With the philosophy of contributing to local medical care, we have integrated emergency and general medical care.The emergency department has been integrated with the general medical department and has established a medical system that can respond to a variety of emergency illnesses as an emergency general medical centre. In addition to aiming to further improve the quality of emergency medical care, our philosophy is to contribute to local medical care through the training of emergency physicians and general practitioners. We established the Emergency General Medical Center to accommodate the emergency patients. Specialists from each medical department gather to treat seriously ill patients that involve multiple organs. We have realised the integration of emergency and general medical care.