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The Imbalance in Medical Demand and Supply for Pediatric Victims in an Earthquake

Published online by Cambridge University Press:  21 December 2018

Chiaki Toida
Affiliation:
Department of Emergency Medicine, Yokohama City University, Graduate School of Medicine, Yokohama, Japan Department of Acute Medicine, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan
Ichiro Takeuchi
Affiliation:
Department of Emergency Medicine, Yokohama City University, Graduate School of Medicine, Yokohama, Japan
Takeru Abe
Affiliation:
Department of Emergency Medicine, Yokohama City University, Graduate School of Medicine, Yokohama, Japan
Jun Hattori
Affiliation:
Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Sagamihara, Japan
Kyoko Hattori
Affiliation:
Department of Obstetrics and Gynecology, Kitasato University School of Medicine, Sagamihara, Japan
Kohei Takahashi
Affiliation:
Critical Care and Emergency Center, Yokosuka Kyosai Hospital, Yokosuka, Japan
Munehito Uchiyama
Affiliation:
Department of Emergency Medicine, Yokohama City University, Graduate School of Medicine, Yokohama, Japan
Hideki Honda
Affiliation:
Critical Care and Emergency Center, Yokosuka General Hospital Uwamachi, Yokosuka, Japan
Yosihide Nakagawa
Affiliation:
Department of Emergency and Critical Care Medicine, Tokai University School of Medicine, Isehara, Japan
Kiyoshi Matsuda
Affiliation:
Department of Emergency and Critical Care Medicine, Nippon Medical School Musashi Kosugi Hospital, Kawasaki, Japan
Yasushi Asari
Affiliation:
Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Sagamihara, Japan
Naoto Morimura
Affiliation:
Department of Acute Medicine, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan
Corresponding
E-mail address:

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)

Type
Brief Report
Copyright
Copyright © 2018 Society for Disaster Medicine and Public Health, Inc. 

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References

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