Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-10T03:18:17.748Z Has data issue: false hasContentIssue false
  • English
  • Français

The Development of an Active Learning Program for the Medical Responders in a Nuclear Disaster

Published online by Cambridge University Press:  27 May 2019

Takakiyo Tsujiguchi ,
Katsuhiro Ito ,
Daishi Sato ,
Junko Mikami ,
Yoshitaka Shiroma ,
Arifumi Hasegawa ,
Hitoshi Yamamura  and
Ikuo Kashiwakura
Takakiyo Tsujiguchi*
Affiliation:
Hirosaki University, Graduate School of Health Sciences, Department of Radiation Technology, Hirosaki, Aomori, Japan Hirosaki University Center for Radiation Support and Safety, Hirosaki, Aomori, Japan
Katsuhiro Ito
Affiliation:
Hirosaki University Center for Radiation Support and Safety, Hirosaki, Aomori, Japan Advance Emergency and Critical Care Center, Hirosaki University Hospital, Hirosaki, Aomori, Japan
Daishi Sato
Affiliation:
Hirosaki University Center for Radiation Support and Safety, Hirosaki, Aomori, Japan Advance Emergency and Critical Care Center, Hirosaki University Hospital, Hirosaki, Aomori, Japan
Junko Mikami
Affiliation:
Hirosaki University Center for Radiation Support and Safety, Hirosaki, Aomori, Japan Advance Emergency and Critical Care Center, Hirosaki University Hospital, Hirosaki, Aomori, Japan
Yoshitaka Shiroma
Affiliation:
Hirosaki University, Graduate School of Health Sciences, Department of Radiation Technology, Hirosaki, Aomori, Japan Hirosaki University Center for Radiation Support and Safety, Hirosaki, Aomori, Japan
Arifumi Hasegawa
Affiliation:
Fukushima Medical University School of Medicine, Department of Radiation Disaster Medicine, Fukushima, Japan
Hitoshi Yamamura
Affiliation:
Hirosaki University Center for Radiation Support and Safety, Hirosaki, Aomori, Japan Advance Emergency and Critical Care Center, Hirosaki University Hospital, Hirosaki, Aomori, Japan
Ikuo Kashiwakura
Affiliation:
Hirosaki University, Graduate School of Health Sciences, Department of Radiation Technology, Hirosaki, Aomori, Japan Hirosaki University Center for Radiation Support and Safety, Hirosaki, Aomori, Japan
*
Correspondence and reprint requests to Dr Ikuo Kashiwakura, Hirosaki University Graduate School of Health Sciences, 66-1 Hon-cho, Hirosaki, Aomori, Japan, 036-8564 (e-mail: ikashi@hirosaki-u.ac.jp).
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

In Japan, with the revision of the Nuclear Emergency Response Guidelines in 2015, nuclear emergency medical assistance teams responsible for the medical treatment in the acute phase of nuclear disaster have been developed nationwide. The purpose of this research is to develop active learning materials for the education of medical staff, to confirm the educational effect of the materials, and to identify the gaps in nuclear disaster risk reduction in Japan.

Methods:

We established a working group and created active learning materials. We trained members of the nuclear emergency medical assistance team using the developed active learning materials and then conducted a questionnaire survey for trainees who participated in the training.

Results:

Regarding the developed teaching materials, out of 33 trainees, 33 (100%) answered “easy to understand” or “a little understandable” to the item dealing with how to use the radiation detectors and attaching/detaching personal protective equipment. Regarding the simulation about practicing hospital support and medical provision, 3 (8%) answered “a little confusing.”

Conclusion:

The study demonstrated that the developed materials have an educational effect. Additionally, the results of the trainee questionnaire showed the necessity for improvement in the triage system and new protocols to help both the patients and responders.

Keywords

disaster medicineeducationpatient simulationpublic health professionalradiation injuries
Type
Brief Report
Information
Disaster Medicine and Public Health Preparedness , Volume 13 , Issue 5-6 , December 2019 , pp. 853 - 858
Copyright
Copyright © 2019 Society for Disaster Medicine and Public Health, Inc. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Tsujiguchi, T, Yamamura, H, Kashiwakura, I. The medical treatment of radiation exposure and contamination in radiation accidents. Radiat Environ Med. 2017;6(2):94–103.Google Scholar
Tominaga, T, Sagara, M, Hachiya, M, et al. Medical response system to radiation emergency in Japan before and after the TEPCO Fukushima Daiichi Nuclear Power Plant accident. Disaster Med Public Health Prep. 2016;21:1–9. (in Japanese with English Abstract)Google Scholar
NRA (Nuclear Regulation Authority) Japan. The activity guidelines of nuclear emergency medical assistance teams. Published March 29, 2017. http://www.nsr.go.jp/data/000183394.pdf. Accessed April 16, 2018. (in Japanese)Google Scholar
NRA (Nuclear Regulation Authority) Japan. Publication of deliverables. Published October 9, 2015. https://www.nsr.go.jp/data/000186587.pdf. Accessed August 17, 2018. (in Japanese)Google Scholar
Akashi, M, Kumagaya, K, Kondo, H, et al. Concerns of disaster medical assistance team (DMAT) members about troubles at the nuclear power plant: experience from the Niigata Chuetsu-Oki earthquake, 16 July 2007, in Japan. Health Phys. 2010;98(6):804–809.CrossRefGoogle Scholar
NRA (Nuclear Regulation Authority) Japan. Nuclear disaster countermeasure. Published December 3, 2012. http://www.nsr.go.jp/data/000024441.pdf. Accessed April 16, 2018. (in Japanese)Google Scholar
Coleman, CN, Weinstock, DM, Casagrande, R, et al. Triage and treatment tools for use in a scarce resources-crisis standards of care setting after a nuclear detonation. Disaster Med Public Health Prep. 2011;5:S111–S121.CrossRefGoogle Scholar
Sullivan, JM, Prasanna, PGS, Grace, MB, et al. Assessment of biodosimetry methods for a mass-casualty radiological incident: medical response and management considerations. Health Phys. 2013;105(6):540–554.CrossRefGoogle ScholarPubMed
Goans, RE, Holloway, EC, Berger, ME, et al. Early dose assessment in criticality accidents. Health Phys. 2001;81:446–449.CrossRefGoogle ScholarPubMed
He, X, Gui, J, Matthews, TP, et al. Advances towards using finger/toenail dosimetry to triage a large population after potential exposure to ionizing radiation. Radiat Meas. 2011;46:882–887.CrossRefGoogle ScholarPubMed