Afet ve Enkaz Altı Koşullarında Beslenme: Metabolik Yanıt ve Hayatta Kalma Odaklı Kaynak Yönetimi Modeli
Synopsis
Survival under disaster and entrapment conditions depends not only on trauma severity but also on the organism’s capacity to manage metabolic reserves, fluid balance, and limited resources. This chapter proposes a survival-oriented metabolic resource management model by integrating the physiological responses to starvation, dehydration, trauma, immobilization, and psychological stress in disaster settings. It emphasizes that lipolysis, ketogenesis, and protein catabolism following glycogen depletion differ from classical starvation physiology when trauma and stress coexist. Because dehydration may cause clinical deterioration more rapidly than energy deficit, fluid and electrolyte balance is considered the primary priority in disaster nutrition management. The chapter further discusses energy-density-based food selection, rationing strategies, and behavioral processes such as panic consumption in relation to their metabolic consequences. Extreme survival cases—including the Andes crash, Copiapó miners, and Thai cave incident—are analyzed to illustrate physiological, cognitive, and social adaptations under severe resource limitation. Overall, disaster nutrition is framed not merely as caloric provision but as a multidisciplinary survival system requiring integration of metabolic adaptation, behavioral decision-making, and resource management.
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