitation Plus   3   100013   2020.9

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    Objectives: We aimed to estimate the relationship between the promotion of bystander cardiopulmonary resuscitation (CPR) with dispatcher-assistance over time and good cerebral function after out-of-hospital cardiac arrests (OHCAs). Methods: This was a retrospective observational study, using a nationwide OHCA database in Japan. The eligible 267,193 witnessed cardiogenic OHCA patients between 2005 and 2016 were analysed. Multivariable logistic regression models were performed to estimate the effect of dispatcher-assisted bystander CPR per year. In addition, we calculated the number of patients with good cerebral function, which was attributed to dispatcher-assisted bystander CPR. Results: Dispatcher-assisted bystander CPR was performed to 84,076 (31.5%), those without dispatcher-assistance were 48,389 (18.1%), and non-bystander CPR were 134,728 (50.4%). The adjusted odds ratio (AOR) of dispatcher-assisted bystander CPR vs. non-bystander CPR was significantly related to good cerebral function, regardless of the year (AOR, 1.47, 1.62; 95%CI, 1.19-1.80, 1.42-1.85, 2005 and 2016, respectively). The association of dispatcher-assisted bystander CPR with good cerebral function tended to increase (AOR, 1.11, 2.97; 95%CI, 0.99-1.24, 2.69-3.28, 2006 and 2016, based on 2005, respectively). Estimating the number of patients with good cerebral function who attributed to dispatcher-assisted bystander CPR was a significant increase from 41 in 2005 to 580 in 2016 (p <.0001, r = 0.98). Furthermore, chest compression consistently contributed to higher number of patients with good cerebral function than that with a combination of chest compression and shock with public-access-defibrillation. Conclusion: We found that the increased dispatcher-assisted bystander CPR rate was related to good cerebral function at 1-month post OHCA. Chest compression without public-access-defibrillation was most helpful to that number, explaining the effects of dispatcher-assistance and sustaining improvement.

    DOI: 10.1016/j.resplu.2020.100013

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  • 心肺機能停止事案における現場滞在時間短縮の一方策―一人法 CPR の有効性についての検討― Reviewed

    大和田均, 張替喜世一, 吉岡耕一, 中川雄公, 伊藤裕介, 大岡聖門, 原貴大, 匂坂量, 田久浩志, 田中秀治

    日本臨床救急医学会雑誌   23 ( 4 )   546 - 550   2020.9

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    DOI: 10.11240/jsem.23.546

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  • Kendo protective equipment prevents quick access for resuscitation during sudden cardiac arrest: A cross-over manikin study

    Shota Tanaka, Hiroki Ueta, Ryo Sagisaka, Shuji Sakanashi, Takahiro Hara, Hideharu Tanaka

    International Journal of Athletic Therapy and Training   25 ( 4 )   197 - 202   2020

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    Protective equipment in sports can be a barrier to sudden cardiac arrest (SCA) treatment, but no Kendo-related data are available. In order to enhance the SCA survival rate, we aimed to determine whether Kendo protective equipment should be removed before or after an automated external defibrillator (AED) has arrived by measuring the quality and timeframe of cardiopulmonary resuscitation administration. Eighteen collegiate female Kendo players were instructed to treat the patient with SCA under two conditions: (a) equipment removal [ER] condition; (b) no equipment removal [NER] condition. Chest compression initiation was delayed during simulated cardiac arrest situations in Kendo, but the SCA quality was much better without protective equipment. When a layperson is only a nonhealthcare professional female, Kendo protective equipment becomes a barrier for quick access during SCA treatment of Kendo players.

    DOI: 10.1123/ijatt.2019-0073

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  • Participation in Cardiopulmonary Resuscitation Courses by Pregnant Women and Parents of Infants and Young Children Reviewed

    Tsukigase K, Sagisaka R, Nakagawa K, Tanaka S, Tanaka H

    Cardiol Vasc Res   3 ( 5 )   1 - 6   2019.11

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  • プレホスピタルケア指数を用いた病院前救急医療体制の地域格差の改善 : 救急救命士によるアドレナリン投与のタイミングが及ぼす脳機能予後の検討 Reviewed

    植田広樹, 田中秀治, 田久浩志, 匂坂量, 田中翔大, 樋口敏宏, 秋濱裕之, 高橋宏幸, 喜熨斗智也, 坂梨秀地

    国士舘 防災・救急救助総合研究   ( 5 )   3 - 13   2019.10

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    Other Link: http://search.jamas.or.jp/link/ui/2020174776

  • ライフセーバーによるキャリーについての検討 Reviewed

    谷川真莉菜, 櫻井勝, 羽田克彦, 匂坂量, 曽根悦子, 田中秀治

    国士舘 防災・救急救助総合研究   ( 5 )   35 - 44   2019.10

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  • The Effects of Bystander Cardiopulmonary Resuscitation in Patients with Epinephrine Administration Reviewed

    Otani H, Sagisaka R, Tanaka H, Takyu H, Shirakawa T, Tanaka T, Komine T

    EC Cardiology   6 ( 10 )   1049 - 1059   2019.9

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  • A pilot study of Practice While Watch based 50 min school quality cardiopulmonary resuscitation classroom training: a cluster randomized control trial Reviewed International journal

    Tanaka S, Hara T, Tsukigase K, Sagisaka R, Myklebust H, Birkenes TS, Takyu H, Kidokoro Y, Tanaka H

    Acute Medicine & Surgery   7 ( 1 )   e455   2019.8

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    AIM: Cardiopulmonary resuscitation (CPR) training in schools can increase the rate of bystander CPR. We assessed whether a "Quality CPR (QCPR) Classroom" can support CPR performance by students trained by a teacher who is not a CPR instructor. METHODS: A cluster randomized trial was undertaken to assess the effectiveness of a 50-min Practice While Watch CPR training program enhanced by QCPR Classroom, which used 42 manikins connected by Bluetooth to real-time feedback monitoring. Fifty-seven students were divided into Group 1, taught by a non-CPR-instructor, and Group 2, taught by a CPR instructor. Psychomotor and cognitive tests were administered before and after training. Primary outcomes were post-training compression depth and rate and percent of improvement in adequate depth, recoil, and overall score. The secondary outcome was risk improvement. RESULTS: Post-training, Group 1 achieved 62.1 ± 7.7 mm and 118.0 ± 3.6 compressions/min whereas Group 2 achieved 57.4 ± 9.8 mm and 119.8 ± 5.4 compressions/min. The overall score improvement in percentage points was 36.4 ± 25.9% and 27.0 ± 27.7%, respectively (P ≤ 0.001 for both). The adequate depth improvement in percentage points was 22.4 ± 35.4% and 32.5 ± 40.0%, respectively (P = 0.33). Teaching by a non-CPR instructor improved student cognitive knowledge. CONCLUSIONS: Using a QCPR Classroom to enhance CPR teaching by a non-CPR-instructor results in similar or better outcomes compared to using a CPR instructor. Use of a Practice While Watch QCPR Classroom will provide adequate quality in preparing students for CPR.

