{"id":3267,"date":"2023-04-12T09:00:00","date_gmt":"2023-04-12T06:00:00","guid":{"rendered":"https:\/\/tatd.org.tr\/aciltipbulteni\/?p=3267"},"modified":"2023-04-06T15:15:19","modified_gmt":"2023-04-06T12:15:19","slug":"acil-tibbin-gozunden-yuzyilin-felaketi","status":"publish","type":"post","link":"https:\/\/tatd.org.tr\/aciltipbulteni\/2023\/04\/12\/acil-tibbin-gozunden-yuzyilin-felaketi\/","title":{"rendered":"Acil T\u0131bb\u0131n G\u00f6z\u00fcnden Y\u00fczy\u0131l\u0131n Felaketi"},"content":{"rendered":"\n<p>6 \u015eubat 2023 saat 04.17; 2 dakika kadar s\u00fcren di\u011fer depremlerden farkl\u0131 olarak y\u00fczeye yak\u0131n fay k\u0131r\u0131lmalar\u0131n\u0131n oldu\u011fu ve 7,6 ile 7,4 b\u00fcy\u00fckl\u00fc\u011f\u00fcnde iki b\u00fcy\u00fck deprem ile hayat durdu. 1999 y\u0131l\u0131 G\u00f6lc\u00fck depreminden sonra <strong>03.02<\/strong> hepimiz i\u00e7in hat\u0131rlamak istemedi\u011fimiz bir saat iken, art\u0131k hepimizin ak\u0131llar\u0131nda belki de y\u00fczy\u0131llarca 04.17 de unutamayaca\u011f\u0131m\u0131z bir saat olarak kalacakt\u0131r. Y\u00fczy\u0131l\u0131n felaketinden sonra konu\u015faca\u011f\u0131m\u0131z, yazaca\u011f\u0131m\u0131z \u00e7ok \u015fey var ancak bu \u00fclkede art\u0131k fay hatlar\u0131, deprem olacak m\u0131, ka\u00e7 b\u00fcy\u00fckl\u00fc\u011f\u00fcnde olacak, bu deprem b\u00fcy\u00fck \u0130stanbul depremini etkiler mi gibi konular\u0131 konu\u015fmay\u0131 geride b\u0131rakmal\u0131y\u0131z.&nbsp;<\/p>\n\n\n\n<p class=\"has-white-color has-text-color has-background\" style=\"background:linear-gradient(135deg,rgb(0,0,0) 0%,rgb(169,184,195) 100%)\"><strong>\u201cDepremler bu co\u011frafyan\u0131n kaderi\u201d<\/strong><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-full is-resized\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/e5f2b763929d844d1fab563284d80084.jpeg\" alt=\"\" class=\"wp-image-3271\" width=\"384\" height=\"512\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/e5f2b763929d844d1fab563284d80084.jpeg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/e5f2b763929d844d1fab563284d80084-225x300.jpeg 225w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/e5f2b763929d844d1fab563284d80084-473x630.jpeg 473w\" sizes=\"(max-width: 384px) 100vw, 384px\" \/><\/figure>\n<\/div>\n\n\n<p>Y\u00fczy\u0131llard\u0131r nas\u0131l depremler oluyorsa \u00f6n\u00fcm\u00fczdeki y\u00fczy\u0131llar boyunca da olmaya devam edecek. Bu ger\u00e7ekle bir an \u00f6nce y\u00fczle\u015fmeli ve art\u0131k depremle ya\u015famay\u0131 kabul etmeliyiz. Tarihimizin tozlu sayfalar\u0131nda yer alacak bu kara g\u00fcn \u00fczerine biz acil t\u0131p hekimlerinin g\u00f6z\u00fcnden s\u00f6yleyece\u011fimiz o kadar \u015fey var ki\u2026<\/p>\n\n\n\n<p>Gelin birlikte bizim hikayemizi anlatal\u0131m ve ya\u015fad\u0131klar\u0131m\u0131zdan \u00e7\u0131karaca\u011f\u0131m\u0131z dersleri bizden sonraki nesillere not edelim.