scholarly journals URGENSI KEBERADAAN PERALATAN HELIKOPTER AMBULANS TENTARA NASIONAL INDONESIA ANGKATAN LAUT (TNI AL) DALAM MENDUKUNG SATUAN TUGAS CORONAVIRUS DISEASE-2019 (SATGAS COVID-19)

2021 ◽  
Vol 11 (2) ◽  
pp. 15
Author(s):  
Arief Sukmono Akbar ◽  
Imam Musani ◽  
Oktav Bayu D

Pemerintah melalui Satuan Tugas Penanggulangan Covid-19 melaporkan total kasus Covid-19 di Indonesia hingga 16 Juli 2021, mencapai 2.780.803 orang sejak kasus pertama diumumkan. TNI Angkatan Laut (TNI-AL) selain melaksanakan tugas pertahanan juga membantu Satgas penanggulangan Covid-19 serta operasi kemanusiaan lainnya. Pelaksanaan tugas tersebut dilaksanakan oleh Pusat Penerbangan TNI AL (Puspenerbal). TNI Angkatan Laut belum pernah mengoperasikan Helicopter Air Ambulance (HAA) yang memiliki kemampuan Helicopter Emergency Medical Services (HEMS). Penelitian ini menggunakan pendekatan kualitatif dengan tempat penelitian di pusat penerbangan TNI Angkatan Laut (Puspenerbal) Juanda Sidoarjo Jawa Timur. Pengolahan data menggunakan model Miles, Huberman dan Saldan dengan tiga langkah yaitu pemadatan data, penyajian data, dan penarikan kesimpulan yang prosesnya dilakukan bersamaan. Pengumpulan data dengan metode menelaah dokumen dan informan. Penggunaan informasi pelaku lapangan dibatasi pada informan yang memiliki pengalaman operasi sebagai penerbang helikopter terkait subyek penelitian. Tujuan dari penelitian untuk memberikan gambaran tentang urgensi keberadaan peralatan helikopter ambulans TNI AL dalam mendukung satuan tugas coronavirus disease-2019. Adapun helikopter yang ditetapkan peneliti berjenis Bell-412 atau peralatan medical evacuation (Medevac portable) yang bisa dipasang pada helikopter jenis Bell-412 TNI AL. Temuan atau kebaharuan dari penelitian ini adalah dengan adanya helikopter Medevac TNI AL ini dapat melakukan tindakan penyelamatan darurat mengevakuasi korban ke RS terapung/KRI BRS milik TNI AL atau RSAL terdekat. Helikopter AL dipilih karena hanya penerbang helikopter TNI AL yang terlatih yang mendapatkan rekomendasi landing/mendarat di geladak heli KRI BRS TNI AL. Kesimpulan bahwa helikopter jenis Bell-412 sebagai ambulans udara dan peralatan Medevac portable-nya sangat dibutuhkan dalam membantu satgas covid-19 dan operasi kemanusiaan lainnya.

2020 ◽  
Vol 63 (4) ◽  
pp. 199-205
Author(s):  
Seok Ran Yeom ◽  
Oh Hyun Kim ◽  
Kang Hyun Lee

This paper discusses the future development of air ambulance operations in Korea. Helicopter emergency medical services are a useful means of transporting critically ill patients to the right hospital, at the right time. It is an important element of the emergency medical system to treat acute diseases at the scene, or in transit. For more efficient operations of the emergency medical helicopters (air ambulances or the so-called ‘Doctor Helgi’ in Korea), various challenges are faced. These include, the expansion of air ambulance bases, proper placement of rendezvous points (landing point), increase of field transport requests, and the operation of night missions. First, it is necessary to reduce the disparity in the benefits of emergency medical care for critically ill patients through the expansion of helicopter bases. Second, through the advancement of joint operations of the pan-ministerial emergency medical helicopters, the time from dispatch to helicopter take-off should be minimized, and a quality improvement program for air transportation should be carried out. Third, it is necessary to increase the number of insufficient rendezvous points and ensure the safety of the helicopters during takeoff and landing, to activate field transportation. Finally, the safety of patients and medical staff should be secured through the systematic preparation of the air transport system for future night missions. To solve these tasks, an appropriate legal system for helicopter emergency medical service is required. Based on the improved system, it is expected that everyone will enjoy equal rights for health, regardless of the regions.


Injury ◽  
2011 ◽  
Vol 42 ◽  
pp. S17
Author(s):  
G.F. Giannakopoulos ◽  
A. Noor ◽  
M.N. Kolodzinskyi ◽  
H.M.T. Christiaans ◽  
C. Boer ◽  
...  

2016 ◽  
Vol 35 (6) ◽  
pp. 348-351 ◽  
Author(s):  
Sabina Fattah ◽  
Anne Siri Johnsen ◽  
Stephen J.M. Sollid ◽  
Torben Wisborg ◽  
Marius Rehn ◽  
...  

Author(s):  
Anna Vögele ◽  
Michiel Jan van Veelen ◽  
Tomas Dal Cappello ◽  
Marika Falla ◽  
Giada Nicoletto ◽  
...  

Background Helicopter emergency medical services personnel operating in mountainous terrain are frequently exposed to rapid ascents and provide cardiopulmonary resuscitation (CPR) in the field. The aim of the present trial was to investigate the quality of chest compression only (CCO)‐CPR after acute exposure to altitude under repeatable and standardized conditions. Methods and Results Forty‐eight helicopter emergency medical services personnel were divided into 12 groups of 4 participants; each group was assigned to perform 5 minutes of CCO‐CPR on manikins at 2 of 3 altitudes in a randomized controlled single‐blind crossover design (200, 3000, and 5000 m) in a hypobaric chamber. Physiological parameters were continuously monitored; participants rated their performance and effort on visual analog scales. Generalized estimating equations were performed for variables of CPR quality (depth, rate, recoil, and effective chest compressions) and effects of time, altitude, carryover, altitude sequence, sex, qualification, weight, preacclimatization, and interactions were analyzed. Our trial showed a time‐dependent decrease in chest compression depth ( P =0.036) after 20 minutes at altitude; chest compression depth was below the recommended minimum of 50 mm after 60 to 90 seconds (49 [95% CI, 46–52] mm) of CCO‐CPR. Conclusions This trial showed a time‐dependent decrease in CCO‐CPR quality provided by helicopter emergency medical services personnel during acute exposure to altitude, which was not perceived by the providers. Our findings suggest a reevaluation of the CPR guidelines for providers practicing at altitudes of 3000 m and higher. Mechanical CPR devices could be of help in overcoming CCO‐CPR quality decrease in helicopter emergency medical services missions. Registration URL: https://www.clinicaltrials.gov ; Unique identifier: NCT04138446.


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