Okumura T, Suzuki K, Fukuda A, Kohama A, Takasu N, Ishimatsu S, Hinohara S
Department of Emergency Medicine, St. Luke's International Hospital, Tokyo, Japan.
Acad Emerg Med. 1998 Jun;5(6):618-24. doi: 10.1111/j.1553-2712.1998.tb02471.x.
The Tokyo subway sarin attack was the second documented incident of nerve gas poisoning in Japan. The authors report how St. Luke's Hospital dealt with this disaster from the viewpoint of disaster management. Recommendations derived from the experience include the following: Each hospital in Japan should prepare an emergent decontamination area and have available chemical-resistant suits and masks. Ventilation in the ED and main treatment areas should be well planned at the time a hospital is designed. Hospital disaster planning must include guidance in mass casualties, an emergency staff call-up system, and an efficient emergency medical chart system. Hospitals should establish an information network during routine practice so that it can be called upon at the time of a disaster. The long-term effects of sarin should be monitored, with such investigation ideally organized and integrated by the Japanese government.
东京地铁沙林毒气袭击事件是日本有记录的第二起神经性毒气中毒事件。作者从灾害管理的角度报告了圣路加国际医院应对这场灾难的情况。从该事件中得出的建议如下：日本的每家医院都应设立一个紧急去污区域，并配备耐化学腐蚀的防护服和口罩。在医院设计阶段就应精心规划急诊科和主要治疗区域的通风系统。医院灾难预案必须包括大规模伤亡应对指南、应急人员召集系统和高效的急诊病历系统。医院应在日常工作中建立信息网络，以便在灾难发生时能够启用。应监测沙林毒气的长期影响，理想情况下，此类调查应由日本政府组织并整合。
