Dispatched into disaster: a qualitative study on medical rescue teams’ personnel’s preparation, mobilization, and field living conditions after the Kahramanmaraş earthquakes
摘要
Effective disaster response requires both well-prepared medical rescue teams and resilient early-phase logistics.
ObjectivesThis study examined how medical rescue teams’ personnel prepared, mobilized, and maintained field living conditions after the 6 February 2023 earthquakes, aiming to generate practice- and policy-oriented recommendations.
MethodsA qualitative phenomenological design with purposive maximum-variation sampling (n = 12) was utilized. Semi-structured online interviews underwent thematic analysis. Reporting adhered to COREQ standards. Ethical approval was obtained and informed consent secured.
ResultsThree themes emerged. (A) Team Structure and Personnel Characteristics: Professional diversity enhanced capacity only when roles were explicit and leadership was visible; inconsistent training and leader ambiguity created tension. (B) Assignment, Preparedness, and Deployment Process: Notification and assembly often relied on informal channels (e.g., messaging apps); mission orders and destinations were unclear; winter hazards and traffic impeded deployment; initial 3–7 day rotations were perceived as most effective. (C) Base-of-operations and logistics: Early shelter, heating, nutrition, and hygiene support were inadequate, with privacy and sanitation being major challenges, but these improved as institutional logistics scaled up.
ConclusionsThe performance in the early phase can be strengthened by standardized pre-deployment checklists and mission orders, dual leadership including an experienced member, short initial rotations, and minimum living-condition standards. Competency-based modular training, regular drills, and mandatory after-action reviews are further recommended to institutionalize learning.