    DOI: 10.1002/ams2.455

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  • Effect of real-time visual feedback device 'Quality Cardiopulmonary Resuscitation (QCPR) Classroom' with a metronome sound on layperson CPR training in Japan: a cluster randomized control trial Reviewed International journal

    Tanaka S, Tsukigase K, Hara T, Sagisaka R, Myklebust H, Birkenes T. S, Takahashi H, Iwata A, Kidokoro Y, Yamada M, Ueta H, Takyu H, Tanaka H

    BMJ Open   9 ( 6 )   e026140   2019.6

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    OBJECTIVES: 'Quality Cardiopulmonary Resuscitation (QCPR) Classroom' was recently introduced to provide higher-quality Cardiopulmonary Resuscitation (CPR) training. This study aimed to examine whether novel QCPR Classroom training can lead to higher chest-compression quality than standard CPR training. DESIGN: A cluster randomised controlled trial was conducted to compare standard CPR training (control) and QCPR Classroom (intervention). SETTING: Layperson CPR training in Japan. PARTICIPANTS: Six hundred forty-two people aged over 15 years were recruited from among CPR trainees. INTERVENTIONS: CPR performance data were registered without feedback on instrumented Little Anne prototypes for 1 min pretraining and post-training. A large classroom was used in which QCPR Classroom participants could see their CPR performance on a big screen at the front; the control group only received instructor's subjective feedback. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcomes were compression depth (mm), rate (compressions per minute (cpm)), percentage of adequate depth (%) and recoil (%). Survey scores were a secondary outcome. The survey included participants' confidence regarding CPR parameters and ease of understanding instructor feedback. RESULTS: In total, 259 and 238 people in the control and QCPR Classroom groups, respectively, were eligible for analysis. After training, the mean compression depth and rate were 56.1±9.8 mm and 119.2±7.3 cpm in the control group and 59.5±7.9 mm and 116.8±5.5 cpm in the QCPR Classroom group. The QCPR Classroom group showed significantly more adequate depth than the control group (p=0.001). There were 39.0% (95% CI 33.8 to 44.2; p<0.0001) and 20.0% improvements (95% CI 15.4 to 24.7; P<0.0001) in the QCPR Classroom and control groups, respectively. The difference in adequate recoil between pretraining and post-training was 2.7% (95% CI -1.7 to 7.1; pre 64.2±36.5% vs post 66.9%±34.6%; p=0.23) and 22.6% in the control and QCPR Classroom groups (95% CI 17.8 to 27.3; pre 64.8±37.5% vs post 87.4%±22.9%; p<0.0001), respectively. CONCLUSIONS: QCPR Classroom helped students achieve high-quality CPR training, especially for proper compression depth and full recoil. For good educational achievement, a novel QCPR Classroom with a metronome sound is recommended.

    DOI: 10.1136/bmjopen-2018-026140

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  • Selection of Regional Factors Related to Cerebral Function after Out-of-Hospital Cardiac Arrest in Japan Reviewed

    Kuboyama I, Sagisaka R, Saito E, Ito S, Toyokawa S

    EC Neurology   11 ( 4 )   2019.4

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  • The influence of excluding patients with bystander return on spontaneous circulation in the current OHCA database. Reviewed International journal

    Otani H, Sagisaka R, Tanaka H, Takyu H, Hara T, Shirakawa T, Tanaka S, Maki A

    Int J Emerg Med   11 ( 37 )   279 - 287   2018.9

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    BACKGROUND: The effect of bystander interventions has been extensively evaluated by cerebral function after 1 month post-resuscitation. However, patients who received bystander cardiopulmonary resuscitation (BCPR) and achieved the return of spontaneous circulation (ROSC) before the arrival of the emergency medical system (EMS) are routinely defined with an unknown electrocardiogram (ECG) and are usually excluded before analysis. The aim is to determine the influence of excluding patients with unknown first monitored rhythm, which includes cases of bystander ROSC, from the out-of-hospital cardiac arrest (OHCA) database. METHODS: This nationwide population-based observational study was conducted in Japan using Utstein data from 2011 to 2014. In total, 91,995 patients with bystander-witnessed cardiogenic OHCA received resuscitation attempts in the pre-hospital setting. These patients were divided into three groups by the first monitored rhythm upon EMS arrival. We analysed the differences of datasets that included and excluded the unknown group and determined the effect on outcomes by multivariate logistic regression and odds ratios (ORs) with 95% confidence intervals (95% CIs). RESULTS: When the unknown group was excluded from the data, the adjusted odds ratio (AOR) of cardiopulmonary resuscitation (CPR) to favourable cerebral performance category (CPC) 1 or 2 was decreased (conventional CPR: AOR, 1.90 to 1.58; chest-compression-only CPR: AOR, 2.08 to 1.69) compared to the unknown group's inclusion. Conversely, the AOR of public-access defibrillation (PAD) was increased (AOR, 4.51 to 6.13). CONCLUSIONS: The exclusion of unknown ECGs from a dataset may lose ROSC patients by bystander CPR, causing selection bias to affect outcomes.

    DOI: 10.1186/s12245-018-0197-4

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  • Prognosis of Cerebral Function of Cerebrovascular Disease Patients who Caused Out-of-Hospital. Cardiac Arrest in Japan. Reviewed

    Kuboyama I, Sagisaka R, Ito S

    EC Neurology   605 - 612   2018.6

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  • Does dispatcher assisted-CPR generate the same outcome as spontaneously delivered Bystander CPR? Reviewed International journal

