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The Use of Interpreters in Medical Triage during a Refugee Mass-Gathering Incident in Europe

  • Lykourgos Christos Alexakis (a1), Anastasia Papachristou (a1), Chiara Baruzzi (a2) and Angeliki Konstantinou (a3)
Abstract
Abstract Introduction

During a refugees’ mass-gathering incident in Kos Island, Greece, Médecins Sans Frontières (MSF; Brussels, Belgium) teams provided emergency medical care. A case report of the event focusing on difficulties encountered by the interpreters during triage and emergency response was prepared.

Methods

Data collected during the event were reviewed from the patient’s register and qualitative interviews were obtained from the MSF interpreters involved in the response. In addition, a description of the event and a literature review were included.

Results

Total consultations were 49 patients, mainly from Syria, with an average age of 25 years. During triage, 20 patients were tagged green with only minor injuries; 11 patients were tagged yellow, mostly due to heat exhaustion, but also a hypertensive crisis, a diabetic, a pregnant woman with abdominal pain, and a peptic ulcer exacerbation. The remaining 18 patients were tagged red and diagnosed with heat syncope, except from a case of epileptic seizures and an acute chest pain patient. Interpreters were insufficient in number to accompany each doctor and every nurse providing care during the event. In addition, they were constantly disturbed by both refugees and fellow medical team members demanding their service. Interpreters had to triage and prioritize where to go and for whom to interpret.

Conclusion

Interpreters are an integral part of a proper refugee reception system. They should be included in authorities planning where mass gatherings of refugees are expected. Appropriate training may be needed for interpreters to develop skills useful in mass gatherings and similar prehospital settings in order to better coordinate with the medical team.

Alexakis LC Papachristou A Baruzzi C Konstantinou A . The Use of Interpreters in Medical Triage during a Refugee Mass-Gathering Incident in Europe. Prehosp Disaster Med. 2017;32(6):684687.

Copyright
Corresponding author
Correspondence: Lykourgos Christos Alexakis, MD, DTM, MSc Médecins Sans Frontières Athens, Greece E-mail: lchalexakis@gmail.com
Footnotes
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Conflicts of interest: none

Footnotes
References
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1. Spindler W. “Numbers of refugee arrivals to Greece increase dramatically.” Briefing Notes, UNHCR; August 18, 2015. http://www.unhcr.org/55d3098d6.html. Accessed December 2, 2015.
2. EETAA (Hellenic Company of Local Development and Local Government). “Municipalities in Numbers.” Athens, Greece; May 2013. Population data from 2011 census in Greece (in Greek language). http://web3.eetaa.gr:8080/ekdoseis/pdf/156.pdf. Accessed January 14, 2017.
3. Kahn C, Brooke Lerner E, Cone D. Chapter 12: Triage. In Koenig, Schultz. Disaster Medicine: Comprehensive Principles and Practices. New York USA: Cambridge University Press; 2010: 175-176.
4. National Center for Biotechnology Information, National Institutes of Health; Bethesda, Maryland USA. PubMed Web site. http://www.ncbi.nlm.nih.gov/pubmed. Accessed January 14, 2017.
5. Médecins Sans Frontières. MSF Research Ethics Framework Guidance Document. November 2013. http://fieldresearch.msf.org/msf/handle/10144/305288. Accessed January 14, 2017.
6. Subramaniam MR, Mahajan PV, Knazik SR, Giblin PT, Thomas R, Kannikeswaran N. Awareness and utilization of Emergency Medical Services by limited English proficient caregivers of pediatric patients. Prehosp Emerg Care. 2010;14(4):531-536.
7. Smith MA, Lisabeth LD, Bonikowski F, Morgenstern LB. The role of ethnicity, sex, and language on delay to hospital arrival for acute ischemic stroke. Stroke. 2010;41(5):905-909.
8. Benner T, Schaechinger U, Nerlich M. Medical telematics in disaster response. Stud Health Technol Inform. 2003;97:15-23.
9. Kulla M, Josse F, Stierholz M, Hossfeld B, Lampl L, Helm M. Initial assessment and treatment of refugees in the Mediterranean Sea (a secondary data analysis concerning the initial assessment and treatment of 2656 refugees rescued from distress at sea in support of the EUNAVFOR MED relief mission of the EU). Scand J Trauma Resusc Emerg Med. 2016;24(1):75.
10. Flores G, Abreu M, Barone CP, Bachur R, Lin H. Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad hoc versus no interpreters. Ann Emerg Med. 2012;60(5):545-553.
11. UNHCR. Europe’s refugee emergency response update # 12. November 20-26, 2015. http://data.unhcr.org/mediterranean/regional.php. Accessed January 14, 2017.
12. Flores G. The impact of medical interpreter services on the quality of health care: a systematic review. Med Care Res Rev. 2005;62(3):255-299.
13. Mahmoud I, Hou XY, Chu K, Clark M, Eley R. Satisfaction with emergency department service among non-English-speaking background patients. Emerg Med Australas. 2014;26(3):256-261.
14. Crosby SS. Primary care management of non-English-speaking refugees who have experienced trauma: a clinical review. JAMA. 2013;310(5):519-528.
15. Tate RC, Kelley MC. Triage in the Tower of Babel: interpreter services for children in the prehospital setting. Pediatr Emerg Care. 2013;29(12):1280-1282.
16. Hampers LC, Cha S, Gutglass DJ, Binns HJ, Krug SE. Language barriers and resource utilization in a pediatric emergency department. Pediatrics. 1999;103(6 Pt 1):1253-1256.
17. Shiu-Thornton S, Balabis J, Senturia K, Tamayo A, Oberle M. Disaster preparedness for limited English proficient communities: medical interpreters as cultural brokers and gatekeepers. Public Health Rep. 2007;122(4):466-471.
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Prehospital and Disaster Medicine
  • ISSN: 1049-023X
  • EISSN: 1945-1938
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