DAY TO DAY EMERGENCIES

SISTEM EMERGENCY
TERPADU
STRATEGY & PLANNING DI INDONESIA

GLOBAL INDONESIA
DEVELOPMENT

BENCANA & KORBAN

MASAL

Penanggulangan Bencana &

Korban Masal :

1. RAPID RESPONSE
2. RAPID ASSESSMENT
HEALTH Assessment
NEEDS Assessment

RAPID RESPONSE
RESILIENCE (Uttstein Template):

1. Absorbing Capacity Bangunan RS

mampu menahan HAZARD Tahan Gempa, Banjir,
API dll (HOPE)

2. Buffering Capacity DISASTER PLAN

3.

(RS, KOTA, Kabupaten, Propinsi)

(HOPE)
RESPONSE Grand Design DEPKES
(SAFE COMMUNITY, SPGDT)
AGD 118 / AGDT 118 / BLUD 118
UGD - RS

Disaster Medicine
The New Science

Bencana / Disaster
suatu kejadian yg menyebabkan /
menimbulkan kesusahan,
kerugian & penderitaan.

PETA RAWAN BENCANA DI INDONESIA

Risiko / HAZARD (Ancaman)

Rumah Sakit (RS) di Indonesia :
1.
2.
3.
4.
5.
6.
7.
8.

Gempa & Tsunami.

Gunung Berapi The Ring of Fire.
Banjir & Badai.
Longsor.
Kebakaran.
Huru Hara (Demo, Etnik, Agama, Politik
Teror & Perang HAZMAT / NUBIKA
Penyakit Menular & Epidemi (DBD, Flu
Burung).

HAZARD

Modification

RISK

PREVENTION

EVENT

Vulnerability
(provided by
nature +
augmented by
man)

IMPACT

DAMAGE

(The destruction and

Injuries resulting from
The event

Absorbing Capacity
Buffering
Capacity
Response

DISASTER

Resilience

Korban Kecelakaan Lalu Lintas (KLL)

di Jakarta 1999 Sept 2004
(The Silent Disaster )
Tahun

KLL

Cedera
Ringan

Cedera
Berat

Kematian
Polda
Metro
Jaya

DATA Kmr
Mayat
RSUPNC
M

1999

1003

340

599

403

1238

2000

871

306

634

324

1360

2001

674

260

408

261

1330

2002

689

180

496

262

1358

2003

1300

601

615

503

1492

s/d Sept
2004

107

JML

4644

1687

2752

1753

6778

Kematian krn Infark & Stroke

di Jakarta 1993 Okt 2004
(The Silent Disaster )
Year

Cardiac

Stroke

1993

2961

1027

1994

3255

1138

1995

1475

1151

1996

1003

1400

1997

1419

1133

1998

1455

1108

1999

1114

888

s/d Sept 2004

524

619

JML

13206

8555

BENCANA & KORBAN MASAL :

It is impossible to manage Disasters &

Mass Casualties properly if Our Day to
Day Emergency Care is Bad !!!

The Day to day Emergency Care in

Indonesia is Not Up To Standard !!!

Incident Command System (ICS)

MANAGEMENT SUPPORT
INCIDENT COMMANDER
1. a/. OPERASIONAL,
c/. KEUANGAN,

b/. LOGISTIK,
d/. PLANNING

2. Data Collection, Analysis, Decision,

Evluation
No: of Patient, Disease Infectious
Refugees / Displaced Persons
Logistics (Medical & Non Medical)
Personel
Local & International Medical Teams Coordination
COMPLAINS !!!

Medical Resourches
& Geo Mapping
2002 Jakarta :
331 Public health
Center.
45 Ambulance.
591 GP Public
Health Center.
109 Hospitals.
2005
40 118 EAS&
10 118 Motorcycles

2005 Denpasar :
18 Hospitals
18 ER.
18 118 EAS Basic
Hospital based.
2005 Banda Aceh :
8 Hospital / 500.000
1 Hosp. Destroyed
Sigli, Bireun,
Lhoksmawe.

Post Graduate Courses in

Emergency Care
&
Medical Resourches

SPGDT & Safe Community

(MFR, CSSR)

(BLS)
Layman

Police
Fire Brigade
Security
Guard
Civil Defense
Scouts
Red Cross

(Paramedic ,
CSSR)
118
Emergency
Ambulance
Service

Access/
CRISIS CENTER
Emergency
Telephone Number

DISASTER

HOPE
Emergency Nurse
(BTLS, BCLS, BNLS, BPLS)
Emergency Physician
(ATLS, ACLS, ANLS, APLS)
Surgeon / Trauma Surgeon
(ATLS, BSS, DSTC, Peri OP
CC)
DISASTER MANAGEMENT

E.D.

I.C.U

Rehabilitation
Public
Health
Center

110,113,118

Pre-Hospital Phase

Ward

Hospital Phase

KESIMPULAN :
I.

Tidak mungkin dpt menanggulangi

bencana / korban masal dng baik bila

GADAR sehari hari buruk.

II.

Sarana kesehatan (Puskesmas, RS,

Ambulans)

memadai

jumlahnya

tetapi tdk terorganisasi & tdk terlatih.