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Radiology Diagnostic Devices Under Emergency Electric Power at Disaster Base Hospitals During the Acute Phase of the Great East Japan Earthquake: Results of a Survey of All Disaster Base Hospitals in Miyagi Prefecture

Published online by Cambridge University Press:  10 December 2014

Shota Maezawa
Affiliation:
Department of Emergency and Critical Care Medicine/Emergency Center, Tohoku University Hospital, Sendai, Japan
Daisuke Kudo*
Affiliation:
Department of Emergency and Critical Care Medicine/Emergency Center, Tohoku University Hospital, Sendai, Japan Division of Emergency and Critical Care Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan
Hajime Furukawa
Affiliation:
Department of Emergency and Critical Care Medicine/Emergency Center, Tohoku University Hospital, Sendai, Japan Department of Anesthesia and Perioperative Care, University of California, San Francisco
Atsuhiro Nakagawa
Affiliation:
Department of Emergency and Critical Care Medicine/Emergency Center, Tohoku University Hospital, Sendai, Japan Department of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan
Satoshi Yamanouchi
Affiliation:
Department of Emergency and Critical Care Medicine/Emergency Center, Tohoku University Hospital, Sendai, Japan Division of Emergency and Critical Care Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan
Takashi Matsumura
Affiliation:
Department of Emergency and Critical Care Medicine/Emergency Center, Tohoku University Hospital, Sendai, Japan
Shinichi Egawa
Affiliation:
Division of International Cooperation for Disaster Medicine, International Research Institute of Disaster Science, Tohoku University, Sendai, Japan.
Teiji Tominaga
Affiliation:
Department of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan
Shigeki Kushimoto
Affiliation:
Department of Emergency and Critical Care Medicine/Emergency Center, Tohoku University Hospital, Sendai, Japan Division of Emergency and Critical Care Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan
*
Correspondence and reprint requests to Daisuke Kudo, MD, PhD, Division of Emergency and Critical Care Medicine, Tohoku University Graduate School of Medicine, Department of Emergency and Critical Care Medicine/Emergency Center Tohoku University Hospital, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8574, Japan (e-mail: [email protected]).

Abstract

Objective

This study aimed to clarify the management of emergency electric power and the operation of radiology diagnostic devices after the Great East Japan Earthquake.

Methods

Timing of electricity restoration, actual emergency electric power generation, and whether radiology diagnostic devices were operational and the reason if not were investigated through a questionnaire submitted to all 14 disaster base hospitals in Miyagi Prefecture in February and March 2013.

Results

Commercial electricity supply resumed within 3 days after the earthquake at 13 of 14 hospitals. Actual emergency electric power generation was lower than pre-disaster estimates at most of the hospitals. Only 4 of 11 hospitals were able to generate 60% of the power normally consumed. Under emergency electric power, conventional X-ray and computed tomography (CT) scanners worked in 9 of 14 (64%) and 8 of 14 (57%) hospitals, respectively. The main reason conventional X-ray and CT scanners did not operate was that hospitals had not planned to use these devices under emergency electric power. Only 2 of the 14 hospitals had a pre-disaster plan to allocate emergency electric power, and all devices operated at these 2 hospitals.

Conclusions

Pre-disaster plans to allocate emergency electric power are required for disaster base hospitals to effectively operate radiology diagnostic devices after a disaster. (Disaster Med Public Health Preparedness. 2014;8:548-552)

Type
Original Research
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2014 

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Footnotes

Drs Maezawa and Kudo contributed equally to the study.

References

1. The disaster information [in Japanese]. Cabinet Office, Government Of Japan Web site. http://www.bousai.go.jp/kaigirep/hakusho/h23/bousai2011/html/zu/zu004.htm. Accessed November 25, 2014.Google Scholar
2. The situation of damage of the Great East Japan Earthquake [in Japanese]. Miyagi Prefecture Web site. http://www.pref.miyagi.jp/kikitaisaku/higashinihondaishinsai/higaizyoukyou.htm. Accessed November 15, 2014.Google Scholar
3. Nakagawa, A, Furukawa, H, Kudo, D, et al. The Great East Japan Earthquake: lessons learned from the incidents at Tohoku University Hospital during the first 72 hours. IEEE Pulse. 2013;4(3):20-27.CrossRefGoogle ScholarPubMed
4. Satomi, S. The Great East Japan earthquake: Tohoku University Hospital’s efforts and lessons learned. Surg Today. 2011;41(9):1171-1181.CrossRefGoogle ScholarPubMed
5. A condition of designation of disaster base hospitals [in Japanese]. Ministry of Health, Labour and Welfare Web site. http://www1.mhlw.go.jp/houdou/0901/h0116-3.html. Accessed November 15, 2014.Google Scholar
6. Kudo, D, Furukawa, H, Nakagawa, A, et al. Resources for business continuity in disaster-based hospitals in the great East Japan earthquake: survey of Miyagi Prefecture disaster base hospitals and the prefectural disaster medicine headquarters. Disaster Med Public Health Prep. 2013;7(5):461-466.CrossRefGoogle ScholarPubMed
7. Guideline of Disaster Medicine [in Japanese]. Ministry of Health, Labour and Welfare Web site. http://www.mhlw.go.jp/stf/shingi/2r9852000001tf5g-att/2r9852000001tf6x.pdf. Accessed November 15, 2014.Google Scholar
8. Roberts, P, Molyneux, H. Implementing business continuity effectively within the UK National Health Service. J Bus Contin Emer Plan. 2010;4(4):352-359.Google ScholarPubMed
9. Sasaki, M. BCP (business continuity plan) in disaster [in Japanese]. Mod Physician. 2012;32(5):201-205.Google Scholar
10. Ohara, T, Narikiyo, T, Matsumura, H. Reconsideration of BCP manual in crisis/disaster: the need to consider not only hospital information system and but also department information systems [in Japanese]. Iryo Joho. 2010;30(4):233-239.Google Scholar
11. Yutani, Y, Nakatani, M. Resilient BCP/LCP facility planning for disasters [in Japanese]. Byouin Setsubi. 2012;54(2):52-57.Google Scholar
12. JCAHO Compliance. Response Systems Web site. http://www.disasterpreparation.net/resources.html. Accessed November 25, 2014.Google Scholar
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