emergency medical

1. EMERGENCY MEDICAL
TEAMS (EMTs)
KONSEP UNTUK INDONESIA

2. The term EMTs refers to groups of health
professionals providing direct clinical care to
populations affected by disasters or outbreaks and
emergencies as surge capacity in support of the local
health system.
EMTs can include governmental (both civilian and
military) and non- governmental personnel and can
be comprised of both national and international
staff.

3. LABORATORIUM BENCANA

4. 388 (78 %) kabupaten/kota : risiko tinggi 109 (22 %) kabupaten/kota : risiko sedang

5. KELEMBAGAAN
/ KEBIJAKAN
MITIGASI
KESIAP
SIAGAAN
PENGUATAN
KAPASITAS
PERINGATAN
DINI
•PEMERINTAH
•DUNIA USAHA
•MASYARAKAT
KELEMBAGAAN
•PRB
•TERINTEGRASI DALAM
PEMBANGUNAN
PARADIGMA
•PENDEKATAN
KLASTER
•WAKTU RESPON
SISTEM KELOLA

6. RESIKO
KELOLA
TINGKATKAN
KURANGI
ALAM
NON ALAM
SOSIAL
KLASTER KESEHATAN
PEMBERDAYAAN
STRATEGI MENURUNKAN IRBI
388 (78 %) kabupaten/kota : risiko tinggi
109 (22 %) kabupaten/kota : risiko sedang

7. KEBIJAKAN PEMERINTAH DALAM KLASTER
KEP KA BNPB NO 173 TH 2014
KESEHATAN
PENCARIAN DAN
PENYELAMATAN
LOGISTIK
PENGUNGSIAN DAN
PERLINDUNGAN
PENDIDIKAN
SARANA DAN
PRASARANA
EKONOMI
PEMULIHAN DINI

8. TUGAS KLASTER
KEP KA BNPB NO 173 TH 2014
PELAKSANA SUB KLASTER
1.PELAYANAN KESEHATAN SUB KLASTER PELAYANAN
KESEHATAN
2.PENGENDALIAN PENYAKIT
SUB KLASTER PENGENDALIAN PENYAKIT
DAN PENYEHATAN LINGKUNGAN
3.PENYEHATAN LINGKUNGAN
4.PENYIAPAN AIR BERSIH DAN SANITASI
YANG BERKUALITAS
5.PELAYANAN KESEHATAN GIZI SUB KLASTER PELAYANAN GIZI
6.PENYIAPAN KESEHATAN REPRODUKSI
DALAM SITUASI BENCANA
SUB KLASTER KIA DAN REPRODUKSI
7.PENANGANAN KESEHATAN JIWA SUB KLASTER KESEHATAN JIWA
8.PENATALAKSANAAN KORBAN MATI SUB KLASTER DVI
PENGORGANISAIAN KLASTER DAN SUB KLASTER KESEHATAN

9. - PELAYANAN
GAWAT DARURAT
- PERAWATAN
DEVINITIF
SISTEM RUJUKAN
DAERAH BENCANA
HOSPITAL CARE
TITIK
PENGUNGSIAN
TRIAGE
RESUSITASI EVAKUASI
TIM AMBULAN
POS UNGSI SEMENTARA
PRE-HOSPITAL

10. Pelaksana Klaster
Kesehatan Regional
Pembinaan Klaster
Provinsi dan Penyiapan
EMTs NASIONAL di
Regional
KEBIJAKAN
NASIONAL DAN
PENYIAPAN EMTs
NASIONAL
PUSAT
REGIONAL
UPT
VERTIKAL
KAPASITAS
PROVINSI
REGIONAL
S U B K L A S T E R L A Y A N A N K E S E H A T A N

11. Pembinaan Klaster
Kabupaten / Kota
dan penyiapan
EMTs Provinsi
KEBIJAKAN
EMERGENCY
PROVINSI, RECOVERY
DINI DAN
PENYIAPAN EMTs
PROVINSI
PROVINSI
UPT
PROVINSI
KAPASITAS
PROVINSI
S U B K L A S T E R L A Y A N A N K E S E H A T A N

12. Pemeliharaan
Kapasitas Klaster
Kesehatan
Kabupaten / Kota
PRB, MITIGASI,
MANAGEMENT
EMERGENCY /
LOCAL EMERGENCY
COMMUNITY /
SPGDT / PSC
KABUPATEN
/ KOTA
UPT
KABUPATEN /
KOTA
KAPASITAS
KABUPATEN /
KOTA
S U B K L A S T E R L A Y A N A N K E S E H A T A N

13. The term EMTs refers to groups of health professionals
providing direct clinical care to populations affected by
disasters or outbreaks and emergencies as surge capacity in
support of the local health
system.

