kontroversi dlm penanggulangan gadar pra rs · 2016. 12. 1. · the right ambulance at the right...
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KONTROVERSI DLM PENANGGULANGAN GADAR PRA RS
Aryono D.Pusponegoro Yayasan AGD 118
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Emergency Telph NO: ??? 911, 999, 000, 112
911 E 911 On Site Control & Off Site Control
119 ??? – Mc D, KFC ??? 110, 113, 118
110, 112, 113, 118 / 119 112 ???
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Pusat Komunikasi (Alarm Center) &
Public Safety Center (PFC) Setiap Kota hrs punya Pusat Komunikasi dlm 1 Ruangan (Meja Polisi, DamKar, Ambulans) Setiap Titik Strategis di Kota ada Public Safety Center (PFC) SAFE COMMUNITY (What Ever Happens To You & Where Ever You Are You Are Save)
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50% Pasien GADAR meninggal pd Fasa Pra RS Di Indonesia Pasien GADAR tiba
di UGD/RS - > 2-3 jam / lebih Di USA, Inggris, UNI Eropa,
Australia, Jepang Undang-undangnya : Ambulans GADAR hrs tiba di TKP dlm 4-6 menit & 10’ di UGD/RS
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ORDER KFC, PIZZA HUT, MC DONALD
GO JEK ???
10' - 15' (Cook First)
AMBULANCE ???
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YAYASAN AMBULANS GAWAT DARURAT 118 The Right Patient To The Right Hospital By
The Right Ambulance At The Right Time
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Konsep AGD 118 “125” 1 Spd Motor, 2 Helm, 5 Penumpang
1. Sepeda Motor = Kendaraan Keluarga (Anak Pertama, Anak kedua, Bapak, Anak ketiga, Ibu 5 Pasien
2. Rendah Dpt msk Portal (Infus Free Flow / Straps ),
3. Kecil Msk Jln Kampung 4. Banjir +/- 60 Cm 5. Dpt di Dekontaminasi & Disinfeksi 6. Ergonomik 7. Murah (+/- Rp 300 Juta) termasuk alat2 - Airway, Breathing,
Circulation, Disability & Hypothermy Tanpa AED
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Operasional November 2015
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Operasional : Februari 2016
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SPGDT ??? 1. Dicanangkan oleh : Instruktur2 ATLS di SBY th 1997 2. Dr Suyudi Jogyakarta RS Muhamadiyah, RS Sardjito, RS Bethesda, RS Panti Rapih, RS2 Lain Prof Idrus & dr Mardjo SpB - Makassar Prof Karyadi SBY - GERBANGKERTOSUSILO Bom BalI SAFE COMMUNITY - Bom Bali II Setelah DIREKTUR2 RS SWASTA GANTI TIDAK BERFUNGSI LAGI 3. SPGDT S ? SPGDT B ? Ilmu, Skill, Teknik, Alat2 nya SAMA Bedanya ESKALASI 4. SPGDT ??? SPGD / EMS
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• Boston Marathon Bombing 2013 : 260 Cedera 6 • Paris Terrorist Attack 2015 : 479 Cedera 3 • Brussels Bombing 2016 : 316 Cedera 35 (3 Teroris) • Truk Terrorist Attact 2016 : 202 Cedera 0
KENAPA BISA ??? 1. Pusat Komunikasi Polisi, DamKar, Ambulans dalam 1 Tempat 2. Titik-titk strategis – Publik Safety Center – PFC (Polisi, DamKar, Ambulans) PFC (Polisi, DamKar, Ambulans) & RS DISASTER PLAN BERSAMA & LATIHAN BERSAMA
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TRIAGE : 1. A, B, C, D & E True Emergency False Emergency 2. Negara Tropik A, B, C, D & E (Hipotermi / Hipertermi ???) True Emergency False Emergency INFEKSI
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RESPONSE TIME &
TIME TO TREATMENT (TTT)
1. Negara Maju - Undang2nya 4-6 Menit 2. Indonesia (Infrastruktur berbeda) 10 - 15 Menit 3. Perkotaan Macet (Jakarta) AGD 118 Sepeda Motor (Februari 2016) 4. TTT - < 30’ Perdarahan Massif > 30’ Perdarahan sdh Berhenti ???
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TRIAGE Sehari-hari 1. Immediate (USA) P1 (UK) U1 (Perancis) T1 (NATO) 2. Urgent (USA) P2 (UK) U2 (Perancis) T2 (NATO) 3. Delayed (USA) P3 (UK) U3 (Perancis) T3 (NATO) 4. Dead (USA) P4 (UK) U4 (Perancis T4 (NATO) INDONESIA ??? 1. SEGERA, 2. SECEPATNYA, 3. DPT DI TUNDA, 4. MATI
17
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Medical Resourches
2016 Jakarta : 400 Public health
Center. 45 Ambulance. 591 GP Public
Health Center. 150 Hospitals. 550 UGD / 12 jt Penduduk 2016 40 AGD AGD Sepeda Motor
2005 Denpasar : 18 Hospitals 18 ER. 18 118 EAS Basic
Hospital based. 2016 MANADO : 12 RS 15 PusKesMas 27 UGD / 500 ribu Penduduk
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Compared to : New York. London, Paris, Sydney,
Tokyo We are Not Bad
But
1. We are not Well Organized
2. We are not Well Trained
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Terima Kasih