Greetings
The emergency medical field is a frontline where "split-second decisions" and "comprehensive skills" are put to the test. Tokai University Emergency Medical Center is a core tertiary emergency medical facility serving the Shonan, western, and central areas of Kanagawa Prefecture, handling 6,600 ambulance transports and 2,400 critically ill patient treatments annually. The greatest feature of our Emergency Medical Center is that we provide seamless "comprehensive emergency medical care" from pre-hospital emergency care to ER and intensive care. For pre-hospital emergency care, we utilize all means of transportation—land (ambulance, doctor car, work station), sea (offshore emergency), and air (doctor helicopter)—to begin treatment on-site and quickly stabilize the patient. In the ER, we provide multidisciplinary treatment in collaboration with specialists from various departments to treat the patient fundamentally. After admission to Emergency Medical Center, we provide comprehensive and advanced intensive care in cooperation with other professions, and we dedicate ourselves to the patient's return to society.
With the slogan "We never turn anyone away," we have established a system to serve as the "last resort" and be available 24 hours a day, 365 days a year.
Director of Emergency Medical Center and Head of the Department
Asuka Tsuchiya
Treatment details
2002: Received accreditation as Emergency Medical Center from the Ministry of Health, Labour and Welfare.
2002: Approved as a base hospital for the Kanagawa Prefecture Doctor Helicopter (contributing to emergency medical care throughout Kanagawa Prefecture and southern Yamanashi Prefecture).
[Medical Team Structure]
In the 2026 academic year, the Department of Emergency and Critical Care Medicine, Faculty of Medicine, Tokai University, has 50 physicians in total. Emergency Medical Center Tokai University Hospital consists of 24 physicians: 3 professors, 2 associate professors, 5 lecturers, 5 assistant professors, and 8 clinical assistants. Emergency and critical care specialists form medical teams with clinical residents, nurses, students, and paramedics to provide a wide range of emergency medical care. Two medical teams, an ER team and an ICU (inpatient unit) team, are formed to provide initial treatment for emergency transport patients, and Critical Care Department radiology. Diseases are assigned to the respective specialty departments, but the department is responsible for inpatient treatment of trauma (acute abdominal pain), sepsis, poisoning, burns, PCAS, environmental disorders, diseases requiring hyperbaric oxygen therapy, and other critically ill patients (cases that are difficult for specialty departments to handle). In addition to general intensive care, the ICU (inpatient ward) team is responsible for specialized treatments such as VV(A)-ECMO, RRT/CRRT, and HBO.
[Medical Control System]
As a core hospital of the Shonan area (population approximately 2 million), we have established a Medical Control Office within our Emergency Medical Center, contributing to improving the quality of pre-hospital emergency medical care provided by paramedics. One physician is always on duty as the Medical Control Officer, providing instructions, guidance, and advice to paramedics and other emergency medical personnel regarding medical procedures (such as tracheal intubation, intravenous access, drug administration, and defibrillation).
[Disaster Medical System]
As one of the disaster base hospitals, we are responsible for Kanagawa Prefecture's mass casualty medical system and have established a system to dispatch medical teams to disaster sites by forming DMAT (Disaster Medical Assistance Teams). We have a system in place to dispatch approximately three teams at any given time, with 25 members in Japan DMAT (8 doctors, 10 nurses, and 7 operational coordinators) and 13 members in DMAT-L (4 doctors, 4 nurses, and 5 operational coordinators).
[Marine Emergency Medical Care]
In order to save the lives of injured or ill individuals on vessels navigating or operating in the Pacific Ocean under the Second and Third Regional Coast Guard Headquarters, we are deploying medical teams to the open sea in cooperation with the Japan Coast Guard and the Japan Maritime Self-Defense Force. Government aircraft land on the water to rescue patients from vessels, and they are transported to our hospital while receiving continued treatment on board the aircraft. We are deployed to locations even further away than Okinotorishima (Japan's southernmost island) and Minamitorishima (Japan's easternmost island).
[Emergency Medical Technician Training]
We accept paramedics for hospital internships and are committed to their education, providing them with various types of hospital training (pre-graduation internships, pre-employment internships, retraining internships, tracheal intubation internships [Department of Anesthesiology], drug administration internships).
