عابد خانی زاده

Since health in disasters and emergencies (HDE) graduates have an important role in meeting the needs of people in disaster-affected areas, it is necessary to design an accountable education. This study aimed to determine the viewpoints of students and graduates of HDE discipline regarding accountable education.

This study was carried out in 2024 using a qualitative method with Graneheim and Lundman's approach. The participants were 16 graduates and students of HDE from universities of medical sciences, hospitals, and the Red Crescent Society across Iran. Data were collected through semi-structured interviews and analyzed by content analysis.

Three themes, eight categories, and 52 sub-categories were emerged. The challenges included weakness in organizing graduates and students in real events, weakness in acquiring practical skills, and a lack of consistency between theoretical education and the needs of society. The strengths included the presence of experienced university professors and the presentation of multidimensional education. The suggested solutions included capacity building, providing suitable theoretical content, and accountable education based on society's needs.

Accountable education in the field of HDE to meet the needs of society requires the promotion and fundamental changes in the educational curriculum in this field, academic policies, and inclusion of accountable education in the evaluations of universities.

Numerous studies have shown that the extent of brain injury depends on the duration of blood loss. Every minute a stroke remains untreated,the patient loses about 1.9 million brain cells. It is therefore important to reduce the delays associated with the identification,transmission,diagnosis of acute stroke patients. Appropriate care for stroke patients by emergency medical services staff can be of great help in identifying,evaluating,and timely transferring patients. Therefore,the purpose of this study was to evaluate the pre-hospital time intervals of emergency services for stroke patients in Arak city in 2017 in terms of location,time variables (weekdays,hours of days,nights).Materials,

In this descriptive cross-sectional study,data on time intervals for stroke patients arrived at Arak Medical Emergency Center in 2017,and their gender,age variables were analyzed by software SPSS version 21.

In this study,56% of patients were male,43% were female. Most patients were over 76 years of age. The mean intervals of activation,response,on-scene,transmission,recovery,total in terms of minutes,seconds were 2:51,9:12,18:11,18:00,13:58,15:56,and 49:17,respectively. The shortest response times for in-the city missions were on Fridays,out-of-the city missions on Thursdays,and the shortest response times for in-the city,out-of-the city missions were,at 6:00-11:59 am,and 12:00 -17:59 pm respectively.

The results of this study showed that emergency medical personnel both inter,intra city missions had the highest time loss for the on-scene time interval,and also overall pre-hospital time intervals in out of the city missions had exceeded the national standards.