背景:这项研究评估了以大学为基础的紧急医疗小组(EMT)在对2023年2月Kahramanmara市地震的医学搜索和救援(mSAR)响应期间遇到的操作挑战和临床结果,土耳其。
方法:在这项观察性研究中,数据是对震后接受mSAR服务的42例患者进行回顾性收集.挑战被归类为环境,后勤,或医疗,详细记录了救援时间,患者人口统计学,损伤类型,和医疗干预。
结果:在这项mSAR研究中,对30例手术中的42例患者进行了分析,并分为环境(26.2%),后勤(52.4%),和医疗(21.4%)挑战组。平均救援时间为29(IQR28-30),36.5(IQR33.75-77.75),每组30.5(IQR29.5-35.5)小时,分别(P=0.002)。各组的年龄分布无显著差异(P=0.067)。体温过低影响18.2%,45.5%,在各组中占66.7%。肢体损伤在医疗组中最常见(88.9%)。医疗组的静脉通路最高(88.9%),而夹板在医疗组(55.6%)和后勤组(18.2%)更常见。低体温在医疗组中最为普遍(66.7%),其次是后勤组(45.5%)。救援后的救护车运输被用于所有群体中的少数人。
结论:该研究得出结论,后勤挑战,不仅仅是环境或医疗挑战,显著延长mSAR手术的持续时间,并加剧低温等临床结果,通知未来在灾难响应规划和执行方面的改进。
BACKGROUND: This study assesses the operational challenges and clinical outcomes encountered by a university-based Emergency Medical Team (EMT) during the medical search and rescue (mSAR) response to the February 2023 earthquakes in Kahramanmaraş, Turkey.
METHODS: In this observational study, data were retrospectively collected from 42 individuals who received mSAR services post-earthquake. The challenges were categorized as environmental, logistical, or medical, with detailed documentation of rescue times, patient demographics, injury types, and medical interventions.
RESULTS: In this mSAR study, 42 patients from 30 operations were analyzed and divided into environmental (26.2%), logistical (52.4%), and medical (21.4%) challenge groups. Median rescue times were 29 (IQR 28-30), 36.5 (IQR 33.75-77.75), and 30.5 (IQR 29.5-35.5) hours for each group, respectively (P = .002). Age distribution did not significantly differ across groups (P = .067).
Hypothermia affected 18.2%, 45.5%, and 66.7% in the respective groups. Extremity injuries were most common in the medical group (88.9%). Intravenous access was highest in the medical group (88.9%), while splinting was more frequent in the medical (55.6%) and logistical (18.2%) groups.
Hypothermia was most prevalent in the medical group (66.7%), followed by the logistical group (45.5%). Ambulance transport post-rescue was utilized for a minority in all groups.
CONCLUSIONS: The study concludes that logistical challenges, more than environmental or medical challenges, significantly prolong the duration of mSAR operations and exacerbate clinical outcomes like
hypothermia, informing future enhancements in disaster response planning and execution.