To describe the results of the Federal Center for Disaster Medicine field hospital work in an outpatient setting in Aleppo, Syria, during the delayed period after the earthquake (from days 33 to 67) for 35 days.

A retrospective analysis of routinely collected patient data from March 10 to April 13, 2023, was conducted. Descriptive statistics were used to summarize patient demographics, disease spectrum (according to ICD-10), and procedures.

6812 patients were examined and consulted by various specialists. Of all patients, 40.6% were under the age of 18. In adults, the most commonly diagnosed conditions were diseases of the musculoskeletal system (27.1%), eye diseases (12.0%), circulatory diseases (10.1%), and respiratory diseases (10.0%). Among children, the most common reasons for admission were infectious diseases (68.9%), with respiratory tract infections being the most frequent (48.0%). Surgical interventions were performed in 150 cases; 61 patients required hospitalization.

During disasters, the needs of the population for various types of medical care vary significantly. The main causes of variability, in our opinion, are the time period of work from the disaster onset; the situation in the country and in the healthcare system, preceding the disaster; the climatic conditions during work; and the local endemicity of diseases.

This research evaluated Australian governmental disaster inquiries to identify evidence of application of the social determinants of health within their recommendations.

An analysis was conducted of recommendations from published Australian disaster inquiry reports between 2007 and 2020 against the Social Determinants of Health framework’s three overarching principles of action as described by the Commission on Social Determinants of Health, 2005-2008.

Between 2007 and 2020, eight disaster inquiries were conducted, yielding 612 recommendations. Of these reports, 120 recommendations (19.6%) showed alignment with the social determinants of health principles of action. Of these, 48 recommendations (7.8%) demonstrated action on overarching recommendation “Improve daily living conditions”; 59 recommendations (9.6%) demonstrated action on overarching recommendation “Tackle the inequitable distribution of power, money, and resources”; and 13 recommendations (2.1%) demonstrated action on overarching recommendation “Measure and understand the problem and assess the impact of action.”

This low alignment underscores a critical gap in current Australian disaster inquiry practices, which historically prioritize emergency management and response over holistic health outcomes. There are opportunities to examine what roles the social environment and public health practice have in shaping disaster management policy and practice in ways that are conducive to strengthening more healthy, resilient societies.

Rural and urban environments are exposed to the same types of climate-induced disasters, but rural populations are considered particularly vulnerable to the adverse health effects associated with these disasters. This study compares individual-level public health preparedness for climate-induced disasters in rural versus urban environments and examines the impact of rurality on variables that influence preparedness attitudes and behaviors.

A national, online survey was conducted from April to June 2024. Chi-squared tests and multiple logistic regression models with interaction terms were used to compare the preparedness attitudes and behaviors reported by rural and urban populations.

Rural and urban populations generally shared preparedness attitudes and behaviors, but several significant differences were observed. Regression analysis suggested that rurality interacted with age and income to play a significant role in modifying the odds of having an evacuation plan and reporting concern about the severity of future climate-induced disasters.

Rurality appears to influence certain attitudes and behaviors related to preparedness for climate-induced disasters. Should climate-induced behaviors become more frequent and severe in the future, dedicated efforts should be taken to ensure that these events do not exacerbate health disparities between rural and urban environments.

Preparation for mass casualty incidents (MCIs) requires knowledge of the number of victims to be treated on site and transferred to hospitals. The objective was to collect this information for MCIs with hospital admissions in Europe over the last 30 years.

This was a scoping review of MCIs with hospital admissions in Europe between 1991 and 2023. The study was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses for Scoping Review (PRISMA-ScR) guidelines with PubMed, the Web of Science, Industrial and Transport Accident Reports, and two global databases on terrorism and disasters. Events with ten victims transferred to hospitals were included.

In total, 2,498 documents were identified, and 82 documents covering 62 MCIs were selected. In Europe, there was a median of 73 MCI: 9 victims died on site (12%), 48 were transferred to hospitals (66%), and 13 with serious casualties (17%). MCI is divided into 7 categories: explosion, ballistic, fire, road, ram raid, railway, and industrial accident.

By improving our knowledge of past MCIs and their casualty figures, we can now train more realistically and be better prepared to respond to future MCIs.

This study aimed to develop a disaster triage training program designed to enhance knowledge, skills, and resilience for disasters among nurses.

A randomized controlled trial was conducted at two government hospitals in Indonesia. One hundred and eight nurses were randomly assigned in equal numbers to the experimental and control groups. The experimental group received a 4-hour triage training focused on mass casualty incidents. Disaster triage knowledge, skills, and resilience were assessed at three time points: before, immediately after, and 1 month following the intervention. Generalized Estimating Equations were used to evaluate the effectiveness of the training program.

The results of this study revealed that nurses in the experimental group showed significantly greater improvements in disaster triage knowledge, skills, and resilience compared to those in the control group at 2 post-test time points. In addition, feedback from trained nurses emphasized its relevance to local disaster scenarios, such as earthquakes and floods, and highlighted the value of hands-on practice and easily accessible learning materials.

