{"id":1459,"date":"2020-06-08T07:00:00","date_gmt":"2020-06-08T04:00:00","guid":{"rendered":"http:\/\/acilbulten.net\/?p=1459"},"modified":"2022-01-27T01:07:07","modified_gmt":"2022-01-26T22:07:07","slug":"acil-tip-ve-afetlerle-gecen-bir-yasam","status":"publish","type":"post","link":"https:\/\/tatd.org.tr\/aciltipbulteni\/2020\/06\/08\/acil-tip-ve-afetlerle-gecen-bir-yasam\/","title":{"rendered":"Acil T\u0131p ve Afetlerle ge\u00e7en bir ya\u015fam\u2026"},"content":{"rendered":"\n

Yazar: Mustafa Ferudun \u00c7elikmen<\/em><\/strong><\/p>\n\n\n\n

Afet T\u0131bb\u0131, b\u00fcy\u00fck b\u00f6l\u00fcm\u00fc ile, hemen her g\u00fcn, afet ortamlar\u0131n\u0131 aratmayan acillerde \u00e7al\u0131\u015fan Acil T\u0131p hekimlerinin i\u015fidir. 13 Mart 1992 depreminde, memleketim Erzincan da hastane enkaz\u0131 alt\u0131ndan \u00e7\u0131kartt\u0131\u011f\u0131m\u0131z depremzedelerden biri, Cerrahpa\u015fa da okurken tan\u0131d\u0131\u011f\u0131m, genel cerrahide \u00e7al\u0131\u015fan bir a\u011fabeyimizin, yine sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131 olan e\u015fiydi. <\/p>\n\n\n\n

Havayolu ile, o zaman \u00e7al\u0131\u015ft\u0131\u011f\u0131m \u0130stanbul\u2019daki hastaneye getirilmesine ra\u011fmen, \u201cezilme yaralanmas\u0131-crush\u201d dan \u00f6t\u00fcr\u00fc kaybettik. Bu olay benim hayat\u0131mdaki ba\u015fl\u0131ca d\u00f6n\u00fcm noktalar\u0131ndan biridir. Erzincan\u2019\u0131n efsane valisi Recep Yaz\u0131c\u0131o\u011flu ile tan\u0131\u015fmama vesile olan, \u201cFerudun, hem\u015fire han\u0131m\u0131 b\u0131rakt\u0131ktan sonra hemen d\u00f6n, burada insanlar\u0131n hekimlere ihtiyac\u0131 var\u201d s\u00f6z\u00fc \u00fczerine Erzincan\u2019a geri d\u00f6nd\u00fc\u011f\u00fcmde ilk g\u00fcnler fark edemedi\u011fim facian\u0131n boyutlar\u0131, \u00fclkemizde \u00f6zellikle afetlerden ders \u00e7\u0131karma konusundaki duyars\u0131zl\u0131\u011f\u0131m\u0131z\u0131 iyice beynime i\u015flemi\u015fti. <\/p>\n\n\n\n

\"feridun<\/figure><\/div>\n\n\n\n

Gencecik Cumhuriyetimizin ilk y\u0131llar\u0131nda, 26-27 Aral\u0131k 1939’da 7.2 \u015fiddetindeki depremle yerle bir olan, 33 bin vatanda\u015f\u0131m\u0131z\u0131n ya\u015fam\u0131n\u0131 yitirdi\u011fi, 100 binin \u00fczerinde insan\u0131m\u0131z\u0131n yaraland\u0131\u011f\u0131 Erzincan, ayn\u0131 yere KAF’\u0131n tam ortas\u0131na, hastaneleri ile, di\u011fer kamu binalar\u0131 ile uygunsuzca, duyars\u0131zca in\u015fa edilmi\u015f ve yar\u0131m as\u0131r sonra, 652 insan\u0131m\u0131z\u0131 daha yitirdi\u011fimiz, binlerce vatanda\u015f\u0131m\u0131z\u0131n yaraland\u0131\u011f\u0131 felakete davetiye \u00e7\u0131kar\u0131lm\u0131\u015ft\u0131. (Her iki depremin merkez \u00fcss\u00fc yak\u0131nd\u0131r!)<\/p>\n\n\n\n

