Shizuoka Hospital, Juntendo University, Izunokuni, Shizuoka, Japan.
Shizuoka Hospital, Juntendo University, Izunokuni, Shizuoka, Japan.
Air Med J. 2023 May-Jun;42(3):213-217. doi: 10.1016/j.amj.2023.01.013. Epub 2023 Mar 4.
There are a few reports regarding the use of a hangar as a temporal medical facility (staging care unit [SCU]) during large-scale disasters. The aim of this study was to describe the activities performed by disaster medical assistance teams (DMATs) at the hangar of the eastern Shizuoka physician-staffed helicopter as an SCU in the 2022 Shizuoka Prefecture disaster drill.
We selected the narrative method for this study.
Four DMATs helped manage the SCU at the hangar. During the training period, there were 3 instances of a mock doctor helicopter landing and takeoff and 1 actual eastern Shizuoka doctor helicopter landing and takeoff while transporting a mock burn patient. Four DMATs treated 3 mock patients in addition to receiving training regarding medical materials. Such an SCU was able to reduce the burden on the disaster base hospital because many severely ill or traumatized mock patients were transported to the hospital. However, an evaluation meeting held after the drill revealed problems with lifelines, safety management, stock, and quality management of materials in an actual disaster situation.
We reported our experience with a training exercise using a hangar of the eastern Shizuoka doctor helicopter as an SCU in the 2022 Shizuoka Prefecture disaster drill. There are advantages and disadvantages to using the hangar of a doctor helicopter in this way, so further investigation will be necessary.
有一些关于在大规模灾害期间使用机库作为临时医疗设施(分期护理单位 [SCU])的报告。本研究的目的是描述 2022 年静冈县灾害演习中,东部静冈医生配备直升机机库作为 SCU 时,灾害医疗援助队(DMAT)开展的活动。
我们选择了叙述方法进行这项研究。
有 4 个 DMAT 协助管理机库的 SCU。在培训期间,有 3 次模拟医生直升机降落和起飞,以及 1 次实际的东部静冈医生直升机降落和起飞,同时运送模拟烧伤患者。除了接受医疗材料培训外,4 个 DMAT 还治疗了 3 名模拟患者。这样的 SCU 可以减轻灾害基地医院的负担,因为许多重症或创伤患者被送往医院。然而,演习后的评估会议揭示了在实际灾难情况下生命线、安全管理、库存和材料质量管理方面存在的问题。
我们报告了在 2022 年静冈县灾害演习中,使用东部静冈医生直升机机库作为 SCU 的培训经验。以这种方式使用医生直升机机库有其优缺点,因此需要进一步调查。