The study demonstrates that disaster triage training can effectively enhance nurses’ preparedness for disasters. It is recommended that health care institutions integrate disaster-related content into regular on-the-job training programs for nurses and assess its effectiveness.

It is becoming increasingly evident that women are affected differently from men before, during, and after disasters. This study aims to evaluate the safety, health, and privacy concerns associated with earthquakes in Kahramanmaraş, focusing on the impact on women.

The study is a case study design within a qualitative research approach. The data obtained were evaluated using the thematic analysis method. In the study, semi-structured interviews were conducted with 24 survivors of the earthquake. The data were analyzed with MAXQDA analysis software.

The study revealed that women have various health and safety risks. The main themes include experiences related to health, safety and privacy issues, hygiene, and other problems. Lack of adequate privacy, security problems, lack of appropriate resources and specialized facilities, women’s menstrual difficulties, exposure to or witnessing violence, and issues related to being alone were found to be important themes.

The root causes of women’s vulnerability during disasters should be identified, and programs should be designed to reduce this vulnerability. Strategies and policies based on the needs of women should be developed to reduce their future vulnerability. Inclusion of women in decision-making processes will be effective in the development of gender strategies.

This study examines the scope and trends of empirical research on training activities for flood disaster response teams.

A scoping review, adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines, was conducted in June 2024 across four electronic databases and grey literature. The analysis included experimental and quasi-experimental studies published since 2005. An initial pool of 1193 studies was identified, 18 met the eligibility criteria and were included in the final analysis.

These studies revealed three key themes: 1) evaluation and improvement of operational procedures, 2) preparation of response teams, and 3) management of health-related issues.

The results highlight the limited availability of empirical evidence in this area, reflecting the relatively small number of studies focusing specifically on training activities for flood disaster response teams. However, research in this field has shown growth since 2010, with a notable integration of educational technologies in most studies. Key training topics include psychological first aid and the evaluation of operational plans. Given the increasing frequency and severity of flood disasters due to global warming, further research is essential to develop and implement effective training programs, enabling response teams to address such emergencies more efficiently and comprehensively.

This study aimed to validate and ensure the reliability of the Turkish version of the Vitality Questionnaire, which captures traits advantageous for survival, to aid in systematic preparations for future disasters and life challenges.

In this study, the Scale of Eight Personal Characteristics Related to Vitality was translated into Turkish by three language experts, validity and reliability analyses were conducted, and a pilot test was carried out with 30 participants. Subsequently, between February 1 and March 1, 2024, online data were collected from 523 individuals across Turkey who had experienced disasters.

The average age of participants was 24.09 ± 7.60 years; 72.7% (n = 380) were female. Among participants, 79.2% (n = 359) had experienced an earthquake, 65.1% (n = 56) a flood, and 47.4% (n = 9) a fire. Analysis of the Eight Personal Traits Scale showed the original 8-factor structure was retained, with all item factor loadings above 0.40 and an explained variance of 61.180%. Therefore, no items were removed, and the 8-subdimension structure was accepted. Factor loadings ranged between 0.34 and 0.83. Internal consistency, evaluated through split-half reliability, was found to be at an acceptable level.

The analysis and evaluations conducted in this study concluded that the Eight Personal Traits Scale Related to Disaster Vitality is a valid and reliable measurement tool for the Turkish sample in identifying personal traits in the face of disasters.

The study was conducted to assess the psychological resilience and stress symptoms in health care workers following the 2023 Kahramanmaraş earthquake.

The study was completed with a sample size of 313 health care workers who experienced the earthquake and was carried out in a descriptive and correlational design. The Sociodemographic Data Form, Brief Psychological Resilience Scale (BPRS), and Traumatic Stress Symptom Scale-5 (TSSS-5) were used.

The study found that 39.6% of health care workers were diagnosed with post-traumatic stress disorder, 41.2% of participants considered leaving their jobs after the earthquake, and 79.9% reported a decrease in job motivation (slight or a lot). It was determined that there was a negative correlation between the participants’ BPRS scores and TSSS-5 scores (r:-0.523, P = 0.00).

In accordance with the findings of our study, it can be posited that traumatic stress symptoms diminished as the level of psychological resilience increased in health care workers who experienced the earthquake.

The purpose of this study is to determine the effects of the perceived trauma levels of women at reproductive age after earthquakes on their menstruation cycle.

This descriptive and correlational study was conducted between March 17, 2023, and April 17, 2023, after the earthquakes that happened in Turkey on February 6, 2023 and affected 11 cities. The study was conducted with 355 women. Data were collected using an online questionnaire form prepared via Google Forms. Data collection was performed using a Participant Information Form and the Post-Earthquake Trauma Level Determination Scale.

According to the multiple regression analysis results, the significant predictors of perceived trauma levels after the earthquakes included the severity of dysmenorrhea (β-coefficient = 0.164, P = .007), characteristics of vaginal discharge (β-coefficient = 0.136, P = .027), and itching in the perineum (β-coefficient = −0.220, P = .001). These variables explained 12.4% of the total variance in the perceived trauma levels of the participants.

