FUKUSHIMA Lives on the Line

130(Inside the facilities)Hospital wing with examination/decontamination facilities(reinforced concrete construction)Figure 5: Secondary Emergency Facilities Specialized in Emergency Radiation Medicine and Decontamination/Stand-by Facilities Set up around Themthat remained in the coverage area handled by the DMATs. This area was the 20–30 km radial zone designated as an "emergency evacuation preparation zone" around the Fukushima Daiichi nuclear power plant. With complications surrounding radiation exposure, the area had received no emergency medical support whatsoever. Consequently, three teams were formed consisting of members from FMU's regional and family medicine department, Nagasaki University, Nagasaki Medical Association, Self-Defense Force's sanitation and hygiene division, Soma City Municipal Hospital, and others. The teams worked to assess the number of remaining patients and provide them support. Despite the efforts, which had now been concluded, to transport patients from the wider area, it became clear that 150 were still remaining. These 150 were unable to evacuate on their own, so the teams worked to bring medical care to the individuals. The entire experience drove home the extreme importance of administering welfare support, not to mention medical care, when there is a large-scale disaster like this.3. Offering Specialized Medical ConsultationsIn the evacuation shelters, patients were present on a daily basis in need of specialized medical care, hospital admittance, etc. However, the evacuation shelters were not created keeping this need in mind, which makes supplying specialized medical care a considerable problem. As a result, FMU organized an Advanced Medical Consultation Team using our expertise as the prefecture's only university hospital. The team consisted of specialists versed in cerebrovascular disease, cardiac conditions, respiratory conditions, diabetes, kidney conditions, etc., and were available throughout the day for phone calls from the evacuation shelters and region's central hospitals. In addition to offering consultations in each of their specialties, the physicians of this team offered referrals to nearby hospitals for patients in need of admittance, and helped to get critical patients accepted into university hospitals.Medical Response to the Nuclear Power Plant Accident (Figure 5)Prompted by the criticality accident in September 1999 at JCO Co., Ltd., FMU established decontamination facilities (as part of its function as a secondary emergency facility specialized in emergency radiation medicine) in the eastern wing of its hospital buildings, and four bio-clean rooms in the ICU and hospital wings. The measurement and analysis equipment included full-body Geiger counters, high directivity monitors, body surface monitors, αγ radionuclide analysis equipment, β radionuclide analysis equipment, neutron monitors, portable monitors, survey meters for each type of ray, etc. And for decontamination and emergency care for those exposed to radiation, FMU was installed with burn bath equipment, movable basic bath tubs, air mattresses, fully-enclosed sanitary stretchers, patient monitoring equipment, portable x-ray machines, ultrasound diagnostic equipment, artificial respirators, sustained, Responses to Radioactive Contamination and the Evacuation Order after the Great East Japan Earthquake