Prehospital Emergency Medical Services Challenges in Disaster; a Qualitative Study

Emergency Pub Date : 2018-04-26 DOI:10.22037/EMERGENCY.V6I1.20465

M. Sorani, S. Tourani, H. Khankeh, Sirous Panahi

引用次数: 28

Abstract

Introduction: Prehospital Emergency Medical Care (EMC) is a critical service in disaster management. The aim of this study was to explore the challenges of prehospital Emergency Medical Services (EMS) during disaster response in Iran. Methods: A qualitative study was conducted from April 2015 to March 2017. Data were collected through in-depth, semi-structured interviews with 23 experienced individuals in the field of disaster that were selected using purposeful sampling. Data were analyzed using content analysis approach. Results: Fifteen sub-themes and the following six themes emerged in the analysis: challenges related to people, challenges related to infrastructure, challenges related to information management systems, challenges related to staff, challenges related to managerial issues and challenges related to medical care. Conclusions: Iran’s prehospital EMS has been chaotic in past disasters. Improvement of this process needs infrastructure reform, planning, staff training and public education.

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灾难中的院前急救医疗服务挑战；定性研究

简介：院前急救（EMC）是灾难管理中的一项关键服务。本研究的目的是探讨伊朗灾难应对期间院前紧急医疗服务（EMS）的挑战。方法：2015年4月至2017年3月进行定性研究。数据是通过对23名在灾害领域有经验的个人进行深入的半结构化访谈收集的，这些人是通过有目的的抽样选出的。使用内容分析方法对数据进行分析。结果：分析中出现了15个子主题和以下6个主题：与人有关的挑战、与基础设施有关的挑战，与信息管理系统有关的挑战和与工作人员有关的挑战；与管理问题有关的挑战以及与医疗保健有关的挑战。结论：伊朗的院前EMS在过去的灾难中一直很混乱。改善这一进程需要基础设施改革、规划、工作人员培训和公共教育。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Emergency EMERGENCY MEDICINE-

自引率

0.00%

发文量

审稿时长

8 weeks

期刊介绍： "Archives of Academic Emergency Medicine" is an international, Open Access, peer-reviewed, continuously published journal dedicated to improving the quality of care and increasing the knowledge in the field of emergency medicine by publishing high quality articles concerning emergency medicine and related disciplines. All accepted articles will be published immediately in order to increase its visibility and possibility of citation. The journal publishes articles on critical care, disaster and trauma management, environmental diseases, toxicology, pediatric emergency medicine, emergency medical services, emergency nursing, health policy and ethics, and other related topics. The journal supports the following types of articles: -Original/Research article -Systematic review/Meta-analysis -Brief report -Case-report -Letter to the editor -Photo quiz