In:
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine, Wiley, Vol. 32, No. 7 ( 2021-07), p. 350-356
Abstract:
Purpose : Using a simulation system, we developed and examined effective medical activity measures, assuming the human damage and medical resources available after the Tokyo Inland Earthquake. Materials and methods : When the number of injured and sick people, beds, medical relief teams, ambulances for transportation within the region, and rotorcrafts for wide–area medical transportation changed, we examined the effect of these changes on the number of post–disaster deaths. Results and Discussion : Of the estimated 21,511 cases of injuries and illnesses projected by the Cabinet Office in Japan, 6,641 (30.9%) deaths occurred after the disaster, as sufficient medical care was not provided based on our simulation. However, assuming 0.8, 0.6, and 0.4 times the expected number, post–disaster deaths decreased to 3,934 (25.3%), 1,919 (14.5%), and 137 (1.6%) in our simulation, respectively. The number of hospital beds, ambulances, and rotorcrafts contributed less to the reduction in post–disaster deaths. As the number of dispatched medical relief teams increased, the number of post–disaster deaths decreased during the simulation. Conclusion : It is necessary to make disaster prevention and mitigation efforts and implement appropriate combinations of disaster medical treatments to reduce the number of injured and sick individuals.
Type of Medium:
Online Resource
ISSN:
1883-3772
,
1883-3772
DOI:
10.1002/jja2.2021.v32.7
Language:
English
Publisher:
Wiley
Publication Date:
2021
detail.hit.zdb_id:
2846771-1
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