Department of of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Safety Promotion and Injury Prevention Research Center, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
BMC Emerg Med. 2019 Jul 16;19(1):38. doi: 10.1186/s12873-019-0253-2.
In Iran, Road Traffic Injuries (RTIs) with mass casualties occur repeatedly. Since Road Traffic Accidents (RTAs) occur far from health facilities, EMSs play an important role in reducing the disability and mortality resulting from RTIs. Thus, the study aimed to report Iraqi pilgrims' bus which rolled over in the Malayer town.
A mass casualty event occurred on 7 September 2017 when a bus full of Iraqi pilgrims rolled over on a road 4-km outside of Malayer, Iran. A large team of responders were dispatched including 5 ambulances with 10 EMTs along with 6 police officers serving in the area. The accident resulted in 35 injured patients (21 female and 14 male) as well as 11 deaths ranging in age from 2 to 65 years. Twenty-one of the injured were transported to the hospital and 14 patients refused transport and 12 patients sustained multiple trauma. The case has been described four phases of dispatch, on-scene, hospital and post-mission. Frequent calls made by laypeople were considered as the main challenge of dispatch phase. The response on scene was hampered by large numbers of lay bystanders. The over-crowding around the emergency units disrupted the medical care procedures in hospital phase.
This case highlights over-crowding and laypeople interference at the scene disrupts the relief and rescue. To solve these challenges, the public education and police monitoring and control is recommended. Establishing a unified command post at the scene can facilitate effective coordination among relief and rescue organizations.
在伊朗，道路交通事故（RTI）造成大量人员伤亡的情况屡屡发生。由于道路交通事故（RTA）发生在远离医疗机构的地方，因此紧急医疗服务（EMS）在减少 RTI 造成的残疾和死亡率方面发挥着重要作用。因此，本研究旨在报告一辆载有伊拉克朝圣者的公共汽车在马拉耶尔镇翻车的事件。
2017 年 9 月 7 日，一辆满载伊拉克朝圣者的公共汽车在伊朗马拉耶尔镇外 4 公里的道路上翻车，造成一起重大伤亡事件。包括 5 辆救护车和 10 名 EMT 在内的大批救援人员被派往现场，此外还有 6 名在该地区执勤的警察。事故导致 35 名伤者（21 名女性和 14 名男性）和 11 人死亡，年龄在 2 至 65 岁之间。21 名伤者被送往医院，14 名患者拒绝接受运输，12 名患者遭受多处创伤。该病例描述了调度、现场、医院和任务后四个阶段。调度阶段，由于普通民众频繁拨打紧急电话，这成为了主要的挑战。现场的反应受到大量旁观者的阻碍。医院阶段，急救单位周围人员拥挤，扰乱了医疗护理程序。
本案例强调了现场人员拥挤和普通民众的干扰会扰乱救援工作。为了解决这些挑战，建议进行公众教育和警察监控和控制。在现场建立统一的指挥中心可以促进救援组织之间的有效协调。