    Takahashi H, Sagisaka R, Natsume Y, Tanaka S, Takyu H, Tanaka H

    Am J Emerg Med   36 ( 3 )   384 - 391   2018.3

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    AIM: We investigated whether DA-CPR would have the same effect as spontaneously-delivered bystander CPR. METHODS: A total of 37,899 witnessed cardiogenic out of hospital cardiac arrest (OHCA) selected from a nationwide Utstein-Japanese database between 2008 and 2012. Patients were divided into four groups as follows: CPR initiated with dispatcher assistance (DA-CPR; n=10,424), no CPR provided with dispatcher assistance (DA-No CPR; n=4658), spontaneously-delivered bystander CPR provided without DA (BCPR; n=6630), and both BCPR and dispatcher assistance was not provided (No BCPR-No DA; n=16,187). The primary endpoint was rate of shockable rhythm on the initial ECG, return of spontaneous circulation (ROSC) on the field. A multivariable logistic regression analysis was used. Adjusted odds ratios (AOR) are presented as 95% confidence intervals (95% CIs) among the groups. RESULTS: The rate of DA-CPR implementation has gradually increased since 2005. In comparison with DA-No CPR, both spontaneously-delivered BCPR and DA-CPR were significantly associated with the following factors: increased rate of shockable rhythm on the initial ECG (AOR, 1.75 and 1.72; 95% CI, 1.67 to 1.85 and 1.63 to 1.83),improved field ROSC (AOR, 1.42 and 1.40; 95% CI, 1.33 to 1.52 and 1.30 to 1.51) and 1-month favorable neurological outcomes (AOR, 1.72 and 1.80; 95% CI, 1.59 to 1.88 and 1.64 to 1.97), respectively. CONCLUSIONS: We found that the spontaneously delivered BCPR group showed favorable results. In comparison to the DA-No BCPR group, DA-CPR group resulted in the nearly equivalent effect as spontaneously-delivered BCPR group. Further standard dispatcher education is indicated.

    DOI: 10.1016/j.ajem.2017.08.034

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  • The Influence of Age and Epinephrine Administration Timing on Favorable Neurological Outcomes among Witnessed Cardiogenic Cardiac Arrest. Reviewed

    Takyu H, Tanaka H, Sagisaka R, Ueta H, Kinoshi T, Takahashi H, Nakagawa T, Tanaka S, Ong MEH

    Heart Circ   1   11   2017.12

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  • 救急隊による病院前での12誘導心電計の活用と教育 Reviewed

    大谷 浩史, 田中 秀治, 牧 亮, 田久 浩志, 張替 喜世一, 植田 広樹, 曽根 悦子, 匂坂 量

    日本臨床救急医学会誌   20   703 - 711   2017.11

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  • Effects of repeated epinephrine administration and administer timing on witnessed out-of-hospital cardiac arrest patients Reviewed

    Sagisaka R, Tanaka H, Takyu H, Ueta H, Tanaka S

    AMERICAN JOURNAL OF EMERGENCY MEDICINE   35 ( 10 )   1462 - 1468   2017.10

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    Background: Repeated administration of epinephrine is associated with unfavorable cerebral outcome after out-of-hospital cardiac arrests (OHCA), but the timing of epinephrine administration has not been considered. Aim: The aim of the study was to analyze the effects of repeated epinephrine administration after OHCA on favorable cerebral function coded by cerebral performance categories (CPC 1-2).
    Methods: A nationwide, retrospective, population-based observational study was conducted by using Utstein-style data between 2010 and 2012 in Japan. The total of 11,876 cardiogenic and witnessed OHCA were stratified into 3 categories by the number of times epinephrine was administered (single, double, and three or more). In addition, the time elapsed between the emergency call and the initial epinephrine administration was divided into 3 time intervals (5 to 20 min for the early administration group [EAG], 21 to 26 min for the intermediate administration group [IAG], and 27 to 60 min for the late administration group [LAG]). The primary endpoint was CPC 1-2 at 1 month after cardiac arrest. A multivariable logistic regression was used for analysis.
    Results: Achievement of CPC 1-2 at 1 month was 4.8% for single, 2.4% for double, and 1.7% for three or more administered doses. For single and three or more administrations, CPC 1-2 was significantly higher in the IAG than in the LAG (adjusted odds ratio [AOR], 3.54, 3.02; 95% confidence interval [CI], 2.04-6.39, 1.16-9.43, for single and three ormore administrations, respectively). The EAG showed significantly higher achievement of CPC 1-2 inall the epinephrine administration groups (AOR, 9.26, 7.57, 4.07; 95% CI, 5.44-16.59, 3.39-19.60, 1.59-12.69, for single, double, and three or more administrations, respectively).
    Conclusion: Repeated epinephrine administration improved CPC 1-2 outcome when epinephrine was administrated within 20 min after an emergency call for witnessed cardiogenic OHCA. (C) 2017 Elsevier Inc. All rights reserved.

    DOI: 10.1016/j.ajem.2017.04.052

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  • 70% of OHCA receiving PAD has cardiac arrest ECG waveform-An analysis of the initial electrocardiogram upon EMS arrivals- Reviewed

    Furukawa S, Tanaka H, Shirakawa T, Sagisaka R, Tanaka S, Takyu H

    Int J Cardiovasc Dis Diagn   2 ( 2 )   37 - 42   2017.9

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  • Comparison of quality of chest compressions during training of laypersons using Push Heart and Little Anne manikins using blinded CPRcards. Reviewed

    Tanaka S, White AE, Sagisaka R, Chong G, Ng E, Seow J, Asyikin NMJ, Tanaka H, Ong MEH

    Int J Emerg Med   10   20   2017.6

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  • Quick epinephrine administration induces favorable neurological outcomes in out-of-hospital cardiac arrest patients Reviewed

    H. Ueta, H. Tanaka, S. Tanaka, R. Sagisaka, H. Takyu

    AMERICAN JOURNAL OF EMERGENCY MEDICINE   35 ( 5 )   676 - 680   2017.5

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    Objective: This research is to study if quick administration of adrenaline on OHCA prior to hospitalization has an effect on improving CPC1-2 at one month.
    Methodology: A total 13,326 cases were extracted from 2011 to 2014 Utstein data for this retrospective cohort study, also, EMT reached the patients within 16 min after 119 called and adrenaline was then administered within 22 min of after contact.
    Patients divided into two groups: Patients were contacted within 8 min of the 119 call (n = 6956), and were contacted between 8 and 16 min after the call (n = 6370). Further divided into groups in which the adrenaline was administered within/without 10 min after contact. Primary outcome was the rate of a good prognosis for cerebral performance (CPC1-2) at 1 month and secondary outcome was the return of spontaneous circulation (ROSC) rate.
    Results: The odds ratio of the CPC1-2 at 1 month by the EMS reached within 8 min after 119 call and then adrenaline administered within 10 min was 2.12 (1.54-2.92). Those reached between 8 and 16 min was 2.66 (1.97-3.59). However, the ROSC rate was 2.00 (1.79-2.25) for those reached within 8 min and also 2.00 (1.79-2.25) for those reached between 8 min and 16 min.
    Considerations: In cases of OHCA, it appears that the CPC1-2 rate after 1 month can be improved even in cases where the victim is reached &gt;8 min after the 119 call, as long as the victim is reached within 16 min and emergency responders administer the adrenaline as quickly as possible. (C) 2017 Elsevier Inc. All rights reserved.

