Traumatism in case of disasters - survey the challenges facing the teams of the emergency medical care center in Bulgaria
Background. In Bulgaria, according to the data of the General Directorate""Fire savety and civil protection"", various disasters with an outbreak of traumatic defeat (OTD) may occur. Traffic accidents, fires and incidents with industrial poisons are of major importance. Good knowledge of the traumatism, causes of mass casualties are a challenge for the teams of the emergency medical care center (EMCC) in Bulgaria.
Methods. A questionnaire survey was conducted with the teams of EMCC-Blagoevgrad area about the knowledge of mass trauma in OTD. Available databases (EMCC, GDFSCP) are researched and analyzed as well.
Results. Over 55% of respondents said they are acquainted with OTD's behavioral instructions, but could not determine the degree of preparedness of the teams to respond. In the servey, 1/3 of respondents claim that the predominant effect is shock. Injuries are distributed to: slightly injured (40%), moderate and severely injured (60%), of which 20% require specialized medical assistance.
Conclusions. Bone trauma, burns, bleeding, crush injury are prevalent. A significant percentage of the injured are with shock, acute respiratory and or cardiovascular failure. Emergency teams of EMCC face the serious challenge of timely and effective medical assistance due to the complicated general and medical situation.
