Authors:Duygu Yücel Abstract: This study was carried out to draw attention to the level of earthquake exposure of people with disabilities and the necessary issues for them to be prepared for disasters. To date, there have been many events that can be described as disasters that have caused serious destruction in psychological, biological, and socio-economic life. Our country is also located in a very risky region in terms of disasters. Earthquakes have large-scale destructive effects on people at the individual and societal levels. Although every individual is adversely affected by destructive disasters such as earthquakes, disabled individuals with special needs are more negatively affected during the disaster process. Earthquakes and individuals' disabilities cannot be prevented, but the devastating consequences of disasters can be prevented. It is known that one of the groups most affected by earthquakes is disabled individuals. The problems experienced by disabled individuals during the disaster process negatively affect not only the disabled individual but also their relatives with whom they are in contact. In this context, studies aimed at creating resistance to disasters should be prepared at a feasible level for everyone, taking into account the special needs of disabled individuals, without ignoring the disabled individuals, which covers a large population over the total population. PubDate: Mon, 01 Jul 2024 00:00:00 +030
Authors:Nurten Tosun Abstract: Intraosseous access is a method that allows drugs, blood and fluids to be administered directly into the medullary cavity within the bone and circulated through the venous vascular network. For critically ill patients, this method not only allows for the rapid administration of life-saving treatments, but also acts as a bridge to meet the need for short-term venous intervention. With technological advances in the medical field, intraosseous access has become easier to perform and placement failure and potential complications have been significantly reduced. Thus, when intravenous access is not available in emergency situations, the intraosseous route is increasingly preferred not only in pediatric patients but also in adults. However, the potential of intraosseous access is currently underutilized. This review aims to provide comprehensive information on the anatomical and physiologic basis of intraosseous access, its mechanism of action, indications, details of the procedure and complications by reviewing the current literature. It aims to contribute to a broader understanding of this important procedure by providing a source of guidance for healthcare professionals. PubDate: Mon, 01 Jul 2024 00:00:00 +030
Authors:Betül Akalın; Ayşenur Modanlıoğlu Abstract: AbstractAim: The aim of the study was to determine whether having had COVID-19 leads to changes in healthy lifestyle behaviors and to identify associated factors.Method: The study is descriptive in nature. The population of the study consisted of individuals aged 18 and over who were diagnosed with COVID-19, and the sample consisted of individuals reached using snowball sampling method. The Socio-demographic Information Form and Healthy Lifestyle Behaviors Scale were used in the study. The scales, arranged in the form of a questionnaire on Google Forms, were shared via social media tools between 01.05.2020 and 01.06.2021, and conducted with 302 participants who agreed to participate in the study. Data analysis was performed using IBM SPSS 25 software. Results: Of the participants in the study, 217 (71,9%) were female, and 85 (28,1%) were male, with a mean age of 32,99±11,09 and a mean weight of 70,33±16,12. In the study, it was found that individuals' levels of healthy lifestyle behaviors on the total score scale were moderate both before (126,24±20,03) and after (130,76±20,48) the illness, but it was determined that having had the illness had a positive effect on developing healthy lifestyle behaviors.Conclusion: As a result of the study, it was determined that individuals' levels of healthy lifestyle behaviors were moderate both before and after the illness, and having had the illness had a positive effect on developing healthy lifestyle behaviors. PubDate: Mon, 01 Jul 2024 00:00:00 +030
Authors:Hüseyin Hakkı Bağlar; Ali Ekşi, Yasemin Öztürk Abstract: Purpose: This thesis was conducted as a retrospective cross-sectional study to evaluate the impact of the COVID-19 pandemic process on trauma cases receiving Pre-Hospital Emergency Medical Service.Material and Methods: The population of the study consisted of all patients in Türkiye who received Pre-Hospital Emergency Medical Service from the Ministry of Health 112 Emergency Health Services. The research data was analyzed in two stages. The first phase is the 24-month period before 11.03.2020, when the first COVID-19 case was seen in Turkey, and the second phase is the 24-month period after 11.03.2020. In evaluating descriptive data number (n) and percentage (%) were examined. Non-parametric data was analyzed with Mann-Whitney U and Kruskal-Wallis H tests. Results: 234,000 cases were included in the study, 50.2% (n = 117,408) belong to the