scholarly journals First Responders While Administering Unrealized Integrated Pre-Hospital

2020 ◽  
Vol 2 (3) ◽  
pp. 146-158
Author(s):  
Fitri Anita ◽  
Tita Hariyanti ◽  
Tony Suharsono

The mortality rate concerning post-traffic accident trauma is estimated to gets higher for the next years. When a traffic accident occurs, the provision of first aid is carried out by laypeople/communities around the scene with limited knowledge and equipment available. Especially, if a traffic accident occurs in an area that has not applied an integrated pre-hospital service. This research aims to explore the first responders’ care administration in a region that has not applied pre-hospitalized emergency service formally. This is a qualitative study with a case study approach. This approach is chosen to identify emerging themes. The research was conducted in Konawe municipality, from February until March 2020. It was done by interviewing 8 participants consisting of the citizens, traffic police officers, hospital party, and health agency in the research site that had been selected based on the applied inclusion criteria. Five themes were found in this research. First responders struggle to save the traffic accident victims after the incident. They helped accident victims with limited tools. They helped the accident victims by sending them off to a health service immediately. They attempt to help the victims by sending them off to health services by using public transportation. Support Police action when finding accident victims. It could be concluded that in the area that has not applied integrated-emergency pre-hospital service would directly influence service availability in the society. The people would struggle to substitute the roles of medical workers in administering the first aid outside of a hospital with various limitations. Education and training programs concerning administering first aid, given quarterly, could be an appropriate health service program to offer for broader people as the first responders.

2021 ◽  
Vol 10 (1) ◽  
pp. 41
Author(s):  
Fitri Anita ◽  
Tita Hariyanti ◽  
Tony Suharsono

Traffic incidents become typical cases of trauma outside of hospitals. The integrated-emergency nursing system outside of hospitals becomes an important component to minimize any worsening condition of the traumatic victims. However, this pre-hospitalized<em> </em>service system has not been formally established in several cities or municipalities. This research aims to explore various hopes of the trauma-victim aid process in a region that has not applied pre-hospitalized<em> </em>emergency service formally. This research was carried out by implementing a qualitative research method and a case study approach to identify the themes. The research was conducted in Konawe municipality, from February until March 2020. It was done by interviewing eight participants consisting of the citizens, traffic police officers, hospital party, and health agency. Four themes result from this research. Establishing the pre-hospitalized<em> </em>emergency service, socializing the first aid for the incident victims, training dealing with the first aid of taking care of trauma victims, and promoting socialization for all citizens about the emergency numbers of health service institutions which could be immediately contacted when an accident occurs. There is a need for an emergency service system establishment and development.


2019 ◽  
Author(s):  
Menti Lastone Ndile ◽  
Gift G. Lukumay ◽  
Karin Bolenius ◽  
Anne H. Outwater ◽  
Britt-Inger Saveman ◽  
...  

Abstract Background An overwhelming proportion of road traffic deaths and injuries in low- and middle-income countries (LMICs) occur in prehospital environments. Lay first responders such as police officers play an important role in providing initial assistance to victims of road traffic injuries either alone or in collaboration with others. The present study evaluated a postcrash first aid (PFA) educational program developed for police officers in Tanzania.Method A 16-hour PFA educational program was conducted in Dar es Salaam, Tanzania, for 135 police officers. Participants completed training surveys before, immediately and six months after the training (before, N = 135; immediately after, N = 135; after six months, N = 102). The primary outcome measures were PFA knowledge, perceived skills confidence, and skills utilization. Parametric and nonparametric tests were used to analyse changes in outcome.Results The mean PFA knowledge score increased from 44.73% before training ( SD = 20.70) to 72.92% six months after training ( SD = 18.12), p ˂ .001, N = 102. The mean PFA perceived skills confidence score (measured on a 1–5 Likert scale) increased from 1.96 before training ( SD = 0.74) to 3.78 six months after training ( SD = 0.70), p ˂ .001, N = 102. Following training, application of the recovery position skill ( n = 42, 46%) and application of the bleeding control skill ( n = 45, 49%) were reported by nearly half of the responding officers. Less than a quarter of officers reported applying head and neck immobilization skills ( n = 20, 22%) following training.Conclusion A PFA educational program may be an effective means of imparting basic knowledge and skills for prehospital trauma care to lay first responders in contexts where resources are limited. Furthermore, the likelihood of applying such skills can be enhanced by the availability of the necessary resources.