14. JALUR
PERMINTAAN
JALUR
PERKUATAN

15. PRB
SPGDT
V
PRE
HOSP.
AMB
SERV.
HOSP.

16. MAMPU MERESPON
MAMPU MEMINTA TOLONG
TERSEDIA PERTOLONGAN YG
CEPAT, TEPAT, PARIPURNA

17. UNSUR TERPADU DALAM SPGDT
INTERNAL DISASTER PLAN
EXTERNAL DISASTER PLAN
FIRST RESPONDER
STANDARISASI

18. - PELAYANAN
GAWAT DARURAT
- PERAWATAN
DEVINITIF
HOSPITAL CARE
TITIK
PENGUNGSIAN
TRIAGE
RESUSITASI EVAKUASI
TIM AMBULAN
POS UNGSI SEMENTARA
PRE-HOSPITAL
SISTEM
RUJUKAN

19. - PELAYANAN
GAWAT DARURAT
- PERAWATAN
DEVINITIF
SISTEM
RUJUKAN
DAERAH BENCANA
HOSPITAL CARE
TRIAGE
RESUSITASI EVAKUASI
PRE-HOSPITAL
PERKUATAN EMT DAPAT DILAKUKAN DENGAN PENAMBAHAN SDM
ATAU PENAMBAHAN FASILITAS LAYANAN

20. - PELAYANAN
GAWAT DARURAT
- PERAWATAN
DEVINITIF
TRIAGE
RESUSITASI
TRIAGE
RESUSITASI
- PELAYANAN
GAWAT DARURAT
- PERAWATAN
DEVINITIF
SISTEM
RUJUKAN
DAERAH BENCANA
HOSPITAL CARE
TRIAGE
RESUSITASI EVAKUASI
PRE-HOSPITAL
PERKUATAN EMT DAPAT DILAKUKAN DENGAN PENAMBAHAN SDM
ATAU PENAMBAHAN FASILITAS LAYANAN

21. TRIAGE
COLLECT INFORMATION
INITIAL ALLERT
DECONTAMINATION
DOCUMENTATION
TREATMENT
ARRIVAL OF PATIENT
DEATH
MORTURY
INVESTIGATION
RESUSCITATION
ICU
OT
OPD
IN DOOR
DISCHARGE
INITIATE PREPARATION
MOBILIZATION OF RESOURCES
NOTIFY KEY PERSONS
KLASTER
KESEHATAN

23. The term EMTs refers to groups of health
professionals providing direct clinical care to
populations affected by disasters or outbreaks
and emergencies as surge capacity in support of
the local health system.

24. KEBIJAKAN NASIONAL
DAN PENYIAPAN EMTs
NASIONAL
PUSAT
KEBIJAKAN EMERGENSI
PROVINSI DAN
PENYIAPAN EMTs
PROVINSI
PROVINSI
KEBIJAKAN EMERGENSI /
LOCAL EMERGENCY
COMMUNITY / SPGDT-B
EMTs KABUPATEN /
KOTA
KABUPATEN
/ KOTA

25. MATRIK KAPASITAS
EMT
• TYPE 1 MOBILE
• TYPE 1 FIXED
• TYPE 2
• TYPE 3
• SPECIALIST CELLS
DISPARITAS
KAPASITAS PROV –
KAB/KOTA
•FASYANKES
•SDM NAKES
•GEOGRAFIS

