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日本灾害医疗援助队在“钻石公主”号游轮上的行动:新冠肺炎医疗行动。

Japan DMAT operations in the Diamond Princess cruise ship: COVID-19 medical operation.

作者信息

Kondo Hisayoshi, Koido Yuichi, Kohayagawa Yoshitaka, Anan Hideaki

机构信息

DMAT Secretariat, National Hospital Organization Headquarters, Tokyo, Japan.

Vice-President, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan.

出版信息

Am J Disaster Med. 2020;15(3):207-218. doi: 10.5055/ajdm.2020.0369.

Abstract

OBJECTIVE

The aim of this study was to identify positive effects from the Japan Disaster Medical Assistant Team (DMAT) medical operation in the Diamond Princess cruise ship (DP).

METHODS

Japan DMAT dispatched and managed the medical operation for DP passengers and crew members. The records of communication logs for the DMAT were evaluated.

RESULTS

472 DMAT members were responded. DMAT took 3 to 4 days to manage patients due to a lack of medical supplies at the early phase of operation. The prescription was delayed for prescription required passengers that include passengers who will be in critical health conditions without prescriptions. DMAT conducted a strategic operation and developed categorization for medical care and patient transport. Eventually, DMAT constructed flow to provide rapid medical care and prescription distributions for passengers and crew members.

CONCLUSION

DMAT has been required to respond to unforeseen disasters in the framework since the Fukushima Nuclear Plant accident in 2011. All the past several types of disaster response were contributed to managing medical operations at the DP. These operations are thought to reduce preventable deaths from Coronavirus disease 2019 (COVID-19).

摘要

目的

本研究旨在确定日本灾害医疗援助队(DMAT)在钻石公主号游轮(DP)上的医疗行动所产生的积极影响。

方法

日本灾害医疗援助队为钻石公主号的乘客和船员派遣并管理医疗行动。对灾害医疗援助队的通信日志记录进行了评估。

结果

472名灾害医疗援助队成员做出了回应。由于行动初期医疗物资短缺,灾害医疗援助队花了3至4天来处理患者。对于需要处方的乘客,包括那些病情危急却没有处方的乘客,处方发放有所延迟。灾害医疗援助队开展了一次战略行动,并制定了医疗护理和患者转运的分类标准。最终,灾害医疗援助队构建了流程,为乘客和船员提供快速医疗护理和处方发放服务。

结论

自2011年福岛核电站事故以来,灾害医疗援助队一直被要求在该框架下应对不可预见的灾难。过去的几种灾害应对方式都有助于管理钻石公主号上的医疗行动。这些行动被认为可减少2019冠状病毒病(COVID-19)导致的可预防死亡。

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