The Necessity of 24-hour Participation by a Pharmacist in Initial Treatment at the Emergency and Critical Care Center

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  • Hayasaka Masatoshi
    Department of Pharmacy, Nihon University Itabashi Hospital
  • Kurauchi Kyoko
    Department of Pharmacy, Surugadai Nihon University Hospital
  • Hayama Tatsuya
    Department of Pharmacy, Nihon University Itabashi Hospital
  • Yoshida Yoshikazu
    Department of Pharmacy, Nihon University Itabashi Hospital
  • Tanjho Katsuhisa
    Department of Pharmacy, Nihon University Itabashi Hospital Department of Emergency and Critical Care Medicine, Nihon University of Medicine

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  • 救命救急センターの初療時における薬剤師24時間対応の必要性

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Abstract

At the Emergency and Critical Care Center, a pharmacist has been required to participate in initial treatment for 24 hours a day. And this study was performed to evaluate the necessity. Patients taken to the centre between August 1, 2009 and December 31, 2009 were classified into 3 groups according to the time they arrived (from 9:00 to 17:00 [group 9-17], from 17:00 to 1:00 [group 17-1], and from 1:00 to 9:00 [group 1-9]). The number of all patients, intoxicated patients, the rate of the number and types of used injection drugs were investigated. Also the number of cases of drug information pharmacists gave to physicians or nurses whether orally or in writing was investigated. In this study the proportion of intoxicated patients to all patients was 25 (6.7%) in group 9-17, 27 (8.4%) in group 17-1, and 28 (14.1%) in group 1-9, indicating group 1-9 was significantly higher than group 9-17. The majority (73 cases (54%)) of information supplied in the initial treatment was about intoxication. In emergency and critical care, patients are admitted at anytime. Furthermore, intoxicated patients are more likely to be admitted at nighttime. Moreover, drug information about intoxication, drug dose and effects are needed. Therefore, it is suggested that pharmacists 24-hour participation in initial treatment is necessary and pharmacists are required to participate more in emergency and critical care.

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