| 特集名 | 東日本大震災と透析医療 | |
|---|---|---|
| 題名 | わが国の透析医療と自然災害 ― 新潟での経験 | |
| 発刊年月 | 2012年 03月 | |
| 著者 | 島田 久基 | 信楽園病院腎センター |
| 著者 | 鈴木 正司 | 信楽園病院腎センター |
| 【 要旨 】 | 新潟では，2004年に中越地震，2007年に中越沖地震を経験し，一部の透析施設では短期間であったが透析が施行できず，他施設への患者移送が必要となった．上記2地震においては，日本透析医会の災害時情報ネットワークによる情報交換システムの活用は一部に限られ，被災施設と支援施設との直接電話・ファックスなどによる情報伝達が主であった．中越地震においては，被災地外病院からの指揮協力が大きく貢献したが，これも自発的に発生したものであった．この反省をふまえ，新潟県では，災害時における県内4ブロックの核・准核施設を決定し，この体制を元に災害時情報ネットワークを立ち上げることとした．日本透析医会の災害時情報ネットワークの利用も各施設に周知・徹底しつつある． | |
| Theme | The Great East Japan (Tohoku) Earthquake and Dialysis Therapy | |
|---|---|---|
| Title | Dialysis medicine in disaster -- experience in Niigata | |
| Author | Hisaki Shimada | Kidney Center, Shinraku-en Hospital |
| Author | Masashi Suzuki | Kidney Center, Shinraku-en Hospital |
| [ Summary ] | Japan suffered from two huge earthquakes centered in Niigata. The first was the Mid Niigata Prefecture Earthquake in 2004. The second was the Niigata-ken Chuetsu-oki Earthquake in 2007. Some centers were unable to provide dialysis service and patients needed to be transfered to undamaged dialysis centers for several days. The internet information system for disasters, provided by the Japanese Association of Dialysis Physicians, was not fully utilized to provide cooperation between damaged facilities and nearby assisting hospitals on each occasion. Telephone and fax communication played a large part in information transmission between these facilities. After the Mid Niigata Prefecture Earthquake, a leader with wide ranging dialysis experience in this location rose to the occasion without being officially appointed. In order to improve dialysis support systems, The Niigata group of dialysis centers selected primary and secondary hospitals in four regions of Niigata prefecture after experiencing these earthquakes. These hospitals are expected to act as leaders in cooperating with damaged dialysis centers. The importance of the internet information system was also realized. In these disasters, hospital staffs must contact patients, governmental services, water supply services, transportation personell and local nursing service units in a timely manner. At the same time they must provide necessary manpower and medical devices. Plans to exchange information between hospitals and other related institutions should be prepared before disaster strikes. |
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