scholarly journals Triage Problem Among the Ambulance Crew (Paramedic) in Japan

2019 ◽  
Vol 34 (s1) ◽  
pp. s173-s173
Author(s):  
Keiji Nakata

Introduction:At various accidents or disaster sites, rescue, first aid, and transport to hospitals has been provided by ambulance crews (paramedics). In the case of mass casualties, they also need to operate triage for injured people.Aim:To consider and reveal challenges in triage by ambulance crews (paramedics) on-site.Methods:Interviews of seven ambulance crews (paramedics) and their instructors were conducted and their answers were analyzed.Results:(1.) Triage black tags: declaring “deceased: not able to survive” might give a heavy mental burden and psychological responsibility. Legal protection and an interstitial rule will be necessary in the future. (2.) Missed triage: the ambulance crew cannot perform a triage that may develop a legal problem. It is always important to prevent ambulance crews from being charged. (3.) Triage education and training: there are few triage trainings at fire departments although the number of emergency medical responses is increasing compared to fire response. It will be necessary to increase time of the triage education and training in near future. (4.) Command system (characteristic rank system in the fire department): There is a problem with the rank system in fire departments since confusion occurs when a commander of the First Aid Station is not a licensed paramedic. The ambulance crew (paramedic) usually consists of the three different ranked people. Individual operations are difficult during operation. Education for the paramedic executive is necessary for the fire organization.Discussion:For the triage by ambulance crew (paramedic), legal protection by medical control operation is required, and it may lead to a reduction of heavy mental burden. Triage training is needed to improve the training of triage. The ambulance crew (paramedic) operates under the fire department command system. However, at the time of disaster, the ambulance crew (paramedic) should also work under the medical command system.

2016 ◽  
Vol 3 (3) ◽  
pp. 278-285
Author(s):  
Agus Khoirul Anam ◽  
Sri Winarni

Indonesia has a lot of potential natural and non-natural disasters. Non-natural disasterswhich often happened are fire disasters. One of them was market fire. In January 2015 until April 2015,there was an increasing more than 50 on fire in bigger traditional market and 90 smaller traditionalmarket in all over indonesia. The purpose of this research was to describe the marketeer preparednessof fire disaster management of Legi market Blitar city. The research method used descriptive design. Thepopulation in this research was a marketeer Legi Kota Blitar about 584 marketeer and the sample was58 marketeer taken by purposive sampling technique. The data collection was conducted by questionnaire.The results showed that the lack of preparedness of marketeer in the fire disaster still less as muchas 60.3% (35 marketeer). It was caused by there was no information of manner about the preparednessof fire disaster, no training, didn’t have the telephone number of fire department, no simple fire extinguishers,could not use a fire APAR or hydrant, and unable to perform first aid to fire victims.Recomendation of BPBD departement necessary gave education and training about fire disaster preparedness,especially in the market so it could decrease the risk of fire disaster in Legi market Blitar city.


2018 ◽  
Vol 8 (3) ◽  
pp. 1
Author(s):  
Muhammad Idris

This study aims to investigate the impact of education and training, work discipline and organizational culture on employee’s performance. The study is conducted at the Disaster Management and Fire Department Office in Palembang City, Indonesia. There are seven offices of disaster management and fire department officials in all over Palembang city and the total population is 360 firefighters. The sample size is 154 respondents that are taken proportionately from each office. A survey research using questionnaire is employed to collect the data. The variables are education and training (X1), work discipline (X2), organizational culture (X3) and employees’ performance (Y). Technology and labor force changes, service and performance improvement and rules’ adjustment are indicators for education and training. Remuneration, supervision, and firmness are indicators for work discipline. Innovation, people oriented and composure are indicators for organizational culture. Working standard, work equipment and tool and work opportunity are indicators for employees’ performance. A regression equation model is employed. The result reveals that there is a positive and significant effect of education and training, work discipline and organizational culture on employee’s performance.


Author(s):  
Tener Goodwin Veenema ◽  
Timothy P. Moran ◽  
Ziad Kazzi ◽  
Sarah Schneider-Firestone ◽  
Cullen Case ◽  
...  

ABSTRACT Objectives: The Radiation Injury Treatment Network (RITN) is prepared to respond to a national disaster resulting in mass casualties with marrow toxic injuries. How effective existing RITN workforce education and training is, or whether health-care providers (HCPs) at these centers possess the knowledge and skills to care for patients following a radiation emergency is unclear. HCP knowledge regarding the medical effects and medical management of radiation-exposed patients, along with clinical competence and willingness to care for patients following a radiation emergency was assessed. Methods: An online survey was conducted to assess level of knowledge regarding the medical effects of radiation, medical/nursing management of patients, self-perception of clinical competence, and willingness to respond to radiation emergencies and nuclear events. Results: Attendance at previous radiation emergency management courses and overall knowledge scores were low for all respondents. The majority indicated they were willing to respond to a radiation event, but few believed they were clinically competent to do so. Conclusions: Despite willingness to respond, HCPs at RITN centers may not possess adequate knowledge of medical management of radiation patients, and appropriate response actions during a radiation emergency. RITN should increase the awareness of the importance of radiation education and training.


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