Ulus Travma Acil Cerrahi Derg. 2022; 28(8): 1122-1127 | DOI: 10.14744/tjtes.2022.91324

Disaster area triage in the first 24 h of earthquakes, evaluation of pre-hospital and hospital procedures: 6.6 Elazig earthquake

Þükrü Yorulmaz¹, Semih Korkut², Figen Tunali Türkdoðan³, Kenan Ahmet Türkdoðan^2
1Ministry of Health General Directorate of Emergency Health Service, Ankara-Türkiye
²Department of Emergency Medicine, Health Sciences University, Baþakþehir Çam and Sakura City Hospital, Ýstanbul-Türkiye
³Department of Radiology, Ýstanbul Physical Therapy and Rehabilitation Training and Research Hospital, Ýstanbul-Türkiye

BACKGROUND: Earthquakes are natural events, but the destruction they cause is quite high. Since it is not possible to prevent an earthquake, it is necessary to raise conscious and sensitive individuals about earthquakes and to seek solutions. It was aimed to present the triage, consumables, fluids, and drugs used in the 2020 Elazig earthquake.
METHODS: After the earthquake, the epicenter of which was Sivrice/Elazig on January 24, 2020, all affected victims, pre-hospital triage status, management of emergency, and other inpatient services during the hospitalization, medical interventions including sur-geries, consumables, fluids, and drugs were evaluated retrospectively with the data in the first 24 h.
RESULTS: The total number of injured after the earthquake in Elazig, which had a magnitude of 6.6 on the Richter scale and lasted for 22 s, was 974. While 37 (3.7%) people died, 18 (1.8%) of them were women. While 34 people died in the wreckage and 3 people in the emergency department, their mean age was 46.0±12.5 years. While 654 patients were registered in the first 24 h, 30 of them were by 112 Command and Control Center and 624 were outpatients. Temporary registration was provided to 320 people as they did not have their identity information.
CONCLUSION: Being prepared and organized before an earthquake, and taking early intervention will provide significant success in the survival of the disaster victims.

Keywords: 112 command and control center, earthquake; Elazig; medical supplies; triage.

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Depremlerin ilk 24 saatinde afet bölgesi triyajý, hastane öncesi ve hastane prosedürlerinin deðerlendirilmesi: 6.6 Elazýð depremi

Þükrü Yorulmaz¹, Semih Korkut², Figen Tunali Türkdoðan³, Kenan Ahmet Türkdoðan^2
1Saðlýk Bakanlýðý, Acil Saðlýk Hizmetleri Genel Müdürlüðü, Ankara
²Saðlýk Bilimleri Üniversitesi, Çam ve Sakura Þehir Hastanesi, Acil Týp Kliniði, Ýstanbul
³Ýstanbul Fizik Tedavi ve Rehabilitasyon Eðitim ve Araþtýrma Hastanesi, Radyoloji Kliniði, Ýstanbul

AMAÇ: Depremler doðal olaylardýr ancak sebep olduklarý tahribat oldukça fazladýr. Bir depremi önlemek mümkün olmadýðý için deprem konusunda bilinçli ve duyarlý bireyler yetiþtirmek ve çözüm aramak gerekir. 2020 Elazýð depreminde kullanýlan triyaj, sarf malzemeleri, sývýlar ve ilaçlarýn sunul-masý amaçlandý.
GEREÇ VE YÖNTEM: 24 Ocak 2020 tarihinde merkez üssü Sivrice/Elazýð olan depremden sonra, etkilenen tüm maðdurlar, hastane öncesi triyaj durumu, hastanede yatýþ sýrasýnda acil durum ve diðer yatan hasta hizmetlerinin yönetimi, ameliyatlar dahil týbbi müdahaleler, sarf malzemeleri, sývýlar ve ilaçlar ilk 24 saatteki verilerle geriye dönük olarak deðerlendirildi.
BULGULAR: Elazýð’da rihter ölçeðine göre 6.6 büyüklüðünde ve 22 saniye süren depremin ardýndan toplam yaralý sayýsý 974 oldu. Otuz yedi (%3.7) kiþi hayatýný kaybederken, 18’i (%1.8) kadýndý. Enkazda 34, acil serviste üç kiþi hayatýný kaybederken, yaþ ortalamalarý 46.0±12.5 yýl idi. Ýlk 24 saatte 654 hasta kayýt altýna alýnýrken, bunlardan 30’u 112 Komuta Kontrol Merkezi’nde, 624’ü ayakta tedavi gördü. Üç yüz yirmi kiþiye kimlik bilgileri olmadýðý için geçici kayýt yaptýrýldý.
TARTIÞMA: Deprem öncesi hazýrlýklý ve organize olmak ve erken müdahale etmek afetzedelerin hayatta kalmasýnda önemli baþarý saðlayacaktýr.

Anahtar Kelimeler: 112 Komuta Kontrol Merkezi, deprem; Elazýð; týbbi destek; triaj.

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