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Analysis of Trends and Emergency Activities Relating to Critical Victims of the Chuetsuoki Earthquake

Published online by Cambridge University Press:  26 October 2012

Hisayoshi Kondo ,
Yuichi Koido ,
Yasuo Hirose ,
Ken Kumagai ,
Masato Homma  and
Hiroshi Henmi
Hisayoshi Kondo*
Affiliation:
National Hospital Organization Disaster Medical Center, Tokyo, Japan
Yuichi Koido
Affiliation:
National Hospital Organization Disaster Medical Center, Tokyo, Japan
Yasuo Hirose
Affiliation:
Emergency and Critical Care Medical Center, Niigata City General Hospital, Niigata, Japan
Ken Kumagai
Affiliation:
Emergency and Critical Care Medical Center, Niigata City General Hospital, Niigata, Japan
Masato Homma
Affiliation:
Emergency and Critical Care Medicine Tottori University, Yonago, Japan
Hiroshi Henmi
Affiliation:
National Hospital Organization Disaster Medical Center, Tokyo, Japan
*
Correspondence: Hisayoshi Kondo, MD, PhD National Hospital Organization Disaster Medical Center3256 Midori, Tachikawa, Tokyo Japan E-mail: [email protected]
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Abstract

Introduction: When a large-scale disaster occurs, it is necessary to use the available resources in a variety of sites and scenes as efficiently as possible. To conduct such operations efficiently, it is necessary to deploy limited resources to the places where they will be the most effective. In this study, emergency and medical response activities that occurred following the Chuetsuoki Earthquake in Japan were analyzed to assess the most efficient and effective activities.

Methods: Records of patient transports by emergency services relating to the Niigata Chuetsuoki Earthquake, a magnitude 6.8 earthquake that struck Japan on 16 July 2007 were analyzed, and interview surveys were conducted.

Results: The occurrence of serious injuries caused by this earthquake essentially was limited to the day the earthquake struck. A total of 682 patients were treated on the day of the quake, of which about 90 were hospitalized. Of the 17 patients whose conditions were life-threatening, three were rescued and transported to hospital by firefighters, three were transported by ambulance, and 11 were transported to hospital using private means. Sixteen people were subsequently transferred to other hospitals, six of these by helicopter. There was difficulty in meeting all of the requests for emergency services within 4 to 6 hours of the earthquake’s occurrence. Most transports of patients whose conditions were life-threatening were between hospitals rather than from the scene of the injury. Transfers of critical patients between hospitals were efficient early on, but this does not necessarily mean that inter-hospital transfers were given higher priority than treatment at emergency scenes.

Conclusion: During the acute emergency period following a disaster-causing event, it is difficult to meet all requests for emergency services. In such cases, it is necessary to conduct efficient activities that target critically injured patients. Since hospital transfers are matters of great urgency, it is necessary to consider assigning resource investment priority to hospital transfers during this acute period, when ambulance services may be insufficient to meet all needs. To deal with such disasters appropriately, it is necessary to ensure effective information exchange and close collaboration between ambulance services, firefighting organizations, disaster medical assistance teams, and medical institutions.

Keywords

ambulance transportationcoordination and cooperationcritical care medicinedisaster acute phasedisaster medical assistance team (DMAT)earthquakeFire Department
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 27 , Issue 1 , February 2012 , pp. 3 - 12
Copyright
Copyright Kondo © World Association for Disaster and Emergency Medicine 2012

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References

Gunn, SW: Disaster medicine—A new medico-surgical discipline. Helv Chir Acta 1985;52(1):11–13.Google ScholarPubMed
Tanaka, H: Morbidity and mortality of hospitalized patients after the 1995 Hanshin-Awaji earthquake. Am J Emerg Med 1999;17(2):186–191.CrossRefGoogle ScholarPubMed
Tanaka, H: Overview of evacuation and transport of patients following the 1995 Hanshin-Awaji earthquake. J Emerg Med 1998;16(3):439–444.CrossRefGoogle ScholarPubMed
Ukai, T: The Great Hanshin-Awaji Earthquake and the problems with emergency medical care. Ren Fail 1997;19(5):633–645.CrossRefGoogle ScholarPubMed
Kuwagata, Y: Analysis of 2,702 traumatized patients in the 1995 Hanshin-Awaji earthquake. J Trauma 1997;43(3):427–432.CrossRefGoogle Scholar
Ishii, N: Emergency medical care following the great Hanshin-Awaji earthquake: practices and proposals (A report from a university hospital located in the damaged region). Kobe J Med Sci 1996;42(3):173–186.Google ScholarPubMed
amamoto, Y: Disaster Medicine and its clinical practice. JJAAM 1995;6:295–308.Google Scholar
Henmi, H, et al: Report of the research about medical response system for health security and disaster. Tokyo: MHLW Health and Labour Sciences Research Grant, 2007.Google Scholar
Sami, F, Ali, F, Zaidi, SH, Rehman, H, Ahmad, T, Siddiqui, MI: The October 2005 earthquake in Northern Pakistan: Patterns of injuries in victims brought to the Emergency Relief Hospital, Doraha, Mansehra. Prehosp Disaster Med 2009;24(6):535–539.CrossRefGoogle Scholar
Sullivan, KM, Hossain, SM: Earthquake mortality in Pakistan. Disasters 2010;34(1)176–183. Epub.CrossRefGoogle ScholarPubMed
Mulvey, JM, Awan, SU, Qadri, AA, Maqsood, MA: Profile of injuries arising from the 2005 Kashmir earthquake: The first 72 h. Injury 2008;39(5):554–560. Epub 03 December 2007.CrossRefGoogle ScholarPubMed
Asari, Y: Analysis of medical needs on day 7 after the tsunami disaster in Papua New Guinea. Prehosp Disaster Med 2000;15(2):9–13.CrossRefGoogle ScholarPubMed
Kondo, H: Post-flood—Infectious diseases in Mozambique. Prehosp Disaster Med 2002;17(3):126–133.CrossRefGoogle ScholarPubMed
Takagi, F: The mission of Japan Medical Team for Disaster Relief (JMTDR) for the Hurricane Disaster in Republic of Nicaragua: Transition from emergency phase to rehabilitation phase in November 1998. JJDM 2000;5(1):34–44.Google Scholar
Kondo, H: JDR Medical team’s following the earthquake in Taiwan. JJDM 2001;5(1):143–152.Google Scholar
Kondo, H, Koido, Y, Morino, K, Homma, M, Otomo, Y, Yamamoto, Y, Henmi, H: Establishing Disaster Medical Assistance Teams (DMAT) in Japan. Prehosp Disaster Med 2009;24(6):556–564.CrossRefGoogle ScholarPubMed
Barbera, JA, Macintyre, A: Urban search and rescue. Emerg Med Clin North Am 1996;14(2):399–412. Review.CrossRefGoogle ScholarPubMed
Nagata, T, Rosborough, SN, VanRooyen, MJ, Kozawa, S, Ukai, T, Nakayama, S: Express railway disaster in Amagasaki: A review of urban disaster response capacity in Japan. Prehosp Disaster Med 2006;21(5):345–352. Erratum in: Prehospital Disaster Med 2006;21(6).CrossRefGoogle ScholarPubMed