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“Tokyo ER” Emergency Care

Aim of Tokyo ER

With the goal of providing 24-hour, 365-day access to reliable and patient-centered health care to emergency patients with any complaint, the Tokyo Metropolitan Government has established “Tokyo ER” facilities at Hiroo Hospital, Bokutoh Hospital, Tama Medical Center, and Children's Medical Center, to bolster Tokyo’s system for comprehensive emergency medical care.


Triage at Tokyo ER

Patients are divided into three levels of emergency care, depending on the severity of illness or injury:

  • Primary emergency care for patients with mild conditions not requiring hospitalization
  • Secondary emergency care for patients requiring hospitalization and/or surgery
  • Tertiary emergency care for patients with life-threatening or otherwise serious conditions requiring treatment at advanced facilities (at an emergency and intensive care center)

This classification is aimed at making effective use of limited emergency care resources in terms of staff and facilities.

Tokyo ER is prepared to accept emergency patients of any severity, with any symptoms, at any time. Specifically, patients requiring primary or secondary care are seen at the emergency department, and critical patients with life-threatening conditions needing tertiary care are treated at the emergency and intensive care center. The emergency department and center each has exclusively assigned doctors to see emergency patients.

At Tokyo ER, patients will be first triaged by a nurse, who will ask about their conditions and determine whether they have serious conditions requiring immediate care. Because of this arrangement, patients might not be seen in order of arrival, and, when there are many serious patients, other patients may have to wait for hours to receive medical care.


Consultation at Tokyo ER
About the TOKYO ER

What you should know about ER:

  1. The ER is reserved for emergencies; it does not offer regular medical care.  When specialized treatment is necessary, you may be asked to return to the hospital at a later time, or may be referred to other medical institutions.
  2. Depending on symptoms and circumstances the ER may be unable to accept you. Please contact the ER (the phone numbers are shown below) before going.
  3. Patients might not be seen in order of arrival, depending on the severity of other patients awaiting treatment. Consequently, you may have to wait for hours.
  4. Treatment is limited to first-aid; tests are only conducted when urgently needed; and in principle, prescriptions are for only a 1-day supply.
  5. Even if you need hospitalization, you may be transferred to another hospital due to the unavailability of beds.
  6. Please also consider consultation at medical instutions other than Tokyo ERs that are on duty at night and on holidays as an option. Himawari (Tokyo Metropolitan Medical Institution Information Service)
    Phone: 03-5285-8181 (Daily 9 a.m.- 8 p.m.)
    Languages covered by the telephone service: Chinese/English/Korean/Spanish/Thai

If you have a regular health problem and/or are taking medication, it is essential that you provide the doctor with information such as the ailment, treatment and medication you are taking. If you are unable to communicate, it would be helpful for an accompanying family member or other companion to, for example, bring in the medication or the bag that contained it, so that the doctor can better understand your condition.

Tokyo ER, Hiroo Hospital 03-3444-1181 (main) Emergency Reception, Ext. 2406
Tokyo ER, Bokutoh Hospital 03-3633-6151 (main)
Tokyo ER, Tokyo Metropolitan Tama Medical Center 042-323-5111(main)
Tokyo ER, Tokyo Metropolitan Children's Medical Center 042-323-5111(main)