Mass Disaster

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Mass Disaster

Kitakyushu City Fire and Disaster Management Department

Mass Disaster

Definition The condition that cannot be corresponded with usual methods using human and physical resources available
(FEMA 1997: Federal Emergency Management Agency)

The state in which supply is overwhelmingly less than demand

Classification of disasters

Natural disaster Earthquake, volcanic eruption, typhoon, flood, etc. Human disaster Traffic disaster (airplanes, trains), urban fire, war, terrorist attack, etc. Special disaster Radiation incident, mixed type of natural and human disasters, etc.

Principles for correspondence at site


Establishment of the chain of command 2. Securing of safety 3. Establishment of communication system 4. Triage 5. Relief activities to be conducted at a disaster site (3 Ts) Triage Start method Treatment Transportation
1.

Triage

Purpose The greatest good for the greatest number


To decide the priority level of rescue, medical treatment and transport, in consideration of possibility of life saving under each condition, depending on the degree of emergency and seriousness

Classification of triage
Priority First priority
Classification

Color

Division

Physical status In a life-threatening condition, some emergency treatment is required.

Emergency treatment level

Red

Second priority

Pre-emergency treatment level (waiting for treatment) Light injury level (treatment not required)

Yellow

II

Not regarded as a life-threatening condition even if waiting for treatment for some hours.

Third priority

Green

III

Able to walk and not requiring treatment. Outpatient visit after treatment is enough.

Fourth priority

Death (mortally wounded)

Black

IV

No vital sign or evidently impossible to save life even in usual time.

START method
Respiration

No

Black

Yes
Respiration rate

<10 or 30 Red

10-29
Refilling time or radial artery

2s
Not Touch No Yellow Green Yes

< 2s

Touch

Able to walk

FirstFirst-aid station at a disaster site


Not emergency

Black
Disaster Site

Green

Red

Yellow
Emergency

Triage

Treatment

Transportation

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