Hastalar\u0131n, b\u00fcy\u00fck \u00f6l\u00e7\u00fcde, bir yerlere ka\u00e7ma gibi bir kurtulu\u015flar\u0131n\u0131n olmad\u0131\u011f\u0131 hastane vb. mekanlar da depreme kar\u015f\u0131 tek \u015fanslar\u0131, bu binalar\u0131n sa\u011flam olmas\u0131d\u0131r. Okullar, AVM ler, cami, kapal\u0131 spor salonu gibi toplu bulunulan yerlerin,  \u00e7ok sa\u011flam yap\u0131lmas\u0131ndan ba\u015fka \u00e7are yoktur. \u00dclkemizde o y\u0131llar da, da\u011f kazalar\u0131na, afetlere y\u00f6nelik, \u00f6zellikle ilk anlarda h\u0131zla hareket edecek bir arama\u2013kurtarma ekibi, yap\u0131s\u0131 yoktu. \u0130kisi de hekim olan, iki da\u011fc\u0131l\u0131k federasyonu ba\u015fkan\u0131m\u0131z\u0131, da\u011f kazalar\u0131nda kaybettik. \u00d6zellikle Da\u011f arama-kurtarmas\u0131 ile ilgili hi\u00e7bir \u00f6rg\u00fctlenmenin olmad\u0131\u011f\u0131n\u0131 \u00e7aresizlik i\u00e7inde g\u00f6rd\u00fck.<\/p>\n\n\n\n

Yine o y\u0131llarda Dokuz Eyl\u00fcl \u00dcniversitesi’nde ilk Acil T\u0131p ve ATT e\u011fitim programlar\u0131 a\u00e7\u0131ld\u0131. Acillere, i\u015finin ehli Acil T\u0131p Uzmanlar\u0131n\u0131n, hastane \u00f6ncesi acillere paramediklerin yeti\u015fece\u011fi yeni bir d\u00f6nem ba\u015fl\u0131yordu\u2026<\/p>\n\n\n\n

Doksanlar\u0131n ba\u015f\u0131ndan itibaren, 18 y\u0131l boyunca \u00e7al\u0131\u015ft\u0131\u011f\u0131m hastanemde, \u00fclke \u00e7ap\u0131nda afet haline gelen trafik kazalar\u0131 ba\u015fta olmak \u00fczere, ola\u011fand\u0131\u015f\u0131 durumlara kar\u015f\u0131, Dokuz Eyl\u00fcl \u00fcn ilk ATT lerini de i\u015fe alarak, \u0130nternational acil ekibinden, Cerrahpa\u015fa\u2019dan arkada\u015flarla, DMAT (afetlerde t\u0131bbi yard\u0131m ekipleri) benzeri ekip olu\u015fturduk. Bu ekiple u\u00e7ak kazas\u0131nda, otob\u00fcs devrilmesinde, Dinar depreminde,  \u00e7al\u0131\u015ft\u0131k. Bu alanda \u00fclkemizde \u00e7ok b\u00fcy\u00fck bir ihtiya\u00e7 vard\u0131 ve ilk yard\u0131m\u0131, t\u0131bbi tedaviyi bilen, so\u011fukkanl\u0131l\u0131kla m\u00fcdahale eden Acilcilerin \u00f6n cephede olmas\u0131 gerekiyordu!          <\/p>\n\n\n\n

\"arama<\/figure><\/div>\n\n\n\n

Doksanlar\u0131n ba\u015f\u0131nda \u00fclkemizde de bir\u00e7ok arama \u2013 kurtarma operasyonuna gerek bireysel olarak, gerek olu\u015fturdu\u011fumuz bu mini ekiple, gerekse Da\u011fc\u0131l\u0131k Federasyonu b\u00fcnyesinde kat\u0131ld\u0131m. Onlarca da\u011fc\u0131, kayak\u00e7\u0131, snowbord\u2019cu, avc\u0131, gezgini kaybolduktan ya da kaza ge\u00e7irdikten sonra kurtard\u0131k.<\/p>\n\n\n\n

