Abstract
According to the emergency medical service system in Japan especially since the latter half of 1970’s, most of the patients with sudden and critical illness or with severe trauma including severe head injury are transported to the critical care centers, for the Japanese Ministry of Health and Welfare has carried out the policy about the establishment of one emergency and critical care center per one million population these twenty years. The authors explain the emergency medical service system and critical care centers peculiar to Japan at first and refers to intrinsic or extrinsic diseases with acute onset which are treated there. And then the biomechanics of severe head injury is commented and the strategy in the authors’ critical care centers is mentioned thereafter.
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