J.Jpn. Surg. Soc.
ISSN 1880-1129

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J.Jpn. Surg. Soc.. 125(3): 207-215, 2024

Feature topic

THE ACUTE CARE SURGEON’S ROLE IN DISASTER AND MASS CASUALTY INCIDENTS

1) Department of Critical Care Medicine, Nippon Medical School Musashikosugi Hospital, Kawasaki, Japan
2) Committee for Trauma Surgeon Training Course, Japan Surgical Society

Junichi Inoue1)2), Yasuhiro Otomo2), Tomohisa Shoko2), Koji Morishita2), Kazuhide Matsushima2), Eiji Hira2), Yasumitsu Mizobata2), Hiroaki Watanabe2), Takaaki Nakada2), Hisahiro Matsubara2)

Acute care surgeons acquire the ability to make judgments and act according to the situation, as well as the leadership skills to organize a team, from their daily trauma care. Therefore, in mass casualty incidents (MCIs), in which many trauma patients are involved, acute care surgeons may be suitable leaders in charge of triage, treatment, and overall response. In preparation for the Tokyo Olympics and Paralympics, the Japan Surgical Society has held the Trauma Surgeon Training Course for surgeons since FY2017, and 536 doctors and nurses have completed the course so far. At the G7 Hiroshima Summit last year, a Trauma Surgical Assistant Team (TSAT) consisting of acute care surgeons who had completed the training was organized for the first time and dispatched to two facilities in Hiroshima prefecture to provide support for the emergency disaster medical care system including MCI and trauma care for leaders during the summit. In addition to the four pillars of acute care surgery (trauma surgery, emergency surgery, surgical intensive care, and surgical rescue), the fifth pillar of acute care surgery is disaster response, including MCIs. It is expected to establish the identity of acute care surgeons and contribute to enhancing trauma surgical care and the emergency and disaster medical care system in Japan.

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