Sahebi Ali, Ghomian Zohreh, Sarvar Mohammad
Department of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Helicopter Emergency Medical Services, Ministry of Health and Medical Education, Tehran, Iran.
Arch Acad Emerg Med. 2019 Jun 10;7(1):e31. eCollection 2019.
Becoming aware of experiences, and lessons learned in challenges can help optimize planning and improve efficiency and effectiveness. The present study aimed to address the challenges of helicopter emergency medical services (HEMS) from the viewpoint of the managers involved in HEMS in Kermanshah earthquake.
This qualitative research was done using the content analysis method. The data were collected by semi-structured interviews. The study population consisted of directors who participated in management and transfer of injured people in the earthquake-stricken area of Kermanshah. Sampling was purposeful in the first stage and then by the snowballed method.
In the present study, 479 codes were initially extracted regarding participants' perspectives and experiences and after eliminating duplicates, 53 codes were finalized. After analyzing the data, 4 categories and 12 sub-categories were extracted. In this research, lack of integrated management and process-oriented preparedness were the subjects with the highest number of codes.
According to the findings of this study, it is suggested that comprehensive training programs should be implemented for effective management of the air emergency process during disasters such as earthquakes.
了解在挑战中的经历和吸取的教训有助于优化规划并提高效率和成效。本研究旨在从参与克尔曼沙赫地震直升机紧急医疗服务（HEMS）的管理人员的角度探讨HEMS面临的挑战。
本定性研究采用内容分析法。通过半结构化访谈收集数据。研究对象包括参与克尔曼沙赫地震灾区伤员管理和转运的负责人。第一阶段采用目的抽样法，之后采用滚雪球法。
在本研究中，最初提取了479条关于参与者观点和经历的代码，去除重复项后，最终确定了53条代码。数据分析后，提取了4个类别和12个子类别。本研究中，缺乏综合管理和以流程为导向的准备工作是代码数量最多的主题。
根据本研究结果，建议实施全面的培训计划，以便在地震等灾害期间对空中应急过程进行有效管理。
