Critical care transport and management in Earthquake catastrophes: Lessons from Japan

Earthquake catastrophes: Lessons from Japan

Authors

  • Nubuo Fuke Emergency and Intensive Care Center, Teikyo University Chiba Medical Center, Chiba, Japan, 299-0111
  • Komsanti Vongkulbhisal Department of Anesthesiology , King Chulalongkorn Memorial Hospital , Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand, 10330
  • Apatsara Saokaew Division of Critical Care, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand, 10700
  • Kaweesak Chittawatanarat Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand, 50200

DOI:

https://doi.org/10.54205/ccc.v34.275373

Keywords:

Earthquake, Critical care, Transport, Catastrophes

Abstract

Japan's experience with large-scale earthquakes has led to the development of a highly structured and adaptable disaster response system. This review highlights key lessons in critical care transport and disaster management from historical events such as the Hanshin-Awaji Earthquake (1995), and the East Japan Triple Disaster (2011). The "Point-Line-Plane" framework categorizes disasters by their geographical scale and helps guide tailored medical strategies. Critical care and emergency physicians must navigate the challenges posed by each disaster type, including triage, evacuation logistics, and continuity of care for vulnerable populations. The importance of Disaster Medical Assistance Teams (DMATs), staging care units, air transport, and chronic care networks in disaster response is highlighted. Previous experiences also emphasize proactive planning, multidisciplinary coordination, and robust healthcare infrastructure for better outcomes.

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References

World Meteorological Organization. UN 20-year review: earthquakes and tsunamis kill more people while climate change is driving up economic losses. [accessed 11 May 2025, 2025]. Available at: https://wmo.int/media/news/un-20-year-review-earthquakes-and-tsunamis-kill-more-people-while-climate-change-driving-economic?utm_source=chatgpt.com.

Hendrickson RG, Horowitz BZ. Disaster Preparedness. In: Tintinalli JE, Stapczynski JS, Ma OJ, Yealy DM, Meckler GD, Cline DM, editors. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e. New York, NY: McGraw-Hill Education; 2016.

Major Incident Medical Management and Support: The Practical Approach at the Scene. 4th ed: Wiley-Blackwell; 2022.

Office JC. White Paper on Disaster Management 2023. Japan Cabinet Office. 2023.

Tanaka H, Iwai A, Oda J, Kuwagata Y, Matsuoka T, Shimazu T, et al. Overview of evacuation and transport of patients following the 1995 Hanshin-Awaji earthquake. J Emerg Med. 1998;16:439-44.

Kondo H, Koido Y, Morino K, Homma M, Otomo Y, Yamamoto Y, et al. Establishing disaster medical assistance teams in Japan. Prehosp Disaster Med. 2009;24:556-64.

Nagamatsu S, Maekawa T, Ujike Y, Hashimoto S, Fuke N, Japanese Society of Intensive Care M. The earthquake and tsunami--observations by Japanese physicians since the 11 March catastrophe. Crit Care. 2011;15:167.

Shibahara S. Revisiting the March 11, 2011 earthquake and tsunami: resilience and restoration. Tohoku J Exp Med. 2012;226:1-2.

Watson NA. US Army public health and veterinary support in Japan following the Tohoku earthquake and tsunami, March-April 2011. US Army Med Dep J. 2013:19-24.

Homma M. Development of the Japanese National Disaster Medical System and Experiences during the Great East Japan Earthquake. Yonago Acta Med. 2015;58:53-61.

Masakane I, Akatsuka T, Yamakawa T, Tsubakihara Y, Ando R, Akizawa T, et al. Survey of dialysis therapy during the Great East Japan Earthquake Disaster and recommendations for dialysis therapy preparation in case of future disasters. Renal Replacement Therapy. 2016;2:48.

Suppasri A, Kitamura M, Alexander D, Seto S, Imamura F. The 2024 Noto Peninsula earthquake: Preliminary observations and lessons to be learned. International Journal of Disaster Risk Reduction. 2024;110:104611.

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Published

2026-01-08

How to Cite

1.
Fuke N, Vongkulbhisal K, Saokaew A, Chittawatanarat K. Critical care transport and management in Earthquake catastrophes: Lessons from Japan: Earthquake catastrophes: Lessons from Japan. Clin Crit Care [internet]. 2026 Jan. 8 [cited 2026 Feb. 3];34(1):e260001. available from: https://he02.tci-thaijo.org/index.php/ccc/article/view/275373

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Section

Invitation Review