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The 2003 Bam Earthquake: Overview of First Aid and Transport of Victims

Published online by Cambridge University Press:  28 June 2012

Sedighe Mirhashemi ,
Ali Ghanjal ,
Hassan Ali Mohebbi  and
Yashar Moharamzad
Sedighe Mirhashemi*
Affiliation:
Trauma Research Center, Baqiyatallah Medical Science University, Tehran, Iran
Ali Ghanjal
Affiliation:
Trauma Research Center, Baqiyatallah Medical Science University, Tehran, Iran
Hassan Ali Mohebbi
Affiliation:
Trauma Research Center, Baqiyatallah Medical Science University, Tehran, Iran
Yashar Moharamzad
Affiliation:
Trauma Research Center, Baqiyatallah Medical Science University, Tehran, Iran
*
Baqiyatallah Medical Science University Molla-sadra Ave. Vanak Square Tehran, Iran Box Number 19945/581 E-mail: sedmir54@yahoo.com
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Abstract

Introduction:

In December 2003, the residents of Bam, Iran experienced an earthquake that measured 6.6 on the Richter scale and destroyed more than 90% of the city.

Problem:

The purpose of this study was to assess the status of the rescue, evacuation, and transportation of the casualties during the early stages following the earthquake.

Methods:

A cross-sectional study of 185 casualties who were transferred to and hospitalized in the university hospital during the first week period following the earthquake was conducted. Information regarding different places of settlement after being removed from the rubble, initial medical care, and the means of transportation was obtained by reviewing medical records and interviewing the victims.

Results:

The mean value of the duration of times taken for the first rescuers to reach the scene and remove the casualties from the rubble was 1.7 ±2.7 and 0.9 ±1.1 hours, respectively. Sixty-nine (37.7%) of the patients stayed within the area immediately surrounding their home for average times of 8 ±10 hours. The majority of casualties (57.6%) were transferred manually to a first place of settlement; 45.8% were taken to a second place of settlement using blankets. Of the patients studied, 159 (85.9%) did not receive any basic medical care at the first place and intravenous fluid therapy was the most common treatment provided for 24 (13%) patients at the second place of settlement. Patients received medical care at the first place of settlement for a mean time of 16.8 ±13.5 hours after escaping the rubble.

Conclusions:

These findings indicate that the emergency medical service system in Bam was destroyed and not able to respond adequately. In order to reduce the negative effects of such disasters in the future, there is an essential need for a comprehensive disaster management plan and improvement of hospital structures, healthcare facilities, and communication between the different governmental departments for better coordination and planning.

Keywords

Bam Earthquakefirst aidIransafe hospitaltransport
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 22 , Issue 6 , December 2007 , pp. 513 - 516
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2007

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References

1.Peak-Asa, C., Kraus, JF, Bourque, LB, et al. : Fatal and hospitalized injuries resulting from the 1994 Northridge earthquake. Int J Epidemiol 1998;27(3):459–465.CrossRefGoogle Scholar
2.Schultz, CH, Koenig, KL, Noji, EK: A medical disaster response to reduce immediate mortality after an earthquake. N Engl J Med 1996;334:438–444.Google Scholar
3.Emami, MJ, Tavakoli, AR, Alemzadeh, H, et al. : Strategies in evaluation and management of Bam earthquake victims. Prehospital Disast Med 2005;20(5):327–330.Google Scholar
4.Mahoney, LE, Reutershan, TP: Catastrophic disasters and the design of disaster medical care systems. Ann Emerg Med 1987;16:1085–1091.Google Scholar
5.Reitherman, R: How to prepare a hospital for an earthquake. J Emerg Med 1986;4:119–131.Google Scholar
6.Gans, L: Disaster Planning and Management. In: Harwood Nuss, AL, ed. The Clinical Practice of Emergency Medicine. Philadelphia: Lippincott-Raven Publishers, 1996, pp 1511–1513.Google Scholar
7.Building Seismic Safety Council: Seismic Considerations: Health Care Facilities. Washington, DC: Federal Emergency Management Agency Publication 1990: FEMA, p 150.Google Scholar
8.Akbari, ME, Farshad, AA, Asadi-Lari, M: The devastation of Bam: An overview of health issues 1 month after the earthquake. Public Health 2004;118(6):403–408.CrossRefGoogle ScholarPubMed
9.World Health Organization: WHO joins international effort to help Bam earthquake survivors. WHO Bulletin 2004;82:156.Google Scholar
10.Moszynski, P: Cold is the main health threat after the Bam earthquake. BMJ 2004;328(7431):66.Google Scholar
11.Ahrari, N, Zangiabadi, N, Asadi, A, Sarafi Nejad, A: Prevalence and distribution of peripheral nerve injuries in victims of Bam earthquake. Electromyogr Clin Neurophysiol 2006;46(1):59–62.Google ScholarPubMed
12.Montazeri, A, Baradaran, H, Omidvari, S, et al. : Psychological distress among Bam earthquake survivors in Iran: A population-based study. BMC Public Health 2005;5:4.Google Scholar
13.Tahmasebi, MN, Kiani, K, Mazlouman, SJ, et al. : Musculoskeletal injuries associated with earthquake. A report of injuries of Iran's December 26, 2003 Bam earthquake casualties managed in tertiary referral centers. Injury 2005;36(1):27–32.Google Scholar
14.Schnitzer, JJ, Briggs, SM: Earthquake relief—The US medical response in Bam, Iran. N Engl J Med 2004;350(12):1174–1176.CrossRefGoogle ScholarPubMed
15.Abolghasemi, H, Radfar, MH, Khatami, M, et al. : International medical response to a natural disaster: Lessons learned from the Bam earthquake experience. Prehospital Disast Med 2006;21(3):141–147.Google Scholar
16.Tanaka, H, Iwai, A, Oda, J, et al. : Overview of evacuation and transport of patients following the 1995 Hanshin-Awaji earthquake. J Emerg Med 1998;16(3):439–444.CrossRefGoogle ScholarPubMed
17.Waeckerle, JF: Disaster planning and response. N Engl J Med 1991;324:815–821.Google ScholarPubMed
18.Thornley, F: Major disasters: An ambulance service view. Injury 1990;21:34–36.Google Scholar