{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T21:07:46Z","timestamp":1780434466346,"version":"3.54.1"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2017,7,31]],"date-time":"2017-07-31T00:00:00Z","timestamp":1501459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1049023X17006781_abs1\" sec-type=\"intro\"><jats:title>Introduction<\/jats:title><jats:p>During a refugees\u2019 mass-gathering incident in Kos Island, Greece, M\u00e9decins Sans Fronti\u00e8res (MSF; Brussels, Belgium) teams provided emergency medical care. A case report of the event focusing on difficulties encountered by the interpreters during triage and emergency response was prepared.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X17006781_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Data collected during the event were reviewed from the patient\u2019s register and qualitative interviews were obtained from the MSF interpreters involved in the response. In addition, a description of the event and a literature review were included.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X17006781_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Total consultations were 49 patients, mainly from Syria, with an average age of 25 years. During triage, 20 patients were tagged green with only minor injuries; 11 patients were tagged yellow, mostly due to heat exhaustion, but also a hypertensive crisis, a diabetic, a pregnant woman with abdominal pain, and a peptic ulcer exacerbation. The remaining 18 patients were tagged red and diagnosed with heat syncope, except from a case of epileptic seizures and an acute chest pain patient. Interpreters were insufficient in number to accompany each doctor and every nurse providing care during the event. In addition, they were constantly disturbed by both refugees and fellow medical team members demanding their service. Interpreters had to triage and prioritize where to go and for whom to interpret.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X17006781_abs4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>Interpreters are an integral part of a proper refugee reception system. They should be included in authorities planning where mass gatherings of refugees are expected. Appropriate training may be needed for interpreters to develop skills useful in mass gatherings and similar prehospital settings in order to better coordinate with the medical team.<\/jats:p><jats:p><jats:mixed-citation id=\"S1049023X17006781_ref1\" publication-type=\"journal\"><jats:name name-style=\"western\"><jats:surname>Alexakis<\/jats:surname><jats:given-names>LC<\/jats:given-names><\/jats:name><jats:name name-style=\"western\"><jats:surname>Papachristou<\/jats:surname><jats:given-names>A<\/jats:given-names><\/jats:name><jats:name name-style=\"western\"><jats:surname>Baruzzi<\/jats:surname><jats:given-names>C<\/jats:given-names><\/jats:name><jats:name name-style=\"western\"><jats:surname>Konstantinou<\/jats:surname><jats:given-names>A<\/jats:given-names><\/jats:name>. <jats:article-title>The use of interpreters in medical triage during a refugee mass-gathering incident in Europe<\/jats:article-title>. <jats:source>Prehosp Disaster Med<\/jats:source>. <jats:year>2017<\/jats:year>;<jats:volume>32<\/jats:volume>(<jats:issue>6<\/jats:issue>):<jats:fpage>684<\/jats:fpage>\u2013<jats:lpage>687<\/jats:lpage>.\n<\/jats:mixed-citation><\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x17006781","type":"journal-article","created":{"date-parts":[[2017,7,28]],"date-time":"2017-07-28T08:37:00Z","timestamp":1501231020000},"page":"684-687","source":"Crossref","is-referenced-by-count":6,"title":["The Use of Interpreters in Medical Triage during a Refugee Mass-Gathering Incident in Europe"],"prefix":"10.1017","volume":"32","author":[{"given":"Lykourgos Christos","family":"Alexakis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasia","family":"Papachristou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Baruzzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angeliki","family":"Konstantinou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2017,7,31]]},"reference":[{"key":"S1049023X17006781_ref2","unstructured":"Spindler W . \u201cNumbers of refugee arrivals to Greece increase dramatically.\u201d Briefing Notes, UNHCR; August 18, 2015. http:\/\/www.unhcr.org\/55d3098d6.html. Accessed December 2, 2015."},{"key":"S1049023X17006781_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X17006781"},{"key":"S1049023X17006781_ref9","first-page":"15","article-title":"Medical telematics in disaster response","volume":"97","author":"Benner","year":"2003","journal-title":"Stud Health Technol Inform"},{"key":"S1049023X17006781_ref17","doi-asserted-by":"publisher","DOI":"10.1542\/peds.103.6.1253"},{"key":"S1049023X17006781_ref14","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.12214"},{"key":"S1049023X17006781_ref18","doi-asserted-by":"publisher","DOI":"10.1177\/003335490712200407"},{"key":"S1049023X17006781_ref15","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.8788"},{"key":"S1049023X17006781_ref12","unstructured":"UNHCR. Europe\u2019s refugee emergency response update # 12. November 20-26, 2015. http:\/\/data.unhcr.org\/mediterranean\/regional.php. 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Accessed January 14, 2017."},{"key":"S1049023X17006781_ref8","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.110.578112"},{"key":"S1049023X17006781_ref13","doi-asserted-by":"publisher","DOI":"10.1177\/1077558705275416"},{"key":"S1049023X17006781_ref3","unstructured":"EETAA (Hellenic Company of Local Development and Local Government). \u201cMunicipalities in Numbers.\u201d Athens, Greece; May 2013. Population data from 2011 census in Greece (in Greek language). http:\/\/web3.eetaa.gr:8080\/ekdoseis\/pdf\/156.pdf. 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