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灾难后的医院危机管理:来自 2023 年土耳其-叙利亚地震震中的经验。

Hospital crisis management after a disaster: from the epicenter of 2023 Türkiye-Syria earthquake.

机构信息

Department of Orthopedics and Traumatology, Medical Point Gaziantep Hospital, Gaziantep-Türkiye.

Department of General Surgery, Medical Point Gaziantep Hospital, Gaziantep-Türkiye.

出版信息

Ulus Travma Acil Cerrahi Derg. 2023 Jul;29(7):792-797. doi: 10.14744/tjtes.2023.44449.

DOI:10.14744/tjtes.2023.44449
PMID:37409925
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10405032/
Abstract

BACKGROUND

In such cases where sudden destruction and injury are very high, search and rescue teams and hospitals can be the most important determining factors between people's lives and deaths.

METHODS

This study was conducted retrospectively, after the two catastrophic earthquakes (Türkiye-Syria Earthquakes) by taking the records of the patients who admitted to our hospital. Patients' admission times, diagnoses, demographic data, triage codes, medical interventions, hemodialysis needs, crush syndrome and mortality rates were analyzed.

RESULTS

In the first 5 days after the earthquake, 247 earthquake-related patients were admitted to our hospital. The most intense period of admission to the emergency department was the first 24 h. The most intensive period of surgical procedures was 24-48 h. It was observed that Orthopedic surgical procedures were applied most frequently and the most common cause of mortality was crush syndrome.

CONCLUSION

In terms of preparations for earthquakes, especially in hospitals in the earthquake zone it will be beneficial for each hospital to make hospital disaster plans. For this reason, we thought it would be useful to share our experiences during this disaster.

摘要

背景

在这种突然破坏和伤害程度非常高的情况下,搜救队和医院可能是决定人们生死的最重要因素。

方法

本研究是回顾性的,在两次灾难性地震(土耳其-叙利亚地震)后,通过查阅我院收治的患者记录进行。分析了患者的入院时间、诊断、人口统计学数据、分诊代码、医疗干预、血液透析需求、挤压综合征和死亡率。

结果

地震后 5 天内,我院收治了 247 名与地震相关的患者。急诊科入院最集中的时期是前 24 小时。手术最集中的时期是 24-48 小时。观察到骨科手术应用最频繁,最常见的死亡原因是挤压综合征。

结论

就地震准备而言,特别是在地震灾区的医院,为每个医院制定医院灾害计划将是有益的。因此,我们认为在这次灾难中分享我们的经验将是有用的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1709/10405032/df7cb2296a41/TJTES-29-792-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1709/10405032/2446e9cb75e4/TJTES-29-792-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1709/10405032/df7cb2296a41/TJTES-29-792-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1709/10405032/2446e9cb75e4/TJTES-29-792-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1709/10405032/df7cb2296a41/TJTES-29-792-g002.jpg

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