title: [Establishment of a diagnostic system in disaster medicine].
abstract: Disaster medicine is a special field of medicine which is required at unexpected times under poor medical circumstances, such as the transport of several patients at once, complex information and lack of medical staff. In order to provide accurate diagnostic information under such poor medical conditions, it is necessary to establish a well-considered and functional system to prevent malpractice in a serial process from the identification of each patient to blood sampling, its analysis and reporting, and in the process of blood transfusion, as a typical example. We have established a diagnostic system based on a manual focusing on rapidity of procedures and prevention of malpractice consisting of a distinction between priority analysis (for blood gas and blood type) and secondary analysis, the development of a blood typing method, adoption of blood sampling with heparin and so on. On the basis of the characteristics of disaster medicine, we stressed the minimization of analytical items and simplification of analytical procedures as much as possible. In order to utilize this system effectively in a disaster, it is essential to implement periodic training and revision.
authors.affiliation: Division of Clinical Laboratory, Osaka Mishima Emergency and Critical Care Center, Takatsuki 569-1124, Japan. takesita302@osaka-mishima.jp
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Takeshita
authors.forename: Keizo
authors.initials: K
authors.lastname: Horinouchi
authors.forename: Hiroki
authors.initials: H
authors.lastname: Hamada
authors.forename: Hitomi
authors.initials: H
authors.lastname: Kimura
authors.forename: Keiji
authors.initials: K
authors.lastname: Yamaguchi
mesh_terms: D019411:Clinical Laboratory Techniques; D054597:Disaster Medicine / Q000379:methods*; D006801:Humans; D008318:Malpractice; D019300:Medical Errors / Q000517:prevention & control