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学术急诊医学档案

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  3. 卷 10 编号 1 (2022): Continuous volume
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卷 10 编号 1 (2022)

十月 2022

The Challenges of Emergency Medical Services Response to Arasbaran Twin Earthquakes; a Content Analysis Iranian EMS Response to Arasbaran Earthquakes

  • Mahboub Pouraghaei
  • Javad Babaie
  • Laleh Rad Saeed

学术急诊医学档案, 卷 10 编号 1 (2022), 1 十月 2022 , 第 e35 页
https://doi.org/10.22037/aaem.v10i1.1571 已出版: 2022-05-01

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摘要

Introduction: One of the most important concerns in responding to disasters is providing Basic Life Support (BLS) services. Considering the key role of Emergency Medical Services (EMS) in providing BLS, the purpose of this study is to investigate the experience of provincial EMS during their response to the Arasbaran twin earthquakes and its challenges in Iran.

Methods: This study was conducted using a qualitative approach and the conventional content analysis method. Data were collected through Focused Group Discussions (FGD) and semi-structured in-depth interviews with purposively-selected EMS paramedics and officials in East Azerbaijan Province, Iran. To form the main categories, the interviews were encoded in three stages and the similar codes were placed under the same subcategories and merged.

Results: A total of 26 EMS paramedics participated in the study. The codes extracted from the interviews, after three stages of reduction, were placed in the top ten categories, including the lack of preparedness and coordination, dead bodies' management challenges, responders’ psychosocial support, deficiencies in supplies and ambulances, difficulty of access to rural areas, volunteer management, non-documentation of the experiences, communication challenges, recalling, and deploying of EMS responders. 

Conclusion: Timely response of the EMS and paramedics’ sense of responsibility for providing services were positive and successful points about the emergency response operations. The weaknesses of EMS should, therefore, be addressed through transferring of experiences and by planning and arranging training courses.

关键词:
  • Emergency Medical Services
  • Earthquakes
  • Disasters
  • Emergencies
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Pouraghaei M, Babaie J, Rad Saeed L. The Challenges of Emergency Medical Services Response to Arasbaran Twin Earthquakes; a Content Analysis: Iranian EMS Response to Arasbaran Earthquakes. Arch Acad Emerg Med [网际网络]. 2022年5月1日 [见引于 2026年9月7日];10(1):e35. 载于: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1571
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参考

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Doocy S, Daniels A, Packer C, Dick A, Kirsch TD. The human impact of earthquakes: a historical review of events 1980-2009 and systematic literature review. PLoS Currents. 2013;5. DOI: 10.1371/currents.dis.67bd14fe457f1db0b5433a8ee20fb833

Guha-Sapir D, Vos F, Below R, Ponserre S. Annual disaster statistical review 2011: the numbers and trends. 2012. Avalable from: https://www.preventionweb.net/files/27782_adsr2011.pdf

Cred C. Natural disasters in 2017: Lower mortality, higher cost. Tech Rep 50. 2018. Available from: https://cred.be › default › files › CredCrunch50

Khankeh HR, Khorasani-Zavareh D, Johanson E, Mohammadi R, Ahmadi F, Mohammadi R. Disaster health-related challenges and requirements: a grounded theory study in Iran. Prehospital and disaster medicine. 2011;26(3):151-8.

Ardalan A, Kandi M, Osooli M, Shamseddini A, Zare M, Moosavand A. Profile of natural hazards in IR Iran. Disaster and emergency health academy, Iran’s national institute of health research and SPH of Tehran university of medical sciences; 2012.

Djalali A, Khankeh H, Öhlén G, Castrén M, Kurland L. Facilitators and obstacles in pre-hospital medical response to earthquakes: a qualitative study. Scandinavian journal of trauma, resuscitation and emergency medicine. 2011;19(1):1-9.

Catlett CL, Jenkins JL, Millin MG. Role of emergency medical services in disaster response: resource document for the National Association of EMS Physicians position statement. Prehospital emergency care. 2011;15(3):420-5.

Djalali A, Castren M, Hosseinijenab V, Khatib M, Ohlen G, Kurland L. Hospital Incident Command System (HICS) performance in Iran; decision making during disasters. Scandinavian journal of trauma, resuscitation and emergency medicine. 2012;20(1):1-7.

Sorani M, Tourani S, Khankeh HR, Panahi S. Prehospital emergency medical services challenges in disaster; a qualitative study. Emergency. 2018;6(1): 1-6.

Babaie J, Moslehi S, Ardalan A. Rapid health needs assessment experience in 11 August 2012 East Azerbaijan earthquakes: a qualitative study. PLoS currents. 2014;6. DOI: 10.1371/currents.dis.308f6140d54f78fd1680e2b9e6460ae3

Pouraghaei M, Jannati A, Moharamzadeh P, Ghaffarzad A, Far MH, Babaie J. Challenges of hospital response to the twin earthquakes of august 21, 2012, in East Azerbaijan, Iran. Disaster medicine and public health preparedness. 2017;11(4):422-30.

Khankeh HR, Mohammadi R, Ahmadi F. Barriers and facilitators of health care services at the time of natural disasters. Archives of Rehabilitation. 2005;6(1):23-30.

Rubin JN. Recurring pitfalls in hospital preparedness and response. Hospital Preparation for Bioterror: Elsevier; 2006. p. 1-15.

Emami MJ, Tavakoli AR, Alemzadeh H, Abdinejad F, Shahcheraghi G, Erfani MA, et al. Strategies in evaluation and management of Bam earthquake victims. Prehospital and disaster medicine. 2005;20(5):327-30.

Patterson O, Weil F, Patel K. The role of community in disaster response: conceptual models. Population Research and Policy Review. 2010;29(2):127-41.

Méheux K, Dominey‐Howes D, Lloyd K. Operational challenges to community participation in post‐disaster damage assessments: observations from Fiji. Disasters. 2010;34(4):1102-22.

Khankeh HR. National hospital disaster preparedness plan. University of welfare and rehabilitation. Tehran; 2011. p. 55-76.

Arab M, Zeraati H, Akbari Haghighi F, Ravangard R. A study on the executive managers' knowledge and performance, and their hospitals preparedness against earthquake events and their relationships at public hospitals (affiliated by Tehran University of Medical Sciences (TUMS) 2005-2006). Journal of Health Administration. 2009;11(34):7-14.

Donahue A, Tuohy R. Lessons we don't learn: A study of the lessons of disasters, why we repeat them, and how we can learn them. Homeland Security Affairs. 2006;2(2). Avalable from: https://www.hsaj.org/articles/167.

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