Keio University special projects for supporting emergency medical care systems● AY 2019⚫

⚫

The project management committee carefully examined the medical functions and departments thatshould be strengthened and selected two medical departments. Clinical departments were asked tonominate candidates who for the most part would be capable of carrying out the missions of this project
entrusted to them by the director general, and the appointment of two doctors was decided.
To strengthen emergency medical care functions in order to accept more foreign patients and to expand
our emergency medical care system for COVID-19 that has rapidly spread since the start of 2020, thefollowing equipment and items have been prepared:
・ 2 air tents for first aid
・ 1 testing equipment for measuring COVID-19 (PCR); system enhanced
・ 4 monitors for remote diagnosis
・ Surgical masks for medical care

＜Air tent for first aid＞

＜Testing equipment for measuring COVID-19＞＜Monitor for remote diagnosis＞● AY 2020
After the AY 2019 project management committee designated the departments of Gastroenterology &Hepatology and Emergency Medicine as in need of improvement, two new doctors were hired in April 2020.
The doctors have primarily received missions from the hospital’s Director General but are also engaged in theirdepartment’s medical treatment, education, and research activities in order to maintain and further develop thehospital’s healthcare functions.

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Main Activities of Physicians Hired in AY2020
Gastroenterology & Hepatology
Medical Care
• Treated outpatients and inpatients with inflammatory bowel disease• Responsible as “ward chiefs” for managing their ward and educating senior residents on medicaltreatments and consultations• Conducted rounds and held conferences on nutritional therapy for inpatients struggling with nutrition
management as part of a multidisciplinary Nutrition Support Team (NST) comprised of dieticians,doctors, pharmacists, and nurses
Education• Provided guidance to early-career doctors at case conferences• Gave presentations to junior clinical residents, senior residents, and graduate students
One doctor received the Best Abstract Award at the 8th Annual Meeting of the Asia Organization for
Crohn's & Colitis (AOCC).
Research• Provided guidance to graduate students on the topic of “Inflammatory Bowel Disease and Thrombosis”
and conducted research on how to identify high-risk patients based on actual conditions at Keio
University Hospital
Emergency and Critical Care Medicine
Medical Care
• Treated critically ill patients who required intensive care (in particular, patients admitted to the hospitalwith severe COVID-19)• Explored specific treatments for COVID-19, including ventilators and ECMO
• Created protocols and developed a system for ECMO treatments• Collaborated with ECMOnet and participated in the ECMO team training program of the Ministry ofHealth, Labor and Welfare
Education• Organized regularly scheduled sessions for residents to read research papers and provided guidance for
EBM training• Created slides and other content for online student clinical training• Updated information and education on basic life support (BLS) for suspected/confirmed COVID-19
cases
Research• Reviewed developments in hospital treatment protocols and initial medical treatments based on clinicalexperiences with COVID-19→ Submitted a paper to Keio Journal of Medicine, 2020, and presented at the 48th Annual Meeting of
the Japanese Association for Acute Medicine• Conducted training for paramedics; participated in, and made recommendations for, a study groupsponsored by the Ministry of Health, Labour and Welfare on infection control as it relates to emergency
care• Submitted a paper on anaphylactic shock to the Journal of the American College of Emergency
Physicians Open (JACEP Open, 2020)• Conducted research on the early diagnosis of aortic dissection● AY 2021⚫

Since AY2020, we have hired a total of three physicians in the Department of Gastroenterology andHepatology and the Department of Emergency and Critical Care Medicine.
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⚫

(The Department of Gastroenterology and Hepatology hired one physician in the first half of the year
and one in the second.)
We purchased surgery masks (643 boxes with 20 masks/box) as personal protective equipment (PPE) for
use against COVID-19.

Main Activities of Physicians Hired in AY2021
Gastroenterology & Hepatology
Medical Care
• Exploration of basic and clinical approaches toward the eradication of gastrointestinal cancers• Provision of appropriate anti-cancer treatment to cancer patients• Delivery of medical care to COVID-19 care units• Participation in a multidisciplinary Nutrition Support Team (NST) comprising dieticians, doctors,
pharmacists, and nurses to support inpatient nutrition management• Treatment of patients with neuroendocrine tumors• Care for outpatients and inpatients with inflammatory bowel disease (specialized outpatient clinic served
approximately 150 patients per month)• Delivery of high-quality, evidence-based care to individual patients in collaboration with a group of
specialists from Gastroenterology and Hepatology and related departments
Education• Instruction of medical students• Instruction of senior residents at the Department of Gastroenterology and Hepatology on how to present
research at academic conferences• Training for a new generation of medical professionals, including outpatient care teams and ward chiefs,and residents specializing in the lower gastrointestinal tract• Mentoring of residents on presenting abstracts at international conferences• Supervision of doctoral students engaged in gastrointestinal immunology research
Research• Research to determine the cause of neuroendocrine tumors and presented these findings at the 9th
Annual Meeting of the Japan Neuro Endocrine Tumor Society (JNETS)• Academic exchange with Memorial Sloan Kettering Cancer Center in New York following international
praise for the research activities noted above• Selected for the Takao Saruta Award for Basic Research from the Keio University Internal Medicine
Alumni Association• Clinical research on inflammatory bowel disease and basic research on the mucosal immune system ofthe gastrointestinal tract• Awarded Best Abstract Award for a presentation on the use of the herbal medicine ‘Indigo naturalis’ asa clinically effective strategy in ulcerative colitis at the 9th Annual Meeting of the Asian Organization
for Crohn’s and Colitis (AOCC2021)
Emergency and Critical Care Medicine
Medical Care• Primary clinical department managing the hospitalization of severe COVID-19 patients requiring
intensive care• Emergency outpatient care and intensive care management from a central medical team position• Medical service provider for the Tokyo 2020 Olympic and Paralympic GamesEducation• Regular conferences supporting junior and senior residents• Bedside teaching during clinical rounds• Study groups to share instructive cases with junior residents
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Research• Presentation of joint research findings at the 49th Annual Meeting of the Japanese Association for Acute
Medicine based on a multicenter study between Keio University Hospital, Fujita Health University
Hospital, and Nagoya University Hospital that collected and analyzed data on severe COVID-19• Clinical trials addressing severe COVID-19（Instruction of junior and senior residents）● AY 2022⚫
⚫