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  • 病院外心停止症例における早期アドレナリン投与と脳機能予後についての検討 Reviewed

    植田 広樹, 田中 秀治, 田久 浩志, 匂坂 量, 田中 翔大, 中川 隆

    蘇生   36 ( 5 )   1 - 6   2017.4

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    <p>The timing of Adrenaline administration varies depending on the medical control (MC) area in Japan, because Emergency-Life-Saving-Technicians (ELSTs) must follow the local MC protocol. The purpose of the study was to compare the time between the ELSTs contact to administer the first adrenaline (Adrenaline Time) and to compare with good neurological outcome (CPC1-2) among the 47 prefectures. A total of 40,970 Adrenaline administrated patients were extracted from the Utstein style data between 2006 and 2012. Following parameters were compared by 47 prefectures, The correlation of Adrenaline Time and CPC1-2. The average of nationwide Adrenaline Time was 15.5 ± 7.3 min. However, 9.5 ± 5.1 min was the shortest and 19.8 ± 7.5 min was the longest among the 47 prefectures. A statistically significant negative correlation was found between Adrenaline Time and CPC1-2 (y=-0.1592 x + 5.6343 ; R2=0.1844). In conclusion, each local MC council must analyze their own outcomes from Utstein data. We suggest the local MC council re-design the protocol for being able to give Adrenaline as quick as possible after ELSTs get on the scene.</p>

    DOI: 10.11414/jjreanimatology.36.1_1

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  • CPR performance in the presence of audiovisual feedback or football shoulder pads. Reviewed International journal

    Tanaka S, Rodrigues W, Sotir S, Sagisaka R, Tanaka H

    BMJ Open Sport & Exerc Med.   3 ( 1 )   e000208   2017.4

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    OBJECTIVE: The initiation of cardiopulmonary resuscitation (CPR) can be complicated by the use of protective equipment in contact sports, and the rate of success in resuscitating the patient depends on the time from incident to start of CPR. The aim of our study was to see if (1) previous training, (2) the presence of audiovisual feedback and (3) the presence of football shoulder pads (FSP) affected the quality of chest compressions. METHODS: Six basic life support certified athletic training students (BLS-ATS), six basic life support certified emergency medical service personnel (BLS-EMS) and six advanced cardiac life support certified emergency medical service personnel (ACLS-EMS) participated in a crossover manikin study. A quasi-experimental repeated measures design was used to measure the chest compression depth (cm), rate (cpm), depth accuracy (%) and rate accuracy (%) on four different conditions by using feedback and/or FSP. Real CPR Help manufactured by ZOLL (Chelmsford, Massachusetts, USA) was used for the audiovisual feedback. Three participants from each group performed 2 min of chest compressions at baseline first, followed by compressions with FSP, with feedback and with both FSP and feedback (FSP+feedback). The other three participants from each group performed compressions at baseline first, followed by compressions with FSP+feedback, feedback and FSP. RESULTS: CPR performance did not differ between the groups at baseline (median (IQR), BLS-ATS: 5.0 (4.4-6.1) cm, 114(96-131) cpm; BLS-EMS: 5.4 (4.1-6.4) cm, 112(99-131) cpm; ACLS-EMS: 6.4 (5.7-6.7) cm, 138(113-140) cpm; depth p=0.10, rate p=0.37). A statistically significant difference in the percentage of depth accuracy was found with feedback (median (IQR), 13.8 (0.9-49.2)% vs 69.6 (32.3-85.8)%; p=0.0002). The rate accuracy was changed from 17.1 (0-80.7)% without feedback to 59.2 (17.3-74.3)% with feedback (p=0.50). The use of feedback was effective for depth accuracy, especially in the BLS-ATS group, regardless of the presence of FSP (median (IQR), 22.0 (7.3-36.2)% vs 71.3 (35.4-86.5)%; p=0.0002). CONCLUSIONS: The use of audiovisual feedback positively affects the quality of the depth of CPR. Both feedback and FSP do not alter the rate measurements. Medically trained personnel are able to deliver the desired depth regardless of the presence of FSP even though shallower chest compressions depth can be seen in CPR with FSP. A feedback device must be introduced into the athletic training settings.

    DOI: 10.1136/bmjsem-2016-000208

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  • 病院外心停止症例におけるアドレナリン投与の有効性 心電図波形別の投与タイミングの検討

    植田 広樹, 田中 秀治, 匂坂 量, 高橋 宏幸, 喜熨斗 智也, 田中 翔大, 田久 浩志

    国士舘防災・救急救助総合研究   ( 3 )   1 - 8   2017.3

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    Language:Japanese   Publisher:国士舘大学防災・救急救助総合研究所  

    [目的]病院外心停止例では、救急救命士は地域メディカルコントロール協議会の心停止プロトコールに従いアドレナリンの投与が行われているが、脳機能予後に有効であるという臨床的なエビデンスは不十分である。本研究の目的は、心停止プロトコールに従い初期心電図波形別に投与されたアドレナリンが及ぼす影響について検討することである。[方法]2006年から2012年までの全国ウツタインデータからアドレナリンを投与した40,970症例を抽出し、アドレナリン初回投与時の心電図波形別に傷病者への接触からアドレナリン投与までの時間と、心拍再開率及び社会復帰率の関係を解析した。[結果]心拍再開率は、VF/VT群(n=1,647)22.4%、PEA群(n=4,717)24.3%、心静止群(n=2,918)20.6%と大きな差異は認められなかった。一方、社会復帰率は、VF/VT群(n=504)6.9%、PEA群(n=183)0.9%、心静止群(n=74)0.5%と大きな差が認められ、VF/VT群を1とした場合、PEA群のオッズ比は0.16(95.Cl 0.16-0.17)、心静止群は0.04(95.Cl 0.04-0.05)と、心電図波形ごとの社会復帰率の差異を認めた。(著者抄録)

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  • アドレナリン投与時間の遅れが脳機能予後へ及ぼす影響の検討

    植田 広樹, 田中 秀治, 田久 浩志, 匂坂 量, 曽根 悦子

    国士館大学体育研究所報   35   9 - 17   2017.3

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    Language:Japanese   Publisher:国士舘大学体育学部附属体育研究所  

    病院外心肺停止傷病者に対する救急救命士のアドレナリン投与が患者の社会復帰率を改善させる効果があるか検討した。方法は、総務省消防庁のウツタインデータ(2006〜2012年)を用い、全822550例のうち、アドレナリン投与適応例かつ接触時心肺停止例で、除細動による心拍再開例を除く370269例の中から、薬剤投与の有無が明らかで、医師による2次救命処置がなく、時間的因子の外れ値がない300821例を抽出し、アドレナリン投与群(40970例)と非投与群(259851例)に分け、「病院前心拍再開率」「1ヵ月後の社会復帰率」を群間比較した。結果、病院前心拍再開率はアドレナリン投与群22.5%、非投与群7.9%で投与群のほうが明らかに高かったが、社会復帰率は投与群1.9%、非投与群3.2%で非投与群のほうが高かった。救急救命士が傷病者に接触してからアドレナリン投与までに要した時間と社会復帰率との関係について検討した結果、明らかな負の相関が認められ、接触後7.9分以内に投与できた群の社会復帰率は4.2%であり、非投与群を上回った。このことから、救急救命士はアドレナリンを早期に投与することが重要と考えられた。

