3 initial things can happen when an emergency response condition occurs,
namely:
1. People are panic and forget to make
contact with the First Responder as people may not be able to see the bloody victim's
condition.
2. People see and take immediate action,
only after that make contact with the first responder.
3. People understand and immediately
contact first responders, but the responder is not ready.
This article is focusing on emergency conditions due to traffic
accidents.
In 2016, Foreign Policy News (FP News) made an article that thousands of
people died in Jakarta due to traffic accidents, the article was accessed
through Death
by a Thousand Cars – Foreign Policy.
According to the Decade of Action,
a. Road Safety Management.
b. Safer roads and mobility.
c. Safe vehicles.
d. Safer road users.
e. Posh Crash Response.
The 5th pillar, Posh Crash Response, other road users, and community
surrounding play a critical role to support posh crash response.
Many people forget the important action make call 112 for emergency
medical services or 119 for the police when emergencies occur.
Not all of us have first aid training to respond to a medical emergency,
therefore, wrong first aid action can worsen the condition of accident victims.
Delaying call the first responder to come to the emergency response site
can slow down victims from getting first aid.
Looking back at our previous article, in the event of emergency
response, victims can be categorized based on the Trauma Triage and Score which
can be linked at https://patient.info/doctor/trauma-triage-and-scoring
Based on these standards, victims can be categorized into:
-
Priority
1 (P1) or Triage 1 (T1): urgent care required - requires immediate life-saving
intervention. Color code red.
-
P2
or T2: intermediate or urgent care required - requires significant intervention
within two to four hours. Yellow color code.
-
P3
or T3: delayed treatment - requires medical treatment but this can be safely
deferred. Green color code.
-
Undead
is the fourth classification and is important to prevent spending limited
resources on those who are outside aid. Black color code.
Each color code assigned to identify the victim also has another
meaning, namely "golden time" (the time interval during which the
victim's condition can survive biologically before a permanent condition occurs
which causes a very rapid decline in condition) before the victim's condition
becomes more severe or may die. if it exceeds the golden time.
Therefore, it is very hopeful that paramedics and other supporting
parties (firefighters, Jasa Marga, or private cranes) can arrive at the
location quickly and on time. Therefore it is very necessary:
1. Contact with emergency medical (112)
or police (119).
2. Paramedics and supporters are ready.
3. Provide access to paramedics and
supporters to arrive at the scene quickly and on time.
Judging from the exposure to the conditions above and looking back at
our previous articles, it is triggered a question, do we have adequate emergency
response conditions? Are paramedics available or paramedics concurrently by
hospital nurses. In a journal, several things make First Aid late to arrive at
the scene:
1. Preparedness of paramedics.
2. Equipment and infrastructure
readiness.
3. Geographical conditions in
Indonesia, any accident that happens outside the toll road are difficult to
reach.
The journal can be downloaded from The struggle of nurses in
initial trauma emergency care in challenging geographic areas of Indonesia: A
phenomenology - PubMed (nih.gov).
Indonesia is a country with challenging geographical conditions. So it
is very necessary to have a strategy and arrangements that are in accordance
with these geographical conditions. In 2011, University of Gadjah Mada, made a
study of the health system and emergency response events (Health system and
Disaster), Modul_4.2_-13Okt_2011_final.pdf
(kebijakankesehatanindonesia.net).
1. We need to rearrange, which
areas/locations require paramedics for traffic accidents.
2. Taking into account the emergency
response time, in terms of distance and traffic density, paramedics can work in
golden time.
3. The readiness of paramedics and
equipment.
It is better to prevent
traffic accidents, but having timely emergency response capabilities is an
investment.