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Emergency Medical Services in the Reconstruction Phase following a Major Earthquake: A Case Study of the 1988 Armenia Earthquake

Published online by Cambridge University Press:  28 June 2012

Michael T. Handrigan ,
Bruce M. Becker ,
Liudvikas Jagminas  and
Tanya J. Becker
Michael T. Handrigan
Affiliation:
Brown University School of Medicine, Rhode Island Hospital, Providence, Rhode Island, USA
Bruce M. Becker*
Affiliation:
Brown University School of Medicine, Rhode Island Hospital, Providence, Rhode Island, USA
Liudvikas Jagminas
Affiliation:
Brown University School of Medicine, Rhode Island Hospital, Providence, Rhode Island, USA
Tanya J. Becker
Affiliation:
Brown University School of Medicine, Rhode Island Hospital, Providence, Rhode Island, USA
*
Rhode Island Hospital, Department of Emergency Medicine, 593 Eddy Street, Samuels Building, 2nd Floor, Providence, RI 02903 USA, E-Mail: [email protected]
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Abstract

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Study Objective:

To use the clinical activities of an ambulance service as a tool to assess the residual and unmet medical needs of a city in the aftermath of a major earthquake and to apply that assessment to the development of a training curriculum for the prehospital personnel.

Methods:

The researchers conducted structured interviews with health care workers at all levels of the emergency health care delivery system in Gyumrii, Armenia, and carried out a retrospective frequency analysis of 29,010 ambulance runs for an 11-month period from February through December 1992. Runs first were assigned into the broad categories of: 1) Adult Medical; 2) Pediatric Medical; or 3) Trauma, and then, according to diagnosis. The runs then were classified further as: 1) Primary Care; 2) Basic Life Support (BLS); or 3) Advanced Life Support (ALS).

Keywords

Armeniaearthquakeemergency medical servicesreconstruction and communityrecoveryrelieftraining
Type
Errata
Information
Prehospital and Disaster Medicine , Volume 13 , Issue 2-4 , December 1998 , pp. 80
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1998