AMBULANCE

SERVICES
Dr. SOETOMO
GENERAL
HOSPITAL
SURABAYA
ORDER
ORAL EMERGENCY

1404x 1402x 50060x

10-15
(COOK FIRST)

OUR EMERGENCY AMBULANCE ???


DRY
RUN
EMERGENCY vs INTERHOSPITAL
TRANSPORT
EMERGENCY vs INTERHOSPITAL
TRANSPORT
THE SIXED-BARS AMBULANCE
CALL

6 2 5 3
 TRAVEL TO
THE SCENE
4
ACTIONS AT
THE SCENE

TRAVEL TO
THE
HOSPITAL
PREDISPATCH
ACTIONS AT
DISPATCH
HOSPITAL
THE SIXED-BARS AMBULANCE CALL

1
A 2 B
4
C

6
D
E
TELPON

AMB.

AMB.

AMB.
AMB.

TIBA DI

MENINGGAL-
TIBA DI RS

MASUK
BRGKAT
TKP

KAN TKP
TUJUAN
3
F WAKTU
AKTIVASI
G WAKTU
MENUJU TKP

5
H

TINDAKAN
DI TKP
PERJALANAN
I
KE RS
WAKTU TANGGAP
WAKTU TINDAKAN
THE SIXED-BARS AMBULANCE
CALL

PREDISPATCH (PERSIAPAN
PEMBERANGKATAN)

DISPATCH (PEMBERANGKATAN)
TRAVEL TO THE SCENE (MENUJU LOKASI
EMERGENSI)

ACTIONS AT THE SCENE (DI LOKASI

EMERGENSI)

TRAVEL TO THE HOSPITAL (MENUJU RUMAH

SAKIT RUJUKAN)

ACTIONS AT HOSPITAL (DI RUMAH SAKIT

RUJUKAN)
CHARACTERISTICS OF EMERGENCY
AMBULANCE
SERVICE 118
IN Dr.SOETOMO GENERAL HOSPITAL

Hospital based

A sub-system of the pre hospital care service, intra

hospital and inter hospital services.
A component of an integrated emergency medical
service system (SPGDT)

A medical-equiped ambulance car A-B-C-D-E

Well skilled team member

ORGANIZATION CHART OF EMERGENCY
DEPT.

OF DR. SOETOMO GENERAL HOSPITAL

COVERAGE

NO

ITEM OF SERVICES

YEAR

AMOUNT
1998

1999

2000

2001

2002

2003

2004
1
NUMBER OF TRAVELLING

18

269

396

630

1056

955

520

3844
2
DRY RUN

19

18

24
19

10

98

3
EMERGENCY CALL

18

172

270

321

283

166

61

1291
4
LIFE SUPPORT TRANSPORT

97

126

309

773

787

459

2551
5
TRAUMA PATIENTS

114

115

181

412

284
165

1279

6
NON TRAUMA PATIENTS

10
155

281

449

644

669

356

2564
7
DEATH AT SCENE/HOME

15

11

12

52
8
BROUGHT IN DEAD

0
9
H. RESPONSE TIME *)

7.1

4.5

6.2
6.2

5.1

4.35

4.85
10
TRAVELLING TIME *)

22.4

18.7

14.9

13.8

11.9

14.69

19

16.48
11
RANGE (km)

137

4090

8204

30138

102741

142581

31621

287891
PROFILES

Well trained human Resources

11 Ambulance cars

On-board medical communication

Fully equiped with medical devices

Patients medical sheet records

Human Resources

Team member who is basic/advanced well trained

They are:

Nurses taken from emergency unit

Radiocomunication operator

Basic Life Support Trained - Drivers

General physicians (Disaster Brigades)

AMBULANCE CREW MEMBER
EACH WORKING SHIFT

6 NURSES (MALE)

2 DRIVERS (SENIOR HIGH SCHOOL

GRADUATED)
2 RADIOCOMUNICATION OPERATORS
(SENIOR HIGH SCHOOL GRADUATED)

SPECIAL AMBULANCE CREW

UNIFORM
THE VEHICLES
8 AMBULANCE CAR

2 TRANSPORT AMBULANCE CAR

1 MOTOR CYCLE AMBULANCE

COMMUNICATION

AMBULANCE CAR EQUIPED WITH ON-BOARD

RADIOCOMUNICATION.

