The Emergency Medical System (EMS) response to Iraqi pilgrims’ bus crash in Iran: a case report
Abstract Background In Iran, Road Traffic Injuries (RTIs) with mass casualties occur repeatedly. Since Road Traffic Accidents (RTAs) occur far from health facilities, EMSs play an important role in reducing the disability and mortality resulting from RTIs. Thus, the study aimed to report Iraqi pilgr...
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| Format: | Article |
| Language: | English |
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BMC
2019-07-01
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| Series: | BMC Emergency Medicine |
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| Online Access: | http://link.springer.com/article/10.1186/s12873-019-0253-2 |
| _version_ | 1828432732251750400 |
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| author | Meysam Safi Keykaleh Sanaz Sohrabizadeh |
| author_facet | Meysam Safi Keykaleh Sanaz Sohrabizadeh |
| author_sort | Meysam Safi Keykaleh |
| collection | DOAJ |
| description | Abstract Background In Iran, Road Traffic Injuries (RTIs) with mass casualties occur repeatedly. Since Road Traffic Accidents (RTAs) occur far from health facilities, EMSs play an important role in reducing the disability and mortality resulting from RTIs. Thus, the study aimed to report Iraqi pilgrims’ bus which rolled over in the Malayer town. Case presentation A mass casualty event occurred on 7 September 2017 when a bus full of Iraqi pilgrims rolled over on a road 4-km outside of Malayer, Iran. A large team of responders were dispatched including 5 ambulances with 10 EMTs along with 6 police officers serving in the area. The accident resulted in 35 injured patients (21 female and 14 male) as well as 11 deaths ranging in age from 2 to 65 years. Twenty-one of the injured were transported to the hospital and 14 patients refused transport and 12 patients sustained multiple trauma. The case has been described four phases of dispatch, on-scene, hospital and post-mission. Frequent calls made by laypeople were considered as the main challenge of dispatch phase. The response on scene was hampered by large numbers of lay bystanders. The over-crowding around the emergency units disrupted the medical care procedures in hospital phase. Conclusion This case highlights over-crowding and laypeople interference at the scene disrupts the relief and rescue. To solve these challenges, the public education and police monitoring and control is recommended. Establishing a unified command post at the scene can facilitate effective coordination among relief and rescue organizations. |
| first_indexed | 2024-12-10T18:25:07Z |
| format | Article |
| id | doaj.art-cb915a6d0fb04179b025c489825733f8 |
| institution | Directory Open Access Journal |
| issn | 1471-227X |
| language | English |
| last_indexed | 2024-12-10T18:25:07Z |
| publishDate | 2019-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Emergency Medicine |
| spelling | doaj.art-cb915a6d0fb04179b025c489825733f82022-12-22T01:38:06ZengBMCBMC Emergency Medicine1471-227X2019-07-011911410.1186/s12873-019-0253-2The Emergency Medical System (EMS) response to Iraqi pilgrims’ bus crash in Iran: a case reportMeysam Safi Keykaleh0Sanaz Sohrabizadeh1Department of of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical SciencesSafety Promotion and Injury Prevention Research Center, School of Public Health and Safety, Shahid Beheshti University of Medical SciencesAbstract Background In Iran, Road Traffic Injuries (RTIs) with mass casualties occur repeatedly. Since Road Traffic Accidents (RTAs) occur far from health facilities, EMSs play an important role in reducing the disability and mortality resulting from RTIs. Thus, the study aimed to report Iraqi pilgrims’ bus which rolled over in the Malayer town. Case presentation A mass casualty event occurred on 7 September 2017 when a bus full of Iraqi pilgrims rolled over on a road 4-km outside of Malayer, Iran. A large team of responders were dispatched including 5 ambulances with 10 EMTs along with 6 police officers serving in the area. The accident resulted in 35 injured patients (21 female and 14 male) as well as 11 deaths ranging in age from 2 to 65 years. Twenty-one of the injured were transported to the hospital and 14 patients refused transport and 12 patients sustained multiple trauma. The case has been described four phases of dispatch, on-scene, hospital and post-mission. Frequent calls made by laypeople were considered as the main challenge of dispatch phase. The response on scene was hampered by large numbers of lay bystanders. The over-crowding around the emergency units disrupted the medical care procedures in hospital phase. Conclusion This case highlights over-crowding and laypeople interference at the scene disrupts the relief and rescue. To solve these challenges, the public education and police monitoring and control is recommended. Establishing a unified command post at the scene can facilitate effective coordination among relief and rescue organizations.http://link.springer.com/article/10.1186/s12873-019-0253-2Pre-hospital emergencyMass casualtyRoad trafficInjuriesIran |
| spellingShingle | Meysam Safi Keykaleh Sanaz Sohrabizadeh The Emergency Medical System (EMS) response to Iraqi pilgrims’ bus crash in Iran: a case report BMC Emergency Medicine Pre-hospital emergency Mass casualty Road traffic Injuries Iran |
| title | The Emergency Medical System (EMS) response to Iraqi pilgrims’ bus crash in Iran: a case report |
| title_full | The Emergency Medical System (EMS) response to Iraqi pilgrims’ bus crash in Iran: a case report |
| title_fullStr | The Emergency Medical System (EMS) response to Iraqi pilgrims’ bus crash in Iran: a case report |
| title_full_unstemmed | The Emergency Medical System (EMS) response to Iraqi pilgrims’ bus crash in Iran: a case report |
| title_short | The Emergency Medical System (EMS) response to Iraqi pilgrims’ bus crash in Iran: a case report |
| title_sort | emergency medical system ems response to iraqi pilgrims bus crash in iran a case report |
| topic | Pre-hospital emergency Mass casualty Road traffic Injuries Iran |
| url | http://link.springer.com/article/10.1186/s12873-019-0253-2 |
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