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    Other Link: https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2017&ichushi_jid=J03320&link_issn=&doc_id=20170809070001&doc_link_id=http%3A%2F%2Fid.nii.ac.jp%2F1410%2F00012522%2F&url=http%3A%2F%2Fid.nii.ac.jp%2F1410%2F00012522%2F&type=%8D%91%8Em%8A%DA%91%E5%8Aw%81F%8D%91%8Em%8A%DA%91%E5%8Aw_%8Aw%8Fp%8F%EE%95%F1%83%8A%83%7C%83W%83g%83%8A&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F80201_3.gif

  • 病院外心停止症例におけるアドレナリン投与の脳機能予後に対する効果(第一報)-傷病者への接触からアドレナリン投与までの時間が社会復帰に及ぼす影響- Reviewed

    植田 広樹, 田中 秀治, 田久 浩志, 匂坂 量, 白川 透, 後藤 奏, 島崎 修次

    日本臨床救急医学会誌   19 ( 4 )   578 - 585   2016.8

  • Favourable Neurological Outcomes Associated with Early Epinephrine Administration within 19 minutes after EMS call for Out-of-Hospital Cardiac Arrest.

    Tanaka H, Takyu H, Sagisaka R, Ueta H, Tomoya Kinoshi, Hiroyuki Takahashi, Shirakawa T, Nakagawa T, Shimazaki S, Ong Eng Hock

    American Journal of Emergency Medicine   S0735-6757 ( 16 )   30513 - 30517   2016.8

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    DOI: 10.1016/j.ajem.2016.08.026

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  • Effects of life saver resuscitation for drowning OHCA victims on good neurological outcome. Reviewed

    Komine T, Tanaka H, Takyu H, Sagisaka R, Sakurai M, Ishikawa T, Nakagawa Y

    Asian EMS Journal   2   7 - 13   2016.5

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  • Retrospective evaluation of clinical effectiveness of trauma field triage by the EMT. Reviewed

    Sekine K, Tanaka H, Motomura T, Mastumoto H, Gotho S, Sagisaka R, Takyu H

    Asian EMS Journal   2   19 - 26   2016.5

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  • 目撃のある病院外心停止に対するアドレナリン反復投与の脳機能予後における検討:ケースコントロール研究 Reviewed

    匂坂 量, 張替 喜世一, 田久 浩志, 田中 秀治, 村岡 幸彦

    国士舘 防災・救急救助総合研究   ( 2 )   1 - 8   2016.3

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    Language:Japanese   Publishing type:Research paper (bulletin of university, research institution)   Publisher:国士舘大学 防災:救急救助総合研究所  

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Books

  • Introducing, Designing and Conducting Research for Paramedics

    Alexander Olaussen, Kelly-Ann Bowles, Bill Lord, Brett Williams( Role: Joint authorChapter 26: Cohort studies and registry studies)

    Elsevier  2022.9 

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  • 救急救命士のためのHow To学会発表

    一般社団法人, 日本救急救命学会( Role: Joint authorChapter4)

    へるす出版  2022.1 

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    Language:Japanese   Book type:General book, introductory book for general audience

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  • JRC蘇生ガイドライン

    ( Role: Joint authorファーストエイド(FA))

    医学書院  2021.6 

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MISC

  • 「救急隊員の心理的ストレス負担と軽減策についての方策」~全国救急隊員へのアンケート結果から~

    月ヶ瀬和利, 田中秀治, 児島政俊, 武本泰典, 匂坂量, 竹井豊, 田邊晴山, 植田広樹, 坂梨秀地, 中川洸志, 関俊一, 庄司隆広, 佐々木隆広, 石黒靖雄, 射場俊行, 東昇生, 中田徹, 四島弘

    日本臨床救急医学会雑誌   26 ( 3 )   2023

  • 「救急隊員の負担を軽減するための消防本部の方策」~全国救急隊員へのアンケート結果より~

    児島政俊, 田中秀治, 武本泰典, 匂坂量, 竹井豊, 田邊晴山, 植田広樹, 月ヶ瀬和利, 坂梨秀地, 中川洸志, 関俊一, 庄司隆広, 佐々木隆広, 前田達也, 石黒靖雄, 射場俊行, 東昇生, 中田徹, 四島弘

    日本臨床救急医学会雑誌   26 ( 3 )   2023

  • 「女性救急隊員の活躍に関するアンケートと今後の展望」~全国救急隊員へのアンケート結果より~

    坂梨秀地, 田中秀治, 児島政俊, 武本泰典, 匂坂量, 竹井豊, 田邊晴山, 植田広樹, 月ヶ瀬和利, 中川洸志, 関俊一, 庄司隆広, 佐々木隆広, 前田達也, 石黒靖雄, 射場俊行, 東昇生, 中田徹, 四島弘

    日本臨床救急医学会雑誌   26 ( 3 )   2023

  • 「再任用消防職員の現状と今後の展望」~全国救急隊員へのアンケート結果より~

    中川洸志, 田中秀治, 児島政俊, 武本泰典, 匂坂量, 竹井豊, 田邊晴山, 植田広樹, 月ヶ瀬和利, 坂梨秀地, 関俊一, 庄司隆広, 佐々木隆広, 前田達也, 石黒靖雄, 射場俊行, 東昇生, 中田徹, 四島弘

    日本臨床救急医学会雑誌   26 ( 3 )   2023

  • 「救急隊員の身体的負担に関する現状と今後の展望」~全国救急隊員へのアンケート結果より~

    竹井豊, 匂坂量, 田中秀治, 児島政俊, 武本泰典, 田邉晴山, 植田広樹, 月ヶ瀬和利, 坂梨秀地, 中川洸志, 関俊一, 庄司隆広, 佐々木隆広, 前田達也, 石黒靖雄, 射場俊行, 東昇生, 中田徹, 四島弘

    日本臨床救急医学会雑誌   26 ( 3 )   2023

  • Virtual Realityを用いた死戦期呼吸を体験するためのCG開発と評価 Reviewed

    梅津匠, 匂坂量, 進藤聖矢, 三代覚, 佐治恭眞, 田村昌也, 小峯力

    日本臨床救急医学会雑誌   25 ( 2 )   366 - 366   2022.5

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  • 救急救命士養成専修学校における実写VRを用いた実習の効果検証ランダム化比較試験 Reviewed

