Challenges of prehospital aerial operations in response to earthquake hazards: A qualitative study
نویسندگان
1 Department of Health in Emergencies and Disasters, Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2 Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
3 Department of Health in Disaster and Emergencies, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
4 Research Center for Emergency and Disaster Health, The University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
5 Department of Surgery, School of Medicine Craniofacial and Cleft Research Center, Imam Hossein Children Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
doi
چکیده
BACKGROUNDS: Due to the severity of the earthquake, it may need immediate treatment andtransfer of the injured people to advanced medical centers, as well as dispatch of the expert teamand specialized health equipment to the accident‑affected area. Aerial emergency is an importantresponsibility of the health care system in this situation. The study aimed to extract the prehospitalemergency challenges of Iran aerial operations emergency in response to the earthquake.MATERIALS AND METHODS: The study was qualitative content analysis with conventionalapproach. Sampling was done in a purposive method and data were collected through semi‑structuredinterview. The panel involved consists of 26 health professionals in medical emergencies. Recordedinterviews were transcribed into written and then conventional content analysis was used to derivecoding categories directly from the text data.RESULTS: Content analysis is provided 97 initial codes, 20 subcategories and 4 main categoriesincluding challenges of “response assessment,” “support,” ”pre‑hospital staff‑management,” and“response operation,” respectively.CONCLUSIONS: The results showed that the necessity to assess the affected area, staffing, andmanagement actions, including integrated operations command and the development of a dedicatedresponse plan, as well as the use of strategies inter‑organizational coordination in the responsephase to earthquake. This study also emphasized that providing standard equipment, support actions,and strengthening communication infrastructure, and updating the aerial emergency system shouldbe considered as one of the priorities of the emergency organization of Iran to provide a desiredresponse to the earthquake.
