EMERGENCY

MEDICAL TEAMS
(EMTs)
KONSEP UNTUK INDONESIA
The term EMTs refers to groups of health professionals
providing direct clinical care to populations affected by
disasters or outbreaks and emergencies as surge
capacity in support of the local health system.

EMTs can include governmental (both civilian and

military) and non- governmental personnel and can be
comprised of both national and international staff.
 KECENDERUNGAN KEJADIAN
BENCANA / KEDARURATAN MEDIS

BA N YA K
MAKIN S O S IA L
A LA M DAN
R K E N ON A-
ERG ES E A U SA H
B
T A H -D UNI
I P E M E RIN L
O N IS A S PT IM A
H AR M T B EL U MO
A SY A R AKA A N
M ER I N T A H
M P E M
E N J A D I SP
M
BELUM
O PT IM AL
R B B E L UM
UPAYA P

LABORATORIUM BENCANA
388 (78 %) kabupaten/kota : risiko tinggi 109 (22 %) kabupaten/kota : risiko sedang
 R≈Hx V MITIGASI
KESIAP
SIAGAAN

C KELEMBAGAAN
/ KEBIJAKAN

PENGUATAN
KAPASITAS

PERINGATAN
DINI

PARADIGMA
• PEMERINTAH • PENDEKATAN
• DUNIA USAHA • PRB KLASTER
• MASYARAKAT • TERINTEGRASI DALAM • WAKTU RESPON
PEMBANGUNAN

KELEMBAGAAN SISTEM KELOLA

STRATEGI MENURUNKAN IRBI
388 (78 %) kabupaten/kota : risiko tinggi
109 (22 %) kabupaten/kota : risiko sedang R≈Hx V
C
ALAM
KELOLA NON ALAM

RD
SOSIAL

ZA
HA
PEMBERDAYAAN
KLASTER KESEHATAN

RESIKO
KURANGI TINGKATKAN
A B I LITY CAPACIT
UL NE R Y
V
 KEBIJAKAN PEMERINTAH DALAM KLASTER
KEP KA BNPB NO 173 TH 2014

KESEHATAN
PENCARIAN DAN
EKONOMI PENYELAMATAN

PEMULIHAN DINI LOGISTIK

PENGUNGSIAN DAN
SARANA DAN PERLINDUNGAN
PRASARANA
PENDIDIKAN
 PENGORGANISAIAN KLASTER DAN SUB KLASTER KESEHATAN

TUGAS KLASTER
KEP KA BNPB NO 173 TH 2014 PELAKSANA SUB KLASTER

1.PELAYANAN KESEHATAN SUB KLASTER PELAYANAN

KESEHATAN
2.PENGENDALIAN PENYAKIT
3.PENYEHATAN LINGKUNGAN SUB KLASTER PENGENDALIAN
PENYAKIT DAN PENYEHATAN
4.PENYIAPAN AIR BERSIH DAN SANITASI LINGKUNGAN
YANG BERKUALITAS
5.PELAYANAN KESEHATAN GIZI SUB KLASTER PELAYANAN GIZI
6.PENYIAPAN KESEHATAN REPRODUKSI
DALAM SITUASI BENCANA SUB KLASTER KIA DAN REPRODUKSI

7.PENANGANAN KESEHATAN JIWA SUB KLASTER KESEHATAN JIWA

8.PENATALAKSANAAN KORBAN MATI SUB KLASTER DVI
 SUB KLASTER PELAYANAN KESEHATAN
POS
POS UNGSI
UNGSI SEMENTARA
SEMENTARA TITIK
PENGUNGSIAN
SSIIAANN
U NNGG
N GGU
PPEE N

EEKK
SSTTR - PELAYANAN
RAAK
KSSI TIM
TIM AMBULAN
AMBULAN GAWAT DARURAT
I TRIAGE - PERAWATAN
RESUSITASI EVAKUASI
EVAKUASI DEVINITIF
DAERAH BENCANA SISTEM RUJUKAN

