Hüseyin Koçak

The Role of Disaster Medicine in Disaster Management and Preparedness

Abstract The most important element in disasters is people. For that reason, health is one of the most critical sectors in terms of disaster preparedness and damage reduction as well as response and recovery activities. This study discusses the concepts of disaster medicine (DM) and disaster health under the term of DM and addresses some of the foremost studies in DM historically. Further, it explains the concept, importance, and features of the concept of DM. Lastly, this study reflects on public health, emergency medical services, definitive treatment centers (hospitals and other health facilities), which are the components of DM, in relation to disasters. It also provides the case studies of some countries on DM.

Evaluation of the Situation of Trainings Provided by Çanakkale 112 Ambulance Services

maintain readiness for MCIs; conduct joint training and exercise programs; adopt a common model for managing MCIs; and recognize the authority of only one on-site EMS commander. One policy that was proposed was that the senior EMS officer arriving on-site should not necessarily take over command and was endorsed by 92% in the 2 e-Delphi cycle. Variability among experts according to origin country was noted concerning: (1) assign ambulances to off-duty EMS staff; and (2) dispatch two BLS and two ALS ambulances as an automatic MCI response. Conclusion: Clear policies shared by all EMSs are needed to ensure effective management and maximal life-saving capacity in MCIs. The study presents consensus-based solutions to varied challenges common to EMS worldwide. Additional studies are needed to further develop policies into measurable and comparable international standards.

Evaluation on the Myth Evaluations of Nursing Students on Elders in Cases of Disasters and Emergencies

Study/Objective: This was descriptive, cross-sectional research conducted in the Latin American Center for Disaster Medicine (CLAMED) in the period from March 2010 to October 2013. The objective that was developed: Designing a strategy for the improvement of nurses in helping to raise their professional skills in disaster. Background: Some of the most serious consequences of disasters are often: the impact it has on populations with increased morbidity and mortality, deterioration of environmental hygiene, the risk of epidemics, damage to health infrastructure, inaccessibility to services, and involvement in the development of health programs. Thus, the higher the vulnerability, there will be an increased risk of the occurrence of disasters and the exponential association of the frequency and intensity of threats. As such, governments and health systems in many countries should focus their efforts on preparing health professionals, as well as for the prevention and mitigation of disasters. Methods: The research, supported in different areas of knowledge, made possible the construction of its theoretical framework, relying on documentary analysis, system approach, modeling, and historical and logical thought. From the research process, the level of knowledge of nurses on disaster risk reduction was diagnosed, and in that sense, a strategy that asks for consideration was prepared. Results: It was found that 66.6% had not received readying on the issue Health and Disasters. It was evident that general disasters and organization of prehospital and hospital care in disaster situations were the issues that most impacted the level of knowledge, behaving 24.6% and 18.1%, respectively. They were diagnosed as having an insufficient level of knowledge for disaster risk reduction. Conclusion: A strategy for nurses in Health and Disasters showing a harmonious configuration in the system, given the close link between the different organizational forms of postgraduate training in Cuba, was designed.

Resuscitation Team and Code Blue Practicing in Çanakkale State Hospital, Turkey

Study/Objective: This study has two research objectives. The first aim is to evaluate the quality of resuscitation team and code blue practicing. The second is to determine which factors affect the code blue process. Background: Code Blue Teams (CBTs) have crucial roles in every hospital or health care center in the world. With this important role, CBT must be well trained to save more lives. To train this team properly, hospitals and other health organizations have some responsibilities. If they do their responsibilities, and provide some conveniences to CBTs, the team can practice more and be trained well. Methods: The authors conducted a retrospective data review of code blue frequency in three months (June 1September 1, 2016). To carry out this study, permission was obtained from the hospital authority, then code blue forms reviewed. The personal information of the patients is not used in this paper. Results: CBT has 40 code blue calls from different locations in the hospital. Of those calls, 20% (f = 8) are from the angiography unit, 35% (f = 14) from clinics, 30% (f = 12) from patient’s rooms, 5% (f = 2) from cafe for syncope, and 10% (f = 4) from intensive care units. There was 45% (f = 18) of patients who were resuscitated by giving CPR and saved their life. There was 2.5% (f = 1) patients could not be saved in the angiography unit and 52.5% (f = 21) patients were given only first aid. Conclusion: The arrival time to the patients is between in 20-120 seconds. Code blue forms need to be standardized. Having practiced regularly will be helpful for CBTs. Timing is very important and could affect the code blue quality. People who activate the CBT in hospitals must be educated about first aid and code blue process.

Syrian Refugees in Turkey, Life Conditions

Study/Objective: The objective of this study is to clarify basic information about Syrian refugees who are living in Turkey and to share formal data about refugees’ life conditions in Turkey. Background: Throughout history, migration is one of the most important problems of humanity. Particularly in some areas where people suffer from conflicts, violations, and lack of basic needs, this situation is more difficult. Since the beginning of the Syrian conflict in 2011, increasing number of refugees have come to Turkey for asylum. Most of them are children and women. Unfortunately, this dangerous voyage from Syria has ended up with not only social or economic problems, but also dramatic humanitarian needs. Methods: In this study, authors have conducted descriptive data analysis by viewing formal data from government authorities and scientific articles from the literature. Results: From the outset of the conflict, Turkey has followed an open door policy to refugees. Since that time, about 3-million people have come to Turkey and try to adopt a new life. Currently 300-thousand of the refugees have been living in 26 temporary protection centers (TPC) that were established in 10 different cities near the Syrian border. The protection centers have been managed by the Emergency Authority of Turkey. The other 2.7 million refugees have been living in different cities and regions in Turkey. Over 60% of the refugees consist of women and children. In the TPCs, some facilities such as accommodation, food, health, education, and other humanitarian needs are provided by the Emergency Management Authority of Turkey. About 311,000 thousand children continue their education, and 100,000 of the adult refugees have been educated by the Ministry of Education of Turkey. Conclusion: The coordination between international organizations and Turkey need to be enhanced to provide more effective facilities for refugees.