In order to examine the actual situations of communications and information system in disaster medicine, the nationwide questionnaire survey of fire departments and interview survey of several advanced disaster prevention agencies (Tokyo Fire Department, Amagasaki Municipal Fire Department, Fukuoka Fire Prevention Bureau) were carried out.
According to the survey the following points were found.
1) Communication tool for transportation between rescue crew and medical institutions depends excessively on vulnerable fixed telephone service and cellular.
2) A hearing investigation of actual emergency medicine also have revealed that the emergency service officials have a tendency to depend excessively on vulnerable telephone network (fixed telephone service [FTS] and cellular).
3) The Wide-Area Disaster and Emergency Medical Information Systems by Ministry of Health, Labour and Welfare and prefectural governments have not been fully exploited. There is a negative spiral between fire department and hospital.
4) To solve these problems, the following point are important ① to use invulnerable communication media, ② to make plan in case of disruption in communication, ③ to exploit the Information Systems in normal situation.
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