PRE-HOSPITAL HOSPITAL CARE

KLASTER KESEHATAN NASIONAL
S U B K L A S T E R L A Y A N A N K E S E H A T A N

KEBIJAKAN NASIONAL DAN PENYIAPAN EMTs

PUSAT
NASIONAL

REGIONAL
Pembinaan Klaster Provinsi dan REGIONAL
Penyiapan EMTs NASIONAL di Regional

KAPASITA
UPT
S
Pelaksana Klaster Kesehatan Regional
VERTIKAL
PROVINSI
KLASTER KESEHATAN PROVINSI
S U B K L A S T E R L A Y A N A N K E S E H A T A N

KEBIJAKAN EMERGENCY PROVINSI, RECOVERY DINI DAN PENYIAPAN EMTs

PROVINSI
PROVINSI

KAPASITA
UPT
Pembinaan Klaster Kabupaten / Kota dan penyiapan EMTs S
Provinsi
PROVINSI
PROVINSI
KLASTER KESEHATAN KABUPATEN / KOTA
S U B K L A S T E R L A Y A N A N K E S E H A T A N

KABUPATEN
PRB, MITIGASI, MANAGEMENT EMERGENCY / LOCAL EMERGENCY
COMMUNITY / SPGDT / PSC
/ KOTA

UPT KAPASITAS
KABUPATEN
Pemeliharaan Kapasitas Klaster Kesehatan KABUPATEN
Kabupaten / Kota
/ KOTA / KOTA
The term EMTs refers to groups of health professionals
providing direct clinical care to populations affected by
disasters or outbreaks and emergencies as surge capacity in

support of the local health

system.
 • PRB
KAB/KOTA
JALUR PERMINTAAN

JALUR PERKUATAN
• SPGDT

• EMTs
PROVINSI • RECOVERY DINI

• EMTs
NASIONAL • REHAB REKON
 KABUPATEN / KOTA

PRE
PRE AMB
AMB HOSP.
HOSP.
HOSP.
HOSP. SERV.
SERV.

PRB
PRB SPGDT
SPGDT
V H
 SAV
MAMPU MERESPON

E
CO
M
PRE HOSPITAL

MU
AMBULANCE
HOSPITAL
SERVICE

N IT
Y
MAMPU MEMINTA TOLONG

TERSEDIA PERTOLONGAN YG
CEPAT, TEPAT, PARIPURNA
 UNSUR TERPADU DALAM SPGDT
FIRST RESPONDER

PSC
PRE HOSPITAL INTERNAL DISASTER PLAN
PRE HOSPITAL

AMBULANCE
AMBULANCE HOSPITAL
SERVICE HOSPITAL
SERVICE

STANDARISASI
EXTERNAL DISASTER PLAN
SUB KLASTER PELAYANAN KESEHATAN
POS
POS UNGSI
UNGSI SEMENTARA
SEMENTARA TITIK
PENGUNGSIAN
SSIIAANN
U NNGG
N GGU
PPEE N

EEKK
SSTTR - PELAYANAN
RAAK
KSSI TIM
TIM AMBULAN
AMBULAN GAWAT DARURAT
I TRIAGE - PERAWATAN
RESUSITASI EVAKUASI
EVAKUASI DEVINITIF
SISTEM
PRE-HOSPITAL RUJUKAN

HOSPITAL CARE
PERKUATAN EMT DAPAT DILAKUKAN DENGAN PENAMBAHAN SDM
ATAU PENAMBAHAN FASILITAS LAYANAN

EMTs
EMTs
EEKK
SSTTR - PELAYANAN
RAAK
KSSI GAWAT DARURAT
I TRIAGE - PERAWATAN
RESUSITASI EVAKUASI
EVAKUASI DEVINITIF
DAERAH BENCANA SISTEM
RUJUKAN

