Chiaki Toida1,2, Ichiro Takeuchi1, Takeru Abe1, Jun Hattori3, Kyoko Hattori4, Kohei Takahashi5, Munehito Uchiyama1, Hideki Honda6, Yosihide Nakagawa7, Kiyoshi Matsuda8, Yasushi Asari3, Naoto Morimura2. 1. Department of Emergency Medicine, Yokohama City University, Graduate School of Medicine, Yokohama, Japan. 2. Department of Acute Medicine, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan. 3. Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Sagamihara, Japan. 4. Department of Obstetrics and Gynecology, Kitasato University School of Medicine, Sagamihara, Japan. 5. Critical Care and Emergency Center, Yokosuka Kyosai Hospital, Yokosuka, Japan. 6. Critical Care and Emergency Center, Yokosuka General Hospital Uwamachi, Yokosuka, Japan. 7. Department of Emergency and Critical Care Medicine, Tokai University School of Medicine, Isehara, Japan. 8. Department of Emergency and Critical Care Medicine, Nippon Medical School Musashi Kosugi Hospital, Kawasaki, Japan.
Abstract
OBJECTIVES: We quantified an absolute imbalance of the medical risks and the support needs for children at each disaster-based hospital in Kanagawa immediately following the occurrence of a large earthquake by using the risk resource ratio (RRR) and need for medical resources (NMR). METHODS: The RRR and NMR of 33 disaster-based hospitals were estimated through dividing the estimated number of pediatric victims by the number of critically patients. We calculated the ratio of the NMR of each hospital. RESULTS: The total number of pediatric victims in Kanagawa was estimated at 8,391. The total number of vacant beds for pediatric victims was 352. The median RRR and NMR of the total number of pediatric victims were 27 and 224. The median RRR and NMR of the number of critically ill pediatric patients were 27 and 12. CONCLUSIONS: The absolute imbalance of the RRR and NMR for children in Kanagawa was quantified. This suggests that we might embark on preparedness strategies for children in advance. (Disaster Med Public Health Preparedness. 2018;13:672-676).
OBJECTIVES: We quantified an absolute imbalance of the medical risks and the support needs for children at each disaster-based hospital in Kanagawa immediately following the occurrence of a large earthquake by using the risk resource ratio (RRR) and need for medical resources (NMR). METHODS: The RRR and NMR of 33 disaster-based hospitals were estimated through dividing the estimated number of pediatric victims by the number of critically patients. We calculated the ratio of the NMR of each hospital. RESULTS: The total number of pediatric victims in Kanagawa was estimated at 8,391. The total number of vacant beds for pediatric victims was 352. The median RRR and NMR of the total number of pediatric victims were 27 and 224. The median RRR and NMR of the number of critically ill pediatric patients were 27 and 12. CONCLUSIONS: The absolute imbalance of the RRR and NMR for children in Kanagawa was quantified. This suggests that we might embark on preparedness strategies for children in advance. (Disaster Med Public Health Preparedness. 2018;13:672-676).
Entities:
Keywords:
disaster base hospital; earthquake disaster; pediatric victim