• Internal medicine · Apr 2022

    Case Reports

    Remote Death Certification Using Telemedicine in Japan.

    • Kemmyo Sugiyama, Shintaro Yanaka, Toshiaki Yasuda, Takashi Watanabe, Akira Yamashiro, Junichi Narita, Akio Tomoda, and Isamu Sohtome.
    • International Oral Health Science, Tohoku University Graduate School of Dentistry, Japan.
    • Intern. Med. 2022 Apr 15; 61 (8): 129112941291-1294.

    AbstractA 92-year-old woman diagnosed with dementia and end-stage gastric cancer received end-of-life care on the island where she lived. Informed consent concerning remote death certification based on the Japanese government's guidelines was obtained from a family member in case a physician was unavailable. A physical examination after cardiopulmonary arrest was conducted, supported by telemedicine and a well-trained registered nurse under remote supervision of the physician who last saw the deceased directly. Death certification was provided accordingly. To our knowledge, this was the first case of remote death certification using telemedicine in Japan.

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