PRE-HOSPITAL HOSPITAL CARE

PERKUATAN EMT DAPAT DILAKUKAN DENGAN PENAMBAHAN SDM
ATAU PENAMBAHAN FASILITAS LAYANAN

EMTs
EMTs
EEKK
SSTTR - PELAYANAN
RAAK
KSSI GAWAT DARURAT
- PELAYANAN
I TRIAGE - PERAWATAN
GAWAT DARURAT
RESUSITASI
TRIAGE EVAKUASI
EVAKUASI DEVINITIF
- PERAWATAN
DAERAH BENCANA RESUSITASI DEVINITIF
SISTEM
TRIAGE
RUJUKAN
RESUSITASI

PRE-HOSPITAL HOSPITAL CARE

 KLASTER
KESEHATAN
NOTIFY KEY PERSONS
INITIAL ALLERT
INITIATE PREPARATION

RESUSCITATION COLLECT INFORMATION

INVESTIGATION MOBILIZATION OF RESOURCES

ICU

TREATMENT TRIAGE DOCUMENTATION

OT

OPD
DECONTAMINATION
IN DOOR
DEATH
DISCHARGE
ARRIVAL OF PATIENT
MORTURY
EMTs
N AT I O N A L
SPGDT
K A B / KOTA

EMTs
PROVINSI

siapa………………..
bagaimana ……...
kapan……………….
EMTs
N AT I O N A L
EMTs
PROVINSI

S P G D T- B
EMTs
K A B / KO TA

The term EMTs refers to groups of health

professionals providing direct clinical care to
populations affected by disasters or outbreaks
and emergencies as surge capacity in support of
the local health system.
KEBIJAKAN EMERGENSI /
LOCAL EMERGENCY
COMMUNITY / SPGDT-B KABUPATEN
EMTs KABUPATEN / / KOTA
KOTA

KEBIJAKAN EMERGENSI
PROVINSI DAN
PENYIAPAN EMTs PROVINSI
PROVINSI

KEBIJAKAN NASIONAL
DAN PENYIAPAN EMTs PUSAT
NASIONAL
MATRIK KAPASITAS
EMT
DISPARITAS
KAPASITAS PROV –
STANDARISASI
• TYPE 1 MOBILE
• TYPE 1 FIXED
KAB/KOTA
• FASYANKES
KAPASITAS
MINIMAL
• TYPE 2 • SDM NAKES
• TYPE 3 • GEOGRAFIS
• SPECIALIST CELLS
 MATRIK DASAR KAPASITAS EMTs
TYPE 1 - MOBILE TYPE 1 - FIXED TYPE 2 TYPE 3 SPECIALIST CELLS
PRIMARY & EMERGENCY PRIMARY & EMERGENCY EMERGENCY CARE EMERGENCY CARE SPECIALIST CARE TEAMS
CARE MOBILE OUTPATIENT CARE OUTPATIENT CLINIC OUTPATIENT CLINIC & OUTPATIENT CLINIC &
CARE INPATIENT SURGICAL INPATIENT INTENSIVE &
TRAUMA CARE FACILITY REFERRAL CARE FACILITY

Able to treat minimum per Able to treat minimum per Able to treat minimum per
day: 50 outpatients day: 100 outpatients day:
100 outpatients
20 inpatients
7 major surgical
procedures
15 minor surgical
procedures
Able to treat minimum per
day:
100 outpatients
40 inpatients
4 intensive care
15 major surgical
procedure 30 minor
surgical procedures
Pre-hospital transport
Primary medical care
Maternal child healt
Surgical speciality
Infectious & Outbreak
Dialysis Rehabilitation
Medevac retrieval

Day time services only Day time services only Day time outpatient Day time outpatient Embedded specialist
services services 24 hour inpatient services only
24 hour inpatient & & surgical services
surgical services

Mobile team & equipment Fixed team & equipment Fixed team & equipment Fixed team & equipment Mobile or Fixed team &
equipment

No temporary clinical Temporary clinical facility Temporary clinical facility Temporary clinical facility No temporary clinical
facility provided provided provided facility