Kuyudaki k\u00f6pe\u011fi \u00e7\u0131kard\u0131k,  a\u011fa\u00e7tan inemeyen kediyi, kayal\u0131klar da s\u0131k\u0131\u015fan ke\u00e7ileri indirdik. Bas\u0131na yans\u0131yan b\u00fcy\u00fck kurtarma operasyonlar\u0131 aras\u0131nda Onno Tun\u00e7-Hasan Kan\u0131k \u0131n ya\u015famlar\u0131n\u0131 yitirdikleri u\u00e7ak kazas\u0131 sonras\u0131 Taz da\u011f\u0131nda, canl\u0131 yay\u0131n yapmak \u00fczere gidip, etekle, tak\u0131m elbise ile mahsur kalan, 2. g\u00fcn biterken donmak \u00fczere olan, 30 a\u015fk\u0131n bas\u0131n mensubunun kurtar\u0131lmas\u0131, yine h\u0131zla b\u00fcrokrasiden uzak hareket edebilmenin yarar\u0131n\u0131 g\u00f6sterdi. \u00d6nce bas\u0131n helikopteriyle, sonra arazi arac\u0131 ile Taz da\u011f\u0131nda mahsur kalanlara ula\u015fmaya \u00e7al\u0131\u015f\u0131p, t\u00fcm ara\u00e7la ula\u015f\u0131m imkanlar\u0131n\u0131n t\u00fckendi\u011fi yerde, \u00e7ok k\u00f6t\u00fc kar tipi, olumsuz hava ko\u015fullar\u0131nda, ancak tur kayaklar\u0131 ile insanlara ula\u015f\u0131p, onlar\u0131 donmak \u00fczere iken kurtarm\u0131\u015ft\u0131k.<\/p>\n\n\n\n

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1994’den itibaren \u00e7ok yo\u011fun yurt i\u00e7i ve d\u0131\u015f\u0131 e\u011fitimlere, tatbikatlara kat\u0131ld\u0131m. \u0130sko\u00e7ya\u2019da Glencoe ve Fort William’da muhtelif defalar k\u0131\u015f arama-kurtarmas\u0131, RAF la gece arama-kurtarmas\u0131 e\u011fitimleri ve ger\u00e7ek operasyonlarda bulundum. Almanya da THW (Technisches Hilfswerk \u2013Alman Federal Y\u00f6netimine ba\u011fl\u0131, g\u00f6n\u00fcll\u00fclerle afet benzeri durumlarda \u00e7al\u0131\u015fmalar y\u00fcr\u00fcten bir yap\u0131) den e\u011fitim ald\u0131m. Alaska\u2019da Ulusal Park Rangerleri ile Denali NP da y\u00fcksek irtifa arama-kurtarma operasyonlar\u0131na kat\u0131ld\u0131m.<\/p>\n\n\n\n

Resmen kurulmadan \u00f6nce, 90’lar\u0131n ortalar\u0131nda, AKUT un ilk y\u0131llar\u0131nda da, bir\u00e7ok da\u011f kazas\u0131na, u\u00e7ak-helikopter kazalar\u0131na, depremlere, sel bask\u0131nlar\u0131na gittik. Hipotermiden, donmalara, \u00e7\u0131\u011f alt\u0131nda ezilme yaralanmalar\u0131na m\u00fcdahale ettik. Arama Kurtarma Derne\u011fine, kurucular\u0131ndan olarak, t\u0131bb\u0131 bir deyim olan ve \u201ch\u0131zl\u0131, ivegen\u201d olal\u0131m, ko\u015fal\u0131m, yeti\u015felim, \u201dcanlar\u0131 kurtaral\u0131m\u201d anlam\u0131nda, AKUT ismini verdim. Din, milliyet, etnik fig\u00fcrler i\u00e7ermeyen, yaln\u0131zca zor durumda, yard\u0131m isteyen \u201cinsan\u201d  \u0131 temsil eden, \u201cel\u201d e, g\u00fc\u00e7l\u00fc bir insiyatifle, yukardan gelip bile\u011fine yap\u0131\u015f\u0131p, kurtaran AKUT logosunu \u00e7izdim. Derne\u011fin resmen kurulu\u015f \u00f6ncesinden ba\u015flayarak, 3 y\u0131l\u0131 a\u015fk\u0131n ilk ba\u015fkanl\u0131\u011f\u0131n\u0131 yapt\u0131m. T\u00fcrkiye depremlerinden, Yunanistan\u2019a, Taiwan\u2019a bir \u00e7ok uluslararas\u0131 afete ko\u015fan ekibin i\u00e7inde yer ald\u0131m. 1999 da \u00fclkemizin en g\u00fcvenilen kurulu\u015fu olduk(yaln\u0131zca STK olarak de\u011fil, kamu ve \u00f6zel t\u00fcm kurumlar aras\u0131nda, 3 kamuoyu ara\u015ft\u0131rmas\u0131 sonu\u00e7lar\u0131 ile!). <\/p>\n\n\n\n

