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Deployment of the French Civil Protection Field Hospital (ESCRIM) in Gölbaşi, Turkey after the February 2023 Earthquake: Lessons Learned

Published online by Cambridge University Press:  15 June 2023

Romain Kedzierewicz Open the ORCID record for Romain Kedzierewicz [Opens in a new window] ,
Anthony Couret ,
Nicolas Cazes ,
Alizée Süsler ,
Catherine Arvieux ,
Isabelle Arnaud ,
Philippe Agopian ,
Cédric Boutillier-du-Retail ,
Stéphane Travers  and
Mehmet Emin Aydin
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Romain Kedzierewicz*
Affiliation:
ESCRIM, French Civil Protection Field Hospital (EMT-2), Brignoles, France French Civil Protection Unit N°7, Brignoles, France Direction Générale de la Sécurité Civile et de la Gestion des Crises [Directorate General for Civil Security and Crisis Management], Paris, France Service de Santé des Armées [French Military Health Service], Paris, France
Anthony Couret
Affiliation:
ESCRIM, French Civil Protection Field Hospital (EMT-2), Brignoles, France French Civil Protection Unit N°7, Brignoles, France Direction Générale de la Sécurité Civile et de la Gestion des Crises [Directorate General for Civil Security and Crisis Management], Paris, France Service de Santé des Armées [French Military Health Service], Paris, France
Nicolas Cazes
Affiliation:
ESCRIM, French Civil Protection Field Hospital (EMT-2), Brignoles, France Service de Santé des Armées [French Military Health Service], Paris, France Marseille Naval Fire Battalion, Marseille, France
Alizée Süsler
Affiliation:
ESCRIM, French Civil Protection Field Hospital (EMT-2), Brignoles, France Vaucluse Fire and Rescue Service, Vaucluse, France
Catherine Arvieux
Affiliation:
ESCRIM, French Civil Protection Field Hospital (EMT-2), Brignoles, France Grenoble-Alpes University Hospital, Grenoble, France
Isabelle Arnaud
Affiliation:
ESCRIM, French Civil Protection Field Hospital (EMT-2), Brignoles, France Gard Fire and Rescue Service, France
Philippe Agopian
Affiliation:
ESCRIM, French Civil Protection Field Hospital (EMT-2), Brignoles, France Gard Fire and Rescue Service, France
Cédric Boutillier-du-Retail
Affiliation:
Service de Santé des Armées [French Military Health Service], Paris, France Marseille Naval Fire Battalion, Marseille, France
Stéphane Travers
Affiliation:
Service de Santé des Armées [French Military Health Service], Paris, France Paris Fire Brigade, Paris, France
Mehmet Emin Aydin
Affiliation:
Gölbaşi State Hospital, Gölbaşi, Turkey
Didier Pourret
Affiliation:
Direction Générale de la Sécurité Civile et de la Gestion des Crises [Directorate General for Civil Security and Crisis Management], Paris, France
Jérôme Bancarel
Affiliation:
Direction Générale de la Sécurité Civile et de la Gestion des Crises [Directorate General for Civil Security and Crisis Management], Paris, France Service de Santé des Armées [French Military Health Service], Paris, France
*
Correspondence: Romain Kedzierewicz MD Medical Service, French Civil Protection Unit N°7 Route de Bras, 83170 Brignoles, France E-mail: romainkedze@hotmail.com
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Abstract

Following the two earthquakes that occurred in Turkey on February 6, 2023 with magnitudes of 7.8 and 7.5, causing over 50,000 deaths and 100,000 injuries, France proposed to deploy, via the European Union Civil Protection Mechanism (EUCPM), the French Civil Protection Field Hospital (ESCRIM [Élément de Sécurité Civile Rapide d’Intervention Médicale]): the French World Health Organization (WHO)-classified Emergency Medical Team (EMT) Level 2 (EMT2).

After the acceptance from Turkey on February 8, a disaster assessment team (DAT) was sent on February 10, 2023. It was decided, with local health authorities (LHA), to set up the field hospital in Gölbaşi, Adiyaman Province where the State Hospital was closed due to a structural risk.

Arriving in Gölbaşi on February 13 at 2:00am in -12°C (10°F) temperatures, the detachment had no choice but to begin setting up the base of operation (BoO). At dawn, the cold was so intense that one doctor suffered from frostbite. Once the BoO was installed, the team set up the hospital tents. From 11:00am, the sun melted the snow and the ground became very muddy. The objective being to open the hospital as soon as possible, installation of the hospital continued, and it opened on February 14 at 12:00pm/noon, less than 36 hours after on-site arrival.

This article describes the mechanics of setting up an EMT-2 in a cold climate, the many problems encountered, and the solutions imagined and proposed.

Keywords

disaster medicineearthquakeemergency medical teamfield hospital
Type
Field Report
Information
Prehospital and Disaster Medicine , Volume 38 , Issue 4 , August 2023 , pp. 522 - 528
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Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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References

Yarbil Gürol G (United Nations Office for the Coordination of Humanitarian Affairs). Türkiye: 2023 Earthquakes Situation Report No. 11. March 23, 2023. 11p. Report No.: 11. https://reliefweb.int/report/turkiye/turkiye-2023-earthquakes-situation-report-no-11-23-march-2023-entr. Accessed March 24, 2023.Google Scholar
National Geophysical Data Center/World Data Service (NGDC/WDS): NCEI/WDS Global Significant Earthquake Database. Boulder, Colorado USA: NOAA National Centers for Environmental Information; 2023. Doi:10.7289/V5TD9V7K. Accessed March 10, 2023.CrossRefGoogle Scholar
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