The Current Problems of the Emergency and Critical Care Medical Center : The Ingenuity of the Operation of the Center and the Investigation of Problems of the Ceter

Current situation and efficiency of Shibata Hospital Emergency Center is not very good condition. I think the cause of bad condition is the shortage of physicians specializing in emergency and hospital doctor shortage in Niigata Prefecture. There are hospital doctors only less than desired in the Shibata area. However, because specialist physicians are now incremented, it should rapidly improve impossible. Emergency department physicians are not enough, especially in the country. Even after three years in our hospital was opened, full-time emergency specialist is not. We had to countermeasures against labor shortage by worked-out plan because we have not got enough manpower. The second factor is the shortage of hospital beds in the Shibata area. Shibata area has fewer beds than any other area of the prefecture. In addition, another factor is the collapse of community health. Furthermore, I investigate the time course to critically ill patients as an indicator of efficiency of operation of the Center. The overall conclusion critically ill patients are concentrated in one place. Time course of critical ill patients is not satisfactory. It took an average of four hours from symptom onset to surgery unfortunately