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Nobel bar\u0131\u015f \u00f6d\u00fcl\u00fc adayl\u0131\u011f\u0131m\u0131z g\u00fcndeme geldi, ilk iken y\u00fczlerce arama-kurtarma derne\u011finin kurulmas\u0131na ilham olduk.<\/p>\n\n\n\n

Ya\u015fam kurtarman\u0131n, umutsuzluk i\u00e7inde kurtar\u0131lmay\u0131 bekleyenlere el uzatman\u0131n tarifsiz onurunu ya\u015fad\u0131k.<\/em><\/p><\/blockquote>\n\n\n\n

Acil ve Afet ortam\u0131ndan vakit bulduk\u00e7a da, 10 y\u0131l\u0131 a\u015fk\u0131n s\u00fcre k\u00fcresel iklim de\u011fi\u015fikli\u011finin etkisi ile yok olan Kuzey Kutup b\u00f6lgesine gittim. \u201cKaybolan Kuzey\u201d kitab\u0131mda bize uzak ama asl\u0131nda bir o kadar yak\u0131n co\u011frafyalar\u0131 ve birbiri ile akraba halklar\u0131, kaybolan k\u00fclt\u00fcrlerini ve kutup canl\u0131lar\u0131n\u0131n b\u00fcy\u00fck \u00f6l\u00e7\u00fcde bizim sebep oldu\u011fumuz hazin yok olu\u015flar\u0131n\u0131 yazd\u0131m.2019 da bast\u0131rabilmeyi umuyorum.<\/p>\n\n\n\n

35. y\u0131l\u0131na girdi\u011fim meslek hayat\u0131mda geriye d\u00f6n\u00fcp bakt\u0131\u011f\u0131mda, onca s\u0131k\u0131nt\u0131ya ra\u011fmen, nerelerden nerelere geldi\u011fimizi, Acil T\u0131p da m\u00fcthi\u015f bir jenerasyonun geldi\u011fini g\u00f6r\u00fcyorum. \u00dclkemizde sa\u011fl\u0131k sisteminin gerek poliklinik say\u0131s\u0131, gerek hasta \u00e7e\u015fitlili\u011fi ve direkt ya\u015fama \u00e7ekip kurtard\u0131\u011f\u0131 insan say\u0131s\u0131 ile en \u00f6nde geleni olan, gerekse de afetlerde sahaya ilk ko\u015fan ekiplerin ba\u015f\u0131nda gelen Acil T\u0131p ailesinin bir ferdi olmaktan gurur duyuyorum\u2026<\/p>\n","protected":false},"excerpt":{"rendered":"

Yazar: Mustafa Ferudun \u00c7elikmen Afet T\u0131bb\u0131, b\u00fcy\u00fck b\u00f6l\u00fcm\u00fc ile, hemen her g\u00fcn, afet ortamlar\u0131n\u0131 aratmayan acillerde \u00e7al\u0131\u015fan Acil T\u0131p hekimlerinin i\u015fidir. 13…<\/p>\n","protected":false},"author":1599,"featured_media":1462,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[20,11],"tags":[35,43,44,73,173],"class_list":["post-1459","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-acil-tip","category-portre","tag-acil-tip","tag-afet","tag-akut","tag-dagcilik","tag-tatdoga"],"acf":[],"_links":{"self":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/posts\/1459","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/users\/1599"}],"replies":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/comments?post=1459"}],"version-history":[{"count":0,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/posts\/1459\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/media\/1462"}],"wp:attachment":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/media?parent=1459"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/categories?post=1459"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/tags?post=1459"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}