scholarly journals The Role of Emergency Medical Team: Experience Acute Response in Earthquakes and Tsunami at Palu, Central Sulawesi, Indonesia, 2018

2019 ◽  
Vol 34 (s1) ◽  
pp. s166-s166
Author(s):  
Handoyo Pramusinto ◽  
Agung Priambodo ◽  
Andreas Dewanto

Introduction:The natural disasters of the earthquake and tsunami occurred in Palu, on September 28, 2018, at around 17.02 WIB. The earthquake measured 7.7 magnitude with the epicenter at a depth of 10 km in the direction of 27 km northeast of the city of Donggala, followed by a tsunami along the coast of Talise town of Palu. Some of the victims of the disaster have died, and in addition to many deaths, there were reported trauma cases such as fractures, torn wounds, and other injuries where many did not receive medical help.Aim:To revitalize hospitals in Palu with the medical assistance team.Methods:Sardjito hospital formed a medical team sent to the disaster area which consisted of 22 members from various disciplines (anesthetists, orthopedic surgeons, general surgeons, neurosurgeons, internal medicine doctors, pediatricians, general practitioners, anesthesia nurses, emergency nurses, surgical room nurses, sanitarians, sterilization officer, technical officers, and nutrition officers). The ICS informed the targets of this emergency response that the following must be accomplished within 2 weeks: revitalize the health care facilities and deliver health care. The sanitarian officer coordinated dealing with the problem of the former corpse in Bhayangkara Hospital by doing disinfectants in the area of the former mortuary. Sardjito Hospital’s medical team revitalized health services in Bhayangkara Hospital by providing 24-hour emergency services and surgery.Results:The medical team of Sardjito general Hospital gave medical service in Bhayangkara Hospital and Torabello Regional Hospital. The total number of treated patients was 158, and most cases of surgery were orthopedics.

2017 ◽  
Vol 26 (1) ◽  
Author(s):  
Sonia da Silva Reis Cassettari ◽  
Ana Lúcia Schaefer Ferreira de Mello

ABSTRACT Objective: this study's aim was to characterize the demand of patients and the type of care provided in 2013, in emergency services, in the city of Florianópolis, SC, Brazil Method: this is a descriptive and analytical study with a quantitative approach. Secondary data were collected from general and managerial reports provided by the information system used by the city's department of health. Results: patients seek the emergency services nearest to their homes for situations not characterized as emergencies and that could be taken care of by primary health care units Conclusion: most patients originate from the same health district in which the emergency service is located and their reasons for seeking care could not be characterized as urgent or emergency situations. There is a need to qualify primary health care as the coordinator of care and instruct the population regarding the role of each service in the network


2021 ◽  
pp. 002214652110444
Author(s):  
Orlaith Heymann ◽  
Tamika Odum ◽  
Alison H. Norris ◽  
Danielle Bessett

Recent shifts in the abortion provision landscape have generated increased concern about how people find abortion care as regulations make abortion less accessible and clinics close. Few studies examine the reasons that people select particular facilities in such constrained contexts. Drawing from interviews with 41 Ohio residents, we find that people’s clinic selections are influenced by the risks they associate with abortion care. Participants’ strategies for selecting an abortion clinic included: drawing on previous experience with clinics, consulting others online, discerning reputation through name recognition and clinic type, and considering location, especially perceptions about place (privacy, legality, safety). We argue that social myths inform the risks people anticipate when seeking health care facilities, shaping care seeking in ways that are both abortion-specific and more general. These findings can also inform research in other health care contexts where patients increasingly find their options constrained by rising costs, consolidation, and facility closure.


Author(s):  
Leonid Anatolievich Denisov ◽  
Mikhail Sergeevich Pakhomov

The article is devoted to a historical event that occurred 250 years ago in Moscow. The authors draw analogies between the plague epidemic and the current situation associated with a new coronavirus infection, and note what unites these events. It shows the dedicated work of doctors in the conditions of complete ambiguity of the causes and spread of these infections, in the absence of effective treatment methods, what was the behavior of the population, how prevention measures were developed, and what is the role of the authorities of Moscow and St. Petersburg in the fight. How the state of medical science and the level of health care, referred to by economists as the non — material sphere, can affect the physical and mental health of the population and the economic situation of the city, country and the whole World.


Author(s):  
Saravanan Vaithiyalingam ◽  
Reenaa Mohan ◽  
Abel Arul Joseph ◽  
Mithun George Jacobe ◽  
Anil J. Purty

Background: In the year 2018, Kerala experienced natural disastrous due to heavy rainfall and floods due to breakdown of dams. More than five lakhs people were affected and disruption in transportation, communication and damaged health care facilities. Objective of this study was to access the morbidity pattern of flood victims in the post flood recovery phase.Methods: The study was carried out by the investigators along with medical team conducted free camps in seven different locations in the districts of Wayand and Kozhikode in the month of October 2018. Data were obtained in the format designed by the National Centers for Disease Control and Prevention, India.Results: A total of 3123 patients were attended the flood relief camp. The most of the camp people were come up with complaints of myalgia 24.8%, acute respiratory infections 14.6%, skin infections 8.3% and 7.7% had fever.Conclusions: To create awareness to the community about the natural disaster and appropriate action to prevent it through information, education and communication by regular period of intervals. And to provide basic amendments to improve the health care infra structure.


