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•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••InformationLocation / Enyacho Izumo ShimaneURL / http://www.med.shimane-u.ac.jp/hospital/index.htmlFigure 1Hospital buildingMessage from director, Mikio IGAWAThe Shimane University Hospital provides high-quality, patient-centered care. This leads to the best outcomes and patient satisfaction. In addition to traditional health care programs, we offer a primary care track beneficial to a future primary care physician. I look forward to having you join our community here at the Shimane University Hospital.27Shimane University HospitalThe University Hospital was established in 1979, and remodeled in 2011. The basic principle of our hospital is “Harmonization of rural medicine and highly advanced medicine.”Establishing “Department of Acute Care Surgery” and “Advanced Trauma Center”Preventable Trauma Death is a serious problem in emergency medical care. Preventable Trauma Disability also affects many people. Especially in Shimane Prefecture, adequate traumatic treatment is not available to seriously injured patients. According to a report by the Ministry of Health, Labour and Welfare, the accident death rate in Shimane Prefecture (in 2013, per 100,000 people of population) is the 7th worst in Japan. Unexpected accidents are obviously different area by area (Figure 1) .This chart shows the situation of traumatic emergency care in Japan. It is well-known that the number of traffic accidents in Shimane Prefecture is small, but the death rate per accident is quadruple the average in Japan. Preventable Trauma Death caused by traffic accident in Shimane Prefecture may occur frequently, so it is necessary to have a traumatic emergency center to serve the whole prefecture.In 2016, we established the “Department of Acute Care Surgery” in the Faculty of Medicine which integrated three divisions:Traumatic Surgery, Emergency Surgery, Surgical Critical Care. These three divisions were combined for the first time in Japan, and a “Advanced Trauma Center” also started in 2016. In 2017, a facility which will have a Hybrid Emergency Room (Hybrid ER) able to do first aid early stage treatment, urgent CT, resuscitative surgery and urgent angiography (+IVR) at the same time is going to be built next to the Emergency and Critical Care Center. Then, the “Advanced Trauma Center” will work at maximum capacity. The “Advanced Trauma Center” will be effective to allow young surgeons and emergency physicians to become educatedin trauma emergency medicine and high-level trauma treatment. Moreover, we expect a decrease of Preventable Trauma Death caused by development of trauma emergency medicine level (Figure 2). In particular, students will learn the basics of the trauma treatment and gain much valuable experience before graduating. We hope many more students will want to become trauma emergency doctors in our prefecture and around Japan, which will lead to the medical improvement of trauma emergency medicine in Japan.Shimane University Hospital