Deployment 14 days Deployment 14 days Deployment 21 days Deployment 28 days Deployment 14 days
minimum minimum minimum minimum minimum
 TYPE 1 - MOBILE TYPE 1 - FIXED
PRIMARY & EMERGENCY PRIMARY & EMERGENCY
CARE MOBILE OUTPATIENT CARE OUTPATIENT CLINIC
CARE KABUPATEN
/ KOTA
Able to treat minimum per Able to treat minimum per
day: 50 outpatients day: 100 outpatients KEBIJAKAN EMERGENSI /
LOCAL EMERGENCY
COMMUNITY / SPGD-B
EMTs KABUPATEN /
KOTA
Day time services only Day time services only

APAKAH MERUPAKAN KAPASITAS MINIMAL ?

APAKAH PERLU VARIASI DARI MATRIK DASAR ?
Mobile team & equipment Fixed team & equipment BAGAIMANA KOMPOSISI SDMNYA ?
No temporary clinical Temporary clinical facility
facility provided

Deployment 14 days Deployment 14 days

minimum minimum
 TYPE 2
EMERGENCY CARE
OUTPATIENT CLINIC & INPATIENT
SURGICAL TRAUMA CARE FACILITY
PROVINSI
Able to treat minimum per day:
100 outpatients KEBIJAKAN EMERGENSI
20 inpatients
7 major surgical procedures
PROVINSI DAN
15 minor surgical procedures PENYIAPAN EMTs
PROVINSI

Day time outpatient services

24 hour inpatient & surgical services
Fixed team & equipment
Temporary clinical facility provided
APAKAH MERUPAKAN KAPASITAS MINIMAL ?
APAKAH PERLU VARIASI DARI MATRIK DASAR ?
BAGAIMANA KOMPOSISI SDMNYA ?

Deployment 21 days minimum

 TYPE 3
EMERGENCY CARE
OUTPATIENT CLINIC &
INPATIENT INTENSIVE &
REFERRAL CARE FACILITY
Able to treat minimum per
day:
100 outpatients
40 inpatients
4 intensive care
15 major surgical
procedure 30 minor
surgical procedures
Day time outpatient Embedded specialist
services 24 hour inpatient services only
& surgical services
Fixed team & equipment
Temporary clinical facility
provided
Deployment 28 days
minimum
SPECIALIST CELLS
SPECIALIST CARE TEAMS
PUSAT
Pre-hospital transport KEBIJAKAN NASIONAL
Primary medical care
Maternal child healt DAN PENYIAPAN EMTs
Surgical speciality
Infectious & Outbreak NASIONAL
Dialysis Rehabilitation
Medevac retrieval
APAKAH MERUPAKAN KAPASITAS MINIMAL ?
APAKAH PERLU VARIASI DARI MATRIK DASAR ?
Mobile or Fixed team &
equipment
BAGAIMANA KOMPOSISI SDMNYA ?
No temporary clinical
facility
Deployment 14 days
minimum
HASIL YANG DIHARAPKAN
STANDART MINIMAL EMTs
KOMPOSISI SDM NAKES

DIGUNAKAN UNTUK MENILAI KAPASITAS

MENENTUKAN PROGRAM PEMBINAAN
 POS TITIK
POSUNGSI
UNGSISEMENTARA
SEMENTARA
PENGUNGSIAN
N
SIAIAN EMT 1 fix
S
U NNGG EMT 1 fix
U
E NNGG
PPE

HOSPITAL CARE
EEKK EMT 2
SSTTR - PELAYANAN
RAAK
KSSII TIM
TIMAMBULAN
AMBULAN GAWAT DARURAT
TRIAGE - PERAWATAN
RESUSITASI EVAKUASI
EVAKUASI DEVINITIF
SISTEM
EMT 2 RUJUKAN
EMT 1 mob
EMT 3
PRE-HOSPITAL

RS-RS
PKM
SELESAI