Prehospital Emergency Medical Services Challenges in Disaster; a Qualitative Study

Introduction: Prehospital Emergency Medical Care (EMC) is a critical service in disaster management. The aim of this study was to explore the challenges of prehospital Emergency Medical Services (EMS) during disaster response in Iran. Methods: A qualitative study was conducted from April 2015 to Ma...

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Main Authors: Mohamad Sorani, Sogand Tourani, Hamid Reza Khankeh, Sirous Panahi
Format: Article
Language:English
Published: Shahid Beheshti University of Medical Sciences 2018-04-01
Series:Emergency
Subjects:
Online Access:http://journals.sbmu.ac.ir/emergency/article/view/20465
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author Mohamad Sorani
Sogand Tourani
Hamid Reza Khankeh
Sirous Panahi
author_facet Mohamad Sorani
Sogand Tourani
Hamid Reza Khankeh
Sirous Panahi
author_sort Mohamad Sorani
collection DOAJ
description Introduction: Prehospital Emergency Medical Care (EMC) is a critical service in disaster management. The aim of this study was to explore the challenges of prehospital Emergency Medical Services (EMS) during disaster response in Iran. Methods: A qualitative study was conducted from April 2015 to March 2017. Data were collected through in-depth, semi-structured interviews with 23 experienced individuals in the field of disaster that were selected using purposeful sampling. Data were analyzed using content analysis approach. Results: Fifteen sub-themes and the following six themes emerged in the analysis: challenges related to people, challenges related to infrastructure, challenges related to information management systems, challenges related to staff, challenges related to managerial issues and challenges related to medical care. Conclusions: Iran’s prehospital EMS has been chaotic in past disasters. Improvement of this process needs infrastructure reform, planning, staff training and public education.
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spelling doaj.art-ff107c210eff4f66a06afafa834be9ee2022-12-22T03:03:20ZengShahid Beheshti University of Medical SciencesEmergency2345-45632345-45712018-04-0161e26e2610.22037/emergency.v6i1.2046510410Prehospital Emergency Medical Services Challenges in Disaster; a Qualitative StudyMohamad Sorani0Sogand Tourani1Hamid Reza Khankeh2Sirous Panahi3Department of Health in Emergencies and Disasters, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.Department of Health in Emergencies and Disasters, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IranDepartment of Clinical Science and Education, Karolinska Institute, Stockholm, SwedenDepartment of Medical library and Information Science, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IranIntroduction: Prehospital Emergency Medical Care (EMC) is a critical service in disaster management. The aim of this study was to explore the challenges of prehospital Emergency Medical Services (EMS) during disaster response in Iran. Methods: A qualitative study was conducted from April 2015 to March 2017. Data were collected through in-depth, semi-structured interviews with 23 experienced individuals in the field of disaster that were selected using purposeful sampling. Data were analyzed using content analysis approach. Results: Fifteen sub-themes and the following six themes emerged in the analysis: challenges related to people, challenges related to infrastructure, challenges related to information management systems, challenges related to staff, challenges related to managerial issues and challenges related to medical care. Conclusions: Iran’s prehospital EMS has been chaotic in past disasters. Improvement of this process needs infrastructure reform, planning, staff training and public education.http://journals.sbmu.ac.ir/emergency/article/view/20465Disaster planningemergency medical servicesqualitative researchearthquakes
spellingShingle Mohamad Sorani
Sogand Tourani
Hamid Reza Khankeh
Sirous Panahi
Prehospital Emergency Medical Services Challenges in Disaster; a Qualitative Study
Emergency
Disaster planning
emergency medical services
qualitative research
earthquakes
title Prehospital Emergency Medical Services Challenges in Disaster; a Qualitative Study
title_full Prehospital Emergency Medical Services Challenges in Disaster; a Qualitative Study
title_fullStr Prehospital Emergency Medical Services Challenges in Disaster; a Qualitative Study
title_full_unstemmed Prehospital Emergency Medical Services Challenges in Disaster; a Qualitative Study
title_short Prehospital Emergency Medical Services Challenges in Disaster; a Qualitative Study
title_sort prehospital emergency medical services challenges in disaster a qualitative study
topic Disaster planning
emergency medical services
qualitative research
earthquakes
url http://journals.sbmu.ac.ir/emergency/article/view/20465
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AT sogandtourani prehospitalemergencymedicalserviceschallengesindisasteraqualitativestudy
AT hamidrezakhankeh prehospitalemergencymedicalserviceschallengesindisasteraqualitativestudy
AT sirouspanahi prehospitalemergencymedicalserviceschallengesindisasteraqualitativestudy