Saberian Peyman, Kolivand Pir-Hossein, Hasani-Sharamin Parisa, Dadashi Fatemeh, Farhoud Amir Reza
Department of Anesthesiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Tehran Emergency Medical Service Center, Tehran, Iran.
Adv J Emerg Med. 2019 Jan 14;3(2):e13. doi: 10.22114/AJEM.v0i0.121. eCollection 2019 Spring.
The earthquake is one of the most natural catastrophic crises that can cause a lot of casualties. Considering an earthquake-prone country, Iran is ranked as one of the world's most dangerous countries.
In this article, we describe the actions taken by emergency medical service (EMS) after the earthquake in Kermanshah, Varzaghan, and Bam and compared the strengths and weaknesses of the emergency response program and the limitations and challenges of this system in dealing with these major crises.
This study is a cross-sectional study that compares some of the information and findings related to three earthquakes that occurred in Iran, including Bam, Varzaghan and Sarpol-e-Zahab earthquakes. The data reported in the present article is descriptive and is based on various independent sources such as National Emergency Operation Center, Local Emergency Operations Center (EOC), the EMS of the country, the World Health Organization, the United Nations, the statistics website, the Forensic Data website, the International Institute of Seismology and Earthquake Engineering, conferences and personal interviews. To ensure the credibility of the information, the authors reported data that had been verified by two or more sources.
The characteristics of the geographic area of the 3 earthquakes has been described. Post-earthquake response activities were described in details in subheadings including rapid warning and response, surge capacity plan, rapid response teams, emergency medical teams, increasing the capacity of health facilities, increasing transfer capacity, and handling, transportation and distribution of injuries.
In the recent earthquake, had been occurred in Sarpol-e-Zahab, the health response of the country was largely satisfactory. The existence of structures such as EOC at various levels, the unified incident command system, emergency operations plan, and Medical Care Monitoring Center are among the most important reasons for satisfactory performance.
地震是最具破坏力的自然灾害之一，会造成大量人员伤亡。伊朗是地震多发国家，位列世界上最危险的国家之一。
在本文中，我们描述了克尔曼沙阿、瓦尔扎甘和巴姆地震后紧急医疗服务（EMS）采取的行动，并比较了应急响应计划的优缺点以及该系统在应对这些重大危机时的局限性和挑战。
本研究是一项横断面研究，比较了与伊朗发生的三次地震相关的一些信息和发现，包括巴姆、瓦尔扎甘和萨尔普勒-扎哈卜地震。本文所报告的数据具有描述性，基于各种独立来源，如国家应急行动中心、地方应急行动中心（EOC）、该国的紧急医疗服务机构、世界卫生组织、联合国、统计网站、法医数据网站、国际地震学和地震工程研究所、会议以及个人访谈。为确保信息的可信度，作者报告了经两个或更多来源核实的数据。
描述了这三次地震的地理区域特征。在小标题中详细描述了震后应对活动，包括快速预警与响应、激增能力计划、快速反应小组、紧急医疗队、提高卫生设施能力、增加转运能力以及伤病员的处理、运输和分配。
在最近发生的萨尔普勒-扎哈卜地震中，该国的卫生应对工作总体令人满意。各级EOC等架构的存在、统一的 incident command system、应急行动计划以及医疗护理监测中心是表现令人满意的最重要原因。
