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 Any emergency that disrupts normal communityfunction causing concern for the safety of its

citizens including their lives and property.

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“All-Hazards” Man-made

Fires

Explosive devices

Firearms

Structural collapse Transportation event

 Air, Rail, Roadway, Water

Industrial HAZMAT

WMD – NBC events

  Etc… 

Natural

Earthquake

Landslides

 Avalanche

Volcano

Tornado

Hurricanes, floods

Fires

Meteors

  Etc… 

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Disaster Response- ESF

1. Transportation2. Communications

3. Public Works andEngineering

4. Firefighting5. Emergency Management6. Mass care, Housing and

Human Services7. Resource Support8. Public Health and Medical

Services

9. Urban Search and Rescue

10. Hazardous Materials

11. Agriculture and NaturalResources

12. Energy

13. Public Safety and Security

14. Long-Term Recovery

15. Public Affairs

Emergency Support Functions(ESF) 

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  Plans must be simple andflexible. They should be made by

the people who are going to

execute them.”

george patton

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Responsea. Notificationb. Evacuation/extrication

c. Search and rescued. Coordination

e. Immediate needs assessment

f. Shelter/protection

g. Implementing existing disaster plans

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  County Health Departments

Pre-hospitalOutpatient Services

Hospitals

Pharmacies

Laboratories

Mortuary Services

Health Care System

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Emergency Response Phase 

1. Search and rescue

2. Emergency medical services3. Immediate health service mobilization

4. Preliminary needs assessment

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Indonesia

Respon terhadap becana:SPGDTSistem Penanggulangan Gawat Darurat Terpadu

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 SPGDT / B (Sistem Penanggulangan Gawat Darurat Terpadu - Bencana

Evakuasi Medik (Medical)

Tim

BencanaMulti Disiplin

Didaerah X X X X Hansip BencanaRS Wilayah RS RS Puskes

Rujukan Propinsi Kabupaten mas

(PusKoDal (Pos (Pos Depan) (Pos Lapangan)Med) Belakang)Pusat KoodinasiDan PengendalianMedik

Transportasi

Komunikasi

Pendanaan

(SISTIM PENDUKUNG)

12 34

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 APA PASIEN GAWAT DARURAT ITU ?

 Adalah pasien yang perlu pertolongan tepat,cermat, cepat untuk mencegah kematian / kecacatan

Doktrin dasar :Time saving is life saving Waktu adalah nyawa

Ukuran keberhasilan

Response time Waktu tanggap

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1. Jenis pasien gawat darurat yang diberi pertolongan(Trauma, bedah, medik, obstetrik, pediatrik)

2. Kerangka rujukan

Puskesmas RS Kelas C RS Kelas A / B

 3. Jenis SDM  Multi profesi (dokter, perawat)

 Multi disiplin (berbasis dokter spesialis)  Multi sektor (kesehatan – non kesehatan)

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FASILITAS IRD DAN ARUS PASIEN

Ruang penerimaan

Ruang triage

Ruang resusitasi Ruang tindakan

(Diagnosis)Laboratorium radiologi

Kamar bedah

Ruang observasi intensive(ICU waktu pendek)

PulangGawat daruratringan

Bank darah

Ruang rawat inap Ruang perawatan intensive (ICU)

Pulang

Pulang

Pasien gawat daruratberat

Pra hospitalSistem ambulans

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SHOCKKARENA

PERDARAHAN1

2

 3

ResusitasiStabilisasi

Defenitif terapiawal

Defenitif terapiakhir

Dr. Penyakit PerdarahanDalam G.I.

Dr. Bedah

Perdarahantrauma

Dr. Obgyn

Perdarahan post partum

PEMBAGIAN PERAN DR. UMUM – DR.SPESIALIS

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Priority Public Health Interventions

•   Water and sanitation

•   Surveillance and Health Information

Systems

•   Nutrition•   Communicable disease control

•   Immunization

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KELOMPOK KELOMPOK KELOMPOKPENGUNGSI PENGUNGSI PENGUNGSI(CLUSTER) (CLUSTER) (CLUSTER)

POSKO POSKO

POSKOKESLAT HUBUNGANKESEHATAN RADIO MEDIKLAPANGAN 

PUSKESMAS BANGSAL PERAWATANDARURAT

SATLAK SATGAS RS. KLAS C BANGSAL PERAWATANII KES II PERAWATAN DARURAT

SATKORLAK SATGAS RS KLAS BANGSAL PERAWATANI KES I A / B DARURAT

PUSDALSISKESNAS

RUJUKAN : 1. ALIH INFORMASI (KONSULTASI)2. ALIH PASIEN (KIRIM PASIEN)

 3. ALIH ILMU (PELATIHAN)4. ALIH LOGISTIK (BANTUAN ALAT / OBAT) 

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Deadly Misconceptions“It won’t happen here” 

It won’t happen to me” 

“Someone else will take

care of it” 

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