ContactISSN:e-ISSN: 2757-976X
Author Sign-inReviewer Sign-inRegister
TürkçeEnglish
Home
About Journal
Copyright NoticeOpen Access PolicyAim and ScopePrinciples of ArbitrationReviewer and Editor GuideFee PolicyEthical Principles and Publication PolicyArchiving PolicyIndexing
Information For AuthorsEditorial BoardSend ArticleLatest IssueArchiveContact Us

Management of Hyperbaric Oxygen Therapy for Injuries After the Earthquake: The Experience of Akyurt Hyperbaric Clinic Following the Kahramanmaraş Earthquakes

Selcen Yüsra Abaylı,Ahmet Uğur Avcı

  • Selcen Yüsra Abaylı: Ankara Gülhane Eğitim ve Araştırma Hastanesi
  • Ahmet Uğur Avcı: Ankara Gülhane Eğitim ve Araştırma Hastanesi
  •  Year : 2024
  •  Vol : 4
  •  Issue : 3
  •  Page : 133-138
Aim: The earthquakes centered in Kahramanmaraş on February 6, 2023, resulted in many citizens being rescued from the rubble with injuries. Initial treatments were provided in nearby hospitals, and patients were then referred to hospitals across Turkey. Hyperbaric oxygen therapy (HBO2) centers played a crucial role in the treatment of many patients. The Akyurt Hyperbaric Clinic, located 40 km from Ankara, began receiving patients on February 8, and the patient flow continued for three months. This study presents the experience of Akyurt Hyperbaric Clinic in managing earthquake victims.
Methods: The records of patients treated at the Akyurt Hyperbaric Clinic were retrospectively reviewed. Patient demographics and session statistics were compiled. Various challenges faced during patient management and the solutions implemented were documented.
Results: A total of 99 patients were treated. Treatments began 67 hours after the first earthquake. The mean duration of stay under the rubble was 34.5 hours. From February 11 onwards, treatment sessions were dedicated exclusively to earthquake victims. A total of 163 sessions were held. Most patients were treated on stretchers. Patients were transported to the clinic by emergency services. Session lists were planned daily based on patient conditions and logistics.
Conclusion: In light of the challenges experienced by patients in need of hyperbaric oxygen therapy following the disasters, the necessity for hyperbaric oxygen therapy centers in tertiary hospitals, particularly in major cities, has once again become evident.
Cite this Article As : Abaylı SY, Avcı AU. Deprem Sonrası Yaralanmalarda Hiperbarik Oksijen Tedavisi Yönetimi. Mev Med Sci. 2024; 4(3): 133-138

Conflict of interest : The authors declare that they have no conflict of interest.

This article is published under the CC BY-NC 4.0 license.
Mevlana Tıp Bilimleri
2024, Vol4, Issue3
E-ISSN: 2757-976X
Received : , Accepted : , Published Online :

