T�rkiye-Suriye deprem merkezinden afet sonras� hastane kriz y�netimi

G�k, Murat; Melik, Mehmet Ali; Do�an, Baki; Durukan, Polat

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T�rkiye-Suriye deprem merkezinden afet sonras� hastane kriz y�netimi [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2023; 29(7): 792-797 | DOI: 10.14744/tjtes.2023.44449

T�rkiye-Suriye deprem merkezinden afet sonras� hastane kriz y�netimi

Murat G�k¹, Mehmet Ali Melik², Baki Do�an³, Polat Durukan³
¹Medical Point Gaziantep Hastanesi, Ortopedi ve Travmatoloji Klini�i, Gaziantep, T�rkiye
²Medical Point Gaziantep Hastanesi, Genel Cerrahi Klini�i, Gaziantep, T�rkiye
³Medical Point Gaziantep Hastanesi, Acil T�p Klini�i, Gaziantep, T�rkiye

AMA�: Deprem gibi aniden geli�en y�k�m�n ve yaralanmalar�n �ok y�ksek oldu�u durumlarda arama kurtarma ekipleri ve hastaneler insanlar�n ya�amla �l�m� aras�nda en �nemli belirleyici fakt�rler olabilmektedir �al��mam�zda 2023 Kahramanmara� merkezli depremler sonras� hastanemize ba�vuran depremzedelerin analizlerini ve tecr�belerimizi payla�may� ama�lad�k.
GERE� VE Y�NTEM: Kahramanmara� depremleri nedeniyle hastanemize getirilen veya ba�vuran yaral�lar�n t�bbi veri kay�tlar�n� geriye d�n�k ola-rak inceledik. Hastalar�n ba�vuru zamanlar�, tan�lar�, demografik verileri, triaj kodlar�, t�bbi m�dahaleler, hemodializ ihtiya�lar�, ezilme sendromu ve mortalite oranlar� incelendi.
BULGULAR: Hastanemize deprem sonras� ilk 5 g�nde depremle ili�kili 247 hasta ba�vurusu oldu. Acil servise ba�vurunun en yo�un oldu�u d�nem ilk 24 saatti. Cerrahi i�lemlerin en yo�un uyguland�� d�nem 24-48 saat aral��yd�. En s�k olarak Ortopedik cerrahi i�lemlerin uyguland�� g�r�ld�. En s�k mortalite nedeni ezilme sendromuydu.
TARTI�MA: Depremlere haz�rl�klar a��s�ndan �zellikle deprem b�lgesinde olan hastanelerde; hastane afet plan� haz�r olmal�d�r ve bu ama�la tecr�belerin payla��m� �nem ta��maktad�r.

Anahtar Kelimeler: Acil t�p, afet; deprem; ezilme sendromu; mortalite.

Hospital crisis management after a disaster: from the epicenter of 2023 T�rkiye-Syria earthquake

Murat G�k¹, Mehmet Ali Melik², Baki Do�an³, Polat Durukan³
¹Department of Orthopedics and Traumatology, Medical Point Gaziantep Hospital, Gaziantep-T�rkiye
²Department of General Surgery, Medical Point Gaziantep Hospital, Gaziantep-T�rkiye
³Department of Emergency Medicine, Medical Point Gaziantep Hospital, Gaziantep-T�rkiye

BACKGROUND: In such cases where sudden destruction and injury are very high, search and rescue teams and hospitals can be the most important determining factors between people�s lives and deaths.
METHODS: This study was conducted retrospectively, after the two catastrophic earthquakes (T�rkiye-Syria Earthquakes) by taking the records of the patients who admitted to our hospital. Patients� admission times, diagnoses, demographic data, triage codes, medical interventions, hemodialysis needs, crush syndrome and mortality rates were analyzed.
RESULTS: In the first 5 days after the earthquake, 247 earthquake-related patients were admitted to our hospital. The most intense period of admission to the emergency department was the first 24 h. The most intensive period of surgical procedures was 24�48 h. It was observed that Orthopedic surgical procedures were applied most frequently and the most common cause of mortality was crush syndrome.
CONCLUSION: In terms of preparations for earthquakes, especially in hospitals in the earthquake zone it will be beneficial for each hospital to make hospital disaster plans. For this reason, we thought it would be useful to share our experiences during this disaster.

Keywords: Crush syndrome, disaster, earthquake, emergency medicine, mortality.

Sorumlu Yazar: Murat G�k, T�rkiye
Makale Dili: �ngilizce

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