Mass Casualty Response to Mine Explosion: A Case Report in Iran

Raeisi, Ahmad Reza; Mohajervatan, Ali; Nazdik, Zahra Mehraein

doi:10.32598/hdq.4.3.173

Cited by 4 publications

(2 citation statements)

References 14 publications

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“…The reason for this inconsistency could be attributed to the lack of a joint inter-organizational response plan and effective training programs. Similarly, Mohajer-Vatan in a study addressed this issue by evaluating the response of the pre-hospital system to the Zemestan-Yurt Mine explosion [9]. In the mentioned study, the main problems were reported as the lack of organizational coordination and suitable equipment, being consistent with our findings.…”

Section: Discussionsupporting

confidence: 86%

Challenges Facing the Health System in Responding to Mining Accidents: The Case of the Zemestan-Yurt Mine Explosion in Iran (2017)

Sarani

Honarvar

Sahebi

et al. 2021

JOHE

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Background: Occupational accidents cause death and disabilities among millions of workers around the world. The mining industry is among the riskiest occupations in this respect. This study aims to investigate interventions made and challenges faced by the health system in response to the Zemestan-Yurt Mine explosion in the Golestan Province, Iran, 2017. Materials and Methods: In this article, being a field report, data were collected through direct observations and interviews with first responders involved in the response process, and by checking national and local reports from other organizations. Result: On Wednesday, May 4, 2017, at 11:58 AM, an explosion occurred in the Yurt coal mine, Golestan Province, in which 126 people were affected directly or indirectly. In fact, 43 workers were killed immediately after the explosion of a coal wagon, 55 were dispatched to hospitals, and 28 received outpatient health services. In this incident, more than 100 teams from various organizations, including the health system, arrived at the scene and carried out relief and rescue operations. Conclusions:The results of the current study indicate that the health system does not have specific instructions, training plans, as well as well-trained and prepared personnel for managing mine-related accidents. Besides, interactions are not integrated and coordinated among disaster management response teams. Therefore, developing preparedness instructions for responding to disasters, forming rapid response teams and training them for industrial accidents, as well as performing joint exercises and drills with responsible organizations can be effective in improving responses to such accidents.

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Section: Discussionsupporting

confidence: 86%

Challenges Facing the Health System in Responding to Mining Accidents: The Case of the Zemestan-Yurt Mine Explosion in Iran (2017)

Sarani

Honarvar

Sahebi

et al. 2021

JOHE

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“…However, despite having quick access to the accident scene, some of the relief efforts lacked integrity, rendering them ineffective. Interventions involved locating the collection zone, triage area, and injured persons in the waiting area for loading, which are crucial tasks for the response teams according to other studies [30]. Triage is one of the most significant pre-hospital emergency challenges in accidents, where a lack of resources requires prioritization of patients.…”

Section: Field Performancementioning

confidence: 99%

Investigating Emergency Medical System Challenges in Mass Casualty Incidents: A Case Report Study in Road Traffic Accidents in Northern Iran

Mohajervatan,

Ashabi,

Rezaei

2024

Health in Emergencies and Disasters Quarterly

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Background: Before the arrival of patients at medical facilities, emergency medical teams often encounter numerous challenges in dealing with mass casualties resulting from road traffic accidents. This study examines the challenges that pre-hospital emergency medical services face during mass casualty incidents caused by road traffic accidents. Materials and Methods:This study presents three road accidents that caused significant numbers of casualties in Golestan Province, Iran. The data for this report was gathered from various sources, including recorded images and videos, analysis of hospital records, and pre-hospital care reports. In addition, group discussions were held with emergency medical technicians who were present at the accident scene.Results: Providing relief aid in three sections, namely first responders, emergency call centers, and emergency medical technicians faces significant challenges. The challenges related to the management of mass casualties were mainly in terms of the inability to manage the accident scene by the first responders, management of calls and sharing information in the dispatch center, and medical measures required to be done at the incident scene. Conclusion:To ensure a prompt and efficient response to mass casualty incidents, it is crucial to focus on managing the incident scene by the first responders, as well as optimizing the communication and information exchange during dispatches and field medical interventions.To enhance the quality of emergency medical services, it is vital to develop educational programs, communication strategies, and standardized policies that can be implemented across all mass casualty incidents.

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