{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T11:56:41Z","timestamp":1767182201910,"version":"3.37.0"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T00:00:00Z","timestamp":1725840000000},"content-version":"unspecified","delay-in-days":39,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1049023X24000463_as1\"><jats:title>Background:<\/jats:title><jats:p>This study assesses the operational challenges and clinical outcomes encountered by a university-based Emergency Medical Team (EMT) during the medical search and rescue (mSAR) response to the February 2023 earthquakes in Kahramanmara\u015f, Turkey.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X24000463_as2\"><jats:title>Methods:<\/jats:title><jats:p>In this observational study, data were retrospectively collected from 42 individuals who received mSAR services post-earthquake. The challenges were categorized as environmental, logistical, or medical, with detailed documentation of rescue times, patient demographics, injury types, and medical interventions.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X24000463_as3\"><jats:title>Results:<\/jats:title><jats:p>In this mSAR study, 42 patients from 30 operations were analyzed and divided into environmental (26.2%), logistical (52.4%), and medical (21.4%) challenge groups. Median rescue times were 29 (IQR 28\u201330), 36.5 (IQR 33.75\u201377.75), and 30.5 (IQR 29.5\u201335.5) hours for each group, respectively (P = .002). Age distribution did not significantly differ across groups (P = .067). Hypothermia affected 18.2%, 45.5%, and 66.7% in the respective groups. Extremity injuries were most common in the medical group (88.9%). Intravenous access was highest in the medical group (88.9%), while splinting was more frequent in the medical (55.6%) and logistical (18.2%) groups. Hypothermia was most prevalent in the medical group (66.7%), followed by the logistical group (45.5%). Ambulance transport post-rescue was utilized for a minority in all groups.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X24000463_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>The study concludes that logistical challenges, more than environmental or medical challenges, significantly prolong the duration of mSAR operations and exacerbate clinical outcomes like hypothermia, informing future enhancements in disaster response planning and execution.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x24000463","type":"journal-article","created":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T08:46:59Z","timestamp":1725871619000},"page":"295-300","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Challenges and Clinical Impact of Medical Search and Rescue Efforts Following the Kahramanmara\u015f Earthquake"],"prefix":"10.1017","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7659-1906","authenticated-orcid":false,"given":"Mustafa Ferudun","family":"Celikmen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6729-5021","authenticated-orcid":false,"given":"Ali Cankut","family":"Tatliparmak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4965-9231","authenticated-orcid":false,"given":"Verda","family":"Tunaligil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8166-659X","authenticated-orcid":false,"given":"Sarper","family":"Yilmaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2024,9,9]]},"reference":[{"key":"S1049023X24000463_ref5","unstructured":"5. T\u00fcrkiye observes 1st anniversary of deadly Kahramanmara\u015f quakes. Daily Sabah. https:\/\/www.dailysabah.com\/turkiye\/turkiye-observes-1st-anniversary-of-deadly-kahramanmaras-quakes\/news. Accessed February 8, 2024."},{"key":"S1049023X24000463_ref9","unstructured":"9. Lesson 11: Earthquake Drills, Plans, and Supplies. Learn Science at Scitable. http:\/\/www.nature.com\/scitable\/topicpage\/lesson-11-earthquake-drills-plans-and-supplies-8706019. Accessed February 8, 2024."},{"key":"S1049023X24000463_ref10","unstructured":"10. Federal Emergency Management Agency (FEMA). https:\/\/www.fema.gov\/es\/home. Accessed February 8, 2024."},{"key":"S1049023X24000463_ref3","unstructured":"3. T\u00fcrkiye, S. [Balance sheet of February 6 earthquakes with data]. Sputnik T\u00fcrkiye. https:\/\/sputniknews.com.tr\/20240205\/6-subat-depreminde-kac-kisi-oldu-neler-yasandi-kac-bina-yikildi-depremin-siddeti-son-depremler-1080416968.html. Accessed February 8, 2024."},{"key":"S1049023X24000463_ref18","unstructured":"18. [Weather in the earthquake zone: The lowest temperature forecast is -5]. https:\/\/bianet.org\/haber\/deprem-bolgesinde-hava-durumu-en-dusuk-sicaklik-tahmini-5-273792. Accessed February 15, 2024."},{"key":"S1049023X24000463_ref11","unstructured":"11. World Health Organization (WHO). Emergency medical teams. https:\/\/www.who.int\/emergencies\/partners\/emergency-medical-teams. Accessed February 15, 2024."