26. TYPE 1 - MOBILE TYPE 1 - FIXED TYPE 2 TYPE 3 SPECIALIST CELLS
PRIMARY & EMERGENCY
CARE MOBILE OUTPATIENT
CARE
PRIMARY & EMERGENCY
CARE OUTPATIENT CLINIC
EMERGENCY CARE
OUTPATIENT CLINIC &
INPATIENT SURGICAL
TRAUMA CARE FACILITY
EMERGENCY CARE
OUTPATIENT CLINIC &
INPATIENT INTENSIVE &
REFERRAL CARE FACILITY
SPECIALIST CARE TEAMS
Able to treat minimum per
day: 50 outpatients
Able to treat minimum per
day: 100 outpatients
Able to treat minimum per
day:
100 outpatients
20 inpatients
7 major surgical
procedures
15 minor surgical
procedures
Able to treat minimum per
day:
100 outpatients
40 inpatients
4 intensive care
15 major surgical
procedure 30 minor
surgical procedures
Pre-hospital transport
Primary medical care
Maternal child healt
Surgical speciality
Infectious & Outbreak
Dialysis Rehabilitation
Medevac retrieval
Day time services only Day time services only Day time outpatient
services
24 hour inpatient &
surgical services
Day time outpatient
services 24 hour inpatient
& surgical services
Embedded specialist
services only
Mobile team & equipment Fixed team & equipment Fixed team & equipment Fixed team & equipment Mobile or Fixed team &
equipment
No temporary clinical
facility
Temporary clinical facility
provided
Temporary clinical facility
provided
Temporary clinical facility
provided
No temporary clinical
facility
Deployment 14 days
minimum
Deployment 14 days
minimum
Deployment 21 days
minimum
Deployment 28 days
minimum
Deployment 14 days
minimum
MATRIK DASAR KAPASITAS EMTs

27. TYPE 1 - MOBILE TYPE 1 - FIXED
PRIMARY & EMERGENCY
CARE MOBILE OUTPATIENT
CARE
PRIMARY & EMERGENCY
CARE OUTPATIENT CLINIC
Able to treat minimum per
day: 50 outpatients
Able to treat minimum per
day: 100 outpatients
Day time services only Day time services only
Mobile team & equipment Fixed team & equipment
No temporary clinical
facility
Temporary clinical facility
provided
Deployment 14 days
minimum
Deployment 14 days
minimum
KEBIJAKAN EMERGENSI /
LOCAL EMERGENCY
COMMUNITY / SPGD-B
EMTs KABUPATEN /
KOTA
KABUPATEN
/ KOTA
APAKAH MERUPAKAN KAPASITAS MINIMAL ?
APAKAH PERLU VARIASI DARI MATRIK DASAR ?
BAGAIMANA KOMPOSISI SDMNYA ?

28. TYPE 2
EMERGENCY CARE
OUTPATIENT CLINIC & INPATIENT
SURGICAL TRAUMA CARE FACILITY
Able to treat minimum per day:
100 outpatients
20 inpatients
7 major surgical procedures
15 minor surgical procedures
Day time outpatient services
24 hour inpatient & surgical services
Fixed team & equipment
Temporary clinical facility provided
Deployment 21 days minimum
KEBIJAKAN EMERGENSI
PROVINSI DAN
PENYIAPAN EMTs
PROVINSI
PROVINSI
APAKAH MERUPAKAN KAPASITAS MINIMAL ?
APAKAH PERLU VARIASI DARI MATRIK DASAR ?
BAGAIMANA KOMPOSISI SDMNYA ?

29. TYPE 3 SPECIALIST CELLS
EMERGENCY CARE
OUTPATIENT CLINIC &
INPATIENT INTENSIVE &
REFERRAL CARE FACILITY
SPECIALIST CARE TEAMS
Able to treat minimum per
day:
100 outpatients
40 inpatients
4 intensive care
15 major surgical
procedure 30 minor
surgical procedures
Pre-hospital transport
Primary medical care
Maternal child healt
Surgical speciality
Infectious & Outbreak
Dialysis Rehabilitation
Medevac retrieval
Day time outpatient
services 24 hour inpatient
& surgical services
Embedded specialist
services only
Fixed team & equipment Mobile or Fixed team &
equipment
Temporary clinical facility
provided
No temporary clinical
facility
Deployment 28 days
minimum
Deployment 14 days
minimum
KEBIJAKAN NASIONAL
DAN PENYIAPAN EMTs
NASIONAL
PUSAT
APAKAH MERUPAKAN KAPASITAS MINIMAL ?
APAKAH PERLU VARIASI DARI MATRIK DASAR ?
BAGAIMANA KOMPOSISI SDMNYA ?

30. STANDART MINIMAL EMTs
KOMPOSISI SDM NAKES
DIGUNAKAN UNTUK MENILAI KAPASITAS
MENENTUKAN PROGRAM PEMBINAAN

31. - PELAYANAN
GAWAT DARURAT
- PERAWATAN
DEVINITIF
HOSPITAL CARE
TITIK
PENGUNGSIAN
TRIAGE
RESUSITASI
TIM AMBULAN
POS UNGSI SEMENTARA
PRE-HOSPITAL
SISTEM
RUJUKAN
EMT 1 mob
EMT 1 fix EMT 1 fix
EMT 2
EMT 3
PKM
RS-RS
EMT 2
EVAKUASI