<\/p>\n\n\n\n<p>04.17\u2019deki b\u00fcy\u00fck sars\u0131nt\u0131n\u0131n sonras\u0131nda acil t\u0131p hekimleri yeni bir g\u00fcne h\u00fcz\u00fcnle ve \u015fimdi ne yapaca\u011f\u0131z sorusu ile ba\u015flad\u0131. T\u00fcm T\u00fcrkiye\u2019deki klinikler daha \u00f6nce b\u00f6yle b\u00fcy\u00fck bir afetle kar\u015f\u0131la\u015fmam\u0131\u015f olmalar\u0131na ra\u011fmen b\u00fcy\u00fck bir organizasyon ile birlik sa\u011flad\u0131. Afetin ilk an\u0131nda bir\u00e7ok personelimiz g\u00f6revlendirme beklemeden kendi imkanlar\u0131 ile tamamen iyi niyetle b\u00f6lgeye do\u011fru harekete ge\u00e7ti; ancak g\u00f6rev b\u00f6lgesi belli olmayan, konaklama ve ki\u015fisel ihtiya\u00e7lar\u0131n\u0131n nas\u0131l giderilece\u011fi planlanmadan b\u00f6lgeye hareket sonras\u0131nda maalesef g\u00f6n\u00fcll\u00fclerin de afetzede olmas\u0131 sonucu do\u011fdu. G\u00f6n\u00fcll\u00fc acil t\u0131p hekimleri ve sa\u011fl\u0131k personellerini bekleyen en \u00f6nemli sorun b\u00f6lgeye ula\u015f\u0131m idi. Hepimizin akl\u0131nda en h\u0131zl\u0131 ula\u015f\u0131m yolunun havayolu ile sa\u011flanabilece\u011fi fikri vard\u0131r. Ancak, havaalanlar\u0131ndan gelen ilk g\u00f6r\u00fcnt\u00fcler sonras\u0131nda hepimizi karamsarl\u0131k havas\u0131 kaplad\u0131. Herkesin akl\u0131nda o endi\u015feli d\u00fc\u015f\u00fcnce vard\u0131.<\/p>\n\n\n\n<p class=\"has-white-color has-text-color has-background\" style=\"background:linear-gradient(135deg,rgb(0,0,0) 1%,rgb(169,184,195) 100%)\"><strong><em>\u201cBize ger\u00e7ekten ihtiya\u00e7 olunan o saatlerde orada olabilecek miydik?\u201d<\/em><\/strong><\/p>\n\n\n\n<p>Maalesef olamad\u0131k\u2026<\/p>\n\n\n\n<p>Bir\u00e7ok afet deneyimi olan sa\u011fl\u0131k personeli gibi bizde ula\u015famad\u0131k. Havayolu karamsarl\u0131\u011f\u0131 sonras\u0131 ola\u011fan\u00fcst\u00fc durumlar\u0131n ola\u011fan d\u0131\u015f\u0131 \u00e7\u00f6z\u00fcm aray\u0131\u015f\u0131 i\u00e7inde karayolunu tercih ettik. Ancak bizi bekleyen ve bundan sonraki afetlere ders olacak 3 temel sorunla kar\u015f\u0131la\u015ft\u0131k. K\u0131\u015f\u0131n en zor hava ko\u015fullar\u0131na sahip oldu\u011fu g\u00fcn ile umutlar\u0131m\u0131z \u00f6ncelikle kara sapland\u0131. Bir yandan hava ko\u015fullar\u0131 ile m\u00fccadele i\u00e7indeyken, di\u011fer taraftan depremin y\u0131k\u0131c\u0131 etkisi ile \u00e7o\u011funlukla tek ula\u015f\u0131m g\u00fczergah\u0131 olan g\u00fcneydeki stabilitesi bozulan yollar da gidi\u015fimizi yava\u015flatt\u0131. Bunlar do\u011fal afetin \u00f6nlenemez sorunlar\u0131 olmas\u0131na ra\u011fmen, insan eliyle olu\u015fan \u00f6nemli bir sorun daha bizi bekliyordu. Tamamen iyi niyetle yak\u0131nlar\u0131n\u0131n tela\u015f\u0131na kap\u0131larak yola \u00e7\u0131kan siviller ve kendi imkanlar\u0131 ile yola \u00e7\u0131km\u0131\u015f g\u00f6n\u00fcll\u00fclerin olu\u015fturdu\u011fu trafi\u011fi a\u015famad\u0131k.