Yanagawa Youichi, Omori Kazuhiko, Ishikawa Kouhei, Takeuchi Ikuto, Jitsuiki Kei, Yoshizawa Toshihiko, Sato Jun, Matsumoto Hideyuki, Tsuchiya Masaru, Osaka Hiromichi
1Shizuoka Medical Research Center for Disaster,Juntendo University,Izunokuni,Japan.
2Fire Department,Numazu City,Japan.
Disaster Med Public Health Prep. 2018 Aug;12(4):437-440. doi: 10.1017/dmp.2017.99. Epub 2017 Nov 20.
The Japanese Association for Disaster Medicine developed a mass casualty life support (MCLS) course to improve cooperation among medical practitioners during a disaster, which is essential for reducing the rates of preventable disaster death. We investigated whether there was difference in first aid activity among members of the ambulance service during mass casualty training based on having taken the MCLS course.
Mass casualty training was held at the fire department of Numazu City. Twenty-one ambulance service parties participated in this training. They first evaluated the mass casualty situation, performed the appropriate services at the scene during the initial period, and then provided START triage for mock wounded patients. Throughout the training, 5 examiners evaluated their performance.
Regarding the difference in first aid activity based on MCLS course attendance among the ambulance service members, the cooperative management (scored on a scale of 1 to 5) among the members who had taken the MCLS course was significantly better than that among those who had not taken the course (median [interquartile range]: 5 [0.5] vs. 4 [1.75], P<0.05).
Attending an MCLS course may help to improve outcomes in the face of an actual mass casualty incident. (Disaster Med Public Health Preparedness. 2018;12:437-440).
日本灾害医学协会开发了大规模伤亡生命支持(MCLS)课程,以改善灾难期间医疗从业者之间的合作,这对于降低可预防的灾难死亡率至关重要。我们调查了在大规模伤亡培训期间,基于是否参加MCLS课程,急救服务人员的急救活动是否存在差异。
在沼津市消防部门举行了大规模伤亡培训。21个急救服务团队参加了此次培训。他们首先评估大规模伤亡情况,在初期在现场提供适当的服务,然后对模拟伤员进行START分诊。在整个培训过程中,5名考官对他们的表现进行评估。
关于急救服务人员中基于是否参加MCLS课程的急救活动差异,参加MCLS课程的人员之间的合作管理(评分范围为1至5)明显优于未参加课程的人员(中位数[四分位间距]:5[0.5]对4[1.75],P<0.05)。
参加MCLS课程可能有助于在实际大规模伤亡事件中改善结果。(《灾难医学与公共卫生防范》。2018年;12:437 - 440)