UPAYA PENINGKATAN PENGETAHUAN DAN KESIAPAN DALAM PENANGANAN BANTUAN HIDUP DASAR PADA KOMUNITAS GEREJA KRISTEN DI TARAKAN

Tindakan Bantuan Hidup Dasar (BHD) harus segera dilakukan untuk mencegah terjadinya kerusakan otak yang lebih parah, mengingat golden period adalah 6-10 menit. Keterlambatan serta kesalahan tindakan BHD dapat berakibat fatal bagi korban. Beberapa faktor seperti kemampuan penolong, ketersediaan peralatan serta tingkat keparahan korban menjadi kendala untuk mengatasi kondisi kegawatan pada korban. Tindakan BHD tidak hanya menjadi tanggung jawab oleh petugas kesehatan saja, tetapi juga masyarakat awam. Sebagai first responder (orang yang pertama kali menemukan korban), masyarakat awam juga harus memiliki kemampuan melakukan BHD pada fase pre hospital sebelum petugas ambulans datang. Kondisi gawat darurat dapat terjadi kapan saja, pada siapa saja dan dimana saja, tidak terkecuali pada saat perkumpulan dalam kegiatan keagamaan. Hal tersebut mendorong pengurus Komunitas Gereja Kristen di Tarakan untuk membekali anggotanya dengan pengetahuan dan juga keterampilan BHD pada masyarakat awam, karena sebagian besar anggota Komunitas Gereja Kristen di Tarakan belum pernah mendapatkan pengetahuan dan keterampilan tentang BHD di masyarakat. Tujuan dari kegiatan pengabdian kepada masyarakat di Komunitas Gereja Kristen di Tarakan ini adalah untuk memberikan pengetahuan dan juga keterampilan tindakan BHD, sehingga diharapkan dapat meningkatkan kesiapan dan kepercayaan diri pada anggota komunitas ini untuk memberikan pertolongan jika terjadi kondisi kegawatan baik di dalam lingkungan gereja maupun lingkungan masyarakat umumnya. Kegiatan ini merupakan kegiatan pelatihan yang terdiri dari pemberian materi secara klasikal dan juga praktik tindakan BHD pada panthom. Evaluasi dari kegiatan ini menunjukan bahwa sebagian besar peserta mengalami peningkatan pengetahuan setelah mengikuti kegiatan pelatihan ini.

Air Corridors: Concept, Design, Simulation, and Rules of Engagement

Air corridors are an integral part of the advanced air mobility infrastructure. They are the virtual highways in the sky for the transportation of people and cargo in a controlled airspace at an altitude of around 1000 ft. to 2000 ft. above ground level. These corridors will be utilized by (unmanned) air taxis, which will be deployed in rural and metropolitan regions to carry passengers and freight, as well as air ambulances, which will be deployed to offer first responder services such as 911 emergencies. This paper presents fundamental insights into the design of air corridors with high operational efficiency as well as zero collisions. It begins with the definitions of air cube, skylane or track, intersection, vertiport, gate, and air corridor. Then a multi-layered air corridor model is proposed. Traffic at intersections is analyzed in detail with examples of vehicles turning in different directions. The concept of capacity of an air corridor is introduced along with the nature of distribution of locations of vehicles in the air corridor and collision probability inside the corridor are discussed. Finally, results of traffic flow simulations are presented.

Human Trafficking: First Responders in Health Care

This article addresses the problems first responders encounter when attempting to identify and rescue survivors of human trafficking. Research indicates that 87.8% of women who escape captivity report they saw a health care provider at least once during captivity. This makes health care providers a critical first responder partner. First responders include law enforcement officers, health care providers, school nurses, and faith-based organizations. Health care workers are most likely to encounter survivors while in captivity. Multi-disciplinary collaborations between health care workers and law enforcement provide increased opportunities to share knowledge and recognize signs of human trafficking in patients. Theoretical paradigms have been used to analyze and anticipate changes in criminal activity and identify victims. Multi-disciplinary teams have developed a check-list of behaviors typical of captives and a questionnaire that illuminates captivity. The article further comments on the reported impact of COVID 19 on the health care’s system ability to recognize victims. It presents the many contributions of school nurses and the faith community to the first responder movement.

Möglichkeiten der Überbrückung des therapiefreien Intervalls bei Notfällen

ZusammenfassungBei Notfällen besteht bis zur professionellen Hilfe durch den Rettungsdienst ein therapiefreies Intervall, das durch verschiedene Organisationsformen überbrückt werden soll, um dem Notfallpatienten eine adäquate Erste Hilfe zuteilwerden zu lassen. Die Hilfsfrist des Rettungsdienstes ist eine länderdifferente planerische Größe und bietet keine ausreichende Gewähr eines frühzeitigen Erreichens des Patienten, sondern definiert vielmehr die Infrastruktur des Rettungsdienstes. Eine spontane Hilfeleistung durch Notfallzeugen ist trotz des Bemühens einer bundesweiten Schulung der Bevölkerung in Erster Hilfe nicht durchgehend zu erwarten. Die Telefonreanimation durch die Leitstelle mit Anleitung des Anrufers zur Reanimation stellt eine Möglichkeit zum frühzeitigen Beginn einer Wiederbelebung dar. Engagierte ausgebildete, zufällig erreichbare Ersthelfer können über verschiedene Kommunikationsmittel an den Notfallort entsandt werden, um Erste Hilfe zu leisten. Eine organisierte Überbrückung des therapiefreien Intervalls stellen die verschiedenen First-Responder-Systeme dar. Eine Sonderform ist der dem Rettungsdienst zugehörige Gemeindenotfallsanitäter. Die Vor- und Nachteile der einzelnen Organisationssysteme werden gegenübergestellt.

Looking out for one another First Responder Physiological Monitoring (Preprint)

UNSTRUCTURED The pandemic had shed light on healthcare burnout and stress throughout the healthcare workforce even more so the First Responder. First responders experience significant physiological stress during response operations and face exposure to a myriad of hazards. Miniaturized, wearable sensors attached to or carried by respond- ers can provide incident command with information about an in- dividual’s health status and specific threats and hazards at the in- cident scene. Improved awareness of these factors helps incident command make decisions that increase the safety of responders and the population. Blended with new advancements in the internet of things and remote care, we are best to look out for one another. Rapid response services like the physician response service at Barts Health NHS trust in east London can offer a new model of working we’re we can look after one another.

Here for My Peer: The Future of First Responder Mental Health

Workplace interventions that leverage social tactics to improve health and well-being are becoming more common. As an example, peer mental health support interventions aim to reduce stigma and promote treatment seeking in first responder populations. Given the social nature of these interventions, it is important to consider how the preexisting social context influences intervention outcomes. A peer mental health support intervention was delivered among first responders, and self-efficacy and intention to have supportive peer conversations were measured pre-and post-intervention. Trust in peers was measured prior to the intervention. Results suggest a floor effect may exist for self-efficacy, in which a foundational level of trust and pre-intervention self-efficacy may be needed to maximize intervention effectiveness. As the future of work brings complex safety and health challenges, collaborative solutions that engage multiple stakeholders (employees, their peers, and their organization) will be needed. This study suggests that more frequent attention to pre-existing intervention context, particularly social context in peer-focused intervention, will enhance intervention outcomes.