2019 ◽  
Vol 16 ◽  
Author(s):  
Bintari Ratih Kusumaningrum ◽  
Ikhda Ulya ◽  
Dewi Kartikawati Ningsih

IntroductionPolice officers hold an important role as first responders as they usually reach the location of a traffic accident before paramedics. They also provide a level of safety for traffic accident victims while still at the accident scene. This study examined the effects of first aid training for police officers and their ability to assist people involved in traffic accidents as a part of a safe community model.MethodsThe study employed a pre-experimental design with a one-group pre-test/post-test approach. The recruited sample was made up of 19 police officers from Malang Resort Police Station, chosen by using the cluster technique applied to areas with high accident levels. The instruments used were questionnaires, assessing the officers’ knowledge of first aid, as well as observation sheets measuring their skills in providing first aid.ResultsThe results were analysed using a Wilcoxon test, which showed a significant effect (p<0.0001) of first aid training for a traffic accident on the knowledge and skills of police officers as a part of a safe community model.ConclusionFirst aid training is a strategy that should be implemented in order to support a safe community model. It is suggested that this training be conducted regularly by means of collaboration between police stations and medical services in order to improve pre-hospital services, which currently are limited in Indonesia.


2021 ◽  
Vol 13 (1) ◽  
pp. 285-298
Author(s):  
Waldemar Zubrzycki ◽  
Jarosław Przyjemczak ◽  
Beata Świeczko-Żurek Świeczko-Żurek

The tasks carried out by Police officers are often accompanied by dangerous situations that threaten the life and health of the people involved, the police themselves, and bystanders. It concerns especially counter-terrorism police units whose activities are aimed at terrorists and particularly dangerous criminals, and their course is violent and aggressive. In conjunction with the inability to bring civilian rescue services into the action zone, this results in the need to expand the assault team by including one more specialisation — combat paramedic, having the appropriate knowledge, skills and qualifications, as well as equipment that allows for independent first aid while the operations are underway. A paramedic’s preparation must be versatile, but the key to effective action is the ability to perform basic activities, including cardiopulmonary resuscitation, after the diagnosis of sudden cardiac arrest. The study aims to present the results of research conducted on a fairly unique research sample regarding the effectiveness of indirect heart massage by combat paramedics of police special units and conclusions resulting from empirical research and their comparison with the results of similar studies, in relation to other professional groups. The knowledge and skills acquired during the training quickly become obsolete, requiring systematic consolidation and improvement. Therefore, cyclical repetition of exercises in the area of rescue activities plays a key role in maintaining the required quality of life support. The collected material may be a premise for further research, indicating their potential directions.


2020 ◽  
Vol 4 (2) ◽  
pp. 229
Author(s):  
Muhammad Eko Atmojo ◽  
Helen Dian Fridayani

Kulon Progo Regency is one of the districts that has many innovations, one of which is community empowerment in collaboration with a modern shop abbreviated as the shop name owned by the people (tomira). This research was motivated by the achievements of the Kulon Progo district government in carrying out development and innovation in the development of the Kulon Progo region by fully involving the Kulon Progo district community through community empowerment. This initiative was taken by the government of Kulon Progo Regency to improve community empowerment and protect the people of Kulon Progo Regency from various economic threats. Considering that in the past few years many modern shops have mushroomed in each district/city, so this is what makes Kulon Progo Regency move quickly to empower the community by collaborating between MSMEs or cooperative with modern shops. This study uses a qualitative method which case study approach. With the empowerment that has been done, the original products of Kulon Progo Regency or local products can be traded in modern stores so that local products in Kulon Progo Regency can compete with national products in these modern stores. The existence of such cooperation will indirectly improve the image of Kulon Progo Regency and lift the original products of Kulon Progo Regency. The lifting of the original products of Kulon Progo Regency will have a positive impact on the community, where indirectly the economy of the community will increase so that there will be prosperity for the community. Kabupaten Kulon Progo adalah salah satu kabupaten yang memiliki banyak inovasi, salah satunya adalah pemberdayaan masyarakat bekerja sama dengan toko modern disingkat nama toko yang dimiliki oleh masyarakat (tomira). Penelitian ini dilatarbelakangi oleh pencapaian pemerintah kabupaten Kulon Progo dalam melakukan pengembangan dan inovasi dalam pengembangan wilayah Kulon Progo dengan melibatkan sepenuhnya masyarakat kabupaten Kulon Progo melalui pemberdayaan masyarakat. Inisiatif ini diambil oleh pemerintah Kabupaten Kulon Progo untuk meningkatkan pemberdayaan masyarakat dan melindungi masyarakat Kabupaten Kulon Progo dari berbagai ancaman ekonomi. Menimbang bahwa dalam beberapa tahun terakhir banyak toko-toko modern telah menjamur di setiap kabupaten/kota, jadi inilah yang membuat Kabupaten Kulon Progo bergerak cepat untuk memberdayakan masyarakat dengan berkolaborasi antara UMKM atau bekerjasama dengan toko-toko modern. Penelitian ini menggunakan metode penelitian kualitatif dengan pendekatan studi kasus, dengan metode yang digunakan adalah dokumentasi. Dengan pemberdayaan yang telah dilakukan, produk asli Kabupaten Kulon Progo atau produk lokal dapat diperdagangkan di toko modern sehingga produk lokal di Kabupaten Kulon Progo dapat bersaing dengan produk nasional di toko modern ini. Adanya kerjasama tersebut secara tidak langsung akan meningkatkan citra Kabupaten Kulon Progo dan mengangkat produk asli Kabupaten Kulon Progo. Pencabutan produk asli Kabupaten Kulon Progo akan berdampak positif bagi masyarakat, di mana secara tidak langsung perekonomian masyarakat akan meningkat sehingga akan ada kesejahteraan bagi masyarakat.