    沼田浩人, 匂坂量, 中川洸志, 田中秀治, 荻野暁, 中島秀明, 大野健二, 植田広樹, 鈴木健介, 横堀將司, 上路健介

    日本臨床救急医学会雑誌   25 ( 2 )   457 - 457   2022.5

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  • 救急救命士養成専修学校における実写VRを用いた実習の効果検証~非ランダム化比較試験~ Reviewed

    中川洸志, 匂坂量, 沼田浩人, 田中秀治, 荻野暁, 中島秀明, 大野健二, 鈴木健介, 高橋司, 横堀將司, 上路健介

    日本臨床救急医学会雑誌   25 ( 2 )   365 - 365   2022.5

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  • Virtual Realityを用いた心肺蘇生法教育時の心理的ストレス分析 Reviewed

    佐治恭眞, 匂坂量, 三代覚, 田村昌也, 海津雪乃, 梅津匠, 小峯力

    日本臨床救急医学会雑誌   25 ( 2 )   390 - 390   2022.5

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  • 救急救命士養成専門学校における実写VR実習教育の取り組み Reviewed

    田中秀治, 荻野暁, 中島秀明, 大野健二, 植田広樹, 鈴木健介, 高橋司, 星野元気, 匂坂量, 横堀將司, 上路健介

    日本臨床救急医学会雑誌   24 ( 2 )   254 - 254   2021.5

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  • 救急救命士養成専門学校における実写VRをもちいた実習導入の効果分析 Reviewed

    匂坂量, 田中秀治, 星野元気, 荻野暁, 中島秀明, 大野健二, 植田広樹, 鈴木健介, 高橋司, 横堀將司, 上路健介

    日本臨床救急医学会雑誌   24 ( 2 )   254 - 254   2021.5

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  • アドレナリン投与のタイミングが及ぼす脳機能予後の地域格差

    植田 広樹, 田中 秀治, 田久 浩志, 樋口 敏宏, 匂坂 量, 田中 翔大, 秋濱 裕之, 高橋 宏幸, 喜熨斗 智也, 木内 賢一, 坂梨 秀地

    プレホスピタル・ケア   31 ( 5 )   73 - 79   2018.10

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    Language:Japanese   Publisher:東京法令出版(株)  

    全国ウツタイン様式に登録された506046症例から抽出した13326症例を対象とし、病院外心停止における早期アドレナリン投与の有効性について検討した。Adrenaline timeの全国平均時間は15.4±6.3分で、1ヵ月後脳機能予後良好率は3.0%であった。都道府県別のAdrenaline timeの平均値と1ヵ月後脳機能予後良好率の二つの因子の相関性について検討し、Adrenaline timeと1ヵ月後脳機能予後良好率の間には弱い負の相関を認めた。Response timeが最も短い地域は大阪府で、8.0±2.3分、最も長い地域は鳥取県で、10.0±2.8分であった。傷病者への接触から10分以内にアドレナリンを投与できた割合を都道府県別に検討し、最も高かったのは愛知県で75.1%、次に高かったのは石川県で56.0%、次いで大分県が47.7%であった。最も低かったのは佐賀県で0.0%であった。

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  • Mobile Automated External Defibrillator Response System During Road Races. Reviewed International journal

    Kinoshi T, Tanaka S, Sagisaka R, Hara T, Shirakawa T, Sone E, Takahashi H, Sakurai M, Maki A, Takyu H, Tanaka H

    N Engl J M   379 ( 5 )   488 - 489   2018.8

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    Language:English   Publishing type:Rapid communication, short report, research note, etc. (scientific journal)   Publisher:Massachusetts Medical Society  

    DOI: 10.1056/NEJMc1803218

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  • The adverse effects of late adrenaline on neurological outcomes of patients experiencing out-of-hospital cardiac arrest

    ( 35 )   9 - 17   2017.3

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    OBJECTIVE :Adrenaline is the only vasopressor that can be given in the event of out-of-hospital cardiac arrest (OHCA) according to the Japanese EMS protocol. However, there is little clinical evidence that adrenaline benefits long-term survival after OHCA. The aim of this study was to investigate the effects of early adrenaline administration by EMTs on favorable neurological outcomes among patients who experienced OHCA.METHODS :Potential subjects were a total of 822,250 patients who experienced OHCA between 2006 and 2012 and who were registered in a nationwide Japanese database. Subjects were 40,970 patients who received adrenaline prior to hospital arrival. The effects of the time from contact to the first administration of adrenaline (timing of the first administration of adrenaline, or TAA) on favorable neurological outcomes (a CPC score of 1-2) were evaluated as follows. Patients were divided into three groups based on the TAA (early group (n=18,890:TAA < 7.6 min, intermediate group (n=17,669) : TAA of 7.6 to 15.5 min, and late group (n=4,411):TAA > 15.5 min). Statistical analysis was performed using the crude odds ratio (OR) and 95% confidence interval (CI).RESULTS :Patients in the early group served as a reference. In comparison to the early group, the intermediate group had an OR for a favorable neurological outcome of 0.48 and a CI of 0.40-0.58, and the late group had an OR of 0.24 and a Cl of 0.19-0.29. The early group had significantly improved outcomes (CPC score of 1-2) compared to the late group.CONCLUSION :Adrenaline administered by EMTs significantly improved neurological outcomes in patients during the early stages of OHCA. An exhaustive review of the adrenaline administration protocol for EMTs is needed to increase the likelihood of favorable neurological outcomes in who experiencing OHCA.

    CiNii Books

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    Other Link: http://search.jamas.or.jp/link/ui/2018161846

  • Does of Multiple Epinephrine Administration on OHCA Patients Associate with Good Cerebral Performance?