Main target diseases
In addition to emergency medical specialists, our department has a system in place to respond to medical needs with specialists from each medical department, allowing us to quickly respond to critically ill patients with the following serious conditions who are eligible for Emergency Medical Center.
|
Cardiopulmonary arrest |
Loss of consciousness |
Shock |
|
Multiple trauma |
Severe burns |
Acute poisoning |
|
Limb amputation |
Cerebrovascular disease |
Ischemic heart disease |
|
Arrhythmia |
Respiratory failure |
Acute abdomen |
|
Metabolic disease |
Acute carbon monoxide poisoning |
Gas gangrene, etc. |
Furthermore, the hospital has specialized medical facilities including a skin bank and an acute poisoning diagnosis and testing laboratory, giving it excellent capabilities in treating severe burns and acute poisoning. The acute poisoning diagnosis and testing laboratory contributes to poisoning treatment by conducting quantitative analysis of drugs and poisons, and is also developing new analytical methods to advance the understanding of poisoning pathologies. For acute carbon monoxide poisoning, gas gangrene, decompression sickness, etc., a 24-hour medical system is in place that allows for rapid hyperbaric oxygen therapy using a large hyperbaric oxygen therapy machine that can accommodate five people simultaneously, and it is used for the treatment of severe cases not only from within the prefecture but also from Shizuoka and Saitama prefectures. In particular, to respond to decompression sickness and other decompression disorders occurring in the eastern and southern Izu Peninsula, a mecca for diving, an emergency recompression treatment system utilizing a doctor helicopter has been established.
Main medical achievements
Clinical performance (2025)
|
6,618 people Number of ambulance arrivals |
2,387 people Number of critically ill patients
|
1) Number of severely ill patients by disease (January to December 2025)
Disease name |
Number of patients |
Discharge/Transfer to another hospital |
death |
|
Out-of-hospital cardiac arrest |
275people |
21people |
254people |
|
severe acute coronary syndrome |
161people |
140people |
21people |
|
Severe aortic disease |
113people |
92people |
21people |
|
Severe cerebrovascular disease |
156people |
120people |
36people |
|
Severe trauma (total) |
660people |
632people |
28people |
|
Max AIS ≥ 3 |
342people |
327people |
15people |
|
Only emergency surgeries are performed. |
126people |
126people |
0people |
|
Among those with AIS ≥ 3, emergency surgery was performed. |
192people |
179people |
13people |
|
Severe burns |
54people |
52people |
2people |
|
severe acute poisoning |
44people |
43people |
1person |
|
Severe gastrointestinal bleeding |
86people |
83people |
3people |
|
Sepsis (including septic shock) |
95people |
64people |
31people |
|
Severe abnormal body temperature (heatstroke/hypothermia) |
66people |
58people |
8people |
|
Special infectious diseases (e.g., gas gangrene, necrotizing fasciitis) |
51people |
46people |
5people |
|
severe respiratory failure |
160people |
129people |
31people |
|
Severe acute heart failure |
144people |
131people |
13people |
|
Severe hemorrhagic shock |
48people |
42people |
6people |
|
Severe impaired consciousness |
69people |
55people |
14people |
|
Severe liver failure |
6people |
1person |
5people |
|
Severe acute renal failure |
29people |
23people |
6people |
|
Other severe medical conditions |
242people |
227people |
15people |
|
total |
2,387people |
1,913people |
474people |
* Other severe conditions: This includes cases in which continuous intra-arterial infusion therapy, plasmapheresis, or surgery were performed for severe pancreatitis, endocrine crisis, hemolytic uremic syndrome, etc.
* The above-mentioned illnesses include severe cases such as heatstroke, accidental hypothermia, suffocation/drowning, and decompression sickness.
