Yilmaz Sarper, Tatliparmak Ali Cankut, Karakayali Onur, Turk Mehmet, Uras Nimet, Ipek Mustafa, Polat Dicle, Yazici Mümin Murat, Yilmaz Serkan
Department of Emergency Medicine, University of Health Sciences, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey.
Department of Emergency Medicine, Uskudar University Faculty of Medicine, Istanbul, Turkey.
Turk J Emerg Med. 2024 Apr 4;24(2):80-89. doi: 10.4103/tjem.tjem_32_24. eCollection 2024 Apr-Jun.
This compilation covers emergency medical management lessons from the February 6 Kahramanmaraş earthquakes. The objective is to review relevant literature on emergency services patient management, focusing on Koenig's 1996 Simple Triage and Rapid Treatment (START) and Secondary Assessment of Victim Endpoint (SAVE) frameworks. Establishing a comprehensive seismic and mass casualty incident (MCI) protocol chain is the goal. The prehospital phase of seismic MCIs treats hypovolemia and gets patients to the nearest hospital. START-A plans to expedite emergency patient triage and pain management. The SAVE algorithm is crucial for the emergency patient secondary assessment. It advises using Glasgow Coma Scale, Mangled Extremity Severity Score, Burn Triage Score, and Safe Quake Score for admission, surgery, transfer, discharge, and outcomes. This compilation emphasizes the importance of using diagnostic tools like bedside blood gas analyzers and ultrasound devices during the assessment process, drawing from 6 February earthquake research. The findings create a solid framework for improving emergency medical response strategies, making them applicable in similar situations.
本汇编涵盖了2月6日卡赫拉曼马拉什地震中的紧急医疗管理经验教训。目的是回顾有关紧急服务患者管理的相关文献,重点关注1996年柯尼希的简单分诊与快速治疗(START)和受害者终点二次评估(SAVE)框架。目标是建立一个全面的地震和大规模伤亡事件(MCI)协议链。地震MCI的院前阶段治疗低血容量症并将患者送往最近的医院。START-A计划加快紧急患者分诊和疼痛管理。SAVE算法对紧急患者二次评估至关重要。它建议使用格拉斯哥昏迷量表、肢体毁损严重程度评分、烧伤分诊评分和安全地震评分来进行入院、手术、转运、出院和结果评估。本汇编强调了在评估过程中使用床边血气分析仪和超声设备等诊断工具的重要性,这些内容取材于2月6日地震的研究。研究结果为改进紧急医疗应对策略建立了坚实的框架,使其适用于类似情况。