    Ryo Sagisaka, Hiroshi Takyu, Hideharu Tanaka, Hiroyuki Akihama, Eiichi Hasegawa, Takahiro Hara, Yuta Sato, Shuji Shimazaki

    CIRCULATION   130   2014.11

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    Web of Science

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Presentations

  • 心室細動および無脈性心室頻拍に対するアドレナリン投与プロトコルの変更と予後の関連の検討

    中川洸志, 匂坂量, 三代覚, 田中秀治

    日本蘇生学会第40回大会  ( 奈良県奈良市 )   2021.11  日本蘇生学会

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  • 病院外心停止に対する二次救命処置の実施場所判断因子に関する疫学調査

    守岡大吾, 匂坂量, 田中秀治

    日本蘇生学会第40回大会  ( 奈良県奈良市 )   2021.11  日本蘇生学会

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  • テキストマイニングによる心停止判断のための表現の検討

    三代 覚, 匂坂 量, 小峯 力, 佐治 恭眞, 田村 昌也

    第6回 日本救護救急学会 総会・学術集会  ( 東京 )   2021.10  日本救護救急学会

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  • バイスタンダーの CPR 実施意思モデルの日本語への適応検証

    進藤 聖矢, 匂坂 量, 遠藤 伸太郎, 久徳 康史, 小峯 力

    第6回 日本救護救急学会 総会・学術集会  ( 東京 )   2021.10  日本救護救急学会

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  • 駅で発生した OHCA データをもとにした、ファーストレスポンダー配置の問題点の抽出

    都 城治, 中川 洸志, 匂坂 量, 田中 秀治

    第6回 日本救護救急学会 総会・学術集会  ( 東京 )   2021.10  日本救護救急学会

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  • 心理的特性と CPR 実施意思の関連性の分析

    海津 雪乃, 匂坂 量, 三代 覚, 佐治 恭眞, 小峯 力

    第6回 日本救護救急学会 総会・学術集会  ( 東京 )   2021.10  日本救護救急学会

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  • Virtual Reality を用いた心肺蘇生法教育時の心理的ストレス測定

    佐治 恭眞, 匂坂 量, 三代 覚, 田村 昌也, 小峯 力

    第6回 日本救護救急学会 総会・学術集会  ( 東京 )   2021.10  日本救護救急学会

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  • AI を用いた胸骨圧迫位置推定の推定精度の検証

    田村 昌也, 匂坂 量, 島田 良, 進藤 聖矢, 三代 覚, 佐治 恭眞, 海津 雪乃, 小峯 力

    第6回 日本救護救急学会 総会・学術集会  ( 東京 )   2021.10  日本救護救急学会

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  • AIを用いた胸骨圧迫位置推定の精度の検討

    田村昌也, 匂坂量, 島田良, 進藤聖矢, 小峯力

    第24回日本臨床救急医学会総会・学術集会  2021.6  日本臨床救急医学会

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  • 救急救命士養成専門学校における実写VR実習教育の取り組み

    田中秀治, 荻野暁, 中島秀明, 大野健二, 植田広樹, 鈴木健介, 高橋司, 星野元気, 匂坂量, 横堀將司, 上路健介

    第24回日本臨床救急医学会総会・学術集会  2021.6  日本臨床救急医学会

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  • 救急救命士養成専修学校における実写VRをもちいた実習導入の効果分析

    匂坂量, 田中秀治, 星野元気, 荻野暁, 中島秀明, 大野健二, 植田広樹, 鈴木健介, 高橋司, 横堀將司, 上路健介

    第24回日本臨床救急医学会総会・学術集会  2021.6 

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  • 救急救命士における蘇生への関わり「大学に所属する救急救命士の立場から」 Invited

    匂坂量

    日本蘇生学会第39回大会  ( 東京 )   2020.11  日本蘇生学会

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  • 心停止通報時における特徴的発話の検討-web調査による研究―

    匂坂量, 萱沼実, 中川洸志, 進藤聖矢, 小峯力, 田中秀治

    第23回日本臨床救急医学会総会・学術集会  ( 東京 )   2020.8  日本臨床救急医学会

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  • 口頭指導における胸骨圧迫の適切な深さを保つための指示方法の検討

    田口晴菜, 進藤聖矢, 匂坂量, 島田良, 石川仁憲, 田中秀治, 小峯力

    第23回日本臨床救急医学会総会・学術集会  ( 東京 )   2020.8  日本臨床救急医学会

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  • 救護環境における野次馬と認識される因子に関するパイロット研究

    匂坂量, 島田良, 澤頭良介, 進藤聖矢, 稲垣祐希, 石川仁憲, 小峯力

    第23回日本臨床救急医学会総会・学術集会  ( 東京 )   2020.8  日本臨床救急医学会

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  • 学内救護におけるSOSボタンの設置の検討

    匂坂量, 佐竹智理, 島田良, 進藤聖矢, 稲垣祐希, 澤頭良介, 石川仁憲, 小峯力

    第23回日本臨床救急医学会総会・学術集会  ( 東京 )   2020.6  日本臨床救急医学会

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  • 蘇生時間バイアスを考慮した早期アドレナリン投与の分析-時間依存性傾向スコアマッチング-

    匂坂量, 田中秀治, 中川洸志, 小峯力

    日本蘇生学会 第38回大会  ( 長崎県長崎市 )   2019.11  日本蘇生学会

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  • 日本の夏期海水浴場における溺水心肺停止の発生要因についての検討

    皆藤竜弥, 匂坂量, 櫻井勝, 小峯力, 田中秀治

    日本蘇生学会 第38回大会  ( 長崎県長崎市 )   2019.11  日本蘇生学会

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  • 屋内溺水心停止傷病者の現状分析

    稲垣祐希, 匂坂量, 石川仁憲, 島田良, 小峯力

    第5回 日本救護救急学会総会・学術集会  ( 東京 )   2019.10  日本救護救急学会

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  • 通信指令員によるCPR口頭指導の指定プロトコル文言遵守による効果検証

    鈴木楓香, 匂坂量, 石川仁憲, 島田良, 萱沼実, 田中秀治, 小峯力

    第5回 日本救護救急学会総会・学術集会  ( 東京 )   2019.10  日本救護救急学会

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  • 口頭指導における適切な深さを保つための指示方法の検討

    田口晴菜, 匂坂量, 石川仁憲, 島田良, 田中秀治, 小峯力

    第5回 救護救急学会総会・学術集会  ( 東京 )   2019.10  日本救護救急学会

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  • 海水浴場におけるSOSボタンの効果検証

    伊藤夢衣, 島田良, 石川仁憲, 匂坂量, 澤頭良介, 佐藤結, 灘圭介, 山田秀之, 成川憲司, 小峯力

    第5回 日本救護救急学会総会・学術集会  ( 東京 )   2019.10  日本救護救急学会

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  • 学内救護におけるSOSボタンの設置の検討

    佐竹智理, 野本宗一郎, 匂坂量, 石川仁憲, 島田良, 山田秀之, 成川憲司, 小峯力

    第5回 日本救護救急学会総会・学術集会  ( 東京 )   2019.10  日本救護救急学会

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  • BLS講習の課題に対する教育プログラムの検討

    神村美晴, 島田良, 遠藤伸太郎, 石川仁憲, 匂坂量, 小峯力

    第5回 日本救護救急学会総会・学術集会  ( 東京 )   2019.10  日本救護救急学会

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  • トレイルランニングランナーに対するファーストエイド講習会プログラム構築への取組み

    武田唯, 喜熨斗智也, 匂坂量, 井上拓訓, 田中秀治

    第5回 日本救護救急学会総会・学術集会  ( 東京 )   2019.10  日本救護救急学会

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  • 日本の夏期海水浴場における溺水心肺停止の発生要因についての検討

    皆藤竜弥, 匂坂量, 櫻井勝, 田中秀治

    第47回 日本救急医学会総会・学術集会  ( 東京 )   2019.10  日本救急医学会総会・学術集会

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  • 日本全国の消防本部が実施した口頭指導によるCPR の経年的効果の検討

    古元謙悟, 田中秀治, 田久浩志, 匂坂量

    第47回 日本救急医学会総会・学術集会  ( 東京 )   2019.10  日本救急医学会総会・学術集会

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  • 乳幼児をもつ親の心肺蘇生法講習受講の現状と理想の講習は?

