第4章患者救済に奔走した活動記録〈論文・研究発表〉FUKUSHIMA いのちの最前線511 To our regret, we had not had enough engagement in Radiation Emergency Medicine(REM)nor had we had any communication with the NPP Company previous to that. Therefore, leading up to the NPP accident, we ER physicians did not have enough preparation for a nuclear accident, nor had enough information for the plant accident. Also, the only information we could get was from television reports, not from the disaster site or the government. At first immediately after the accident, we had to resort to making our way by looking at a textbook as we examined a contaminated patient. At first, the situation overwhelmed us, and our mood became dark and depressed, like a patient who has been told they have cancer for the first time. However, soon, Radiological Emergency Medical Assistance Team (REMAT) in Japan, came to help our hospital. They let us know the severity of the plant's status despite the scarcity of accurate information and the prevailing confusion. During this time, REMAT was always in our side. Finally, they resuscitated us; they braced us up to take on facing the accident. When setting up our own REMAT against the nuclear disaster at our hospital, we had to share the recognition and role of our jobs, such as risky crisis intervention, focusing on the assistance of people who had been evacuated from the disaster site. We tried to share the scanty information to calm our anxiety, and to focus on the health problems of the plant workers. To prepare for some kind of adequate treatment of the radiation-exposed patients, we set up the daily morning conferences, web meetings, night lectures and simulations to brush up our skills and knowledge with the volunteer doctors, and also together with the Japan Self-defense Force NBC protective unit. We treated twelve patients in our unit from the 14th of March to the 15th of April. Six of them were whole body contaminated, four were locally contaminated, and two only locally externally exposed (Figure 1). Fortunately, there were no radiation-exposed and contaminated patients in the NPP, in those days. At that point, we did not have an adequate Radiation Emergency Medical hospital, nor had enough local community medical hospitals, especially near the NPP because of the evacuation direction and hospital damage there. We had to reconstruct the Radiation Emergency Medical System nearly from the beginning and in short possible time (Figure 2). Very quickly, we became aware of another important problem of the emergency responders such as firefighters and ambulance Figure 1. Summary of the radiation emergency medical service in Fukushima Medical University Hospital.We have examined twelve radiation-exposed and contaminated patients. REM; Radiation Emer-gency Medicine, FMU; Fukushima Medical University, yo; years old, REMAT; Radiation Emer-gency Medical Assistance Team.