&nbsp;<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/0d242930bebc9b756a95351d74962e68.jpeg\" alt=\"\" class=\"wp-image-3272\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/0d242930bebc9b756a95351d74962e68.jpeg 1024w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/0d242930bebc9b756a95351d74962e68-300x225.jpeg 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/0d242930bebc9b756a95351d74962e68-768x576.jpeg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/0d242930bebc9b756a95351d74962e68-840x630.jpeg 840w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"has-white-color has-text-color has-background\" style=\"background:linear-gradient(135deg,rgb(0,0,0) 1%,rgb(169,184,195) 100%)\"><strong><em>\u201cKoca y\u00fcrekli depremzede sa\u011fl\u0131k\u00e7\u0131lar\u0131n hakk\u0131 \u00f6denemez\u201d<\/em><\/strong><\/p>\n\n\n\n<p>Bu yolculuk bizim i\u00e7in 16 saat s\u00fcrd\u00fc. Bir\u00e7ok g\u00f6n\u00fcll\u00fc gibi bizler de ancak 2. g\u00fcnde yard\u0131m elimizi uzatabildik. Depremin ilk g\u00fcn\u00fc b\u00fct\u00fcn y\u00fck b\u00f6lgenin sa\u011fl\u0131k personelindeydi. Kendileri de birer depremzede olmas\u0131na ra\u011fmen, belki de yak\u0131nlar\u0131 hala g\u00f6\u00e7\u00fck alt\u0131nda iken kahraman olarak tan\u0131mlanmas\u0131 gereken o koca y\u00fcrekli sa\u011fl\u0131k personelleri alanda kendi k\u0131s\u0131tl\u0131 imkanlar\u0131 ile b\u00fcy\u00fck bir u\u011fra\u015f verdi.&nbsp;<\/p>\n\n\n\n<p>B\u00f6lgeye ula\u015fabilen bir\u00e7ok ki\u015finin kar\u015f\u0131la\u015ft\u0131\u011f\u0131 temel sorun, 500 km geni\u015fli\u011findeki enkaz alan\u0131ndaki yetersiz ekipman ve yetersiz say\u0131daki AFAD g\u00f6n\u00fcll\u00fcs\u00fcn\u00fcn t\u00fcm enkaz alanlar\u0131na yeti\u015fememesi nedeniyle kurtarma operasyonlar\u0131ndaki gecikmeydi. Her b\u00f6lgeden yard\u0131m \u00e7\u0131\u011fl\u0131klar\u0131 y\u00fckselirken elimiz kolumuz ba\u011fl\u0131yd\u0131.&nbsp;<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/a2940eae7f57cb6cbecac057f5c8bcf6.jpeg\" alt=\"\" class=\"wp-image-3273\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/a2940eae7f57cb6cbecac057f5c8bcf6.jpeg 1024w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/a2940eae7f57cb6cbecac057f5c8bcf6-300x225.jpeg 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/a2940eae7f57cb6cbecac057f5c8bcf6-768x576.jpeg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/a2940eae7f57cb6cbecac057f5c8bcf6-840x630.jpeg 840w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<p>Depremin 2. g\u00fcn\u00fcnde g\u00fcne\u015f bir enkaz y\u0131\u011f\u0131n\u0131na do\u011fdu. \u0130lk g\u00fcnde kendi imkanlar\u0131 ile yak\u0131nlar\u0131n\u0131 g\u00f6\u00e7\u00fck alt\u0131ndan \u00e7\u0131karan afetzedeler umudu hastanelerde arad\u0131. B\u00f6lgeden gelen haberler ise umutlar\u0131n yerini \u00e7aresizli\u011fe b\u0131rakt\u0131. Bir\u00e7ok hastanede o y\u0131k\u0131c\u0131 etkiden nasibini alm\u0131\u015f ve kullan\u0131lamaz haldeydi.&nbsp;<\/p>\n\n\n\n<p>Hastanelerin \u00f6n\u00fcnde kurulmas\u0131n\u0131 bekledi\u011fimiz sahra \u00e7ad\u0131rlar\u0131 yava\u015f yava\u015f kurulurken, b\u00fcy\u00fck zorluklarla kurtarma \u00e7al\u0131\u015fmalar\u0131 devam etmekteydi. Enkaz alt\u0131ndan kurtarma \u00e7al\u0131\u015fmalar\u0131ndaki gecikme, hastalar\u0131n\u0131 bekleyen sa\u011fl\u0131k personellerinin uzun s\u00fcre g\u00f6\u00e7\u00fck alt\u0131nda kalma sonucu geli\u015fen Ezilme (Crush) sendromu ve bu durumun tibbi sonu\u00e7lar\u0131 olan elektrolit bozukluklar\u0131, b\u00f6brek yetmezlikleri ve kompartman sendromuna haz\u0131rl\u0131kl\u0131 olmas\u0131n\u0131 gerektiriyordu.