Hostname: page-component-8448b6f56d-xtgtn Total loading time: 0 Render date: 2024-04-18T06:27:34.502Z Has data issue: false hasContentIssue false
  • English
  • Français

Development of Mass-casualty Life Support-CBRNE (MCLS-CBRNE) in Japan

Published online by Cambridge University Press:  17 August 2016

Hideaki Anan ,
Yasuhiro Otomo ,
Hisayoshi Kondo ,
Masato Homma ,
Yuichi Koido ,
Kazuma Morino ,
Kenichi Oshiro ,
Kiyokazu Harikae  and
Osamu Akasaka
Hideaki Anan*
Affiliation:
Emergency Medical Center, Fujisawa City Hospital, Kanagawa, Japan
Yasuhiro Otomo
Affiliation:
Department of Acute Critical Care and Disaster Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Hisayoshi Kondo
Affiliation:
Japan DMAT Secretariat, National Hospital Organization Disaster Medical Center, Tokyo, Japan
Masato Homma
Affiliation:
Division of Emergency and Disaster Medicine, Tottori University, Tottori, Japan
Yuichi Koido
Affiliation:
Japan DMAT Secretariat, National Hospital Organization Disaster Medical Center, Tokyo, Japan
Kazuma Morino
Affiliation:
Department of Emergency Medicine, Yamagata Prefectural Medical Center for Emergency, Yamagata, Japan
Kenichi Oshiro
Affiliation:
Emergency & Critical Care Center, Kawasaki Municipal Hospital, Kanagawa, Japan
Kiyokazu Harikae
Affiliation:
Department of Sports Medicine, Kokushikan University, Tokyo, Japan
Osamu Akasaka
Affiliation:
Emergency Medical Center, Fujisawa City Hospital, Kanagawa, Japan
*
Correspondence: Hideaki Anan, MD, FJSIM Emergency Medical Center Fujisawa City Hospital 2-6-1 Fujisawa, Fujisawa, Kanagawa 251-8550, Japan E-mail: anan@za3.so-net.ne.jp
Get access Rights & Permissions [Opens in a new window]

Abstract

This report outlines the need for the development of an advanced course in mass-casualty life support (MCLS) and introduces the course content. The current problems with education on disasters involving chemical agents, biological agents, radiation/nuclear attacks, or explosives (CBRNE) in Japan are presented. This newly developed “MCLS-CBRNE” program was created by a Ministry of Health, Labour, and Welfare (Tokyo, Japan) research group based on these circumstances. Modifications were then made after a trial course. Training opportunities for relevant organizations to learn how to act at a CBRNE disaster site currently are lacking. The developed course covers initial responses at a disaster site. This one-day training course comprises lectures, three tabletop simulations, and practical exercises in pre-decontamination triage and post-decontamination triage. With regard to field exercises conducted to date, related organizations have experienced difficulties in understanding each other and adapting their approaches. Tabletop simulations provide an opportunity for participants to learn how organizations working on-site, including fire, police, and medical personnel, act with differing goals and guiding principles. This course appears useful as a means for relevant organizations to understand the importance of developing common guidelines. The MCLS-CBRNE training is proposed to support CBRNE disaster control measures during future events.

AnanH, OtomoY, KondoH, HommaM, KoidoY, MorinoK, OshiroK, HarikaeK, AkasakaO. Development of Mass-casualty Life Support-CBRNE (MCLS-CBRNE) in Japan. Prehosp Disaster Med. 2016;31(5):547–550.

Keywords

decontaminationdisasterstriage
Type
Special Reports
Information
Prehospital and Disaster Medicine , Volume 31 , Issue 5 , October 2016 , pp. 547 - 550
Copyright
© World Association for Disaster and Emergency Medicine 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Coule, PL, Schwartz, RB. The National Disaster Life Support programs: a model for competency-based standardized and locally relevant training. J Public Health Manag Pract. 2009;15(2):25-30.Google Scholar
2. Dallas, CE, Coule, PL, James, JJ, et al. Basic Disaster Life Support Provider Manual, Version 2.6. Chicago, Illinois USA: American Medical Association; 2007.Google Scholar
3. Okumura, T, Suzuki, K, Fukuda, A, et al. The Tokyo subway sarin attack: disaster management, part 1: community emergency response. Acad Emerg Med. 1998;5(6):613-617.Google Scholar
4. Okumura, T, Hisaoka, T, Yamada, A, et al. The Tokyo subway sarin attack—lessons learned. Toxicol Appl Pharmacol. 2005;207(l):471-476.Google Scholar
5. Anan, H, Akasaka, O, Kondo, H, et al. Experience from the Great East Japan Earthquake response as the basis for revising the Japanese Disaster Medical Assistance Team (DMAT) training program. Disaster Med Public Health Prep. 2014;8(6):477-484.Google Scholar