Impact of Mobile Clinical Analyzers on Disaster Medicine : A lesson from Crush Syndrome in the 1995 Hanshin-Awaji Earthquake

概要

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The 1995 Hanshin-Awaji earthquake completely destroyed approximately 92, 000 house and caused about 5, 500 death and 41, 000 casualties. We previously reported 372 crush syndrome patients, had a high mortality rate (13.4%). Most of their early deaths were caused by hyperkalemia, metabolic acidosis and dehydration. Therefore, it is suggesting that the rapid measurement of electrolytes and arterial blood gases at the scene of the disaster reduce the mortality of crush syndrome. Our purpose of this study is to evaluate the accuracy of the mobile clinical analyzer compared with the laboratory analyzer and to investigate its reliability at outside the hospital. We concluded that the mobile clinical analyzer is reliable and useful regardless of differential blood sample. Thus, measuring of electrolytes and arterial blood gases at disaster fields appears to be a useful for triage and improvement their survival rate.
日本医療機器学会の論文
2001-08-01