    月ヶ瀬恭子, 匂坂量, 田中秀治

    第47回 日本救急医学会総会・学術集会  ( 東京 )   2019.10  日本救急医学会総会・学術集会

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  • 本邦における運動誘発性心停止の検討~傾向スコアマッチングを用いた解析~

    坂梨秀地, 櫻井勝, 匂坂量, 田中秀治, 樋口敏宏, 田中翔大

    第47回 日本救急医学会総会・学術集会  ( 東京 )   2019.10  日本救急医学会総会・学術集会

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  • 我が国における気管挿管時間と1 か月後脳機能予後良好率の検討

    中川洸志, 匂坂量, 田久浩志, 田中秀治

    第47回 日本救急医学会総会・学術集会  ( 東京 )   2019.10  日本救急医学会総会・学術集会

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  • 初期心電図波形PEA を呈する病院外心停止傷病者に対する早期アドレナリン投与の効果の検討

    笹本真吾, 匂坂量, 中川洸志, 田中秀治

    第47回 日本救急医学会総会・学術集会  ( 東京 )   2019.10  日本救急医学会総会・学術集会

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  • 胸骨圧迫時の手の左右差や救助者位置による胸壁にかかる圧力への影響

    杉木翔太, 大曽根優希, 金子優輝, 原貴大, 武田唯, 匂坂量, 中川洸志, 喜熨斗智也, 田中秀治

    第47回 日本救急医学会総会・学術集会  ( 東京 )   2019.10  日本救急医学会総会・学術集会

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  • 胸骨圧迫による胸部骨損傷リスク軽減を目的とした圧力分散器具に関する検討

    金子優輝, 杉木翔太, 大曽根優希, 原貴大, 武田唯, 匂坂量, 田中秀治

    第47回 日本救急医学会総会・学術集会  ( 東京 )   2019.10  日本救急医学会総会・学術集会

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  • バイスタンダーが認識する胸骨圧迫位置と実際の圧力位置の差異

    大曽根優希, 金子優輝, 杉木翔太, 原貴大, 武田唯, 匂坂量, 高橋宏幸, 田中秀治

    第47回 日本救急医学会総会・学術集会  ( 東京 )   2019.10  日本救急医学会総会・学術集会

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  • 我が国における病院前心停止例の地域差異をもたらす因子についての検討

    星野元気, 匂坂量, 原貴大, 田久浩志, 田中秀治

    第47回 日本救急医学会総会・学術集会  ( 東京 )   2019.10  日本救急医学会総会・学術集会

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  • 通信指令員の非技術的コミュニケーションスキルの評価

    萱沼実, 田中秀治, 原貴大, 匂坂量, 堀川浩之

    第47回 日本救急医学会総会・学術集会  ( 東京 )   2019.10  日本救急医学会総会・学術集会

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  • Does early adrenaline administration really affect long-term outcome on out-of-hospital cardiac arrest in Japan? : a time-dependent propensity score matching International conference

    Sagisaka R, Tanaka H, Nakagawa K, Komine T

    ERC Congress 2019  ( Ljubljana, Slovenia )   2019.9  European Resuscitation Council

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  • Early endotracheal intubation improves neurological outcomes on witnessed OHCA International conference

    Nakagawa K, Sagisaka R, Takyu H, Tanaka H

    ERC Congress 2019  ( Ljubljana, Slovenia )   2019.9  European Resuscitation Council

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  • Can handkerchiefs be suitable for mouth-to-mouth ventilation? International conference

    Nomoto S, Sagisaka R, Nakagawa K, Tanaka H, Komine T

    ERC Congress 2019  ( Ljubljana, Slovenia )   2019.9  European Resuscitation Council

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  • Ten-year stepwise improving of the favorable neurological outcomes of OHCA patients in Japan International conference

    Tanaka H, Sagisaka R, Nakagawa K, Takyu H

    ERC Congress 2019  ( Ljubljana, Slovenia )   2019.9  European Resuscitation Council

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Awards

  • 日本蘇生学会第40回大会 最優秀演題

    2021.11   日本蘇生学会   心室細動および無脈性心室頻拍に対するアドレナリン投与プロトコルの変更と予後の関連の検討

    中川洸志, 匂坂量, 三代覚, 田中秀治

Research Projects

  • 鉄道駅で発生した心停止の発生状況と、バイスタンダーによる救命処置の実態調査

    2023.4 - 2025.3

    文部科学省  科学研究費助成事業  基盤研究(C)(一般) 

    都城治, 匂坂量

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    Authorship:Coinvestigator(s) 

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  • Development of an interactive learning system using augmented reality for paramedics and emergency technicians

    Grant number:23809431  2023.4 - 2025.3

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    Authorship:Principal investigator 

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  • 先端技術VRによる救急現場疑似体験を活用した救急救命士教育プログラムの開発

    2022.4 - 2025.3

    文部科学省  科学研究費助成事業  基盤研究(C)(一般) 

    植田広樹, 田中秀治, 匂坂量

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    Grant type:Competitive

    Grant amount: \3380000 ( Direct Cost: \2600000 、 Indirect Cost: \780000 )

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  • セルフ・エフィカシーの向上および心的ストレス予防のためのVirtual Realityを用いた心肺蘇生法講習会の検討

    2021.11 -  

    日本救急医学会  公益信託丸茂救急医学研究振興基金 

    匂坂量, 小峯力, 田中秀治

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  • Understanding how the caller expresses cardiac arrest and improving how the dispatcher askes.

    2018.10 - 2020.3

    研究活動スタート支援 

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    Grant type:Competitive

    Direct Cost: \1600000 )

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Committee Memberships

  • 2021.10 -  

    日本臨床救急医学会   バイスタンダー体制検討ワーキンググループ  

  • 2020.9 -  

    全国救急救命士教育施設協議会   救急蘇生法普及啓発委員会  

  • 2019.10 -  

    日本臨床救急医学会   ファーストエイドワーキンググループ  

  • 2019.6 -  

    日本蘇生学会   救急救命士部会