Number of workstations (FY2024): 113
Number of offshore emergency calls (FY2024): 5
2) Number of patients transported by helicopter by disease (FY2025)
3) Emergency Medical Center Facilities
○1st floor
* Emergency treatment room, emergency examination booths (6 booths), emergency operating room, staff station, family waiting room, doctor waiting room, ambulance staff waiting room
*CT, MRI, angiography room, plain X-ray room
○2nd floor
*19 beds in the E-ICU (emergency intensive Intensive Care Unit)
*3 burn center beds
*E-HCU (Emergency Care Unit) 36 beds
Doctor List
Center: +81463 (93) 1121 (Main)
Professor Seiji Morita (Chief) and Vice President
| Specialization | Critical Care Department |
|---|---|
| Specialist | Certified Instructor and Specialist in Emergency Medicine (Japanese Society for Emergency Medicine) / Specialist in Trauma Surgery (Japanese Association for Trauma Surgery) / Specialist in Burn Injuries (Japanese Society for Burn Injuries) / Certified Surgeon (Japanese Surgical Society) / Certified Vascular Interventional Radiologist (Tokai ER) / Registered DMAT Team Leader |
| Specialized Areas | Severe trauma, severe burns, environmental injuries, IVR, PCPS |
Professor Asuka Tsuchiya, Director of Emergency Medical Center and Head of the Department
| Specialization | Critical Care Department |
|---|---|
| Specialist | Certified Instructor and Specialist in Emergency Medicine (Japanese Society for Emergency Medicine) / Specialist in Trauma Surgery (Japanese Association for Trauma Surgery) / Specialist in Surgery (Japanese Surgical Society) / Specialist in Intensive Care Medicine (Japanese Society of Intensive Care Medicine) / Specialist in Interventional Radiology (Japanese Society of Interventional Radiology) / Certified Instructor (Japanese Society for Aviation Medicine) / Certified Specialist (Japanese Society for Clinical Epidemiology) / Specialist in Social Medicine (Japanese Association of Medical Specialists) / Certified Physician (Japanese Primary Care Association) / Registered Chief DMAT Member |
| Specialized Areas | Severe trauma, doctor helicopter |
Professor Mari Amino
| Specialization | Critical Care Department, Cardiology |
|---|---|
| Specialist | Certified Physician of the Japanese Society of Internal Medicine / Specialist of the Japanese Circulation Society / Specialist of the Japanese Society of Arrhythmia and Electrocardiology / Specialist of the Japanese Society of Anti-Aging Medicine / Certified Physician of the Japanese Society for Health Checkups and Preventive Medicine / Certified Health and Sports Physician of the Japan Medical Association / Certified Industrial Physician of the Japan Medical Association |
| Specialized Areas | Sports cardiology, preventive medicine, arrhythmia |
Associate Professor Kazuo Umezawa
| Specialization | Critical Care Department, infectious diseases |
|---|---|
| Specialist | Certified Emergency Physician (Japanese Society for Emergency Medicine), Infection Control Doctor, Registered DMAT Leader |
| Specialized Areas | Severe trauma, severe burns, intensive care, sepsis |
Associate Professor Takeshi Saito
| Specialization | Critical Care Department |
|---|---|
| Specialist | legal addiction |
| Specialized Areas | Acute poisoning, legal poisoning, drug toxicology analysis |
Lecturer: Rie Yamamoto
| Specialization | Critical Care Department |
|---|---|
| Specialist | Certified Instructor and Specialist in Emergency Medicine (Japanese Society for Emergency Medicine) / Specialist in Hyperbaric and Diving Medicine (Japanese Society for Hyperbaric and Diving Medicine) / Clinical Toxicologist (Japanese Society of Toxicology) / Registered Chief DMAT Member |
| Specialized Areas | Acute poisoning, emergency medical system |
Hiromichi Aoki, Lecturer, Deputy Director of Emergency Medical Center
| Specialization | Critical Care Department |
|---|---|
| Specialist | Certified Emergency Medicine Specialist (Japanese Society for Emergency Medicine) / Certified Surgeon (Japanese Surgical Society) / Certified Trauma Surgeon (Japanese Association for Trauma Surgery) / Certified Burn Injury Specialist (Japanese Society for Burn Injuries) / Registered DMAT Leader / Certified Vascular Interventional Radiologist (Tokai ER) |
| Specialized Areas | Severe trauma, Gastroenterological Surgery disease, intensive care |
Lecturer: Naoya Miura
| Specialization | Critical Care Department |
|---|---|
