高瀬 信弥¹, 佐戸川 弘之¹, 高野 真澄², 吉田 絵理子³, 横山 斉¹

Shinya TAKASE¹, Hirono SATOKAWA¹, Masumi IWAI-TAKANO², Eriko YOSHIDA³, Hitoshi YOKOYAMA¹

¹福島県立医科大学心臓血管外科学講座, ²福島県立医科大学集中治療部, ³福島県立医科大学看護部

¹The Department of Cardiovascular Surgery, Fukushima Medical University, ²Intensive Care Unit, Fukushima Medical University, ³Department of Nursing, Fukushima Medical University

キーワード : landslide, disaster, evacuee, deep vein thrombosis, ultrasound examination

2014年8月20日に発生した広島土砂災害に被災した避難者に対して，広島大学災害対策本部からの要請に応じて，新潟大学，福井大学とともに深部静脈血栓症の予防のための医療支援活動を9月6，7日の2日間で行った．支援要請後，日本超音波学会によって迅速に超音波検査装置を準備いただき現地に携帯した．103名の避難者のうち9.8％に深部静脈血栓症を認め，適切な処置，指示を与えることができた．広島土砂災害においても被災地の組織のみでは全ての事柄に十分な支援をすることは難しい．今後学会，行政，政府に働きかけ，支援や応援を必要とする側とそれを提供する組織とを有機的に結びつけ，機能させるための中心となる専門組織の確立が重要と考えられた．

A landslide disaster unexpectedly happened in Hiroshima on August 20, 2015. We were asked for medical support, and the Japan Society of Ultrasonics in Medicine immediately sent ultrasound machines in response to our request. We joined the medical team for the examination and prophylaxis of deep vein thrombosis in evacuees together with doctors from Hiroshima University, Niigata University, and Fukui University. We found a 9.8% incidence of deep vein thrombosis in 108 evacuees in 2 days, and properly referred them to local medical services. The local organizations and services did not function fully enough to support the evacuees in shelters at that time. We herein report on medical activities during a huge landslide disaster in Hiroshima and advocate that a special team of well-trained experts that can control and act as a bridge between requester and supporter should be established by the government or local administration.