{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:35:52Z","timestamp":1785425752983,"version":"3.56.0"},"reference-count":45,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"unspecified","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789325103029_sec1\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to elucidate the ethical dilemmas faced by pre-hospital emergency medical service personnel during disaster triage, with a specific focus on the Kahramanmara\u015f Earthquakes, and to document their experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325103029_sec2\" sec-type=\"materials\">\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This phenomenological study employed semi-structured interviews with 29 pre-hospital emergency medical service workers who served during the first 72 hours of the Kahramanmara\u015f Earthquakes to gather qualitative data. Purposeful sampling was used for face-to-face interviews, and MAXQDA20 was utilized for content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325103029_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The main themes encompassed problems related to disaster management organization, environmental factors, and individual factors. Environmental factors, such as coordination deficiencies at the scene, jurisdictional confusion, security concerns, and seasonal conditions, as well as personal factors including education and experience, were pivotal in the occurrence of ethical dilemmas in disaster triage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325103029_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pre-hospital emergency medical services personnel affected by the disaster faced more ethical dilemmas. The presence of many affected children had a profound emotional impact on participants, leading to more frequent ethical dilemmas, particularly in the application of black code protocols.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2025.10302","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T06:08:48Z","timestamp":1768889328000},"source":"Crossref","is-referenced-by-count":0,"title":["Ethical Dilemmas Encountered by Pre-Hospital Emergency Medical Service Personnel During Disaster Triage: A Case Study of the Kahramanmara\u015f Earthquakes"],"prefix":"10.1017","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6071-5815","authenticated-orcid":false,"given":"Kadir","family":"Cekic","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02eaafc18","id-type":"ROR","asserted-by":"publisher"}],"name":"Ege University Institute of Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Eksi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02eaafc18","id-type":"ROR","asserted-by":"publisher"}],"name":"Ege University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"S1935789325103029_r2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(96)70053-7"},{"key":"S1935789325103029_r3","volume-title":"Management of Pre-Hospital Emergency Medical Services in Mass Casualty Incidents","author":"Eksi","year":"2017"},{"key":"S1935789325103029_r10","doi-asserted-by":"publisher","DOI":"10.5336\/mdethic.2018-62914"},{"key":"S1935789325103029_r21","unstructured":"21. 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