高温条件下急性灾难现场医疗包的处理与包装
Handling and packaging of medical bags at acute disaster sites under high-temperature conditions.
作者信息
Ando Wataru, Imamura Yumika, Nagashima Hideyuki, Kondo Kouji, Nakamura Kazunori, Otori Katsuya
机构信息
Department of Clinical Pharmacy, Center for Pharmacy Practice and Sciences, School of Pharmacy, Kitasato University, 5-9-1 Shirokane, Minato-ku, Tokyo, 108-8641, Japan.
Department of Pharmacy, Kitasato University Medical Center, 6-100 Arai, Kitamoto, 364-8501, Saitama, Japan.
出版信息
BMC Res Notes. 2020 Mar 16;13(1):158. doi: 10.1186/s13104-020-05014-4.
OBJECTIVE
After the large-scale earthquake in 2011, the disaster medical assistance team (DMAT) was made responsible for medical activities during the hyperacute phase of a disaster or accident in Japan. The medicines to be administered at the disaster sites, packaged in medical bags, may be affected by the temperatures there. This study aimed at establishing a method to handle drug bags in high-temperature situations by determining the temperature changes in medical bags subject to high temperatures and examining the effect of opening the bag and using heat-insulating material (HIM) and coolants.
RESULTS
Closed and semi-opened bags limited the temperature increase in the central part of the bag at both 35 and 40 °C to a greater extent than opened bags. When coolant and HIM were used in closed and semi-opened bags, the internal temperatures were significantly lower than in the opened state at 40 °C. In high-temperature disaster sites, medical bags should be maintained in a semi-opened or closed state using a HIM and coolant.
目的
2011年大规模地震后，灾害医疗援助队（DMAT）负责日本灾害或事故超急性期的医疗活动。装在医疗袋中的、要在灾害现场使用的药品可能会受到现场温度的影响。本研究旨在通过测定高温下医疗袋内的温度变化，并研究打开袋子、使用隔热材料（HIM）和冷却剂的效果，建立在高温情况下处理药袋的方法。
结果
在35℃和40℃时，封闭和半开的袋子比打开的袋子更能限制袋中央部分的温度升高。当在封闭和半开的袋子中使用冷却剂和HIM时，40℃时的内部温度明显低于打开状态。在高温灾害现场，医疗袋应使用HIM和冷却剂保持在半开或封闭状态。
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