Health in Emergencies and Disasters Quarterly

Background: A coordinated disaster response needs a well-organized structure and a locally adapted framework. In light of this, the COVID-19 pandemic offered an opportunity to renovate the response structure, which exhibited deficiencies during the pandemic. Iran shares the experience of an integrated response structure named the reform incidents command system (RICS). It includes an integrated approach in which the organization lacks a unified commander in favor of a set of goals. Materials and Methods: This perspective article shows how Iran can develop its national disaster management system as seen through an expert’s review perspective. Results: This paper elaborates on the RICS concept. This concept removes the challenges of unifying different thoughts and objectives by instilling a shared mental model to improve teamwork. Conclusion: This is one of the first articles to discuss the main joint goals of team members, encouraging collaboration between different parts of the team when interdependent organizations must coordinate their responses.

Ali Mohajervatan

Fatemeh Rezaei

Health in Emergencies & Disasters Quarterly

Reforming the Incident Management System in the Health System: A Perspective Article

改革卫生系统中的事件管理系统：一篇观点文章

Background: Scene management in accidents reduces losses, speeds treatment, and facilitates immediate victim transfer. Learning the related skills through theory-based educational intervention makes this task possible. This study aimed to determine the effect of theory-based educational intervention on emergency medical personnel skills to manage the scene in chemical accidents. Materials and Methods: The present study employed a quasi-experimental design with pre- and post-intervention measurements. Using the random sampling method, 70 emergency medical technicians working in Qazvin Province, Iran, were selected and assigned to experimental and control groups. The data collection tools included demographic questions and scales to assess the theory of planned behavior. The intervention program consisted of 4 sessions. Data were analyzed by SPSS software, version 23 using descriptive statistics and analysis of covariance. Results: The Mean±SD age of the participants was 35.03±5.57 years, and 82.6% (57 people) were married. After the intervention, the Mean±SD scores of attitudes (40.11±4.77), subjective norms (15.06±4.27), perceived behavior control (18.53±2.55), and behavioral intention (8.49±2.27) increased significantly in the experimental group (P&lt;0.001). Also, the self-report behavior in the experimental group improved significantly (P&lt;0.001). Conclusion: Theory-based educational intervention improved psychological variables and safe behaviors in chemical accident management. Implementing educational interventions based on this theory enhances the safety performance of medical emergency technicians in chemical accidents.

Mohammadreza Rezaee Ghalee

Isa Mohammadi Zeidi

Yousof Akbari Shahrestanaki

Aisa Maleki

Rohollah Kalhor

Effects of a Theory-based Educational Intervention on Skills of Emergency Medical Service Personnel for Scene Management in Chemical Accidents

基于理论的教育干预对化学事故现场管理中急救人员技能的影响

Background: Building fires are the most common threatening and distressing hazard in hospitals. Fire is one of the top 10 hazards that threaten Iranian hospitals. Nevertheless, no study has been done on the features of fires in Iran hospitals. So, this study aimed to investigate the characteristics of fires taking place in Iranian hospitals. Materials and Methods: In this cross-sectional study, news related to fire broke out in Iranian hospitals was retrieved from the archive of 5 reputable Persian news agencies using the Persian search terms: “Fire”, “hospital”, and “clinic”. Quantitative content analysis was used to assess retrieved news text. Data gathered by the Emergency Operation Center of the Iranian Ministry of Health and Medical Education were also studied. Results: In total, 86 incident reports were assessed for the period spanning from 2005 to 2020, with more than half accessed just through reputable news agencies. The electrical short circuit was the most reported incident cause, and the medical care environment was the most reported place of incident. Twenty-five incident reports indicated that partial or complete emergency evacuation was executed. Conclusion: It is imperative to raise awareness about the lack of an integrated mechanism for registering such incidents. Future research can be conducted designing a critical registry system that collects, analyzes, and disseminates hospital incident data.

Saeed Fallah-Aliabadi

Pouran Abbasian

Mohammad Reza Khajehaminian

Investigating Characteristics of Hospital Building Fires in Iran

探究伊朗医院建筑火灾特征

Background: An ammonia gas explosion poses immediate health hazards such as respiratory tract burns, skin and eye irritation, and potential death within seconds. It also causes long-term negative impacts on biodiversity, affecting aquatic life and vegetation. An explosion in the Firuzabad sodium carbonate factory in Iran led to massive ammonia gas leakage and the poisoning of several employees. This study evaluates the risks of ammonia gas release caused by the explosion and the rescue team’s response in the same factory. Materials and Methods: This study was conducted in 2020 in Firuzabad City, Iran. The investigation was based on case reports and data analysis obtained via field observations, document reviews, interviews, and experiments. Technical and specialized information on explosion were analyzed by ALOHA software. Results: Based on data analysis, red, orange, and yellow zones around the explosion area were identified. The red zone had an ammonia emission range of 1.2 km with an explosive power of 10 kW, causing potential death in 60 seconds. Orange zone had a range of about 1.7 km, an explosive power of 5 kW, and the potential for second-degree burns and respiratory damage within 60 seconds of release. The yellow zone covered an area of about 3.3 km. Interviews and field observations provided information on the risk-based response process, response equipment, medical treatment, hazardous materials, handling and response equipment, personal protective equipment, mutual aid, and resource typing. Conclusion: The results of this study show that the immediate evacuation of the area, employment of the rapid warning system, the triage of the injured, the presence of an emergency operation plan to control hazardous and toxic materials disasters, the performance of the rapid response team and multi-specialty teams were among the existing challenges of the operation team. Background of this study confirms the potential hazards associated with ammonia gas emissions from explosions in sodium carbonate plants.

