4. dr Ali Haedar - Tantangan Tim Kesehatan Dalam Penanggulangan Bencanadi Indonesia (Ali Haedar)
Tant angan Ti m Ke s e hat an
Dal am Pe nanggul angan Be nc ana
di I ndone s i a
ALI HAEDAR
Workshop ITC-DRR 2017, Banda Aceh
Our Concerns in Health Cluster
IDP’s
Disaster
Mass victims
•injuries
•handycap
•deaths
•injuries
•deaths
•malnutrition
•SAB & environment. (-)
•Paralized health services
•etc
Ifrastructures
damage
•building (hospital/PHC) damaged
•Health equipment,Transport, communication
equipment damage/missing
•Drugs supplies damage/missing, etc
4
The key principle
of disaster medical
care…
…is to do the greatest good for the
greatest number of patients, while
the objective of conventional
medical care is to do the greatest
good for the individual patient.
Re f l e ks i . . .
Ke y Pr obl e ms ( t o be s ol ve d by
e f f e c t i ve c ommuni c at i on)
1.Coordination
2. Equipment & Tools
3. System
4.Facilities
Haedar, Ali; Maharani, Tri; Ratnawati, Retty. Simple Care & Safe Concept for Disaster Action Team - Lessons Learnt from Several
Natural Disasters in Indonesia. Prehosp Disaster Med 2013; 28: 11. Doi: 10.1017/S1049023X13000253. ISSN: 1049-023X.
1. Coordination
Emergency Medical Team (EMT) Team, part of :
1.
Incident Command Syst em
2.
Healt h Clust er
Integrated Organizational Structure;
Incident Command System
ICS is a standardized on-scene incident management concept designed specifically to allow responders to adopt
an integrated organizational structure equal to the complexity and demands of any single incident or multiple
incidents without being hindered by jurisdictional boundaries
MINIMUM STANDARD FOR
EMERGENCY MEDICAL TEAM (EMT)
Classification and Standard EMT
(Type 1)
Classification and Standard EMT
(Type 2)
Classification and Standard EMT
(Type 3)
Classification and Standard EMT
(*)
2. Prepare Equipment & Tools
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
TED Ambulance
Emergency Drugs
Portable Pulse Oxymeter
Triage Tag (P1-P2-P2, different colors)
Pts Observation Charts
Non-Rebreathing Masks (adults & Paeds)
Nasal Canules (adults & Paeds)
Nebulizer Masks (adults & Paeds)
Portable Ventilator
Airway Management Set
Oxygen Regulator
Name tag with logo for team personnel
TED Vest
Sterile Gel
Laboratory Labels
Sticky Labels
Disposal Bags (Yellow)
Trays for paperworks flow
•
•
•
•
•
•
•
•
•
•
Rapid Health Assessment
Sign Boards
Triage Tag
Medical Record
Registration Form
Observation Chart
Nursing Progress Note
Emergency Drug List
Non-emergency Drug List
Informed Consent
Personal Equipment
All DAT disaster workers must
wear attire that is professional &
appropriate
DAT identification
Disaster action team bag
equipped with forms, pens, etc.
A flashlight
Optional Personal Items:
Hiking or heavy duty shoes,
rubber boots
Rain gear and other weatherappropriate clothing
Attire for DAT
The Importance of Medical Record
Number of pts in all health facilities
aftermath flash flood disaster
Number of pts in FKUB field hospital
aftermath flash flood disaster day 7-14
Top 10 disease in health facilities in
Indonesia
Haedar, Ali; Maharani, Tri; Donna, Bella; Andarini, Sri.
Prevalence Study of Health Problems in the Field Hospital Post
Flash-flood Disaster at Wasior, West Papua - Indonesia.
Prehosp Disaster Med 2013; 28: s132. Doi:
10.1017/S1049023X13007000. ISSN: 1049-023X.c
No significant difference of infectious
disease pattern!
Rank Post-Flash flood
1
Upper respiratory
infection
2
Skin infection
3
Malaria
4
Gastroenteritis
National Statistic
Upper respiratory
infection
Skin infection
Gastroenteritis
Malaria
Haedar, Ali; Maharani, Tri; Donna, Bella; Andarini, Sri. Prevalence Study of Health Problems in the Field Hospital Post Flash-flood Disaster at
Wasior, West Papua - Indonesia. Prehosp Disaster Med 2013; 28: s132. Doi: 10.1017/S1049023X13007000. ISSN: 1049-023X.c
3. Plan the System
Handling of Mass Victims:
• Immediate medical treatment for large numbers of
injured victims is needed after the disasters.
• The greatest need for first aid and emergency services
appeared in the first few hours.
• Many people are not helped because absent of the local
resources, including transportation are not mobilized
immediately.
• Therefore, local resources are crucial in the handling of
victims in the emergency phase.
S.T.A.R.T.
(Simple Triage And Rapid Treatment)
RESPIRATIONS
Minor
NO
ALL WALKING
WOUNDED
YES
POSITION AIRWAY
10/Min.
