Hostname: page-component-8448b6f56d-sxzjt Total loading time: 0 Render date: 2024-04-24T10:11:06.263Z Has data issue: false hasContentIssue false

A Multidisciplinary Field Hospital as a Substitute For Medical Hospital Care in the Aftermath of an Earthquake: The Experience of the Israeli Defense Forces Field Hospital in Duzce, Turkey, 1999

Published online by Cambridge University Press:  28 June 2012

Yaron Bar-Dayan*
Affiliation:
IDF Medical Corps Mission Team Field Hospital, IDF Medical Corps Mission TeamDuzce, Turkey Department of Health Management, Faculty of Medicine, Ben-Gurion University
Adi Leiba
Affiliation:
Department of Health Management, Faculty of Medicine, Ben-Gurion University
Pinar Beard
Affiliation:
Medical Volunteer, Turkey
David Mankuta
Affiliation:
IDF Medical Corps Mission Team Field Hospital, IDF Medical Corps Mission TeamDuzce, Turkey
Dan Engelhart
Affiliation:
IDF Medical Corps Mission Team Field Hospital, IDF Medical Corps Mission TeamDuzce, Turkey
Yftah Beer
Affiliation:
IDF Medical Corps Mission Team Field Hospital, IDF Medical Corps Mission TeamDuzce, Turkey
Mauryzio Lynn
Affiliation:
IDF Medical Corps Mission Team Field Hospital, IDF Medical Corps Mission TeamDuzce, Turkey
Yuval Weiss
Affiliation:
IDF Medical Corps Mission Team Field Hospital, IDF Medical Corps Mission TeamDuzce, Turkey
Giora Martonovits
Affiliation:
IDF Medical Corps Mission Team Field Hospital, IDF Medical Corps Mission TeamDuzce, Turkey
Paul Benedek
Affiliation:
IDF Medical Corps Mission Team Field Hospital, IDF Medical Corps Mission TeamDuzce, Turkey
Avishay Goldberg
Affiliation:
Department of Health Management, Faculty of Medicine, Ben-Gurion University
*
Chief Medical Officer of the IDF Home Front Command, 16 Dolev St. Neve Savion, Or Yehuda, Israel E-mail: bardayan@netvision.net.il

Abstract

The damage created by an earthquake can overwhelm local health services, and damage to clinics and hospitals can render them useless. After an earthquake, even undamaged medical facilities cannot be used for a period of time if there is a risk of aftershocks and collapse.

In such a situation, there may be calls for international health teams – but what constitutes the optimal medical aid a few days after the event? Does a military field hospital fill the “gap” in the local healthcare system?

On 12 November 1999, a 7.2 magnitude earthquake struck Duzce, Turkey. All of the medical activities of the responding Israeli Defense Forces (IDF) mission team field hospital in Duzce, Turkey were recorded and evaluated. A total of 2,230 patient contacts occurred at the field hospital during the nine days it operated. Most of the patients who presented (90%) had non-traumatic medical, pediatric, or gynecological problems unrelated to the earthquake.

The IDF hospital offered medical care provided by specialists, hospitalization, and surgical abilities, which Duzce's hospitals could not offer until two weeks after the earthquake. These results strengthen the importance of a multidisciplinary, versatile, field hospital as an aid to an earthquake-affected population during the first few weeks after an earthquake.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2005

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Lechat, MF: The epidemiology of disasters. Proc R Soc Med 1976;69: 421426.Google ScholarPubMed
2.Angus, DC, Pretto, EA, Abrams, JI, et al. : Epidemiologic assessment of mortality, building collapse pattern, and medical response after the 1992 earthquake in Turkey. Disaster reanimatology study group (DRSG). Prehosp Disast Med 1997;12:222231.CrossRefGoogle Scholar
3.Malilay, J, Flanders, WD, Brogan, D: A modified cluster-sampling method for post-disaster rapid assessment of needs. Bull World Health Organization 1996;74:399405.Google ScholarPubMed
4.Sharp, TW, Yip, R, Malone, JD: US military forces and emergency international humanitarian assistance. Observations and recommendations from three recent missions. JAMA 1994;272:386390.CrossRefGoogle Scholar
5.Bremer, R: Policy development in disaster preparedness and management: Lessons learned from the January 2001 earthquake in Gujarat, India. Prehosp Disast Med 2003;18(4):372384.CrossRefGoogle ScholarPubMed
6.Henderson, AK, Lillibridge, SR, Salinas, C, et al. : Disaster medical assistance teams: Providing health care to a community struck by Hurricane Iniki. Ann Emerg Med 1994;23:726730.CrossRefGoogle ScholarPubMed
7.Alson, R, Alexander, D, Leonard, RB, Stringer, LW: Analysis of medical treatment at a field hospital following Hurricane Andrew, 1992. Ann Emerg Med 1993;22:17211828.CrossRefGoogle Scholar
8.Hauber, P: Catastrophic medicine: Experiences with the employment of German Federal Forces in South Italy. MMW Munch Med Wochenschr 1981;123:17571760.Google ScholarPubMed
9.Turkan, H: I would like to share our readiness for the next earthquake after the heaviest one in Turkey in 1999. Mil Med 2004;169(9):v–vi.Google ScholarPubMed
10.Bar-Dayan, Y, Beard, P, Mankuta, D, et al. : An earthquake disaster in Turkey: An overview of the Israeli Defence Forces field hospital in Adapazari. Disasters 2000;24:262270.CrossRefGoogle ScholarPubMed
11.Wolf, Y, Bar Dayan, Y, Mankuta, D, et al. : An earthquake disaster in Turkey: Assessment of the need for plastic surgery services in a crisis intervetion field hospital. Plast Reconstr Surg 2001;107:163170.CrossRefGoogle Scholar
12.Finestone, AS, Bar-Dayan, Y, Wolf, Y, et al. : Diagnostic medical auxilliary equipment in a field hospital: Experience from the Israeli delegation to the site of the Turkish earthquake at Adapazari. Mil Med 2001;166:637640.CrossRefGoogle Scholar
13.Margalit, G, Rosen, Y, Tekes-Manova, D, et al. : Recommendations for nursing requirements at a field hospital, based on the Israel Defense Forces field hospital at the earthquake disaster in Turkey-August 1999. Acc Emerg Nurs 2002;10:217220.CrossRefGoogle Scholar
14.Consensus Development Conference: Guidelines for the use of foreign field hospitals in the aftermath of sudden-impact disaster. Prehosp Disast Med 2003;18(4):278290.CrossRefGoogle Scholar
15.Leon, GR: Overview of the psychosocial impact of disasters. Prehosp Disast Med 2004;19(1):49.CrossRefGoogle ScholarPubMed