About Emergency Medical Care

Basic Policy

• As a general rule, our Emergency and Critical Care Center will accept all severe and critically ill patients from Kyoto Otokuni and surrounding areas, including those with multiple medical conditions, on a 24-hour basis.
• Our Emergency and Critical Care Center adheres to the policy of not refusing to accept patients transported by ambulance as a general rule.
• Our Emergency and Critical Care Center is a referral hospital for primary and secondary emergency medical facilities and, as a general rule, accepts severe patients referred from these medical facilities for intensive care on a 24-hour basis.
• Patients whose initial treatment has been completed at our hospital will be transferred to regional medical institutions and nursing facilities in cooperation with them as early as possible to secure beds for transfer.
• Our Emergency and Critical Care Center will spare no effort to improve the emergency medical system in the Kyoto City area.
• Our Emergency and Critical Care Center actively provides clinical education in emergency medicine to medical students, clinical residents, nursing students, and paramedics.

Established April 1, 2012
Confirmed October 1, 2021

To Patients Wishing to Receive Emergency Care

Our Emergency and Critical Care Center provides medical care for patients with high urgency and severe conditions. Therefore, we need to prioritize examining patients with more severe conditions. For this reason, the order of examination may change, and waiting times may become very long. Also, depending on the situation, we may ask you to seek medical attention at another hospital.
Emergency physicians will provide emergency medical care under the on-call system for surgery, internal medicine, pediatrics, and obstetrics and gynecology, so we cannot perform the same procedures and tests as in the general outpatient clinic on weekdays.

If you are in need of emergency care

Specialized physicians are not stationed at the hospital during nighttime and holidays, so the same medical care as during weekday morning hours cannot be provided.
Kyoto City has an emergency medical system for specialized departments in pediatrics, internal medicine/ophthalmology, and otolaryngology during nighttime and holidays, so please also utilize the information below.

Utilization of Medical Information

Our hospital has established a system for online qualification verification and is acquiring and utilizing medication information, specific health checkup information, and other necessary information for medical treatment.

Rakuwakai Otowa Hospital "Emergency and Critical Care Center / Kyoto ER"

Following the designation of Rakuwakai Otowa Hospital as an "Emergency and Critical Care Center," the name of the Kyoto ER Emergency and Critical Care Center has been changed to "Emergency and Critical Care Center / Kyoto ER".

It serves as a base for emergency medical care not only in the Yamashina area of Kyoto City but also throughout the entire Kyoto area, including the Kyoto South Interchange, Oyamazaki Interchange, and the Keiji Bypass, as well as connecting to the Kosei Road, due to its location next to the Meishin Kyoto East Interchange.

Cardiovascular Emergency

For sudden heart attacks such as angina pectoris, acute myocardial infarction, and acute heart failure, prompt diagnosis and treatment by a specialist are essential.
"Cardiology" and "Cardiovascular Surgery" cooperate to provide higher quality medical care by leveraging the strengths of both departments.

Pediatric Emergency

Many people have experienced being at a loss when a child suddenly develops a fever or swallows a foreign object.

Our hospital provides pediatric emergency care on holidays and at night, which is in high demand, and accepts a large number of patients not only from the local area but also from outside Kyoto Prefecture.
Please note that from April 2020, we will not be providing pediatric emergency care on Mondays (8:00 PM to 8:30 AM the next day) and the first Sunday of the month (8:00 PM to 8:00 AM the next day). We apologize for any inconvenience.

Also handles acute stroke

For stroke, the faster and more accurate the diagnosis and the faster and more appropriate the treatment, the better the treatment results can be expected.

At our hospital, where CT and MRI necessary for diagnosis are available 24 hours a day, 365 days a year, we perform thrombolytic therapy (t-PA intravenous therapy) and aim for early detection and early treatment by responding immediately to hyperacute stroke.

Certified as a Primary Stroke Center

On September 1, 2019, our hospital was certified as a Primary Stroke Center by the Japanese Stroke Association.
The certification requirements include the ability to perform t-PA intravenous therapy 24 hours a day, 365 days a year for cerebral infarction, the availability of head CT or MRI examinations, and the presence of full-time specialists and a stroke treatment team. As a base for stroke treatment, we will continue to save the lives of as many stroke patients in the region as possible and contribute to extending healthy life expectancy.