[How to establish a medical team for patients with critical bleeding]

The medical guidelines for critical bleeding were published by several medical societies, and they declared the importance of approaches by teams composed of various kinds of medical staff. A medical team dealing with critical bleeding is characterized as an ad hoc type team, since the team is inactivated after its individual work is finished. Its characteristics are: 1)it is hard to predict when to be organized, 2) extremely rapid responses are required, and 3) staff outside the hospital,such as the Red Cross Society, are involved. To promote medical teams, it is very important: 1)to standardize the public guidelines for individual hospitals, 2) to define the roles of staff with their affiliations, posts, and phone numbers, 3) to simulate events, and 4) to have irregular but continuous meetings. Furthermore, it is important to involve manufacturers in our activities for innovating new test apparatuses or systems, and also to stress the significance of such team approaches to the nation and government, such as the Ministry of Health, Labour and Welfare, in order to secure additional points in the health insurance payment system. (Review).