pre-COVID-19 pandemic period, and 49.8% (n = 116,592) belong to the pandemic. When the distribution of cases according to the trauma area is examined; head and neck (59.47% vs. 56.82%), upper extremity (14.47% vs. 13.25%) and thorax (1.94% vs. 1.54%) traumas during the pandemic period increased compared to pre-pandemic period. Lower extremity (9.03% vs. 11.78%) and multiple trauma cases (7.18% vs. 9.01%) decreased during the pandemic period. When the distribution of cases according to trauma mechanism is examined; during the pandemic period, the cases of blunt trauma (57.58% vs. 54.71%) and penetrating trauma (13.14% vs. 11.91%) increased compared to the pre-pandemic period. Falls (1.02% vs. 1.29%), gunshot (6.22% vs.6.62%) and blast trauma cases (0.04% vs. 0.17%) decreased.Conclusion: During the pandemic period in Türkiye, although there was an increase in home accidents, there was a decrease in traffic accidents. In general, contrary to the literature, there was a decrease in firearm injuries during the pandemic in Türkiye. During the pandemic, various factors, especially the concern about contamination, increased the refusal to be transferred to the hospital in patients receiving Pre-Hospital Emergency Medical Service PubDate: Mon, 01 Jul 2024 00:00:00 +030
Authors:İbrahim Uysal; Temel Ertuğral, Emine Sevinç Postacı, Çağlar Bulat Abstract: Aim: The acquisition of lifelong learning habits by healthcare professionals for the enhancement of their knowledge and skills post-graduation holds paramount significance for the beneficiaries of healthcare services. The aim of this study was to evaluate the lifelong learning approaches of emergency ambulance employees. Material and Methods: Within the scope of the research, data was collected online from 390 healthcare professionals working in emergency ambulances using the lifelong learning tendencies scale in in Turkey. When evaluating the data, group characteristics were summarized by descriptive analyses and In the comparisons of numerical variables, normal distribution condition was sought and nonparametric comparison tests were used. Results: Within the scope of the research, the mean lifelong learning approach scores of the health personnel working in the emergency ambulance were found to be 113.89±16.03 (min. 61, max. 145) and the obtained score shows that their lifelong learning tendencies are at a low level. The findings indicate that there is no statistically significant difference among groups based on gender, title, age, and years of work experience in terms of the total scores on the Lifelong Learning Tendencies Scale (p>0.05 for each). However, significant differences were observed among certain groups in terms of the subscales of the scale. It was determined that participants aged 30 and above exhibited decreased levels of motivation and perseverance. Additionally, it was found that as years of work experience increased, deficiencies in learning levels and curiosity deficiencies decreased. Conclusion: Emergency ambulance workers need to be prepared and willing to improve their theoretical and practical skills as new evidence emerges in their field, where scientific knowledge is increasing. According the research findings should focus on promoting self-directed and team-based learning, improving access to up-to-date information, and providing easily accessible educational resources. PubDate: Mon, 01 Jul 2024 00:00:00 +030
Authors:Özge Çelen; Zeynep Şimşek Abstract: Objectives: In this study, the prevalence of post-traumatic stress disorder and associated factors among 112 employees was determined in the 11th month of the COVID-19 pandemic, with the aim of preparing for pandemics expected to increase with climate change. Material and Methods: In this cross-sectional study, 440 paramedics randomly selected, and "Socio-demographic Information Form", "Life Events Checklist" and "Post Traumatic Stress Disorder Control Form" were used for data collection. Results: 49.5% of the participants were female and the mean age was 29.9±7.34. The prevalence of Post Traumatic Stress Disorder (PTSD) was 59.8%. Multiple regression analysis showed that approximately 25% of the total PTSD score was explained independently by general health situation and socio-demographic characteristics of paramedics, 27% by crisis management skills, long working hours, lack of equipment and traffic density, and 40% by difficult life events during their professional practice intervention such as gun injuries and being attacked by gunfire, sexual assault, brutal death and causing injury/death to another person from past traumatic experiences (p<0.05). Conclusion: Based on these findings, in order to prevent/control of PTSD in paramedics; it is thought that it would be beneficial to integrate mental health monitoring system into the health and safety program and to apply regular supervision and psycho- social support interventions for high-risk groups in terms of controlling individual and occupational factors of paramedics and to include them in health services’ disaster preparedness plans. PubDate: Mon, 01 Jul 2024 00:00:00 +030
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