Work organisation and protective measures at orthopedic clinic during pandemic and earthquake in Zagreb

Kriza može biti izazvana prirodnim ili tehnološkim čimbenicima. Krize koje su prerasle u katastrofu ukazuju na kasni ili loš odaziv društva. Od vitalne je važnosti poznavati očekivane krize/katastrofe karakteristične za određeno područje te se unaprijed pripremiti izradom specifičnih protokola postupanja. Većina katastrofa ne pojavljuje se samo jednom, već se ponavljaju, ponašaju se ciklički. Ciklus katastrofe uključuje pripremu, odgovor, oporavak i ublažavanje. Zdravstvena skrb u izvanrednim / kriznim situacijama počinje odmah po samom događaju. Dobra trijaža čini temelj pravilnog odgovora za nastalo stanje. Temelji se na stabilizaciji, oporavku i povratku na svakodnevnu zdravstvenu skrb. Prioritet je spašavanje što većeg broja života i što brži oporavak ozlijeđenih. Za vrijeme nepredviđenih izvanrednih situacija dolazi do oštećenja opreme, ponekad i ustanova, te je stoga bitno procijeniti raspoloživa sredstva. Ovisno o tipu katastrofe koja se dogodila razrađuje se i plan djelovanja. Republika Hrvatska se početkom 2020. godine zajedno sa ostatkom svijeta krenula boriti protiv pandemije koronavirusa, a glavni grad Zagreb u ožujku 2020. je pogodila još jedna katastrofa, razorni potres, koji je doveo do ozbiljne štete u gradskim bolnicama. Rezultat je bio dodatni pritisak na zdravstveni sustav te potreb za ponovnom reorganizacijom već postojećih postupaka i strategija ublažavanja i reagiranja na pandemiju. Uz pružanje zdravstvene skrbi bolesnicima, nakon potresa osobiti izazov je bilo i pridržavanje svih potrebnih epidemioloških mjera s obzirom na tijek epidemije koronavirusom.The crisis can be caused by natural or technological factors. Crises that have escalated into a catastrophe indicate a late or poor response from affected society. It is vital to know the expected crises / disasters specific to a particular area and to prepare in advance by developing specific action protocols. Most catastrophes do not occur only once, but repeated, behaving cyclically. The disaster cycle includes preparation, response, recovery, and mitigation. Emergency / crisis health care begins immediately after the event. Good triage forms the basis of the correct response to the resulting condition. It is based on stabilization, recovery and return to everyday health care. The priority is to save as many lives as possible and recover the injured as quickly as possible. During unforeseen emergencies, equipment, and sometimes institutions as well, are damaged, therefore is important to assess the available sources. Depending on the type of disaster that has occurred, an action plan should be developed. At the beginning of 2020, the Republic of Croatia, together with the rest of the world, started to fight against the coronavirus pandemic, and the capital Zagreb was hit by another disaster in March 2020, a devastating earthquake, which caused serious damage to city hospitals. The result was the additional pressure on the health system and the need to reorganize existing procedures and strategies to mitigate and respond to the pandemic. In addition to providing health care to patients, a particular challenge after the earthquake was to adhere to all necessary epidemiological measures given the course of the coronavirus epidemic