Background: Major earthquakes impose sustained operational and psychological stress on clinicians. Clarifying how post‐disaster trauma relates to compassion fatigue, secondary traumatic stress, and burnout can guide service planning and support. Objectives: To describe post‐earthquake trauma levels among physicians and nurses and examine their associations with compassion fatigue, secondary traumatic stress, and occupational burnout following the 2023 Kahramanmaraş earthquakes. Methods: A cross‐sectional survey of frontline clinicians from multiple hospital units was conducted using validated instruments for trauma‐related symptoms, compassion fatigue, secondary traumatic stress, and occupational burnout. Descriptive statistics were used to summarize the sample. Group comparisons were used to evaluate differences by sex, profession, and exposure‐related factors (bereavement, displacement, difficulty contacting family, and basic‐needs problems). Bivariate correlations were used to characterize the associations among continuous scores. Two‐tailed tests were used with α = 0.05. Results: The clinicians reported a substantial psychosocial burden. Among female and nursing healthcare personnel, participants who had lost contact with a loved one, experienced nutritional problems, lost a loved one, or relocated due to home damage had higher mean post‐earthquake trauma scores ( p < 0.05). Furthermore, it was determined that those experiencing nutritional problems had higher levels of occupational burnout and those who had lost contact with a loved one had higher levels of secondary trauma ( p < 0.05). A moderately positive and significant correlation was found between the total mean score of the “Scale for Determining the Level of Post‐Earthquake Trauma (PETLDS)” and the mean scores of the “Compassion Fatigue‐Short Scale (CF‐SS),” “CF‐SS/sub‐dimension of Secondary Trauma Stress,” and “CF‐SS/sub‐dimension of Occupational Burnout” ( p < 0.001). Conclusions: After mass‐casualty events, clinicians may experience coupled elevations in trauma‐related distress, compassion fatigue, and burnout. Unit‐proximal supports—facilitated family contact, reliable access to basic needs, and low‐barrier psychosocial resources—may help maintain service capacity. Longitudinal adjusted analyses are warranted to refine risk stratification and inform targeted interventions.

Amaç: Bu araştırmada 112 acil sağlık hizmetleri çalışanlarına yönelik şiddet ve ilişkili faktörlerin incelenmesi amaçlanmıştır. Yöntem: Ocak-Nisan 2023 tarihleri arasında yürütülen bu çalışma kesitsel tiptedir. Bu çalışma 112 acil sağlık hizmetlerinde çalışan 275 kişi ile yapılmış olup, çalışmanın yapılması için gerekli kurum izni ve etik kurul onayı alınmıştır. Çalışmanın verileri hazırlanan anket formu ile Google Docs aracılığıyla online olarak toplanmıştır. Verilerin analizinde Ki-Kare testi kullanılmıştır. Değerlendirme yapılırken p

Background/Objective: Pediatric trauma frequently prompts computed tomography (CT) in emergency departments; however, the cumulative radiation burden and its distribution across initial clinical risk strata remain incompletely characterized. We aimed to describe CT utilization and cumulative effective dose in a tertiary care pediatric trauma cohort and examine how radiation exposure accrues across pragmatic presentation-based risk groups. Methods: We conducted a retrospective cohort audit of pediatric trauma presentations at our institution. Risk stratification was based on the triage category and readily available initial physiological parameters. CT utilization and radiation burden were assessed at the patient level using the cumulative effective dose (mSv) derived from scanner dose metrics and region-specific conversion coefficients. Secondary analyses examined the dose distribution according to ED disposition and consultation pathways. Sensitivity analyses were performed using green triage only as an “ultra-low-risk” definition. Results: Among the 935 children, 545 (58.3%) underwent at least one CT examination. Although higher-risk categories had higher CT use and higher per-patient dose, a substantial share of the cohort’s cumulative radiation burden accrued in children initially classified as low-risk and/or ultimately discharged. Combined-region CT protocols contributed disproportionately to the higher dose categories. The findings were consistent in sensitivity analyses using a stricter ultra-low-risk definition. Conclusions: In this single-center audit, CT utilization and cumulative radiation burden were high, and non-trivial radiation exposure accrued among children initially classified as low-risk. These findings support targeted radiation stewardship interventions, including pathway optimization and the implementation of validated decision tools, where feasible, particularly for discharge-eligible and low-risk presentations.

Professional self-competence and self-efficacy of paramedics who first interfere to emergency events are important. An important ratio of deaths in emergency intervention are due to emergencies that require cardiopulmonary resuscitation (CPR), and also emergency labor is frequently seen in rural areas. In this research, CPR and labor simulation training’s effect on professional self-competence and relevance of self-efficacy in paramedic students has been investigated. The pre-test and post-test experimental research was carried out with 68 pregraduate paramedic students. Following the pre-questionnaire, all students were given simulation training about CPR and labor, and students were evaluated two times with a weak interval by making one-to-one simulation applications. Afterwards a post-questionnaire was applied, Sherer’s General Self-Efficacy Scale (SGSES) was used to determine self-efficacy levels. Professional self-competence perception level and evaluation scores of the students increased significantly in pre and post-questionnaire comparison. The statistically significant difference between professional self-competence perception and graduated high-school in pre-questionnaire was not obtained in post-questionnaire. While SGSES scores were higher in the students who felt more professional self-competence, SGSES scores and professional self-competence scores did not statistically differ among pre and post-questionnaires. Simulation trainings in the education process of paramedic students has significant impact on professional self-competence.

The impact of the Covid-19 pandemic on healthcare workers is increasing day by day. It should not be forgotten that health professionals working in risky groups will be psychologically affected much more. The aim of this cross-sectional study is determine the relationship between covid-19 phobia and secondary traumatic stress level in 112 emergency service personnel via a structural equation model(n=416).A 1-unit change that was occur in the total score of the trauma scale causes an increase of 0.68 units in the phobia scale total score (β=0.68;p