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Principles of EMS Systems

ABSTRACT Background The use of alcoholic substances in adults is often associated with a wide variety of negative consequences. The aim of this study was to assess the prevalence of alcoholic beverage consumption in a population with a history of methanol poisoning in the southeast of Iran. Methods A total of 876 individuals were interviewed using a cross-sectional survey between 2020 and 2021. We used two methods of asking direct questions (ADQ) and network scale-up (NSU) for estimating the prevalence of alcoholic beverage consumption. Results The mean age of the participants was 41.07 ± 14.52; 46% were female. Based on the method of ADQ, the prevalence of alcoholic beverage consumption was 22.2% (95% confidence interval (CI): 18.45–25.95%) and 4.4% (95% CI: 2.24–6.16%) among men and women, respectively. While these values for the NSU method were 26.53% (95% CI: 19.93–35.88%) and 8.31% (95% CI: 6.32–10.58%) among men and women, respectively. Conclusions Our results show that asking direct questions about illegal behavior can provide a lower estimate than indirect questioning approaches. Due to the high prevalence of alcoholic beverage consumption in men, this issue may increase the risk of unintentional poisoning by methanol in this area.

Prevalence of alcoholic beverage consumption among a population with a history of methanol poisoning in the southeast of Iran

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. Copyright © 2019 Wolters Kluwer Health, Inc. Unauthorized reproduction of the article is prohibited.

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

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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