Author(s):  
Juan J. López-Ibor Jr. ◽  
Costas Stefanis

It is clear that the modern role of both the physicians, in general, and psychiatrists, in particular, requires intensive decision-making which is helped by management principles. Psychiatrists, in addition to their clinical qualifications and skills are asked to occupy positions and undertake responsibilities as clinical executives, directors of health care facilities, administrators of Academic units and even Mental Health Commissioners, all of them requiring managerial knowledge and leadership qualities. Increased pressure by patients for improved quality of services and access to new and innovative treatments needs to be balanced against the expectation of the health care system of the physician to act ‘economically’, following cost containment guidelines and staying within expenditure ceilings. Such decisions require specialized knowledge and a deep understanding of the principles and the functions of management and health economics. Such knowledge is only gained through specialized training by introducing management teaching, either at the undergraduate level or preferably at the residency level, as part of the core curriculum or as an elective which may include items such as administration principles, quality assurance, budgeting, resource allocation, accreditation procedures and what is close to the psychiatrist's clinical background the personnel management. This may be extended to ongoing professional education programmes for psychiatrists who are already active in the field.


Curationis ◽  
2017 ◽  
Vol 40 (1) ◽  
Author(s):  
Mmajapi E.T. Masala-Chokwe ◽  
Tendani S. Ramukumba

Background: Social support refers to the assistance people receive from others, and it is divided into four types of support. Given the increasing mortality and morbidity rates of mothers and neonates postpartum, this study intended to determine whether the social support needs of the first-time mothers were met after early discharge from health care facilities.Objectives: The objective of the study was to explore the lived experiences and social support needs of the first-time mothers after an early discharge from health care facilities in the City of Tshwane, Gauteng.Method: A qualitative explorative study was conducted to explore the lived experiences and social support needs of the first-time mothers. The population were first-time mothers who had a vaginal delivery and were discharged within 6–12 hours of delivery from health care facilities. Purposive sampling was performed and 14 semi-structured interviews were conducted, with those mothers who came for the prescribed three postnatal check-ups at the three health care facilities identified according to maternity services provided. Saturation of data for the three health care facilities was reached at the 14th interview. Data analysis was performed using the hermeneutic interpretive approach.Results: Almost all participants had completed grades 11 or 12, but most were unemployed. The needs identified included the need for social support, lack of confidence, knowledge and skill to care for themselves and their newborn babies after early discharge.Conclusion: There is need to identify alternative types of social support for the first-time mothers, to ensure a normal adjustment to motherhood.


1993 ◽  
Vol 11 (3) ◽  
pp. 317-326 ◽  
Author(s):  
James L. Wofford ◽  
Earl Schwartz ◽  
James E. Byrum

2014 ◽  
Vol 8 (1) ◽  
pp. 51-74
Author(s):  
Fateh Muhmmad Burfat ◽  
Muhammad Yaqub ◽  
Naima Saeed ◽  
Misbah B. Qureshi

The present study “Promotion of Primary Health Care in Pakistan: A Case Study of the Role of Non-Governmental Organizations (NGOs) in Promoting Primary Health Care in Karachi” is aimed at determining the role of NGOs in the promotion of primary health Care sector in Pakistan with special reference to Karachi. The primary objective of this research is to evaluate the role and performance of relevant NGOs working in Karachi in the health sector. It is a quantitative research. A questionnaire based to obtain the opinions of respondents. The health care is the basic responsibility of the state. However, the NGOs play their role in promoting the health care facilities. It was noted that the primary health care system is still not working properly. NGO sector was given a wide room and finances but unfortunately they did not make the required contribution. Their lack of technical knowledge and accountability was a factor in their failure. The prevailing attitude towards health care among the masses has not changed despite the efforts of the NGO sector. Therefore the basic health conditions of the masses at the grass roots level continue to be poor. The stake holders in the health care sector should rethink about their strategies to improve health care facilities in Karachi.


1992 ◽  
Vol 37 (2) ◽  
pp. 91-95 ◽  
Author(s):  
L.K. Oyewumi ◽  
O. Odejide ◽  
S.S. Kazarian

The patterns of use of psychiatric emergency services in Saskatoon, Saskatchewan were studied. A total of 576 patients who had received psychiatric emergency care from any of the four major health care facilities in Saskatoon during a three month period were included in the study. Visits for psychiatric emergency services during the study period represented 2.32% of the total number of visits to emergency facilities. Most patients with psychiatric emergencies went to hospitals with psychiatric units. The characteristics of patients served by the four facilities and those who visited the psychiatric emergency services on more than one occasion during the study period are reported. The implications of these findings for health care planning are discussed.


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