<\/p>\n\n\n\n<p>Y\u00fczy\u0131llard\u0131r b\u00f6lgede bu derece y\u0131k\u0131m\u0131n g\u00f6r\u00fclmemesi nedeniyle afet stoklar\u0131 yapmam\u0131\u015f olan sa\u011fl\u0131k kurulu\u015flar\u0131nda malzeme eksikli\u011fi g\u00fcn y\u00fcz\u00fcne \u00e7\u0131kt\u0131. K\u0131s\u0131tl\u0131 imkanlarla tarih yazmaya \u00e7al\u0131\u015fan sa\u011fl\u0131k personelleri uzun \u00e7al\u0131\u015fma saatleri boyunca yorgunluk ve \u00e7aresizlik i\u00e7inde g\u00f6revlerinin ba\u015f\u0131nda olsa da umutlar giderek azal\u0131yordu.&nbsp;<\/p>\n\n\n\n<p>Tekrar umutlar\u0131 ye\u015ferten o mucize haberler, enkaz alt\u0131ndan uzun s\u00fcre sonra \u00e7\u0131kar\u0131labilen yaral\u0131lard\u0131. Bu mucizelerdeki temel unsurlar aras\u0131nda g\u00f6\u00e7\u00fck alt\u0131nda ya\u015fam \u00fc\u00e7geni olu\u015fturmak, cenin pozisyonu ve so\u011fuk havan\u0131n olas\u0131 metabolizmay\u0131 yava\u015flat\u0131c\u0131 etkisine ba\u011fl\u0131 uzun s\u00fcreli dayanma g\u00fcc\u00fc say\u0131labilir. Bu mucize hikayelerinde mutlu sonlar beklerken tekrar bir y\u0131k\u0131c\u0131 deprem ile sars\u0131ld\u0131k. Y\u00fczy\u0131llar boyunca belki de tekrar g\u00f6rmeyece\u011fimiz bu senaryoda m\u00fcdahaleler daha da zorla\u015ft\u0131. \u0130kinci g\u00fcnden itibaren t\u00fcm deprem b\u00f6lgesine yerle\u015fen g\u00f6n\u00fcll\u00fclerin o muhte\u015fem \u00e7abas\u0131 ile yaralar h\u0131zl\u0131ca sar\u0131lmaya ba\u015fland\u0131.&nbsp;<\/p>\n\n\n\n<p>B\u00f6lgedeki hastanelerin afetten etkilenmesi ve k\u0131s\u0131tl\u0131 imkanlar ile yaral\u0131lar\u0131n h\u0131zl\u0131ca stabilizasyonu yap\u0131ld\u0131ktan sonra sevk zincirleri ba\u015flat\u0131ld\u0131. Ula\u015f\u0131m imkanlar\u0131n\u0131n k\u0131s\u0131tl\u0131 oldu\u011fu Hatay\u2019da yaral\u0131lar havayolu ve b\u00f6lgeye g\u00f6nderilen gemilerle Mersin\u2019e ve Adana\u2019ya sevk edildi. Afetin 2. g\u00fcn\u00fcnden itibaren binlerce afetzede b\u00f6lge d\u0131\u015f\u0131ndaki hastanelere sevk edildi. \u00dc\u00e7\u00fcnc\u00fc g\u00fcnden sonra daha organize yap\u0131lan m\u00fcdahaleler ve t\u0131bbi bak\u0131ma ihtiyac\u0131 olan depremzede say\u0131s\u0131nda azalma nedeniyle durum yava\u015f yava\u015f kontrol alt\u0131na al\u0131nsa da en \u00f6nemli sorun hala \u00e7\u00f6z\u00fclememi\u015fti; <strong>SAHRA HASTANELER\u0130.<\/strong>&nbsp;<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/6b5c7b417eae7d577a69dc6600c458cb-1024x576.jpg\" alt=\"\" class=\"wp-image-3274\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/6b5c7b417eae7d577a69dc6600c458cb-1024x576.jpg 1024w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/6b5c7b417eae7d577a69dc6600c458cb-300x169.jpg 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/6b5c7b417eae7d577a69dc6600c458cb-768x432.jpg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/6b5c7b417eae7d577a69dc6600c458cb-1536x864.jpg 1536w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/6b5c7b417eae7d577a69dc6600c458cb-1120x630.jpg 