Advertisement
Case Report|Articles in Press

Use of a Helicopter Emergency Medical Service Hangar as a Staging Care Unit in a Disaster-Affected Area

Published:March 04, 2023DOI:https://doi.org/10.1016/j.amj.2023.01.013

      Abstract

      Objective

      There are a few reports regarding the use of a hangar as a temporal medical facility (staging care unit [SCU]) during large-scale disasters. The aim of this study was to describe the activities performed by disaster medical assistance teams (DMATs) at the hangar of the eastern Shizuoka physician-staffed helicopter as an SCU in the 2022 Shizuoka Prefecture disaster drill.

      Methods

      We selected the narrative method for this study.

      Results

      Four DMATs helped manage the SCU at the hangar. During the training period, there were 3 instances of a mock doctor helicopter landing and takeoff and 1 actual eastern Shizuoka doctor helicopter landing and takeoff while transporting a mock burn patient. Four DMATs treated 3 mock patients in addition to receiving training regarding medical materials. Such an SCU was able to reduce the burden on the disaster base hospital because many severely ill or traumatized mock patients were transported to the hospital. However, an evaluation meeting held after the drill revealed problems with lifelines, safety management, stock, and quality management of materials in an actual disaster situation.

      Conclusion

      We reported our experience with a training exercise using a hangar of the eastern Shizuoka doctor helicopter as an SCU in the 2022 Shizuoka Prefecture disaster drill. There are advantages and disadvantages to using the hangar of a doctor helicopter in this way, so further investigation will be necessary.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Air Medical Journal
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Homma M.
        Development of the Japanese national disaster medical system and experiences during the Great East Japan Earthquake.
        Yonago Acta Med. 2015; 58: 53-61
        • Yanagawa Y
        • Nakamura M
        • Saoyama Y
        • Mimura S.
        Lessons learned in helicopter operations during a large multiagency disaster prevention drill in Japan.
        Air Med J. 2019; 38: 202-208
        • Yanagawa Y
        • Jitsuiki K
        • Nagasawa H
        • Ohsaka H
        • Ishikawa K.
        Questions regarding the initial request for the dispatch of disaster medical assistance teams for a landslide after torrential rain at Izuyama in Atami, Japan.
        J Emerg Trauma Shock. 2022; 15: 71-72
        • Chimed-Ochir O
        • Yumiya Y
        • Taji A
        • et al.
        Emergency medical teams’ responses during the West Japan heavy rain 2018: J-SPEED data analysis.
        Prehosp Disaster Med. 2022; 37: 1-7
        • Kondo H
        • Koido Y
        • Kohayagawa Y
        • Anan H.
        Japan DMAT operations in the Diamond Princess cruise ship: COVID-19 medical operation.
        Am J Disaster Med. 2020; 15: 207-218
        • Kondo H
        • Koido Y
        • Kawashima Y
        • et al.
        Consideration of medical and public health coordination – experience from the 2016 Kumamoto, Japan Earthquake.
        Prehosp Disaster Med. 2019; 34: 149-154
      1. Japan Meteorological Agency. Nankai megathrust earthquake [in Japanese]. Available at: https://www.data.jma.go.jp/svd/eqev/data/nteq/nteq.html. Accessed December 1, 2022.

        • Banks V
        • Allison CK
        • Parnell K
        • Plant K
        • Stanton NA.
        Predicting and mitigating failures on the flight deck: an aircraft engine bird strike scenario.
        Ergonomics. 2022; 65: 1672-1695
        • Rasheed H
        • Usman M
        • Ahmed W
        • Bacha MH
        • Zafar A
        • Bukhari KS.
        A shift from logistic software to service model: a case study of new service-driven-software for management of emergency supplies during disasters and emergency conditions by WHO.
        Front Pharmacol. 2019; 10: 473
        • Yanagawa Y
        • Jitsuiki K
        • Nagasawa H
        • et al.
        A smartphone video transmission system for verification of transfusion.
        Air Med J. 2019; 38: 125-128
        • Omori K
        • Muramatsu KI
        • Nagasawa H
        • et al.
        Experience of the usage of a Portable X-ray system.
        Air Med J. 2020; 39: 14-17
        • Ishikawa K
        • Yanagawa Y
        • Ota S
        • et al.
        Preliminary study of prehospital use of smart glasses.
        Acute Med Surg. 2022; 9: e807
        • Motomura T
        • Hirabayashi A
        • Matsumoto H
        • et al.
        Aeromedical transport operations using helicopters during the 2016 Kumamoto Earthquake in Japan.
        J Nippon Med Sch. 2018; 85: 124-130
        • Nagasawa H
        • Jitsuiki K
        • Mogami A
        • Yanagawa Y.
        A report concerning collaboration between a physician-staffed helicopter (doctor helicopter) and police helicopter.
        Air Med J. 2022; 41: 18-22
        • Omori K
        • Nagasawa H
        • Takeuchi I
        • et al.
        A report concerning nocturnal landing and take-off training in cases where VIPs suddenly become severely ill.
        SAS J Med. 2017; 3: 223-225
        • Fuse A
        • Shuto Y
        • Ando F
        • et al.
        Medical relief activities conducted by Nippon Medical School in the acute phase of the Great East Japan Earthquake 2011.
        J Nippon Med Sch. 2011; 78: 397-400
        • Otsuka N
        • Yamashita A
        • Kimura Y
        • et al.
        Experience of DMAT rescue activity by doctor-helicopter in Tohoku Area after the earthquake [in Japanese].
        Masui. 2012; 61: 771-774
        • Matsumoto H
        • Motomura T
        • Hara Y
        • et al.
        Lessons learned from the aeromedical disaster relief activities following the great East Japan earthquake.
        Prehosp Disaster Med. 2013; 28: 166-169