NO
Morgue
>30/Min. or
Dal am Pe nanggul angan Be nc ana
di I ndone s i a
ALI HAEDAR
Workshop ITC-DRR 2017, Banda Aceh
Our Concerns in Health Cluster
IDP’s
Disaster
Mass victims
•injuries
•handycap
•deaths
•injuries
•deaths
•malnutrition
•SAB & environment. (-)
•Paralized health services
•etc
Ifrastructures
damage
•building (hospital/PHC) damaged
•Health equipment,Transport, communication
equipment damage/missing
•Drugs supplies damage/missing, etc
4
The key principle
of disaster medical
care…
…is to do the greatest good for the
greatest number of patients, while
the objective of conventional
medical care is to do the greatest
good for the individual patient.
Re f l e ks i . . .
Ke y Pr obl e ms ( t o be s ol ve d by
e f f e c t i ve c ommuni c at i on)
1.Coordination
2. Equipment & Tools
3. System
4.Facilities
Haedar, Ali; Maharani, Tri; Ratnawati, Retty. Simple Care & Safe Concept for Disaster Action Team - Lessons Learnt from Several
Natural Disasters in Indonesia. Prehosp Disaster Med 2013; 28: 11. Doi: 10.1017/S1049023X13000253. ISSN: 1049-023X.
1. Coordination
Emergency Medical Team (EMT) Team, part of :
1.
Incident Command Syst em
2.
Healt h Clust er
Integrated Organizational Structure;
Incident Command System
ICS is a standardized on-scene incident management concept designed specifically to allow responders to adopt
an integrated organizational structure equal to the complexity and demands of any single incident or multiple
incidents without being hindered by jurisdictional boundaries
MINIMUM STANDARD FOR
EMERGENCY MEDICAL TEAM (EMT)
Classification and Standard EMT
(Type 1)
Classification and Standard EMT
(Type 2)
Classification and Standard EMT
(Type 3)
Classification and Standard EMT
(*)
2. Prepare Equipment & Tools
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
TED Ambulance
Emergency Drugs
Portable Pulse Oxymeter
Triage Tag (P1-P2-P2, different colors)
Pts Observation Charts
Non-Rebreathing Masks (adults & Paeds)
Nasal Canules (adults & Paeds)
Nebulizer Masks (adults & Paeds)
Portable Ventilator
Airway Management Set
Oxygen Regulator
Name tag with logo for team personnel
TED Vest
Sterile Gel
Laboratory Labels
Sticky Labels
Disposal Bags (Yellow)
Trays for paperworks flow
•
•
•
•
•
•
•
•
•
•
Rapid Health Assessment
Sign Boards
Triage Tag
Medical Record
Registration Form
Observation Chart
Nursing Progress Note
Emergency Drug List
Non-emergency Drug List
Informed Consent
Personal Equipment
All DAT disaster workers must
wear attire that is professional &
appropriate
DAT identification
Disaster action team bag
equipped with forms, pens, etc.
A flashlight
Optional Personal Items:
Hiking or heavy duty shoes,
rubber boots
Rain gear and other weatherappropriate clothing
Attire for DAT
The Importance of Medical Record
Number of pts in all health facilities
aftermath flash flood disaster
Number of pts in FKUB field hospital
aftermath flash flood disaster day 7-14
Top 10 disease in health facilities in
Indonesia
Haedar, Ali; Maharani, Tri; Donna, Bella; Andarini, Sri.
Prevalence Study of Health Problems in the Field Hospital Post
Flash-flood Disaster at Wasior, West Papua - Indonesia.
Prehosp Disaster Med 2013; 28: s132. Doi:
10.1017/S1049023X13007000. ISSN: 1049-023X.c
No significant difference of infectious
disease pattern!
Rank Post-Flash flood
1
Upper respiratory
infection
2
Skin infection
3
Malaria
4
Gastroenteritis
National Statistic
Upper respiratory
infection
Skin infection
Gastroenteritis
Malaria
Haedar, Ali; Maharani, Tri; Donna, Bella; Andarini, Sri. Prevalence Study of Health Problems in the Field Hospital Post Flash-flood Disaster at
Wasior, West Papua - Indonesia. Prehosp Disaster Med 2013; 28: s132. Doi: 10.1017/S1049023X13007000. ISSN: 1049-023X.c
3. Plan the System
Handling of Mass Victims:
• Immediate medical treatment for large numbers of
injured victims is needed after the disasters.
• The greatest need for first aid and emergency services
appeared in the first few hours.
• Many people are not helped because absent of the local
resources, including transportation are not mobilized
immediately.
• Therefore, local resources are crucial in the handling of
victims in the emergency phase.
S.T.A.R.T.
(Simple Triage And Rapid Treatment)
RESPIRATIONS
Minor
NO
ALL WALKING
WOUNDED
YES
POSITION AIRWAY
10/Min.
NO
Morgue
>30/Min. or