Skip to main content Accessibility help

Development of Mass-casualty Life Support-CBRNE (MCLS-CBRNE) in Japan

  • Hideaki Anan (a1), Yasuhiro Otomo (a2), Hisayoshi Kondo (a3), Masato Homma (a4), Yuichi Koido (a3), Kazuma Morino (a5), Kenichi Oshiro (a6), Kiyokazu Harikae (a7) and Osamu Akasaka (a1)...


This report outlines the need for the development of an advanced course in mass-casualty life support (MCLS) and introduces the course content. The current problems with education on disasters involving chemical agents, biological agents, radiation/nuclear attacks, or explosives (CBRNE) in Japan are presented. This newly developed “MCLS-CBRNE” program was created by a Ministry of Health, Labour, and Welfare (Tokyo, Japan) research group based on these circumstances. Modifications were then made after a trial course. Training opportunities for relevant organizations to learn how to act at a CBRNE disaster site currently are lacking. The developed course covers initial responses at a disaster site. This one-day training course comprises lectures, three tabletop simulations, and practical exercises in pre-decontamination triage and post-decontamination triage. With regard to field exercises conducted to date, related organizations have experienced difficulties in understanding each other and adapting their approaches. Tabletop simulations provide an opportunity for participants to learn how organizations working on-site, including fire, police, and medical personnel, act with differing goals and guiding principles. This course appears useful as a means for relevant organizations to understand the importance of developing common guidelines. The MCLS-CBRNE training is proposed to support CBRNE disaster control measures during future events.

Anan H , Otomo Y , Kondo H , Homma M , Koido Y , Morino K , Oshiro K , Harikae K , Akasaka O . Development of Mass-casualty Life Support-CBRNE (MCLS-CBRNE) in Japan. Prehosp Disaster Med. 2016;31(5):547550.


Corresponding author

Correspondence: Hideaki Anan, MD, FJSIM Emergency Medical Center Fujisawa City Hospital 2-6-1 Fujisawa, Fujisawa, Kanagawa 251-8550, Japan E-mail:


Hide All
1. Coule, PL, Schwartz, RB. The National Disaster Life Support programs: a model for competency-based standardized and locally relevant training. J Public Health Manag Pract. 2009;15(2):25-30.
2. Dallas, CE, Coule, PL, James, JJ, et al. Basic Disaster Life Support Provider Manual, Version 2.6. Chicago, Illinois USA: American Medical Association; 2007.
3. Okumura, T, Suzuki, K, Fukuda, A, et al. The Tokyo subway sarin attack: disaster management, part 1: community emergency response. Acad Emerg Med. 1998;5(6):613-617.
4. Okumura, T, Hisaoka, T, Yamada, A, et al. The Tokyo subway sarin attack—lessons learned. Toxicol Appl Pharmacol. 2005;207(l):471-476.
5. Anan, H, Akasaka, O, Kondo, H, et al. Experience from the Great East Japan Earthquake response as the basis for revising the Japanese Disaster Medical Assistance Team (DMAT) training program. Disaster Med Public Health Prep. 2014;8(6):477-484.



Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed