6 �ubat 2023 depremlerinde Ankara Etlik �ehir Hastanesi cerrahi afet tak�m�n�n tecr�be ve g�zlemleri

�zdemir, �mit; Kaymak��, Emre; Abbaso�lu, Bilal; Irdem K�se, �lfet Nihal; �ataro�lu, Cem Koray; �evik, H�seyin Bilgehan; �enlik�i, Abdullah; Ergil, Julide

Cilt : 31 Say� : 4 Y�l : 2025

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6 �ubat 2023 depremlerinde Ankara Etlik �ehir Hastanesi cerrahi afet tak�m�n�n tecr�be ve g�zlemleri [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2025; 31(4): 375-380 | DOI: 10.14744/tjtes.2025.02803

6 �ubat 2023 depremlerinde Ankara Etlik �ehir Hastanesi cerrahi afet tak�m�n�n tecr�be ve g�zlemleri

�mit �zdemir¹, Emre Kaymak��², Bilal Abbaso�lu³, �lfet Nihal Irdem K�se⁴, Cem Koray �ataro�lu⁵, H�seyin Bilgehan �evik⁶, Abdullah �enlik�i¹, Julide Ergil⁵
¹Ankara Etlik �ehir Hastanesi, Genel Cerrahi Klini�i, Gastroenterolojik Cerrahi B�l�m�, Ankara-T�rkiye
²Ankara Etlik �ehir Hastanesi, Kalp ve Damar Cerrahisi Klini�i, Ankara-T�rkiye
³Ankara Etlik �ehir Hastanesi, N�ro�ir�rji Klini�i, Ankara-T�rkiye
⁴Ankara Etlik �ehir Hastanesi, �ocuk Cerrahisi Klini�i, Ankara-T�rkiye
⁵Ankara Etlik �ehir Hastanesi, Anesteziyoloji ve Reanimasyon Klini�i, Ankara-T�rkiye
⁶Ankara Etlik �ehir Hastanesi, Ortopedi ve Travmatoloji Klini�i, Ankara-T�rkiye

AMA�: 6 �ubat 2023 tarihinde T�rkiye�nin g�ney illerinde ard arda iki b�y�k deprem meydana geldi. Ayn� g�n Ankara Etlik �ehir Hastanesinde derhal bir cerrahi afet tak�m� kuruldu ve b�lgeye intikal ederek Hatay-Reyhanl� Devlet Hastanesinde 7 g�n �al��t�. Bu �al��man�n amac� Ankara Etlik �ehir Hastanesi Cerrahi Afet tak�m�n�n 6 �ubat 2023 depremlerindeki verileri, tecr�besi ve �nerilerini sunmakt�r.
GERE� VE Y�NTEM: Veriler Cerrahi afet tak�m�ndaki hekimlerin ki�isel kay�tlar�ndan elde edilmi�tir. Hekimlere �al��t�� birimler, �al��ma �ekilleri, yapt�� ameliyatlar, tedaviler, g�zlemler, tecr�beler ve �nerileri soruldu.
BULGULAR: Anestezistler ameliyathanede ve yo�un bak�mlarda �al��t�. Ameliyatlar�n yan�nda acildeki ihtiya� nedeniyle kalp damar cerrah�, genel cerrahlar ve �ocuk cerrah� acil servis k�rm�z� ve sar� alanda �al��t�. Ortopedi 96, beyin cerrahi 11, kalp-damar cerrahisi 5, genel cerrahi 4, �ocuk cerrahi 4 cerrahi giri�imde bulundu. Ameliyatlar�n %80�i ortopedi, %20�si ise di�er bran�lar taraf�ndan ger�ekle�tirilmi�tir.
SONU�: Y�k�nt�dan yaral� kurtar�lanlarda ekstremite yaralanmas� s�kt�r, �o�unlukla ortopedik giri�im gerekli olur. Y�neticileri de deprem ma�duru olan hastane y�netimi yeni gelen afet tak�m� taraf�ndan �stlenilmelidir. Hangi b�lgedeki afete, hangi b�lgenin, ne deste�i verece�i (personel, ta��t, malzeme, hasta sevklerini kar��lama) ayr�nt�l� bir �ekilde haz�rlanmal�d�r. Afet tak�mlar�na cerrahlara ek olarak acil t�p uzmanlar�, i� hastal�klar� uzmanlar�, pediatristler, jinekologlar dahil edilmelidir. Cerrahi afet tak�mlar� doktor, hem�ire ve yard�mc� personelden olu�an tam tekmil bir tak�m olmal�d�r.

Anahtar Kelimeler: Deprem, travma, afet t�bb�, ezilme yaralanmas�, T�rkiye.

The observations and experience of the Surgical Disaster Response Team from Ankara Etlik City Hospital in the earthquakes of February 6, 2023 in T�rkiye

�mit �zdemir¹, Emre Kaymak��², Bilal Abbaso�lu³, �lfet Nihal Irdem K�se⁴, Cem Koray �ataro�lu⁵, H�seyin Bilgehan �evik⁶, Abdullah �enlik�i¹, Julide Ergil⁵
¹Department of General Surgery, Section of Gastroenterological Surgery, Ankara Etlik City Hospital, Ankara-T�rkiye
²Department of Cardiovascular Surgery, Ankara Etlik City Hospital, Ankara-T�rkiye
³Department of Neurosurgery, Ankara Etlik City Hospital, Ankara-T�rkiye
⁴Department of Pediatric Surgery, Ankara Etlik City Hospital, Ankara-T�rkiye
⁵Department of Anesthesiology and Reanimation, Ankara Etlik City Hospital, Ankara-T�rkiye
⁶Department of Orthopaedics and Traumatology, Ankara Etlik City Hospital, Ankara-T�rkiye

BACKGROUND: Two major earthquakes struck southeastern T�rkiye consecutively on February 6, 2023. On the same day, a Surgical Disaster Response Team was immediately formed at Ankara Etlik City Hospital and deployed to the affected region, where they worked for seven days at Hatay-Reyhanl� State Hospital. The aim of this study was to present the experiences, data, and recommendations of the Ankara Etlik City Hospital Surgical Disaster Response Team following the February 6, 2023 earthquakes.
METHODS: Data were collected from the individual records of the physicians in the Surgical Disaster Response Team. The physicians provided information about the units in which they worked, their roles, the procedures they performed, treatments administered, observations made, experiences encountered, and recommendations for future disaster response efforts.
RESULTS: The anesthesiologists in the team worked in the operating theatres and intensive care units. In addition to performing surgical procedures, the cardiovascular surgeon, general surgeons, and pediatric surgeon also assisted in the emergency department�s red and yellow zones as needed. The orthopedic surgeons performed 96 interventions, the neurosurgeon 11, the cardiovascular surgeon five, the general surgeons four, and the pediatric surgeon four. Of the total procedures, 80% were performed by orthopedic surgeons, while the remaining 20% were carried out by specialists from other surgical branches.
CONCLUSION: Extremity injuries are common among earthquake survivors and usually require orthopedic intervention. In a hospital where the administrative staff are also disaster victims, management should be assumed by the incoming disaster response team. A detailed disaster preparedness plan must outline which regions will provide support, including personnel, transportation, materials, and patient referrals, to specific disaster-affected areas. In addition to surgeons, the disaster response team must include emergency medicine specialists, internal medicine specialists, pediatricians, and gynecologists. The Surgical Disaster Response Team should be a fully integrated unit consisting of doctors, nurses, and auxiliary personnel.

Keywords: Earthquake, trauma, disaster medicine, crush injury, T�rkiye.

Sorumlu Yazar: �mit �zdemir, T�rkiye
Makale Dili: �ngilizce

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