Critical Care Nursing

Critical care nursing means providing the utmost care to severely ill patients in critical periods regardless of location, whether the ER, ICU, surgery ward or elsewhere. Life-threatening crises, however, can happen not only in hospital setting but anywhere, at any time, and to anybody in daily life. Therefore a conception including prehospital care is essential to critical care nursing. We are engaged in researching the inclusion of prehospital care which can be brought back to the emergency setting so as to save as many lives as possible.

Research and Education

1) Overview
We conduct our research using epidemiological methods with the goal of contributing to the development of emergency medical care and resuscitation science. Our major research themes are CPR education and the prevention of sudden cardiac death. We provide evidence from our epidemiological studies to real emergency settings and validate it in the real world to strengthen its reliability. We also conduct lectures and training sessions based on our study results for healthcare professionals and paramedics, and teach CPR to all incoming students at Kyoto University, as well as ordinary citizens and healthcare providers. As a member of the International Liaison Committee On Resuscitation, we are engaged in the creation of CPR guidelines.

2) Guiding Principles of our Research
1.To form research questions conforming to the real/clinical setting and resolve them
2. To maintain close cooperation with the real/clinical setting
3. To generate evidence that can be utilized in policy and guidelines
4. To return the research results to the general public and medical personnel


1. Olasveengen TM, de Caen AR, Mancini ME, Maconochie IK, Aickin R, Atkins DL, Berg RA, Bingham RM, Brooks SC, Castrén M, Chung SP, Considine J, Couto TB, Escalante R, Gazmuri RJ, Guerguerian AM, Hatanaka T, Koster RW, Kudenchuk PJ, Lang E, Lim SH, Løfgren B, Meaney PA, Montgomery WH, Morley PT, Morrison LJ, Nation KJ, Ng KC, Nadkarni VM, Nishiyama C, Nuthall G, Ong GY, Perkins GD, Reis AG, Ristagno G, Sakamoto T, Sayre MR, Schexnayder SM, Sierra AF, Singletary EM, Shimizu N, Smyth MA, Stanton D, Tijssen JA, Travers A, Vaillancourt C, Van de Voorde P, Hazinski MF, Nolan JP. 2017 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Summary. Circulation. 136:e424-e440. 2017.
2. Nishiyama C, Shimamoto T, Kiyohara K, Kawamura T, Kitamura T, Sakamoto T, Iwami T. Effectiveness of a One-minute Self-retraining for Chest Compression-only Cardiopulmonary Resuscitation: Randomized Controlled Trial. AEM Education & Training. 2017;1:200–207.
3. Kiyohara K, Nishiyama C, Kiguchi T, Nishiuchi T, Hayashi Y, Iwami T, Kitamura T. Exercise-Related Out-of-Hospital Cardiac Arrest Among the General Population in the Era of Public-Access Defibrillation: A Population-Based Observation in Japan. J Am Heart Assoc. 2017 Jun 13;6.
4. Sato R, Ebihara S, Kohzuki M. Recent advances in pulmonary rehabilitation for patients in the intensive care unit (ICU). Pulm Res Respir Med Open J. 2017; SE(2): S51-S54.
5. Kitamura T, Kiyohara K, Sakai T, Matsuyama T, Hatakeyama T, Shimamoto T, Izawa J, Fujii T, Nishiyama C, Kawamura T, Iwami T. Public-Access Defibrillation and Out-of-Hospital Cardiac Arrest in Japan. N Engl J Med 2016;375:1649-1659.



Senior lecturer: Chika Nishiyama, RN, PhD
Assistant professor: Ryuhei Sato, RN, PhD
URL: (in Japanese)