| Specialist | Certified Instructor and Specialist in Emergency Medicine (Japanese Society for Emergency Medicine) / Specialist in Intensive Care Medicine (Japanese Society of Intensive Care Medicine) / Member of Japan DMAT (Disaster Medical Assistance Team) |
| Specialized Areas | intensive care |
Lecturer Nobuo Watanabe
| Specialization | Critical Care Department |
|---|---|
| Specialized Areas | basic research |
Instructor: Tomoya Nishino
| Specialization | Critical Care Department |
|---|---|
| Specialist | Certified Instructor and Specialist in Emergency Medicine (Japanese Society for Emergency Medicine) / Specialist in Intensive Care Medicine (Japanese Society of Intensive Care Medicine) / Specialist in Hyperbaric and Diving Medicine (Japanese Society of Hyperbaric and Diving Medicine) / Certified Instructor in Aviation Medicine (Japanese Society for Aviation Medicine) / Kanagawa DMAT Member |
| Specialized Areas | Emergency, initial trauma treatment, cardiopulmonary resuscitation |
Assistant Professor Uehata Atsushi
| Specialization | Critical Care Department |
|---|---|
| Specialist | Certified Emergency Physician (Japanese Society for Emergency Medicine) / Certified Surgical Physician (Japanese Surgical Society) / Certified Abdominal Emergency Physician (Japanese Society for Abdominal Emergency Medicine) / Certified ACS Surgeon (Japanese Society for Advanced Surgery and Critical Care Medicine) / Member of the Japanese DMAT Team |
| Specialized Areas | Severe trauma, intensive care, initial emergency treatment |
Naoki Sakota, Assistant Professor
| Specialization | Critical Care Department |
|---|---|
| Specialist | Certified Emergency Physician (Japanese Society for Emergency Medicine) / Certified Surgical Specialist (Japanese Surgical Society) / Certified Abdominal Emergency Physician (Japanese Society for Abdominal Emergency Medicine) / Member of Japan DMAT (Disaster Medical Assistance Team) |
| Specialized Areas | Severe trauma, intensive care, initial emergency treatment |
Assistant Professor Michihiro Takeda
| Specialization | Critical Care Department |
|---|---|
| Specialist | Board Certified Emergency Physician (Japanese Society for Emergency Medicine) / Board Certified Surgical Physician (Japanese Surgical Society) / Kanagawa DMAT Member |
| Specialized Areas | Severe trauma, intensive care, initial emergency treatment |
Assistant Professor Mayo Okawa
| Specialization | Critical Care Department |
|---|---|
| Specialist | Japanese Society for Emergency Medicine Certified Emergency Physician / Kanagawa DMAT Member |
| Specialized Areas | Intensive care, emergency first care |
Assistant Professor Kiyohiko Adachi
| Specialization | Critical Care Department |
|---|---|
| Specialist | Japan Surgical Society Specialist |
| Specialized Areas | Intensive care, emergency first care |
Kazuko Hotta, Assistant Professor
| Specialization | Neurosurgery, Intensive Care, and Critical Care Department |
|---|---|
| Specialist | Specialist and Instructor, Japan Neurosurgery Society / Specialist, Instructor, and Councilor, Japanese Society for Neurotrauma / Certified Neurosurgery Society / Certified Spine and Spinal Cord Surgeon and Specialist, Japanese Society for Spinal Surgery / Specialist and Instructor, Japanese Stroke Society / Specialist and Instructor, Japanese Dementia Society / Specialist and Instructor, Japanese Headache Society / Intensive Care Specialist, Japanese Society of Intensive Care Medicine / Specialist and Councilor, Japanese Association for Trauma Surgery / Certified Clinical Physician, Japanese Society of Rehabilitation Medicine / Clinical Neuropsychologist / Occupational Physician, Japan Society for Occupational Health / Certified Occupational Physician, Japan Medical Association / Certified Sports Doctor, Japan Sports Association (Member of the Medical Science Committee, Kanagawa Football Association) / Disaster Medical Coordinator, Japanese Society for Disaster Medicine |
| Specialized Areas | Neurosurgery procedures and management, intensive care and emergency medicine. |
Seiji Nakahara, Clinical Assistant, Surgical Board Certified Double Board Program
Naoki Himizu, Clinical Assistant, Internal Medicine Specialist, Double Board Program
Yukie Yoshizawa, Clinical Assistant
Koko Suzuki, Clinical Assistant
Meguru Akiha, Clinical Assistant, plastic surgery Surgeon, Double Board Program
Miri Irie, Clinical Assistant
Ryo Iino, Clinical Assistant, currently on secondment from Yamanashi University Hospital.
Ibuki Nakamura, Clinical Assistant, currently on secondment from Fujisawa Municipal Hospital.