Identifying the Challenges of Prehospital and Hospital Emergency Services During the Management of Alcohol Poisoning Disaster in the City of Rafsanjan. (September 2019)

• Record Type: Journal Article
• Authors: Mortazavi, Seyed Mohsen; Nekoei-Moghadam, Mahmoud; Amiresmaili, Mohammadreza; Jafari, Hamid; Bardsiri, Hosein; Heidari, Mohammad
• Is Part Of: Addictive disorders & their treatment. Volume 18:Number 3(2019)
• Publication Date: 2019-09
• Subjects: emergency -- alcohol poisoning -- mass casualty -- disaster -- Ems; Substance abuse -- Periodicals; Substance abuse -- Treatment -- Periodicals; 616.86005
• DOI: 10.1097/ADT.0000000000000159
• Languages: English
• ISSNs: 1531-5754

Abstract

Abstract : Objective: Methanol poisoning can lead to the loss of vision and even death. The role of the health care system in managing and responding to these types of incidents is significant. This study aimed to identify and discuss the challenges of prehospital and hospital emergency services responding to the widespread methanol poisoning in the city of Rafsanjan. Methods: This qualitative study was carried out using content analysis approach. Data were collected using semistructured interviews. Participants included the matrons of health centers, head of accident and medical emergency center, director of the emergency operation center, ward manager and nursing staffs, and the representative of university's board of directors. After 15 interviews, data saturation was reached. Results: The findings of this study are based on 4 stages of disaster management cycle, which include: (1) mitigation in disaster with 2 subscales, (2) preparedness with 2 subscales, (3) response to disaster with 4 subscales, and (4) rehabilitation with 3 subscales. Conclusions: Interinstitutional coordination should be promoted through joint meetings, and also training classes on disaster management and its implementation should be held. Moreover, up-to-date clinical protocols must be accessible to personnel, and facilities and resources needed in the disaster should be provided.