Koçak Hüseyin, Çalışkan Cüneyt, Sönmezler Mehmet Şerafettin, Eliuz Kenan, Küçükdurmaz Fatih
1Emergency Aid and Disaster Management,School of Health,Terzioglu Campus,Çanakkale Onsekiz Mart University,Çanakkale,Turkey.
2Emergency Medical Service,Çanakkale Provincial Health,Çanakkale,Turkey.
Prehosp Disaster Med. 2018 Jun;33(3):288-292. doi: 10.1017/S1049023X18000353. Epub 2018 Apr 25.
IntroductionMass crowds outside the routine population create a burden of disease on Emergency Medical Services (EMS). The need for EMS in various mass-crowd events may vary. It is especially important to determine the EMS requirement that emerges during the historic commemoration ceremonies in Çanakkale (Turkey).Hypothesis/ProblemThis study aims to determine the unique challenges in the planning of EMS responses provided for people from various countries at the commemoration ceremony for a 100-year-old war and to identify the medical provision of those services.
This descriptive study examined the patient applications in the Çanakkale EMS at the commemoration ceremonies for the 100th anniversary of Gallipoli Wars (Çanakkale Amphibious Wars - Turkey) on April 24-25, 2015.
A total of 221 cases were handled by 112 EMS in the ceremony area. Of those, 87.3% of the cases applied to a mobile operating room (MOR) stationed in the ceremony area while 12.7% of them applied directly to the health care team in a large area in the ceremony area. Overall, 13.1% of the cases were transferred to the hospital for further evaluation and treatment. Patient presentation rate (PPR) of the patients who were treated during the two days was 4.42, and transfer to hospital rate (TTHR) of the cases transferred to the hospital was calculated to be 0.58.
Further studies may create models in regard to the estimations on mass and needs based on the data of previous organizations. KoçakH, ÇalışkanC, SönmezlerMS, EliuzK, KüçükdurmazF. Analysis of medical responses in mass gatherings: the commemoration ceremonies for the 100th anniversary of the Battle of Gallipoli. Prehosp Disaster Med. 2018;33(3):288-292.
引言
常规人群之外的大量人群给紧急医疗服务（EMS）带来了疾病负担。在各种大规模人群活动中对EMS的需求可能各不相同。确定在恰纳卡莱（土耳其）的历史纪念仪式期间出现的EMS需求尤为重要。
假设/问题
本研究旨在确定在一场百年战争的纪念仪式上为来自不同国家的人们提供EMS响应规划中的独特挑战，并确定这些服务的医疗供给情况。
方法
这项描述性研究考察了2015年4月24日至25日在恰纳卡莱举行的加里波利战争（恰纳卡莱两栖战争 - 土耳其）100周年纪念仪式上恰纳卡莱EMS的患者就诊情况。
结果
仪式区域的112个EMS共处理了221例病例。其中，87.3%的病例前往仪式区域设置的移动手术室（MOR）就诊，而12.7%的病例直接前往仪式区域大片区域的医疗团队处就诊。总体而言，13.1%的病例被转送至医院进行进一步评估和治疗。两天内接受治疗的患者就诊率（PPR）为4.42，转送至医院的病例的转院率（TTHR）经计算为0.58。
结论
进一步的研究可以根据以往活动的数据创建关于人群规模和需求估计的模型。科恰克H、恰尔什坎C、松梅兹勒MS、埃柳兹K、库库克杜尔马兹F。大规模集会中的医疗响应分析：加里波利战役100周年纪念仪式。《院前灾难医学》。2018；33(3)：288 - 292。
