Emergency Medical Services in Japan: An opportunity for the rational development of pre-hospital care and research

Matthew R. Lewin, Shingo Hori, Naoki Aikawa

Research output: Contribution to journalArticle

10 Citations (Scopus)


Japan is at a crossroads in the development of its Emergency Medical Services (EMS). At present, Japan has an essentially pure scoop-and-run, defibrillation system. However, there is a strong movement toward expanding the scope of paramedic practice to include more complex, Advanced Life Support (ALS) and trauma protocols to its nationally standardized pre-hospital protocols. The implications of introducing complex pre-hospital protocols guided by the use of existing scientific evidence to support such action is discussed in the context of Japan's unique opportunity to test many fundamental questions in pre-hospital medical care and the public's understanding and acceptance of these practices. Japan, a technologically advanced country that is not encumbered by entrenched "standards of care," has the opportunity to develop an efficient and rational EMS system.

Original languageEnglish
Pages (from-to)237-241
Number of pages5
JournalJournal of Emergency Medicine
Issue number2
Publication statusPublished - 2005 Feb



  • EMS
  • Japan
  • Paramedic
  • Pre-hospital

ASJC Scopus subject areas

  • Emergency Medicine

Cite this