Author(s):  
Joshua M. Sharfstein

Firefighters fight fires. Police officers race to crime scenes, sirens blaring. And health officials? Health officials respond to crises. There are infectious disease crises, budget crises, environmental health crises, human resources crises—and many more. At such critical moments, what happens next really matters. A strong response can generate greater credibility and authority for a health agency and its leadership, while a bungled response can lead to humiliation and even resignation. Health officials must be able to manage and communicate effectively as emotions run high, communities become engaged, politicians lean in, and journalists circle. In popular imagination, leaders intuitively rise to the challenge of a crisis: Either they have what it takes or they do not. In fact, preparation is invaluable, and critical skills can be learned and practiced. Students and health officials alike can prepare not only to avoid catastrophe during crises, but to take advantage of new opportunities for health improvement. The Public Health Crisis Survival Guide provides historical perspective, managerial insight, and strategic guidance to help health officials at all levels not just survive but thrive in the most challenging of times.


Author(s):  
Mario S. Staller ◽  
Swen Koerner ◽  
Valentina Heil ◽  
Isabel Klemmer ◽  
Andrew Abraham ◽  
...  

AbstractThe current study aims to investigate the current structure and delivery of police recruit training. Using a case study approach, we systematically observed a semester of police training that consisted of 30 h with a specific focus on police use of force training. Field notes and time-on-task data was analysed using an inductive approach. The results revealed, first, a lack of constructive alignment of the training modules and learning tasks within the training settings. Second, an adherence to traditional linear approaches to training resulting in high amounts of augmented instruction and feedback and a one-size-fits all approach to technical and tactical behaviour. Third, a non-efficient use of available training time with low amounts of engagement in representatively designed tasks that stimulated problem-solving processes. Based on these results we suggest that there is a need: (a) for police trainers and curriculum designers to align the objectives, practice structure and delivery of police training with the needs of police officers in the field (e.g. conflict resolution); (b) for police trainers to employ more learner-centred pedagogical approaches that account for individual action capabilities and resources, and allow for high amounts of training time with representatively designed training tasks; and (c) for senior managers of overall police training decision-makers to provide the necessary trainer education, in order to furnish trainers with the knowledge and tools to appropriately plan, deliver and reflect upon their practice in keeping with concept of constructive alignment.


2014 ◽  
Vol 1 (2) ◽  
Author(s):  
Putu Hening Wedhanti ◽  
I Gusti Ayu Diah Fridari

Homosexual is an interest in feeling or in erotic, both are in predominant or exclusiveness against individuals who has a similarity in sexes violent or without involves interaction physical, while gay is term to mention man who likes fellow man as partners sexual, and have interest both in feeling or erotic, both in dominant and exclusive and also with or without any relation physical (Putri, 2013) Faithfulness is a form of behaviors that performed recurrently that will eventually become a permanent nature. Directed toward your faithfulness also means that individual in relationship was able to rely to keep commitments together, which has agreed by Cloud&Townsand (in Sari, 2008). The aim of this research is to find out the dynamics of faithfulness to gay. This research using qualitative methods by case study approach to describe the dynamics of faithfulness in gay relationship. To collecting data in this research used interview technique and used 4 subject. This research used thematic coding for analyzing data. The result of this study suggest that in a world of a gay, most individuals within it are the people who run the principle of free life, where they hang out and behaving freely without any rules that tie it. Generally the respondents in this study say that faithfulness is crucial and absolutely there are in relationship but not all gay capable of running commitment to remain faithful.   Keywords: Homosexual, Gay, Faithfulness, Qualitatife, Case study


2021 ◽  
pp. 215336872110075
Author(s):  
TaLisa J. Carter ◽  
Lallen T. Johnson

This study demonstrates that racially disparate fare evasion citation outcomes are the product of racialized social systems that allow transit police officers to determine the belongingness of Black riders in systems of mass transit. Using citation data from the Washington Metropolitan Area Transit Authority, we test the impact of race and place attributes on transit officer decisions to allocate punishment for subway fare evasion using mixed effects logistic regression controlling for individual and contextual predictors. Although rider racial identity alone proves statistically irrelevant, Black riders suspected of fare evasion possess an elevated risk for being fined as opposed to merely being warned at stations located within predominately white neighborhoods and as stations increase in ridership. These findings demonstrate how transit police officer discretion challenges Black belongingness on systems of public transportation. Broader implications of this work include the importance of scholarship linking statistical disparities to organizational intent and integrating diverse voices in policing policy development.


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