Joy Praisy, Giri Prajna Paramita, Patnaik Madhumita, Tripathy Prabhas Ranjan, Gaikwad Manisha Rajanand, Mishra Pravash Ranjan, Sahoo Sanjukta, Rout Sipra, Gopi Kumbha, Parida Dilip Kumar, Biswas Ashutosh
Department of Anatomy, AIIMS Bhubaneswar, Bhubaneswar, Odisha, India.
Department of Community Medicine and Family Medicine, AIIMS Bhubaneswar, Bhubaneswar, Odisha, India.
PLoS One. 2024 Dec 31;19(12):e0312595. doi: 10.1371/journal.pone.0312595. eCollection 2024.
Railway disasters cause huge loss of life and resources. A triple train collision occurred at 7 PM on 2nd June 2023 at Bahanaga, Balasore, Odisha. It was the third deadliest train accident in India with 288 deaths and more than 900 injured. This study aimed to bring out the experience and capture the emotions of the personnel involved in body management of this major accident.
This qualitative questionnaire-based study was done between 13/07/2023 and 29/01/2024, involving 47 personnel (including faculty, residents, staff, and students) who managed the deceased bodies. Six open-ended questions dealing with the experiences of the body management team were analyzed using thematic analysis framework method. Quirkos software was used to generate themes and subthemes. Another six questions about self-reported satisfaction levels of the personnel were graded on a Likert scale of 1 to 5.
Qualitative analysis identified six themes and twelve subthemes. It highlighted critical aspects such as lack of training in managing mass tragedies, inadequate flow of essential supplies, emergency preparedness, and defined standard operating procedures (SOP). Excellent teamwork (91.4% of participants expressed high satisfaction with the teamwork) and on-the-spot decision-making were heralded as strengths. The Likert scale showed that 87.2% of participants rated the overall dead body management at 4 or 5. Furthermore, 93.6% (44/47) of participants gave a score 4 or 5 for Tagging and Embalming.
Teamwork and proper embalming were identified as the top-rated contributors towards effective body management. Recommendations suggested were mock drills and refresher courses in body management for all stakeholders and psychological support to handle the emotional toll of managing mass tragedy. The identification and embalming of dead bodies are an essential humanitarian service and it helped bereaved families to say a final farewell to their loved ones.
铁路灾难会造成巨大的生命和资源损失。2023年6月2日晚上7点，在奥里萨邦巴拉索尔的巴哈纳加发生了一起三列火车相撞事故。这是印度第三大最致命的火车事故，造成288人死亡，900多人受伤。本研究旨在展现参与此次重大事故遗体处理人员的经历并捕捉他们的情绪。
这项基于问卷调查的定性研究于2023年7月13日至2024年1月29日进行，涉及47名处理遇难者遗体的人员（包括教员、住院医生、工作人员和学生）。使用主题分析框架方法对六个关于遗体处理团队经历的开放式问题进行了分析。使用Quirkos软件生成主题和子主题。另外六个关于人员自我报告满意度水平的问题采用1至5的李克特量表进行评分。
定性分析确定了六个主题和十二个子主题。它突出了一些关键方面，如在应对大规模灾难方面缺乏培训、基本物资供应不足、应急准备以及明确的标准操作程序（SOP）。出色的团队合作（91.4%的参与者对团队合作表示高度满意）和现场决策被视为优势。李克特量表显示，87.2%的参与者对整体遗体处理的评分是4分或5分。此外，93.6%（44/47）的参与者对标记和防腐处理的评分是4分或5分。
团队合作和适当的防腐处理被确定为有效遗体处理的首要贡献因素。建议所有利益相关者进行遗体处理方面的模拟演练和进修课程，并提供心理支持以应对处理大规模灾难带来的情感创伤。遗体的识别和防腐处理是一项重要的人道主义服务，它帮助遇难者家属与亲人作最后的告别。
