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Biomedical subjects

Y Onji

Publications and source records attributed to Y Onji.

At least 19 recordsLinked to original sources
PubMed1977

Body fluid changes during hypertonic lactated saline solution therapy for burn shock.

The body fluid changes of 12 burn patients treated with Hypertonic Lactate Saline solution (HLS group) were compared with 26 burn patients receiving isotonic therapy (iso Na group). 1) Total infusion volume during the first 48 hours postburn in the HLS group was only one-half to two-thirds of that in the iso Na group, although the sodium loads were nearly equal. 2) HLS therapy maintained sufficient functional extracellular fluid volume (f-ECFV) in the shock period and protected the excess increase of f-ECFV in the postresuscitative period, in contradistinction to the iso Na group. In this paper, some clinical problems such as a rapid shift of ECF water into the ICF space and hypernatremia following HLS administration are discussed.

Adult↗
PubMed1977

Management of patients in shock.

Clinical study was conducted in the course of treatment of patients with hypovolemic and septic shock at Department of Traumatology, Osaka University Hospital. We have found large difference between data obtained in our study and experimental results obtained in animals. In hypovolemic shock of man, we could not observe "taking up phenomenon" to abdominal organs. Therefore, if the shock does not respond to transfusion and infusion, we must look for other causes. In patients whose shock state persisted more than 10 hours, death related to shock organs increased remarkably. The nature of septic shock in man is hyperdynamic state. Hemodynamic change during the development of septic shock from sepsis was described and the difference from experimental research on endotoxin shock in animals was discussed.

Adult↗
PubMed1977

EMS communication system in Osaka, Japan.

Osaka prefecture, an industrial and commercial center in western Japan with a population of 7.4 million, is divided into 40 municipalities. Each municipality has an independent ambulance dispatching center to provide ambulances and rescue personnel information about availability of physicians and hospital beds in that municipality's receiving hospitals. An Emergency Medical Services Information Center (EMS-IC), equipped with a wireless network and memory devices, collects information on available specialits and vacant hospital beds every three hours from 300 hospitals and clinics in the whole prefecture and supplies them to physicians, ambulances, medical institutions, fire services headquarters, police departments, ambulance dispatching centers, medical societies and the Red Cross. EMS-IC can provide the name of the most appropriate medical institution to a running ambulance on request from rescue personnel. EMS-IC also stores information on bank blood and antiserum.

Ambulances↗