1120w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/6b5c7b417eae7d577a69dc6600c458cb.jpg 1600w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<p>Afetin 4. g\u00fcn\u00fcnden sonra sahra \u00e7ad\u0131rlar\u0131n\u0131n kurulmaya ba\u015flanmas\u0131 ile daha organize bir yap\u0131 sa\u011flanabildi. Ancak ula\u015f\u0131lamayan b\u00f6lgelerden gelen yard\u0131m talepleri bizi bekleyen afetzede say\u0131s\u0131n\u0131n en kadar fazla oldu\u011funu g\u00f6zler \u00f6n\u00fcne seriyordu. \u00c7al\u0131\u015fmalar devam ederken, so\u011fuk nedeniyle k\u0131s\u0131tl\u0131 imkanlarla kapal\u0131 ortamlarda \u0131s\u0131nmaya \u00e7al\u0131\u015fan afetzedelerde hastanelerde ikincil t\u0131bbi durumlar ortaya \u00e7\u0131kmaya ba\u015flad\u0131. En \u00f6nemli t\u0131bbi sorun karbonmonoksit zehirlenmesiydi. D\u00fczenli ila\u00e7lar\u0131 da umutlar\u0131 gibi enkaz alt\u0131nda kalan afetzedelerde diyabetik ketoasidoz, epileptik atak, febril n\u00f6tropeni, Kronik Obstr\u00fcktif Akci\u011fer Hastal\u0131\u011f\u0131 (KOAH) akut alevlenmesi gibi dahili aciller hastanelerde temel ba\u015fvuru nedenleri olmaya ba\u015flad\u0131. Deprem b\u00f6lgesindeki hastaneler ve yak\u0131n \u00e7evredeki sevk hastanelerinin kapasitelerini a\u015fmas\u0131 nedeniyle uzak illere havayolu ile sevkler ba\u015flad\u0131. Bir yandan yaral\u0131lar ile m\u00fccadele devam ederken di\u011fer yandan h\u0131zla artan cenaze say\u0131s\u0131 morglar\u0131n da kapasitesinin dolmas\u0131na neden oldu. Defin i\u015flemlerinden \u00f6nce t\u00fcm imkans\u0131zlara ra\u011fmen adli muayeneler s\u00fcrd\u00fcr\u00fclmeye \u00e7al\u0131\u015f\u0131lsa da, h\u0131zla artan say\u0131lar so\u011fuk hava depolar\u0131 ihtiyac\u0131n\u0131 artt\u0131rd\u0131.&nbsp;<\/p>\n\n\n\n<p>T\u00fcm bu karamsar ortamda en \u00f6nemli \u00e7\u0131kar\u0131m afet b\u00f6lgesine bireysel olarak de\u011fil t\u00fcm bran\u015flar\u0131 ile giden afet timlerinin ba\u015far\u0131s\u0131yd\u0131. G\u00fcnler ge\u00e7tik\u00e7e b\u00f6lgeden gelen bilgilerle 45 bin \u00fczerinde can kayb\u0131m\u0131z ve 100.000 \u00fczerinde t\u0131bbi yard\u0131ma ihtiyac\u0131 olan yaral\u0131 say\u0131m\u0131z ile y\u00fczy\u0131l\u0131n felaketinin boyutu ortaya \u00e7\u0131kt\u0131.<\/p>\n\n\n\n<p><strong>Co\u011frafyan\u0131n kaderini ya\u015fad\u0131\u011f\u0131m\u0131z bu g\u00fcnlerde bu afet bize neler \u00f6\u011fretti, ne dersler verdi?<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Afetler \u00f6nlenemez olsa da vatanda\u015f\u0131ndan sa\u011fl\u0131k personeline kadar topyek\u00fcn haz\u0131rl\u0131\u011f\u0131n \u00f6nemi bir kez daha g\u00fcn y\u00fcz\u00fcne \u00e7\u0131kt\u0131.<\/li>\n\n\n\n<li>Afetlerin ilk an\u0131nda deneyimli-deneyimsiz ay\u0131rt edilmeden b\u00f6lgeye g\u00f6n\u00fcll\u00fclerin ula\u015ft\u0131r\u0131lmas\u0131ndan ziyade daha \u00f6ncesinde afet deneyimi olan sa\u011fl\u0131k personellerinin ko\u015fullar ne olursa olsun ula\u015ft\u0131r\u0131lmas\u0131 i\u00e7in lojistik d\u00fczenlemeler yap\u0131lmal\u0131 ve b\u00f6lgelere g\u00f6re bu listeler belirlenmelidir.