Since AY2020, we have hired a total of two physicians in the Department of Gastroenterology andHepatology and the Department of Emergency and Critical Care Medicine
We have purchased materials for PCR testing for COVID-19（PCR testing materials: UTM305C, FLOQ swabs, etc.）

Main Activities of Physicians Hired in AY 2022
Gastroenterology and Hepatology
Medical Care
• Treatment of approximately 150 outpatients and inpatients with inflammatory bowel disease (IBD) eachmonth• Delivery of high-quality, evidence-based care in collaboration with a group of specialists from
Gastroenterology and Hepatology and related departments
Education• Acquisition of certification to supervise clinical training• Training of junior staff in outpatient and inpatient care and clinical conferences
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Instruction of presenters about abstracts on basic research related to the herbal drug “indigo naturalis”
Supervision of doctoral students engaged in gastrointestinal immunology researchResearch• Clinical research (prospective interventional studies conducted within the facility and drug development
research in collaboration with industry partners) and basic research on inflammatory bowel disease andthe herbal drug “indigo naturalis”• Presentation of research at academic conferences in Japan and around the world: The 10th Annual
Meeting of Asian Organization for Crohn's and Colitis (AOCC 2022), The 59th Annual Meeting of The
Japanese Society for Mucosal Immunology, and the 50th Annual Meeting of the Japanese Society ofClinical Immunology
Emergency and Critical Care Medicine
Medical Care
• Treatment of emergency patients and critical patients requiring intensive care
• Primary clinical department managing the hospitalization of severe COVID-19 patients• Acceptance of 7th-wave critical COVID-19 patients, and delivery of lifesaving intensive care
Education• Educating students via systematic lectures and clinical training• Weekly conferences and point-of-care testing for new residents in the outpatient and inpatient wards• Instruction and feedback on presentation slideshows for academic conferences• Systematic educational tools through on-campus courses for working practitioners
Research• Basic and clinical research on cardiopulmonary resuscitation (CPR)• Participation in a multicenter, double-blind, controlled trial to evaluate the efficacy of hydrogen
inhalation therapy for out-of-hospital cardiac arrest patients conducted at 15 facilities nationwide• Presentation at the American Heart Association’s Resuscitation Science Symposium• Investigation into the relationship between immune mechanisms and post-resuscitation brain damage
due to cardiac arrest using lab mice, with the aim of developing novel therapies through immune
modulation（Teaching graduate students how to generatelab mice for cardiopulmonary resuscitation)● AY 2023⚫
⚫

As we have done each fiscal year since 2020, we have hired a total of two physicians in the Department ofGastroenterology and Hepatology and the Department of Emergency and Critical Care Medicine.
We have purchased materials for PCR testing for COVID-19.

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Film Array Respiratory Panel 2.1
Cepheid Xpert Xpress SARS-CoV-2(The panel is set in the analyzer to determine a positive/negative result)

Main Activities of Physicians Hired in AY 2023
Gastroenterology and Hepatology
Medical Practice• Treatment of approximately 200 outpatients and inpatients with inflammatory bowel disease (IBD) eachmonth• Delivery of high-quality, evidence-based care in collaboration with a group of specialists from
Gastroenterology and Hepatology and related departments
Education and Training• Clinical training supervision• Training of junior staff in outpatient and inpatient care and clinical conferences• Instruction of presenters about abstracts on basic research related to the herbal drug “indigo naturalis”• Supervision of doctoral students engaged in gastrointestinal immunology researchResearch• Clinical research (prospective interventional studies conducted within the facility and drug development
research in collaboration with industry partners) and basic research on inflammatory bowel disease andthe herbal drug “indigo naturalis”• Research grant on elucidating the causes and pathologies of adult-onset diseases, presented at the 29th
The Medical Frontier Conference (TMFC) on June 24–25, 2023

In the outpatient clinic(*Face masks worn during patient consultations)
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Emergency and Critical Care Medicine
Medical Practice• Treatment of emergency patients and critical patients requiring intensive care
• Surgeries for severe trauma patients performed by trauma surgeons, including acute appendicitis andbowel obstruction• Serving as the primary clinical department for managing the hospitalization of patients with severe casesof COVID-19• Managing beds in the High Care Unit (HCU)
Education and Training• Conducting lectures and providing guidance for medical students during their clinical training• Hosting international students• On-the-job training, regular conferences, and study groups for junior and senior residents• Simulation education and guidance for academic conference presentations
Research• Publishing case reports as well as clinical research papers in medical journals using statistical analysis• Presentations at academic conferences (Japanese Association for Acute Medicine, The Japanese
Association for The Surgery of Trauma)• Basic research using a rat hemorrhagic shock model (investigating whether hydrogen gas inhalation
during transfusion resuscitation can reduce ischemic injury and reperfusion injury, stabilize
hemodynamics, reduce transfusion volume, and improve survival rates)(Creating a rat hemorrhagic shock model)

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