Journals / Türkiye Acil Tıp Dergisi / 2009 / Cilt: 9 - Sayı: 1

Admission of evacuated mass casualties; Experience of the Gulhane Military Medical Academy

Kitlesel yaralanmalarda üçüncü basamak sağlık kuruluşu deneyimi

Pages
12–18
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this report, we aimed to discuss the hospital organizations for mass casualties in the view of a group of injured patients in a bomb attack in Iraq transported with a aero-medical evacuation and admitted to Gülhane Military Medical Academy.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The quality of medical aid given to injured people during mass causality is related to the success of general orga- nization.
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Key Findings & Data:Fast and effective intervention is important for all the steps.
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Conclusion & Impact:In this report, we aimed to discuss the hospital organizations for mass casualties in the view of a group of injured patients in a bomb attack in Iraq transported with a aero-medical evacuation and admitted to Gülhane Military Medical Academy.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

The quality of medical aid given to injured people during mass causality is related to the success of general orga- nization. Fast and effective intervention is important for all the steps. In case of mass casualty; people with mild injuries may be treated at the field or a local hospital. Resuscitative interventions and damage control surgery should be performed in field hospitals for severe cases. Patients required further treatment should be referred to a third level hospital. Big hospitals should have plans for such unexpected events. It’s difficult to care many injured patients at the same time even for third level health centers. Severely injured patients may worsen dur- ing the admission process if the hospital is not ready to the current status. In this report, we aimed to discuss the hospital organizations for mass casualties in the view of a group of injured patients in a bomb attack in Iraq transported with a aero-medical evacuation and admitted to Gülhane Military Medical Academy.

Özet

Toplu yaralanmalarda olgulara verilecek sağlık hizmetinin kalitesi, genel organizasyonun başarısı ile ilişkilidir. Hızlı ve etkin müdahale sistemin tüm basamakları için önemlidir. Kitlesel travma olaylarında hafif yaralıların tedavileri sahada ve erken dönem tahliye edildikleri istasyonlarda tamamlanabilir. Ancak daha ağır yaralılar için buralarda resüsitatif işlemler ve hasar kontrol cerrahisi uygulanmalıdır. ‹leri tedavi gerektiren olgular gerekli donanıma sahip üçüncü basamak hastanelere sevk edilmelidir. Büyük hastanelerin günlük faaliyetleri devam ederken beklenmedik zamanlarda ortaya çıkabilecek bu tür durumlar için önceden hazırlanmış planlamalarının olması gerekir. Aynı anda çok sayıda yaralıyı kabul etmek terminal hastaneler için bile zordur. Oluşabilecek karmaşada durumu zaten ağır olan yaralılar zarar görebilir. Bu yazıda Irak’ta meydana gelen bombalı bir eylem sonrasında ambulans uçaklarla Türkiye’ye tahliye edilen hastaların Gülhane Askeri Tıp Akademisi’ne nakli, karşılanması ve triyajı esas alınarak toplu yaralanmada hastane organizasyonu tartışıldı.

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Cite This Article

ÖZTÜRK, E., ERSÖZ, N., ÖZER, M. T., MENTEŞ, Ö., ÖZERHAN, İ. H., HARLAK, A., ERYILMAZ, M. (2022). Admission of evacuated mass casualties; Experience of the Gulhane Military Medical Academy. Türkiye Acil Tıp Dergisi, Cilt: 9 - Sayı: 1, 12–18. https://ajindex.com/articles/626095

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References (13)

  1. Peleg K, Michaelson M, Shapira SC, Aharonson-Daniel L. Principles of emergen- cy management in disasters. Adv Ren Replace Ther 2003;10:117-21
  2. Eryılmaz M. Afetin potansiyelleri. içinde: Eryılmaz M, Dizer U, editörler. Afet tıbbı kitabı. Ünsal yayınları; Ankara: 2005. s. 29-60
  3. Rodoplu U, Arnold JL, Yücel T, Tokyay R, Ersoy G, Cetiner S. Impact of the terrorist bombings of the Hong Kong Shanghai Bank Corporation headquarters and the British Consulate on two hospitals in Istanbul, Turkey, in November 2003. J Trauma 2005;59:195-201
  4. Akdur R. Afetlere karşı kurumsal hazırlıklar. Afet sürecinde yapılacak ifller. içinde: Eryılmaz M, Dizer U, editör. Afet tıbbi kitabı. Ünsal Yayınları; Ankara: 2005. s.205-12
  5. Available at: http://www. k e r k u k. n e t / h a b e r l e r / h a b e r. a s p x ? d i l = 1 0 5 5 & m e t i n = 2008071837. (Eriflim tarihi: 22 Ağustos 2008)
  6. Available at: http://hurarsiv. h u r r i y e t. c o m. t r / g o s t e r / h a b e r. a s p x ? i d = 6 9 0 5 2 8 0 & tarih=2007-07-17. (Eriflim Tarihi: 22 Ağustos 2008)
  7. Tien HC, Jung V, Rizoli SB, Acharya SV, MacDonald JC. An evaluation of tacti- cal combat casualty care interventions in a combat environment. J Am Coll Surg 2008;207:174-8
  8. Mentefl MO, Akinci H. Aeromedical evacuation of critically ill and injured patients. [Article in Turkish] Ulus Travma Acil Cerrahi Derg 2006;12:1-8
  9. Pinkert M, Bloch Y, Schwartz D, Ashkenazi I, Nakhleh B, Massad B, et al.Leadership as a component of crowd control in a hospital dealing with a masscasualty incident: lessons learned from the October 2000 riots in Nazareth. Prehosp Disaster Med 2007;22:522-6
  10. Wade PC. HEICS to HICS, some observations and experiences. J Healthc Prot Manage 2008;24:116-9
  11. Ginter PM, Duncan WJ, Abdolrasulnia M. Hospital strategic preparedness plan- ning: the new imperative. Prehosp Disaster Med 2007;22:529-36
  12. Sammut J, Cato D, Homer T. Major Incident Medical Management and Support (MIMMS): a practical, multiple casualty, disaster-site training course for all Australian health care personnel. Emerg Med (Fremantle) 2001;13:174-80
  13. Born CT, Briggs SM, Ciraulo DL, Frykberg ER, Hammond JS, Hirshberg A, et al. Disasters and mass casualties: II. explosive, biologic, chemical, and nuclear agents.J Am Acad Orthop Surg 2007;15:461-73.