Professional Documents
Culture Documents
Disaster Preparedness,
the Tailor Made Approach
volcanoes
epicenter of
big quakes
one month registry of earthquakes in the world
(various Magnitude scale)
If this 10 meter-above-sea-level island is struck by tsunami
would rescue and aid be available?
80% of Indonesian population live in rural area,
many in places unreachable by normal transportation
TANIMBAR
No land transportation.
Only boats on rough seas.
For 5 months in a year
the waves are too high and
Saumlaki the wind to strong to sail
Doctors and
a simple hospital is here
rivers without bridges can only be crossed
only when the water is low
So, as a rule for survival, a region is
supposed to rely more on what remains
after disaster strikes rather than waiting
for outside help to come
require specific training for doctors
Unfortunately, what still available after
disaster struck were usually negligible
training simple basic techniques to utilize the
least resources still available
up to June 2009 : 85 courses throughout Indonesia
2508 alumni
more than 1x
1. Impact,
2. Acute Response,
3. Recovery, IARD-PMP
4. Development,
5. Prevention,
6. Mitigation
7. Preparedness.
Now, what to train for
Disaster Preparedness
Communication
TRANSPORTATION
+
Ambulance Primary HC C-hosp B & A-hosp
Casualties
early warning
system:
indigenous
alert response
in
Java Island
HOT ZONE
Treat
or send
Collect
and sort
Evacuate away
Communication
TRANSPORTATION
+
Ambulance Primary HC C-hosp B & A-hosp
Casualties
Training for preparedness includes
Wound cleaning
filtered boiled water
not necessarily sterile Normal Saline because sterile
Normal Saline is used for infusion to treat bleeding
and shock
Closed fractures
immobilize, cast and traction
not necessary to do external fixation nor open
reduction + implant
do not make new wounds and waste antibiotics
obviously this state-of-the-art external fixation will waste OR time
and reduce the number of patients that can be treated
this cast immobilisation and traction would
be more rational to do as the first line
treatment
Train to use existing resources
carton box
1.
2.
90% of patients
can be saved
by using these
simple methods
3.
3