<\/li>\n\n\n\n<li>Ne kadar haz\u0131rl\u0131\u011f\u0131n\u0131z olsa da depremin ilk saatlerinde g\u00f6\u00e7\u00fck alt\u0131ndan yaral\u0131lar\u0131 yak\u0131nlar\u0131n\u0131n \u00e7\u0131karmak zorunda kalaca\u011f\u0131 ger\u00e7e\u011fi ile her bireyin bu afetlere haz\u0131rl\u0131kl\u0131 olmas\u0131 gereklidir.<\/li>\n\n\n\n<li>AFAD g\u00f6n\u00fcll\u00fcleri yap\u0131lanmas\u0131nda sa\u011fl\u0131k personellerinin de bulunmas\u0131 ger\u00e7e\u011fi ile yeniden yap\u0131lanma sa\u011flanmal\u0131d\u0131r.<\/li>\n\n\n\n<li>T\u00fcm hastanelerin afet timleri olu\u015fturarak bireysel de\u011fil birbirini tan\u0131yan ekipler halinde g\u00f6n\u00fcll\u00fc olarak afet b\u00f6lgesinde konu\u015flanmas\u0131 etkin m\u00fcdahale ba\u015far\u0131s\u0131n\u0131 artt\u0131racakt\u0131r.<\/li>\n\n\n\n<li>Deprem ku\u015fa\u011f\u0131nda yer alan t\u00fcm b\u00f6lgelerin afet stok birimleri kurarak yar\u0131nlara haz\u0131rl\u0131kl\u0131 olmas\u0131 \u00f6nemlidir.<\/li>\n\n\n\n<li>Deprem sadece \u0130stanbul\u2019un de\u011fil deprem ku\u015fa\u011f\u0131ndaki t\u00fcm b\u00f6lgelerin sorunu oldu\u011fu ger\u00e7e\u011fi ile y\u00fczle\u015fmeliyiz.<\/li>\n<\/ol>\n\n\n\n<p>Y\u0131k\u0131ld\u0131k, \u00e7aresizli\u011fe kap\u0131ld\u0131k, mucizelere tan\u0131k olduk ancak ne olursa olsun yar\u0131nlara umutla bakabilmek ad\u0131na \u00f6ncelikle deprem ger\u00e7e\u011fi ile ya\u015famay\u0131 \u00f6\u011frenmeliyiz. Ac\u0131lar\u0131m\u0131z b\u00fcy\u00fck ancak \u015fimdi birlik ve beraberlikle yaralar\u0131m\u0131z\u0131 sarma zaman\u0131.&nbsp;<\/p>\n\n\n\n<p>Afetleri unutmay\u0131n, unutturmay\u0131n!<\/p>\n\n\n\n<p>Pelerinsiz t\u00fcm kahramanlara sayg\u0131 ve minnet ile afetsiz g\u00fcnlere\u2026<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-4 is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" data-id=\"3275\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/d0d1e1fa01d8d9e6c924c61f7e80f563.jpg\" alt=\"\" class=\"wp-image-3275\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/d0d1e1fa01d8d9e6c924c61f7e80f563.jpg 1024w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/d0d1e1fa01d8d9e6c924c61f7e80f563-300x225.jpg 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/d0d1e1fa01d8d9e6c924c61f7e80f563-768x576.jpg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/d0d1e1fa01d8d9e6c924c61f7e80f563-840x630.jpg 840w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" data-id=\"3278\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/f71e539d1de23890feb60df13ad52a5f.jpeg\" alt=\"\" class=\"wp-image-3278\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/f71e539d1de23890feb60df13ad52a5f.jpeg 1024w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/f71e539d1de23890feb60df13ad52a5f-300x225.jpeg 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/f71e539d1de23890feb60df13ad52a5f-768x576.jpeg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/f71e539d1de23890feb60df13ad52a5f-840x630.jpeg 840w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" data-id=\"3276\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/de21cbb5eed62cbc80708584b592bad7.jpg\" alt=\"\" class=\"wp-image-3276\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/de21cbb5eed62cbc80708584b592bad7.jpg 