title: Development of Mass-casualty Life Support-CBRNE (MCLS-CBRNE) in Japan.
abstract: 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):547-550.
authors.affiliation: 1Emergency Medical Center,Fujisawa City Hospital,Kanagawa,Japan.
authors.forename: Hideaki
authors.initials: H
authors.lastname: Anan
authors.affiliation: 2Department of Acute Critical Care and Disaster Medicine,Tokyo Medical and Dental University,Tokyo,Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Otomo
authors.affiliation: 3Japan DMAT Secretariat,National Hospital Organization Disaster Medical Center,Tokyo,Japan.
authors.forename: Hisayoshi
authors.initials: H
authors.lastname: Kondo
authors.affiliation: 4Division of Emergency and Disaster Medicine,Tottori University,Tottori,Japan.
authors.forename: Masato
authors.initials: M
authors.lastname: Homma
authors.affiliation: 3Japan DMAT Secretariat,National Hospital Organization Disaster Medical Center,Tokyo,Japan.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Koido
authors.affiliation: 5Department of Emergency Medicine,Yamagata Prefectural Medical Center for Emergency,Yamagata,Japan.
authors.forename: Kazuma
authors.initials: K
authors.lastname: Morino
authors.affiliation: 6Emergency & Critical Care Center,Kawasaki Municipal Hospital,Kanagawa,Japan.
authors.forename: Kenichi
authors.initials: K
authors.lastname: Oshiro
authors.affiliation: 7Department of Sports Medicine,Kokushikan University,Tokyo,Japan.
authors.forename: Kiyokazu
authors.initials: K
authors.lastname: Harikae
authors.affiliation: 1Emergency Medical Center,Fujisawa City Hospital,Kanagawa,Japan.
authors.forename: Osamu
authors.initials: O
authors.lastname: Akasaka
mesh_terms: D023482:Bioterrorism; D051337:Chemical Terrorism; D054597:Disaster Medicine / Q000193:education*; D004189:Disaster Planning; D005107:Explosions; D006801:Humans; D007564:Japan; D054527:Mass Casualty Incidents; D023481:Terrorism
keywords: CBRNE chemical agents; DMAT Disaster Medical Assistance Team; FD fire department; JADM Japanese Association for Disaster Medicine; Labour; MCLS mass-casualty life support; MHLW Ministry of Health; NDLS National Disaster Life Support; and Welfare; biological agents; decontamination; disasters; or explosives; radiation/nuclear attacks; triage