Disaster Relief and the Role of Judo Therapists: Lessons from 2023 Judo Therapist Academic and Lifelong Learning Seminar

2023 Judo Therapist Academic and Lifelong Learning Seminar sponsored by the Japan Judo Therapist Association

2024/01/16

On Saturday, November 18, 2023, the “2023 Judo Therapist Academic and Lifelong Learning Seminar” was held at the Japan Judo Therapist Association (Taito-ku, Tokyo), a public interest incorporated association, and the association and Special lectures were given by Disaster Management Office staff member Takeshi Shiomi and staff member Michinori Mori, and academic and lifelong learning reports were given by the Academic Education Department.

Atsuhiko Nagao, chairman of the Japan Judo Therapy Association, a public interest incorporated association, commented on the online qualification confirmation system that is about to start, “Online qualification confirmation will start from April next year, and insurance cards will be abolished in the fall. A qualification confirmation app for judo therapists is also scheduled to be released in 2020.In order to confirm online qualifications, each teacher will need to authenticate and register their PC or mobile device.Use a card reader or mobile device, etc. The My Number card will be read, but it is important that you understand in advance what steps are actually taken to do the reading.Please make it known to members that if the card cannot be read, they will not be able to make an insurance claim. .In addition, to support the cost of introducing online qualification confirmation, the actual expenses will be subsidized up to 41,000 yen.We will disseminate information as soon as possible, including creating and distributing videos about equipment installation etc. “I want to,” he explained. Furthermore, regarding the content of the special lecture on the day: “Today we will have lectures from members Shiomi and Mori, who were dispatched to the Turkey earthquake.They will talk about what is needed to improve the quality of judo therapists and deepen cooperation with other professions. “I would like you to listen to this while thinking about what to do.”

The need for judo therapists in disaster-stricken areas

Disaster Management Office Mr. Takeshi Shiomi

Mr. Shiomi said, “The Disaster Relief Act specifies the activities of Judo therapists.The more traumatized people are in disasters such as earthquakes and tsunamis, the more Judo therapists are needed. For the first time in the history of Japan, he was dispatched overseas as a member of the Japan Disaster Relief Team (JDR) Medical Team Type 2, and began his lecture by talking about the need for Judo therapists, which became clear to him through various activities.

In southern Turkey, where Mr. Shiomi was dispatched, a magnitude 7.8 earthquake occurred on February 6, 2023, and the Turkish government requested international assistance. Since then, many aftershocks, including magnitude 7.5, have occurred. Due to the building’s low earthquake resistance and the fact that the earthquake occurred in the early hours of the morning, significant damage occurred, including many casualties.
A characteristic of this dispatch was that it was the first dispatch after receiving Emergency Medical Team (EMT) Type 2 certification. Other features included dispatch during the coronavirus pandemic, transportation of materials and equipment on government planes, and the first 24-hour operation.

“The activity site was divided into a campsite for sleeping overnight and a medical site.We had heard in advance from the Japanese government that the campsite would have a roof and artificial turf, but other details were unknown. When you actually go there, there is really only a roof and artificial grass, and there are no walls, so the wind blows through. As a result, the tents were blown down by the wind during the night, and the members were forced to sleep in the fallen tents, living in harsh conditions. I laid a thin blanket inside the tent, layered two sleeping bags on top of each other, and slept using pillows made from rolled up clothes I had brought with me. Furthermore, the temperatures at the time were extremely cold, with temperatures ranging from a maximum of 9 degrees Celsius to a minimum of -5 degrees Celsius, making it extremely cold in the mornings and evenings, with frost forming on medical equipment and equipment, and ice forming on the blue sheets. At the medical treatment site, the first thing the Japanese team did was pick up trash. I heard voices from the Turkish people saying, “You’re a medical team, what are you here for?” But by the time we finished picking up trash, I heard people say, “As expected of the Japanese people, they’re amazing.” Next, I laid down a blue tarpaulin to prevent dirt, and a waterproof tarpaulin on top of that before setting up the tent. During my three-week stay, there were gusts of wind that caused the air tent to float and the table in the treatment room to overturn. The sheets on the floor were also wrinkled, so the tent had to be demolished and rebuilt to prevent the tires of patients and stretchers from getting caught. It took a considerable amount of time to recreate it.

At the Type 2 field hospital, in order to administer prescriptions through the Turkish medical system (Turkish ID), reception will be carried out in collaboration with Turkey’s personal information system and JDR. The outpatient clinic was crowded from morning until night. Examinations are conducted by a team of three: a doctor, nurse, and interpreter. We were very busy with clinical tests, as we not only received orders from the Japanese team, but also from hospitals around the area that were affected by the disaster. Naturally, I had to work night shifts, but I didn’t want to waste fuel, so I turned the stove to the lowest setting to stay warm. More than 10 members of our group collapsed from fatigue and cold.
At first, we ate in a place where it was hard for the Turkish people to see us, so we sat on the ground shivering as we ate the emergency rations, but the locals asked, “Are you coming all the way from Japan to eat that kind of food?” He said so and cooked a meal for me.

The role of the logistics team of Medical Team Type 2, to which the judo therapist belongs, is to provide all support services related to the activity, including setting up the medical site, preparing the activity environment, materials, electricity, water, radios, waste, and hygiene. – Also carried out safety management. As part of my job as a judo therapist, I built a rehabilitation room and worked with PTs. After checking the doctor’s diagnosis, prescription drugs, X-ray images, etc. on a computer, the patient performs the treatment. After the procedure, she continues to write down what she did in the electronic medical record. I had a chance to read the daily reports submitted as medical results, and there were days when it was written that “there was a high need for judo therapy,” and even overseas medical staff who did not know judo therapy were called judo therapists. “I think his name has spread,” he said, adding photos of the actual treatment.

While examining patients, he said that there were some who were suffering from pain that even the doctors could not figure out the cause of. “The patient was in a lot of pain, so I did some light rubbing.Then, the patient kept asking to see my hand.When I asked him what was wrong, he said, “The pain gradually disappeared as if it were a lie.” Your hands are like God.” I felt that judo therapy is still useful overseas, and that there are people who need our help even if they don’t speak the language. An orthopedic doctor asked me if there was a better way to keep it in place for just 5 days. So I cut some cardboard I had lying around with scissors and wrapped it in cloth tape lengthwise and horizontally to create a fixing material. The doctor asked, “Will that fix it?”, but he said it was fixed for five days.

In addition, it is not enough to just treat the disaster victims; the team members also get injured.The director of the local national hospital was not sleeping, examining hundreds of patients a day. Some people injured their shoulders, strained their backs, and sprained their ankles while unloading their belongings.There is also a need for “support for supporters” for people who provide support by immersing themselves in harsh environments. Stated.

Finally, “By the time I returned home, the new safety shoes I had brought with me were worn out to the point that they were no longer usable, and there were holes in the soles where I thought something sharp like a nail had been stuck. If he had been wearing these shoes, he might have been seriously injured and forced to return home.This made me acutely aware of the need for appropriate equipment when entering a disaster-stricken area.”

2024-01-16 10:45:04
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