The breakdown of an emergency system following a gas explosion in Osaka and the subsequent resolution of problems |
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Authors: | T Ishida M Ohta T Sugimoto |
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Affiliation: | 1. Associate Professor, Division of Emergency and Critical Care Medicine, Hyogo College of Medicine, Hyogo, Japan;2. Chairman of Osaka Prefectural Senri Critical Care Medical Center, Japan;3. Chairman and Professor, Department of Traumatology, Osaka University School of Medicine, Japan |
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Abstract: | Osaka, a modern urban metropolis in Japan, experienced a tragic gas explosion in 1970 when the dispatch room of the City Fire Department was in the process of being moved to a new building. Many unforseen problems arose during this disaster: eg, there was an overall lack of leadership, confusion of communication, a need for triage, and lack of control of mass media. The Osaka Medical Association organized a committee to resolve these problems. Their conclusions and recommendations were that a control headquarters be established at the scene of disaster, the number of ambulances and EMTs be increased, disaster tags be utilized, a special radio frequency be created, and a computer-aided command and control system for fire fighting and ambulance services be introduced. These recommendations have all been followed. |
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Keywords: | disaster management multiple casualty incident gas explosion emergency medical services |
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