CALL ACCES TO COMMAND CONTROL MEDICAL

CENTER FOR REQUESTING AMBULANCE AND
MEDICAL ADVICES 5501233-5501244, 08113440118
EACH TEAM MEMBER USING THEIR CELLULAR
PHONE FOR EXTENDED COMUNICATION.

NURSE IN CHARGE CALL NUMBER: 08113440118

DUE TO THE AVAILABILITY OF COMMAND CONTROL
CENTER, THE NETWORK ARE WELL IMPROVED WITH
NEARBY HOSPITAL
MEDICAL EQUIPMENTS

SUPPORTING BASIC AND ADVANCED LIFE SUPPORT

CARE.

MED EQUIPMENT ARE SUPOSSED TO BE MINISTRY

OF HEALTH STANDARD.
MED EQUIPMENT:

AIRWAY SUPPORT

BREATHING SUPP.

CIRCULATION SUPP.

DISABILITY SUPP.

EXPOSURE SUPP.
PATIENTS MEDICAL
REPORT SHEET

COMPLETE
PATIENTS DATA

PATIENTS
CONDITION
MONITORING

AMBULANCE
EVALUATION DATA

MEDICOLEGAL
CREW MEMBER ETHICS

PROCEDURE AT SCENE OF ACCIDENT

PROCEDURE OF EMERGENCY CALL

PROCEDURE OF TRANSPORT

PROCEDURE OF AMBULANCE STAND BY

STANDARDS of SERVICE
EVALUATION GUIDELINES

NUMBER OF PATIENTS, MONTHLY

ABLE TO DO RESUSCITATION PRIOR

TO TRAVELLING.
ABLE TO PERFORM RESUSCITATION
DURING ENROUTE.

PATIENTS MEDICAL REPORT

HOSPITAL RESPONSE TIME

TRAVELLING TIME
COMMAND CONTROL
CENTER MEDICAL
RADIOCOMUNICATION
RADIOCOMUNICATION BY
HANDY TALKIE RADIO
24 HOURS
EMERGENCY PRE HOSPITAL CARE
SERVICE

24
HRS
THERES NO
SUPERMAN

BUT SUPERTEAM

EMERGEN
CY CALL

FROM
PUBLIC.
DIAL 118
CALL IS
RECEIVED
BY
RADIOMED
IC
OPERATOR
RADIOMEDIC OPERATOR

ON-BOARD MEDICAL

DISPATCH THE AMBULANCE

RADICOMMUNICATION
TEAM
DISPATCH
TRAVEL TO
THE SCENE
OF ACCIDENT

COMMUNICATI
ON DURING
ACTION WITH
RADIO COMM.
STERILE
AREA
HIGH TECH vs HIGH
TOUCH
POTENTIALLY MIS-
HUBS
AMBULANCE CREW PERFORMANCE AT THE
SCENE
RESUSCITATION AND STABILIZATION A
PATIENT INSIDE AMBULANCE DURING
TRAVELLING
THE COMPLETE MEDICAL EQUIPMENT AND WELL TRAINED
CREW
SUPPORT THE PATIENTS LIFE
PATIENT AT THE HOSPITAL, HANDING OVER AND
REFERED TO THE PROPER WARD, ICU, OR OTHER
UNIT AT HOSPITAL
MAINTENANCE OF AMBULANCE CAR TO MAKE THE BODY
AND THE

CABIN NEAT AND CLEAN

PROBLEMS AND DIFICULTIES

AIR CONDITIONING SYSTEM

HYDRAULIC & SUSPENSION SYSTEM IS NOT
WORKING

SOME OXYGEN RESUSCITATOR ARE NOT

WORKING.

