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Table 2 An overview of themes, subthemes and codes extracted from the data analysis

From: First responders’ experiences with major earthquakes in Türkiye: a qualitative study of innovation needs and challenges

Themes

Subthemes

Codes

Theme 1: Resources

Communication network (infra structural level)

- Limited radio communication

- WhatsApp communication

- Drone signal loss due to jammer usage

- Lack of communication between teams at disaster sites

Protective equipment

- Firefighter suits, masks, gloves, and googles

- Firefighter gear preference

- Boot soles melting due to extreme conditions

- Goggles becoming unusable due to dust

- Need for stronger helmets

- Need for disposable suits

Theme 2: Needs

Search and rescue

- Damage assessment using drones

- Identifying survivors using thermal cameras

- Structural collapse risk

- Noise interference in detection

- Lack of devices to precisely locate people under rubble

Emergency response

- Shortage of field hospitals

- Inadequate emergency facilities

- No system for patient registration

- Insufficient number of ambulances

- Shortage of medical supplies and equipment

Theme 3: Collaboration

Communication

- WhatsApp-based coordination

- Multi-agency coordination

- Unclear authority distribution in the field

- Mismatch in rescue techniques among different teams

- Lack of a structured task assignment system

- Dividing into separate teams to improve efficiency

- Delays due to leadership changes before the disaster

Information sharing

- AFAD-UMKE (teams) contact information sharing

- Lack of information sharing within the FR teams

- Absence of records on building occupants

- Need for a centralized communication hub

- Need for interoperability

Theme 4: Innovation

Technological advancements

- False positive thermal detection

- No GPS tracking devices for FR rescuers

- Need for durable drone lenses

- Need for wearable safety gear

Situational awareness

- Absence of gas leak detection devices

- Lack of night vision in drones

- Devices needed to differentiate between living and deceased victims

Theme 5: Disaster management

Logistics

- Need for a coordination hub

- Need for regional logistics hub

- Road blockages hindering rescue and transport

- Transportation difficulties

Coordination

- Lack of task allocation

- Inefficiency in managing teams arriving from different cities

- Lack of pre-disaster building data

Theme 6: Challenges

Occupational health and safety

- Sharp metal debris causing injuries

- Gas leaks in work areas

- Dust and debris leading to eye infections

- Encountering death threats

Psychological and Emotional Stress

- Emotional impact of children casualties and death bodies

- Feeling guilty about not being able to save earthquake victims

- Witnessing sadness of people searching for relatives

- Psychological pressure from continuous exposure to death and casualties

- Heavy emotional burden on rescue teams

Physical needs

- Cold weather and rain affecting rescue operations

- Shortages of food and water

- Exhaustion from long working hours

- Inadequate protective and durable clothing