1024w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/de21cbb5eed62cbc80708584b592bad7-300x225.jpg 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/de21cbb5eed62cbc80708584b592bad7-768x576.jpg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/de21cbb5eed62cbc80708584b592bad7-840x630.jpg 840w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" data-id=\"3277\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/f4edecb394a5c069d95a988395a15d4c.jpg\" alt=\"\" class=\"wp-image-3277\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/f4edecb394a5c069d95a988395a15d4c.jpg 1024w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/f4edecb394a5c069d95a988395a15d4c-300x225.jpg 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/f4edecb394a5c069d95a988395a15d4c-768x576.jpg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/f4edecb394a5c069d95a988395a15d4c-840x630.jpg 840w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/figure>\n\n\n\n<div class=\"wp-block-group py-2 px-2 has-background\" style=\"background-color:#292929\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"828\" height=\"820\" data-id=\"3279\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/673160c3c9146b0319cc72d92cc9762a.jpeg\" alt=\"\" class=\"wp-image-3279\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/673160c3c9146b0319cc72d92cc9762a.jpeg 828w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/673160c3c9146b0319cc72d92cc9762a-300x297.jpeg 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/673160c3c9146b0319cc72d92cc9762a-150x150.jpeg 150w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/673160c3c9146b0319cc72d92cc9762a-768x761.jpeg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/673160c3c9146b0319cc72d92cc9762a-636x630.jpeg 636w\" sizes=\"(max-width: 828px) 100vw, 828px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"828\" height=\"823\" data-id=\"3280\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/214feb2a42d01410f2ea6fdaa15fc2a5.jpeg\" alt=\"\" class=\"wp-image-3280\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/214feb2a42d01410f2ea6fdaa15fc2a5.jpeg 828w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/214feb2a42d01410f2ea6fdaa15fc2a5-300x298.jpeg 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/214feb2a42d01410f2ea6fdaa15fc2a5-150x150.jpeg 150w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/214feb2a42d01410f2ea6fdaa15fc2a5-768x763.jpeg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/214feb2a42d01410f2ea6fdaa15fc2a5-634x630.jpeg 634w\" sizes=\"(max-width: 828px) 100vw, 828px\" \/><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-text-align-center has-white-color has-text-color has-background\" style=\"background-color:#292929\">\u00dclkemizde ya\u015fanan deprem facias\u0131 sonucu Hatay E\u011fitim ve Ara\u015ft\u0131rma Hastanesi Acil T\u0131p Klini\u011fi hekimlerinden <strong>Uzm. Dr. Leyla S\u00fcrmeli Eyvaz <\/strong>ve Ad\u0131yaman E\u011fitim ve Ara\u015ft\u0131rma Hastanesi Acil T\u0131p Klini\u011fi hekimlerinden <strong>Asistan Dr. Kader Atalay Y\u0131lmaz\u2019\u0131n<\/strong> vefat haberini b\u00fcy\u00fck bir \u00fcz\u00fcnt\u00fcyle \u00f6\u011frendik. Kederli ailesine ba\u015fsa\u011fl\u0131\u011f\u0131 ve sab\u0131r diliyoruz.