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Development of the Japanese National Disaster Medical System and Experiences during the Great East Japan Earthquake.

Homma M - Yonago Acta Med (2015)

Bottom Line: The NDMS was tested for the first time in a real disaster situation during the Great East Japan Earthquake in 2011.In total, 19 patients were evacuated using JASDF fixed-wing aircraft.Important issues requiring attention became clear through the experiences of the Great East Japan Earthquake and will be discussed in this paper.

View Article: PubMed Central - PubMed

Affiliation: Division of Emergency and Disaster Medicine, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.

ABSTRACT
After the Great Hanshin-Awaji Earthquake in 1995, the Japanese national disaster medical system (NDMS) was developed. It mainly consists of four components, namely, a disaster base hospital, an emergency medical information system, a disaster medical assistance team (DMAT), and national aeromedical evacuation (AE). The NDMS was tested for the first time in a real disaster situation during the Great East Japan Earthquake in 2011. Two airports and one base were appointed as DMAT gathering places, and approximately 393 DMAT members divided into 78 teams were transported by Japan Air Self-Defense Force (JASDF) aircrafts to two AE staging bases the following day. Staging care units were installed at Hanamaki Airport, Fukushima Airport, and the Japan Ground Self-Defense Force Camp Kasuminome, and 69, 14 and 24 DMAT teams were placed at those locations, respectively. In total, 19 patients were evacuated using JASDF fixed-wing aircraft. Important issues requiring attention became clear through the experiences of the Great East Japan Earthquake and will be discussed in this paper.

No MeSH data available.


Related in: MedlinePlus

Picture in a C-1 aircraft flying with the patients. During the flight, continuous observation andseamless care by a DMAT is required.DMAT, disaster medical assistance team.
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fig_001: Picture in a C-1 aircraft flying with the patients. During the flight, continuous observation andseamless care by a DMAT is required.DMAT, disaster medical assistance team.

Mentions: A large number of people are wounded, often seriously wounded, at the time of a large-scale earthquake disaster in the stricken area. In addition to this, it is expected that sufficient medical services become impossible due to lost infrastructure from the damage to medical facilities and the lack of healthcare workers.9 A strategy to send the required personnel to a stricken area, and to stabilize and transport patients to receive treatment outside the stricken area, is necessary. Therefore, a DMAT should be dispatched from an outside area into the stricken area to stabilize patients and transport the seriously injured to DBHs outside of the stricken area, to offer definitive medical care, such as surgery, hemodialysis and intensive care. Since continuous observation and seamless care by a DMAT is required, the series of activities to transport severely injured patients is called medical evacuation (Fig. 1), AE when aircraft are involved.


Development of the Japanese National Disaster Medical System and Experiences during the Great East Japan Earthquake.

Homma M - Yonago Acta Med (2015)

Picture in a C-1 aircraft flying with the patients. During the flight, continuous observation andseamless care by a DMAT is required.DMAT, disaster medical assistance team.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4546956&req=5

fig_001: Picture in a C-1 aircraft flying with the patients. During the flight, continuous observation andseamless care by a DMAT is required.DMAT, disaster medical assistance team.
Mentions: A large number of people are wounded, often seriously wounded, at the time of a large-scale earthquake disaster in the stricken area. In addition to this, it is expected that sufficient medical services become impossible due to lost infrastructure from the damage to medical facilities and the lack of healthcare workers.9 A strategy to send the required personnel to a stricken area, and to stabilize and transport patients to receive treatment outside the stricken area, is necessary. Therefore, a DMAT should be dispatched from an outside area into the stricken area to stabilize patients and transport the seriously injured to DBHs outside of the stricken area, to offer definitive medical care, such as surgery, hemodialysis and intensive care. Since continuous observation and seamless care by a DMAT is required, the series of activities to transport severely injured patients is called medical evacuation (Fig. 1), AE when aircraft are involved.

Bottom Line: The NDMS was tested for the first time in a real disaster situation during the Great East Japan Earthquake in 2011.In total, 19 patients were evacuated using JASDF fixed-wing aircraft.Important issues requiring attention became clear through the experiences of the Great East Japan Earthquake and will be discussed in this paper.

View Article: PubMed Central - PubMed

Affiliation: Division of Emergency and Disaster Medicine, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.

ABSTRACT
After the Great Hanshin-Awaji Earthquake in 1995, the Japanese national disaster medical system (NDMS) was developed. It mainly consists of four components, namely, a disaster base hospital, an emergency medical information system, a disaster medical assistance team (DMAT), and national aeromedical evacuation (AE). The NDMS was tested for the first time in a real disaster situation during the Great East Japan Earthquake in 2011. Two airports and one base were appointed as DMAT gathering places, and approximately 393 DMAT members divided into 78 teams were transported by Japan Air Self-Defense Force (JASDF) aircrafts to two AE staging bases the following day. Staging care units were installed at Hanamaki Airport, Fukushima Airport, and the Japan Ground Self-Defense Force Camp Kasuminome, and 69, 14 and 24 DMAT teams were placed at those locations, respectively. In total, 19 patients were evacuated using JASDF fixed-wing aircraft. Important issues requiring attention became clear through the experiences of the Great East Japan Earthquake and will be discussed in this paper.

No MeSH data available.


Related in: MedlinePlus