Hossein Salehi

Simin Taj Sharififar

Investigating the Challenges of Ammonia Emission in Firuzabad Sodium Carbonate Factory Incident: A Case Study

调查菲鲁扎巴德碳酸钠工厂氨气排放事件的挑战：一个案例研究

Background: Mazandaran Province is one of the provinces with a high suicide rate. Therefore, this study aimed to determine the epidemiology of relief missions following suicide in the pre-hospital emergency system of Mazandaran University of Medical Sciences. Materials and Methods: This descriptive study was conducted from September 2019 to 2021 in the pre-hospital emergency department of Mazandaran University of Medical Sciences. Statistical information related to the missions carried out after suicide was extracted using the data contained in the emergency national mission form recorded in Asayar software. According to the questionnaire, demographic information including age, gender, accident location, time, method of suicide, as well as mission outcome were extracted. To examine the results, frequency percentage, Mean±SD were used, and to examine the qualitative variables, the Chi-square test, and Fisher’s exact test were used. The collected data were analyzed using SPSS software, version 26 (SPSS Inc., Chicago, IL, USA). A significance level of 0.05 was considered. Results: In this study, 712(53.7%) were men and 615(46.3%) were women. The mean age of patients was 32.12±2.03 years. Fisher›s exact test revealed a statistically significant relationship between age groups and suicide methods (P=0.02). The Chi-square test was used to investigate the relationship between the suicide method and gender. According to the results of this test, a statistically significant relationship was observed between gender and suicide methods (P=0.00). The most common methods of suicide among clients were drug poisoning (32.1%), other cases (30.06%), and self-harm (20.6%), respectively. The highest frequency of suicide attempts occurred between evening and night among 497 people (37.5%) in terms of accident time. Conclusion: Young and productive age groups are among the most vulnerable groups among suicides. Men died about five times more than women after committing suicide in a pre-hospital emergency room. According to the results, more planning is required regarding mental health self-care education in families and schools, implementation of psychological counseling, diagnosis, and prompt treatment in vulnerable groups.

Hassan Talebi Ghadicolaei

Masumeh Hashemi Amrei

Yahya Salehtabari

Ali Sharifzadeh

Zoya Hadinejad

Epidemiology of Suicide in the Relief Missions in the Pre-Hospital Emergency System of Mazandaran University of Medical Sciences During 2019-2021

马赞达兰医科大学院前急救系统中救援任务期间自杀的流行病学研究（2019-2021年）

Zahra Ensafi

Mohammad Kamali

Leyla Bahadorizadeh

Younes Amiri Shavaki

The Lived Experiences of Speech-language Pathologists Regarding the Use of Telepractice During the COVID-19 Pandemic in Iran

伊朗COVID-19疫情期间言语语言病理学家使用远程实践的亲身体验

Yadollah Abolfathi Momtaz

Nasibeh Zanjari

Ahmad Delbari

Mahshid Foroughan

Psychological Impacts of COVID-19 on the General Population of Iran

伊朗普通人群中COVID-19的心理影响

Melika Shfiee

Yazdan Ahmadi

Maryam Azizi

Amirhosein Pishgooie

Effat Afaghi

Investigating the Relationship Between Personality Traits and Job Satisfaction in Iranian Nurses During the COVID-19

探究COVID-19期间伊朗护士人格特质与工作满意度之间的关系

Sayed Vahid Esmaeili

Ali Alboghobeish

Ali Salehi Sahlabadi

Mohsen Poursadeghiyan

Impact of Climate Change on Public Health in Iran: A Systematic Review

伊朗气候变化对公共健康的影响：一项系统性综述

Zahra Saboohi

Fateme Gudarzi

Implementing the Mental Health First Aid Program to Reduce the Psychological Disorders of People in Iran After Traumatic Events

实施心理急救计划以减少伊朗创伤事件后人群的心理障碍

Publication Information	Publisher: Negah Institute for Social Research and Scientific Communication，Publishing cycle: ，Journal Type: journal，Open Access Journals: Yes
Basic data	Year of publication: 2019，Proportion of original research papers: 0.00%，Self Citation Rate:N.A.， Gold OA Rate: 0.00%
Average review cycle	网友分享经验：8 Weeks

Health in Emergencies and Disasters Quarterly

Journal Citation Format

A journal article with 1 author

A journal article with 2 authors

A journal article with 3 authors

A journal article with 5 or more authors

Books Citation Format

Thesis Citation Format

Web sites Citation Format

Patent Citation Format

Staying up late manually editing references? ivySCI automatically matches journals and helps you generate references with a single click.

Share Submission Experience