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土耳其哈塔伊省 2023 年 2 月 6 日地震的医疗应对:史上最致命灾难中面临的挑战。

Medical Response to the February 6, 2023, Earthquakes in Hatay: Challenges Faced in the Deadliest Disaster in the History of Türkiye.

机构信息

University of Health Sciences, Sancaktepe Şehit Prof. Dr. İlhan Varank Education and Research Hospital, Department of Emergency Medicine, Istanbul, Türkiye.

Karadeniz Technical University, Institute of Health Sciences, Department of Disaster Medicine, Trabzon, Türkiye.

出版信息

Disaster Med Public Health Prep. 2024 Mar 11;18:e45. doi: 10.1017/dmp.2024.21.

DOI:10.1017/dmp.2024.21
PMID:38466322
Abstract

OBJECTIVE

The Kahramanmaraş earthquakes struck the north-eastern part of Türkiye and Syria on February 6, 2023. It is well known that timely coordination and provision of emergency medical care in the field is particularly important to save lives after earthquakes. This study aimed to identify the challenges faced by medical responders on the ground.

METHODS

This exploratory-descriptive qualitative study was conducted in Hatay, the province most affected by the earthquakes. Data were collected through in-depth semi-structured interviews and field observations, and then analyzed using thematic analysis approach.

RESULTS

The study was carried out with 15 first responders from the medical profession. The study revealed 9 themes of challenges faced by medical responders: providing safety and security, human resources management, meeting personal needs, recording data, communication, patient transport, burial procedures, psychological acumen, and logistical problems. Some problems were resolved after 72 h and some continued until day 7.

CONCLUSIONS

Inadequate organization of volunteer health workers, communication breakdowns, and logistical problems are some of the main challenges. To address these issues, satellite phones and radio systems can be promoted, as well as disaster-resilient logistical planning and better coordination of volunteers.

摘要

目的

2023 年 2 月 6 日,土耳其东北部和叙利亚发生了卡赫拉曼马拉什地震。众所周知,地震发生后,及时协调和提供现场紧急医疗救护对于拯救生命尤为重要。本研究旨在确定地面医疗救援人员面临的挑战。

方法

本探索性描述性定性研究在受地震影响最严重的省份哈塔伊省进行。通过深入的半结构化访谈和现场观察收集数据,然后使用主题分析方法进行分析。

结果

本研究共纳入 15 名来自医疗行业的一线救援人员。研究揭示了医疗救援人员面临的 9 个挑战主题:提供安全保障、人力资源管理、满足个人需求、记录数据、沟通、患者转运、埋葬程序、心理敏锐度和后勤问题。一些问题在 72 小时后得到解决,而一些问题则持续到第 7 天。

结论

志愿者卫生工作者组织不力、沟通中断和后勤问题是一些主要挑战。为了解决这些问题,可以推广卫星电话和无线电系统,并进行有弹性的后勤规划,以及更好地协调志愿者。

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