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Identifying the Challenges of Prehospital and Hospital Emergency Services During the Management of Alcohol Poisoning Disaster in the City of Rafsanjan

Mortazavi, Seyed Mohsen MD, MPH*; Nekoei-Moghadam, Mahmoud PhD; Amiresmaili, Mohammadreza PhD; Jafari, Hamid PhD§; Bardsiri, Hosein MD; Heidari, Mohammad PhD

Addictive Disorders & Their Treatment: September 2019 - Volume 18 - Issue 3 - p 149–156
doi: 10.1097/ADT.0000000000000159
Original Articles

Objective: Methanol poisoning can lead to the loss of vision and even death. The role of the health care system in managing and responding to these types of incidents is significant. This study aimed to identify and discuss the challenges of prehospital and hospital emergency services responding to the widespread methanol poisoning in the city of Rafsanjan.

Methods: This qualitative study was carried out using content analysis approach. Data were collected using semistructured interviews. Participants included the matrons of health centers, head of accident and medical emergency center, director of the emergency operation center, ward manager and nursing staffs, and the representative of university’s board of directors. After 15 interviews, data saturation was reached.

Results: The findings of this study are based on 4 stages of disaster management cycle, which include: (1) mitigation in disaster with 2 subscales, (2) preparedness with 2 subscales, (3) response to disaster with 4 subscales, and (4) rehabilitation with 3 subscales.

Conclusions: Interinstitutional coordination should be promoted through joint meetings, and also training classes on disaster management and its implementation should be held. Moreover, up-to-date clinical protocols must be accessible to personnel, and facilities and resources needed in the disaster should be provided.

*Nursing Emergency Medical Sciences Department, Rafsanjan University of Medical Sciences

Research Center for Health Services Management, Institute for Futures Studies in Health

Department of Health Services Management, School of Health Management and Information, Kerman University of Medical Sciences

Rafsanjan University of Medical Sciences EOC (Emergency Operating Center), Kerman

§Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran

Department of Medical and Surgical, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran

The authors declare no conflict of interest.

Reprints: Mahmoud Nekoei-Moghadam, PhD, Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran (e-mail:

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