Tanaka K
Department of Emergency and Critical Care Medicine, School of Medicine, Fukuoka University, Japan.
Eur J Emerg Med. 1996 Dec;3(4):263-9. doi: 10.1097/00063110-199612000-00009.
The Great Hanshin earthquake on 17 January 1995 caused a complete disruption of both the communications and transportation systems which, as a result, severely hampered a prompt and timely system response. The survival rate of the extricated victims was 80.4% on the first day, and 1892 victims were extricated with an overall survival rate of 40%. Very few patients were transported to hospitals outside the disaster area on the first day of the disaster. The power supply was quickly reestablished, however, it took a long time for the water supply to return to normal and this factor played a major role in limiting the clinical activities of the damaged hospitals. Crush syndrome was the most prominent medical syndrome necessitating critical care after the Kobe earthquake. The Japanese Association for Acute Medicine has since made eight new proposals for emergency medicine during mass-disasters that will hopefully improve the survival of patients in any future disasters.
1995年1月17日的阪神大地震导致通信和运输系统完全瘫痪，严重阻碍了迅速及时的系统响应。获救受害者第一天的存活率为80.4%，共救出1892名受害者，总存活率为40%。灾害发生第一天，很少有患者被送往灾区以外的医院。电力供应很快恢复，但供水恢复正常花了很长时间，这一因素在限制受损医院的临床活动方面起了主要作用。挤压综合征是神户地震后需要重症监护的最突出的医学综合征。此后，日本急性医学协会针对大规模灾害中的急诊医学提出了八项新建议，有望提高未来任何灾害中患者的存活率。