The perceived trauma levels of women after the earthquakes had significant effects on the severity of dysmenorrhea, characteristics of vaginal discharge, and itching in the perineum. Health professionals should not overlook the effects of women’s perceived trauma levels on their menstruation cycles after earthquakes and evaluate the issue considering these aspects.

The aim of the present scoping review is to provide a comprehensive description and classification of the published research studies on education and training of paramedics and paramedic students in the context of disaster management with emphasis on educational/training techniques and their efficacy and the recent trends in this evolving field. The review is also designed to identify the main research gaps and to suggest recommendations for future research plans.

PubMed, Web of Science Core Collection, Scopus, Google Scholar, and ProQuest Dissertations and Theses were searched. Studies were included in the final analysis if they studied any aspect of paramedics or paramedic students’ education or training in the context of disaster management.

Forty-three studies fulfilled the selection criteria. Three themes were identified: 1) Conventional disaster education/training techniques; 2) Smart technology-based disaster education/training techniques; and 3) Development of and/or assessment of disaster education/training courses, programs, packages, or curricula.

While disaster triage training is the focus of many studies, a new trend is emerging that integrates smart technology into educational and training programs. Also, there is increasing international interest in developing disaster training programs and curricula.

In this study, the objective examined the contribution of pecha kucha technique instead of standard training in providing crisis management skills to nurse managers.

102 nurse managers participated in the study conducted with a quasi-experimental structure. Nurse managers participating in the study were divided into 3 groups as experimental, standard, and control, and each group included 34 nurse managers. Crisis management training was given to the experimental group with the pecha kucha technique, and to the standard group with the classical presentation technique. A crisis management scale was applied to measure crisis management skills before and after the trainings.

It was observed that crisis management scores increased in both groups after the trainings compared to the control group. When the scores of the experimental and control groups were compared, a significant difference was found (P < 0.05). The crisis management total and sub-dimension mean scores were higher in the experimental group than in the standard education group.

In line with these findings, it can be said that using innovative training techniques such as pecha kucha instead of standard training for managers or other nurses can increase their professional development and the quality of health care services.

Disasters experienced in the world and in our country in recent years have made it necessary for health professionals to have high levels of disaster response self-efficacy. Nurses, as an important member of the health care team, have a key role in disaster management, especially in disaster response. Therefore, it is extremely important for nurses to be ready for disaster response and to have high levels of self-efficacy in disaster response. This study was conducted to determine the disaster response self-efficacy status and related factors of nurses working in surgical clinics.

This descriptive cross-sectional study was conducted with 127 nurses working in surgical clinics between June and August 2023. “Sociodemographic Data Collection Form” was used to determine the sociodemographic characteristics of the nurses and “Of the Disaster Response Self-efficacy Scale” was used to assess their disaster response self-efficacy.

The findings of the study show that nurses working in surgical clinics have a high level of disaster preparedness. Previous on-duty disaster experience and feeling competent about disaster are positively associated with disaster response self-efficacy.

It may be recommended to provide evidence-based, high-quality, and up-to-date training programs at regular intervals to increase and maintain the emergency response competencies of nurses. The originality of this study is that it was conducted only with surgical nurses.

This study aimed to investigate the relationship between pre-earthquake and earthquake-related characteristics and post-earthquake trauma levels of individuals affected by the February 6, 2023 Kahramanmaraş earthquakes.

The study is in survey design, one of the quantitative research methods. The participants consist of individuals affected by the earthquake and staying in temporary accommodation centers (student dormitories) in Konya province. A survey including a personal information form and a scale for determining the Post-Earthquake Trauma Levels was administered face to face to 334 volunteer participants.

Adults aged 30-46, those trapped under debris, those injured in the earthquake, those who lost a family member, a relative, a neighbour or a friend, and those who received psychological support after the earthquake are in the risk group in terms of high post-earthquake trauma levels.

The findings reveal the groups in which the traumatic effects of earthquakes on adults are high. It is important to prepare intervention programs by considering the needs of these groups in psychosocial interventions to be carried out after the earthquake.

This study aims to investigate the relationship between post-traumatic stress disorder (PTSD) and job-related stress among nurses working in both central and district areas of Adıyaman following the earthquake. Additionally, we assess potential risk factors influencing both PTSD and job-related stress.

This cross-sectional study involved 332 nurses. The study considered several independent variables, including age, gender, marital status, place of residence, experience of family loss due to the earthquake, and workplace location. The dependent variables for the study were identified as post-traumatic stress disorder and job stress.

Of the nurses surveyed, 69% showed symptoms of post-traumatic stress disorder.

Notably, higher job stress scale scores were identified among women (P = 0.028), married individuals (P = 0.005), those with children (P < 0.001), those who were in Adıyaman during the earthquake (P < 0.001), and those who experienced family loss due to the earthquake (P < 0.001). Furthermore, a significant positive correlation was observed between PTSD scores and job stress scores (r = 0.599; P < 0.001).

Given the bidirectional impact of PTSD and job stress, prompt and comprehensive interventions are essential for safeguarding nurses’ mental health and professional capacity following major events. These interventions should also consider other risk factors, such as female gender or experiencing a family loss.