\u00a0<br>Acil T\u0131p camiam\u0131z ve t\u00fcm sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n ba\u015f\u0131 sa\u011folsun.<\/p>\n<\/div><\/div>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"723\" height=\"1024\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/85aa10818d3a490ba54c5370644f2407-723x1024.png\" alt=\"\" class=\"wp-image-3282\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/85aa10818d3a490ba54c5370644f2407-723x1024.png 723w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/85aa10818d3a490ba54c5370644f2407-212x300.png 212w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/85aa10818d3a490ba54c5370644f2407-768x1087.png 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/85aa10818d3a490ba54c5370644f2407-1085x1536.png 1085w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/85aa10818d3a490ba54c5370644f2407-1447x2048.png 1447w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/85aa10818d3a490ba54c5370644f2407-445x630.png 445w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2023\/04\/85aa10818d3a490ba54c5370644f2407.png 1653w\" sizes=\"(max-width: 723px) 100vw, 723px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"rounded-3 px-2 py-1 has-text-color has-background has-small-font-size\" style=\"color:#666666;background-color:#f5f5f5\"><em>Bu yaz\u0131 Acil T\u0131p B\u00fclteni&#8217;nin \u015eubat 2023 tarihli<\/em> <em><a href=\"https:\/\/tatd.org.tr\/aciltipbulteni\/2023\/04\/07\/2023-subat-sayimiz-cikti-iyi-okumalar\/\" data-type=\"post\" data-id=\"3087\" target=\"_blank\" rel=\"noreferrer noopener\">13. say\u0131s\u0131nda<\/a><\/em> <em>yay\u0131mlanm\u0131\u015ft\u0131r.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>6 \u015eubat 2023 saat 04.17; 2 dakika kadar s\u00fcren di\u011fer depremlerden farkl\u0131 olarak y\u00fczeye yak\u0131n fay k\u0131r\u0131lmalar\u0131n\u0131n oldu\u011fu ve 7,6 ile 7,4&hellip;<\/p>\n","protected":false},"author":917,"featured_media":3283,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[10,14,10015],"tags":[35,10347],"class_list":["post-3267","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mercek","category-sizden-gelenler","category-sosyal-blog-yazisi","tag-acil-tip","tag-deprem"],"acf":[],"_links":{"self":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/posts\/3267","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\/917"}],"replies":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/comments?post=3267"}],"version-history":[{"count":0,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/posts\/3267\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/media\/3283"}],"wp:attachment":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/media?parent=3267"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/categories?post=3267"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/tags?post=3267"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}