References

  1. 1. Hussain E, Kalaycıoğlu S, Milliner CWD, Çakir Z. Preconditioning the 2023 Kahramanmaraş (Türkiye) earthquake disaster. Nat Rev Earth Environ. 2023 Apr 24;4(5):287–9.
  2. 2. Huang ET, editor. Adjunctive Hyperbaric Oxygen Therapy in the Treatment of Thermal Burns. In: UHMS Hyperbaric Medicine Indications Manual. 15th ed. North Palm Beach: Best Publishing Company; 2023. p. 305–36.
  3. 3. Özgök Kangal K, Arslan A. Hyperbaric Oxygen Therapy for Earthquake Victims. csmedj. 2023 Dec 29;3(Suppl 1):30–41.
  4. 4. Dougherty JE. The Role of Hyperbaric Oxygen Therapy in Crush Injuries. Critical Care Nursing Quarterly. 2013 Jul;36(3):299–309.
  5. 5. Buettner MF, Wolkenhauer D. Hyperbaric Oxygen Therapy in the Treatment of Open Fractures and Crush Injuries. Emergency Medicine Clinics of North America. 2007 Feb;25(1):177–88.
  6. 6. Garcia-Covarrubias L, Mcswain NE, Van Meter K, Bell RM. Adjuvant Hyperbaric Oxygen Therapy in the Management of Crush Injury and Traumatic Ischemia: An Evidence-Based Approach. The American Surgeon. 2005 Feb;71(2):144–51.
  7. 7. Bouachour G, Cronier P, Gouello JP, Toulemonde JL, Talha A, Alquier P. Hyperbaric Oxygen Therapy in the Management of Crush Injuries: A Randomized Double-Blind Placebo-Controlled Clinical Trial. The Journal of Trauma: Injury, Infection, and Critical Care. 1996 Aug;41(2):333–9.
  8. 8. Kwee E, Borgdorff M, Schepers T, Halm JA, Winters HAH, Weenink RP, et al. Adjunctive hyperbaric oxygen therapy in the management of severe lower limb soft tissue injuries: a systematic review. Eur J Trauma Emerg Surg. 2024 Jun;50(3):1093–100.
  9. 9. Millar IL, Lind FG, Jansson KA, Hajek M, Smart DR, Fernandes TD, et al. Hyperbaric Oxygen for Lower Limb Trauma (HOLLT): an international multi-centre randomised clinical trial. Diving Hyperb Med. 2022 Sep 30;52(3):164–74.
  10. 10. Aktas S. Advances in the treatment of earthquake victims in Turkey: An editorial perspective. Undersea Hyperb Med. 2015;42(1):1–3.
  11. 11. Poçan S, Ozkan S, Us MH, Cakir O, Gökben M. Crush syndrome and acute renal failure in the Marmara earthquake. Mil Med. 2002 Jun;167(6):516–8.
  12. 12. Özkan S, Ay H, Kiralp MZ, Pehli̇van Ö, Dündar K, Yildiz Ş. 17 Ağustos Marmara depremi sonrası oluşan ezilme yaralanmalarında hiperbarik oksijen tedavisi. Gülhane Tıp Dergisi. 2004;46(3):194–9.
  13. 13. Mathieu D, Marroni A, Kot J. Tenth European Consensus Conference on Hyperbaric Medicine: recommendations for accepted and non-accepted clinical indications and practice of hyperbaric oxygen treatment. In: Diving and Hyperbaric Medicine. 2017. p. 24–32.
  14. 14. Sever MS, Vanholder R, Ashkenazi I, Becker G, Better O, Covic A, et al. Recommendations for the Management of Crush Victims in Mass Disasters. Nephrology Dialysis Transplantation. 2012 Apr 1;27(Suppl 1):i1–67.
  15. 15. Strauss DMB. The effect of hyperbaric oxygen in crush injuries and skeletal muscle-compartment syndromes. 2012;39(4).
  16. 16. Kundakci B, Mirioglu A, Tekin M, Bagir M, Bicer OS, Arslan YK, et al. 6 February 2023, orthopedic experience in Kahramanmaraş earthquake and surgical decision in patients with crush syndrome. J Orthop Surg Res. 2023 Jul 27;18(1):537.
  17. 17. Murat Ergani H, Özmut Ö, Yıldırım F, Çit R, Yaşar B, Erkin Ünlü R. Evaluation of the 2023 Kahramanmaras earthquake from the perspective of Plastic Surgery Department: A single-center experience. Jt Dis Relat Surg. 2023 Aug 1;34(2):523–9.
  18. 18. Ulusoy S, Kılınç İ, Oruç M, Özdemir B, Murat Ergani H, Halit Keskin Ö, et al. Analysis of wound types and wound care methods after the 2023 Kahramanmaras earthquake. Jt Dis Relat Surg. 2023 Aug 1;34(2):488–96.
  19. 19. Davies G, Chesters A. Transport of the trauma patient. Br J Anaesth. 2015 Jul;115(1):33–7.
  20. 20. Wallace PGM, Ridley SA. Transport of critically ill patients. BMJ : British Medical Journal. 1999 Aug 7;319(7206):368.
  21. 21. Demir AE, Ilbasmis S, Toklu AS. A COVID-19 infection incidentally detected during hyperbaric oxygen treatment and preventive measures for COVID-19 transmission in a multiplace hyperbaric chamber. Diving and Hyperbaric Medicine. 2022 Mar 31;52(1):58.
  22. 22. Ozgok-Kangal K, Zaman T, Koc B. The outcomes of COVID-19 measures in a hyperbaric oxygen therapy centre during the pandemic. International Maritime Health. 2021 Sep 29;72(3):228–36.
  23. 23. Bitterman N, Bonen A. Design and Human Factors of Therapeutic Hyperbaric Chambers. Aerosp Med Hum Perform. 2016 Apr;87(4):397–405.
  24. 24. Aydin F. Hyperbaric oxygen treatment in children: experience in 329 patients. Diving Hyperb Med. 2023 Sep 30;53(3):203–9.