Yanagawa Youichi, Kanda Akio, Nagasawa Hiroki, Ohsaka Hiromichi, Omori Kazuhiko
Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan.
Department of Orthopedics, Shizuoka Hospital, Juntendo University, Japan.
J Rural Med. 2024 Oct;19(4):300-304. doi: 10.2185/jrm.2024-021. Epub 2024 Oct 1.
To investigate the differences between doctor helicopters (DHs) and disaster medical assistance teams (DMATs), based on past examples and the current situation in Shizuoka Prefecture.
First, we examined cases in Shizuoka Prefecture from 2014 to 2023, wherein incidents involving five or more injured individuals were managed using multiple DHs simultaneously. Next, we investigated the presence of DMATs in Shizuoka Prefecture and assessed their role in disaster responses within the prefecture.
Since 2014, there have been eight incidents in Shizuoka Prefecture wherein multiple DHs were deployed to respond to mass casualties. Shizuoka DMATs were placed on standby thrice during the same period, with one active deployment during a disaster caused by a landslide in Atami. The other two cases were managed solely by DHs and ambulance teams.
Localized disasters in Shizuoka Prefecture have seen the effective use of multiple DHs for timely patient transportation, particularly when weather conditions were suitable. By contrast, DMATs are primarily deployed for extended medical activities lasting more than one day. This differentiation highlights the importance of choosing an appropriate medical response approach based on the nature and scope of a disaster.
基于静冈县过去的案例和现状，调查医生直升机（DHs）与灾难医疗援助团队（DMATs）之间的差异。
首先，我们研究了2014年至2023年静冈县的案例，其中涉及五名或更多受伤人员的事件由多个医生直升机同时处理。接下来，我们调查了静冈县灾难医疗援助团队的情况，并评估了他们在该县灾难应对中的作用。
自2014年以来，静冈县有八起事件中部署了多个医生直升机以应对大规模伤亡。同期，静冈县灾难医疗援助团队三次待命，其中一次在热海因山体滑坡引发的灾难中进行了实际部署。另外两起事件仅由医生直升机和救护车队处理。
在静冈县的局部灾难中，特别是在天气条件适宜时，多个医生直升机被有效地用于及时运送患者。相比之下，灾难医疗援助团队主要用于持续超过一天的长期医疗活动。这种差异凸显了根据灾难的性质和规模选择合适医疗应对方法的重要性。