SINK & WATER TANK ARE NOT WORKING

BATTERY OF DEFIBRILATOR DEVICE

OXYGEN SEAL, LEAKING

OIL & FUEL

HUMAN RESOURCES
OTHER MEDICAL DEVICES

TO BE EQUIPED ON-BOARD AMBULANCE

CAR

(ELECTRIC)
AMBULANCE CAR SPARE PART(S) REPLACEMENT
SUPPLIED BY MEDISON Co.,Ltd.

SUPPLIED

REPLACE TO :

NO
PARTS
QUANTITY

L-202-AX

L-203-AX

L-204-AX

L-205-AX
L-206-AX

L-207-AX

BRAKE PADS
2
-

a
a
-

a
-
2

OIL FILTER
2
-

a
-

a
3

FUEL FILTER
2
-

-
a
-

AIR FILTER
1
-

a
-

-
5

STROBE LAMP
2
-

-
6

SIDE FLICK LAMP

2
-

-
7

AUTOMATIVE LAMP
1
-
-

a
8

SEARCH LAMP
2

a
-

a
-

-
9

PLATE LAMP
4
-

-
10

FUSE
10

a
-

a
a
a
a
IMPLEMENTATION
?
ACUTE RESPONSE TEAM

RAPID MEDICAL ASSESMENT TEAM

(RMA TEAM)
Dokter, perawat , ambulance crew
RAPID HEALTH ASSESMENT TEAM
(RHA TEAM)
Sanitarian, Petugas Farmasi, Petugas
Laboratorium.

RAPID LOGISTIC SUPPORT TEAM

(RLS TEAM)
Petugas transportasi

Petugas komunikasi,

Pertugas tenda
Petugas pendukung fasilitas (pembuatan
jamban, air bersih, sumber listrik dll)
SPGDT-IEMSS DAY TO DAY
EMERGENCY

Early access & first aids - MFR

HRD, healthcare facilities, communication, and
transportation.

Pre-intra-inter hospital
ORGANIZATIONAL
COORDINATION

Diperlukan ;

Establish Public safery center (PSC),

SECURITY, HEALTH, RESCUE.

Communicaton among stake-holders
INTRODUCTION

Critical care and

emergency medical
care, must be
implemented in the
field, where crises
occur.

TWMS2011
DEFINITION

SPGDT adalah suatu sistem berupa koordinasi dari

sektor kesehatan yang didukung oleh sektor lain
dan kegiatan kelompok profesional pada keadaan
kedaruratan medis sehari hari (SPGDT-S)dan
pelayanan kedaruratan medis pada saat kejadian
bencana (SPGDT-B).
IEMSS

A System of coordination in health sector

supported by other sector and profesional
groups activity on daily medical emergency and
emergency medical services on disaster
events.

45
LINGKUP SPGDT

Pelayanan kesehaan
( Health services) dalam
SPGDT (IEMSS)
meliputi :
Sistem Pelayanan pra
Rumah sakit (Prehospital
medical services system)

Sistem Pelayanan di Rumah

sakit

(Hospital service system)

Sistem Pelayanan antar

Rumah sakit
( Interhospital service system)
INTEGRATED EMERGENCY MEDICAL

SERVICE SYSTEM (IEMSS)

Environmental

Demographic

Inter
HOSPITAL
Daily Emg

Prehospital
Hospital

EMS

Communication
Population

Emergency Dep
Transportation

outcome

HCU, ICU, OR
Disaster +
mass casualties
Resources :
Prevention

Personnel, Facilities, Equipment

Organization
Programs
30/04/2014

Procedures

47
THE PROUDNESS TO BE AN

AMBULANCE ATTENDANT

THANK YOU