},{"key":"S1049023X24000463_ref22","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X23000444"},{"key":"S1049023X24000463_ref16","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1984.00350140077012"},{"key":"S1049023X24000463_ref23","unstructured":"23. [UN High Commissioner for Refugees: Aid after the February 6 earthquakes should continue]. https:\/\/www.aa.com.tr\/tr\/6-subat-depremlerinin-birinci-yili\/bm-multeciler-yuksek-komiserligi-6-subat-depremleri-sonrasindaki-yardimlar-devam-etmeli\/3129418. Accessed February 15, 2024."},{"key":"S1049023X24000463_ref1","doi-asserted-by":"publisher","DOI":"10.3390\/microorganisms11020419"},{"key":"S1049023X24000463_ref8","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2015.107"},{"key":"S1049023X24000463_ref6","unstructured":"6. T\u00fcrkiye Earthquakes Urban Search and Rescue (USAR) Team Snapshot As of 17 February 2023 \u2013 T\u00fcrkiye. ReliefWeb. https:\/\/reliefweb.int\/report\/turkiye\/turkiye-earthquakes-urban-search-and-rescue-usar-team-snapshot-17-february-2023. Published February 17, 2023. Accessed February 8, 2024."},{"key":"S1049023X24000463_ref12","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2001.0600031114.x"},{"key":"S1049023X24000463_ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s10518-024-01867-3"},{"key":"S1049023X24000463_ref19","unstructured":"19. \u00dcniversitesi TC\u00dc. [The Scream of a Psychologist from the Earthquake Zone \u201cAc\u0131yaman\u201d]. \u00dcsk\u00fcdar \u00dcniversitesi. https:\/\/uskudar.edu.tr\/tr\/icerik\/41160\/deprem-bolgesi-aciyamandan-bir-psikologun-cigligi. Accessed February 15, 2024."},{"key":"S1049023X24000463_ref24","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-023-01951-1"},{"key":"S1049023X24000463_ref14","first-page":"786","article-title":"Application of soft systems methodology in solving disaster emergency logistics problems","volume":"7","author":"Hakami","year":"2013","journal-title":"World Academy of Science, Engineering, and Technology International J Industrial Science and Engineering."},{"key":"S1049023X24000463_ref20","unstructured":"20. AFAD. [The first earthquake lasted 65 seconds, the second lasted 45 seconds]. https:\/\/bianet.org\/haber\/afad-ilk-deprem-65-ikincisi-45-saniye-surdu-274116. Accessed February 15, 2024."},{"key":"S1049023X24000463_ref25","unstructured":"25. Westfall, S , Granados, S. Why freezing temperatures in the quake-struck areas are so dangerous. Washington Post. https:\/\/www.washingtonpost.com\/world\/2023\/02\/08\/turkey-syria-cold-dangers-freezing-earthquake-hypothermia\/. Published February 12, 2023. Accessed July 16, 2023."},{"key":"S1049023X24000463_ref21","unstructured":"21. AFAD. [Do You Know the Precautions You Can Take Before, During and After an Earthquake?] https:\/\/www.afad.gov.tr\/deprem-oncesi-ani-ve-sonrasi-alabileceginiz-onlemleri-biliyor-musunuz. Accessed February 15, 2024."},{"key":"S1049023X24000463_ref26","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2700.185276"},{"key":"S1049023X24000463_ref4","unstructured":"4. United Nations in T\u00fcrkiye. 1.5 million now homeless in T\u00fcrkiye after quake disaster, warn UN development experts. https:\/\/turkiye.un.org\/en\/220232-15-million-now-homeless-t%C3%BCrkiye-after-quake-disaster-warn-un-development-experts, https:\/\/turkiye.un.org\/en\/220232-15-million-now-homeless-t%C3%BCrkiye-after-quake-disaster-warn-un-development-experts. Accessed February 8, 2024."},{"key":"S1049023X24000463_ref17","first-page":"1021","article-title":"The 1980 earthquake in southern Italy: rescue of trapped victims and mortality","volume":"61","author":"de Bruycker","year":"1983","journal-title":"Bull World Health Organ."},{"key":"S1049023X24000463_ref15","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200211000-00007"},{"key":"S1049023X24000463_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X23000523"},{"key":"S1049023X24000463_ref7","first-page":"288","article-title":"Urban search and rescue operations (USAR) in collapsed buildings after the 2023 earthquake in T\u00fcrkiye","volume":"35","author":"Pardo R\u00edos","year":"2023","journal-title":"Emergencias."}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X24000463","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T13:17:02Z","timestamp":1738847822000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X24000463\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["S1049023X24000463"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x24000463","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"type":"print","value":"1049-023X"},{"type":"electronic","value":"1945-1938"}],"subject":[],"published":{"date-parts":[[2024,8]]},"assertion":[{"value":"\u00a9 The Author(s), 2024. Published by Cambridge University Press on behalf of World Association for Disaster and Emergency Medicine","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}