First Responders While Administering Unrealized Integrated Pre-Hospital

Fitri Anita; Tita Hariyanti; Tony Suharsono

doi:10.54783/ijsoc.v2i3.143

Fitri Anita Master Program of Nursing, Faculty of Medical, Brawijaya University, Indonesia
Tita Hariyanti Master Program of Hospital Management, Faculty of Medicine, Universitas Brawijaya, Indonesia
Tony Suharsono Department of Emergency Nursing, Faculty of Medicine, Universitas Brawijaya, Indonesia

DOI: https://doi.org/10.54783/ijsoc.v2i3.143

Keywords: First Responder, Pre-Hospital Care, Traffic Accident

Abstract

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.

References

Alinia, S., Khankeh, H., Maddah, S. S. B., & Negarandeh, R. (2015). Barriers of pre-hospital services in road traffic injuries in Tehran: the viewpoint of service providers. International journal of community based nursing and midwifery, 3(4), 272.

Balikuddembe, J. K., Ardalan, A., Khorasani, D., Nejati, A., & Raza, O. (2017). Weaknesses and capacities affecting the Prehospital emergency care for victims of road traffic incidents in the greater Kampala metropolitan area: a cross-sectional study. BMC emergency medicine, 17(1), 29.

Beuran, M., Paun, S., Gaspar, B., Vartic, M., Hostiuc, S., Chiotoroiu, A., & Negoi, I. (2012). Prehospital trauma care: a clinical review. Chirurgia, 107, 564-570.

Chokotho, L., Mulwafu, W., Singini, I., Njalale, Y., Maliwichi-Senganimalunje, L., & Jacobsen, K. H. (2017). First responders and prehospital care for road traffic injuries in Malawi. Prehospital and disaster medicine, 32(1), 14-19.

Debenham, S., Fuller, M., Stewart, M., & Price, R. R. (2017). Where there is no EMS: lay providers in Emergency Medical Services care-EMS as a public health priority. Prehospital and disaster medicine, 32(6), 593-595.

Elmqvist, C., Brunt, D., Fridlund, B., & Ekebergh, M. (2010). Being first on the scene of an accident–experiences of ‘doing’prehospital emergency care. Scandinavian Journal of Caring Sciences, 24(2), 266-273.

Goonewardene, S. S., Baloch, K., Porter, K., Sargeant, I., & Punchihewa, G. (2010). Road Traffic Collisions—Case Fatality Rate, Crash Injury Rate, and Number of Motor Vehicles: Time Trends Between a Developed and Developing Country. The American Surgeon, 76(9), 977-981.

Hadigal, S., & Rao, G. V. R. (2011). Study of mob-behavior during road traffic accidents in Hyderabad. Transforming Emergency Management, 8.

Husum, H., Gilbert, M., Wisborg, T., Van Heng, Y., & Murad, M. (2003). Rural prehospital trauma systems improve trauma outcome in low-income countries: a prospective study from North Iraq and Cambodia. Journal of Trauma and Acute Care Surgery, 54(6), 1188-1196.

Jammeh, A., Sundby, J., & Vangen, S. (2011). Barriers to emergency obstetric care services in perinatal deaths in rural gambia: a qualitative in-depth interview study. ISRN obstetrics and gynecology, 2011.

Jayaraman, S., Mabweijano, J. R., Lipnick, M. S., Caldwell, N., Miyamoto, J., Wangoda, R., . . . Ozgediz, D. (2009a). Current patterns of prehospital trauma care in Kampala, Uganda and the feasibility of a lay-first-responder training program. World journal of surgery, 33(12), 2512-2521.

Jayaraman, S., Mabweijano, J. R., Lipnick, M. S., Caldwell, N., Miyamoto, J., Wangoda, R., . . . Ozgediz, D. (2009b). First things first: effectiveness and scalability of a basic prehospital trauma care program for lay first-responders in Kampala, Uganda. PLoS One, 4(9).

Khorasani-Zavareh, D., Khankeh, H. R., Mohammadi, R., Laflamme, L., Bikmoradi, A., & Haglund, B. J. (2009). Post-crash management of road traffic injury victims in Iran. Stakeholders' views on current barriers and potential facilitators. BMC emergency medicine, 9(1), 8.

Kironji, A. G., Hodkinson, P., De Ramirez, S.S., Anest, T., Wallis, L., Razzak, J., . .. Hansoti, B. (2018). Identifying barriers for out of hospital emergency care in low and low-middle income countries: a systematic review. BMC health services research, 18(1), 291.

Kuzma, Kristin, Lim, Andrew George, Kepha, Bernard, Nalitolela, Neema Evelyne, & Reynolds, Teri A. (2015). The Tanzanian trauma patients' prehospital experience: a qualitative interview-based study. BMJ open, 5(4), e006921.

Mock, C. N., Jurkovich, G. J., Arreola-Risa, C., & Maier, R. V. (1998). Trauma mortality patterns in three nations at different economic levels: implications for global trauma system development. Journal of Trauma and Acute Care Surgery, 44(5), 804-814.

Mock, C. N., Tiska, M., Adu-Ampofo, M., & Boakye, G. (2002). Improvements in prehospital trauma care in an African country with no formal emergency medical services. Journal of Trauma and Acute Care Surgery, 53(1), 90-97.

Novitaria, W., Wigati, P. A., & Sriatmi, A. (2017). Analisis Kesiapan Pelaksanaan Sosialisasi Program Ambulance Hebat Dalam Rangka Dukungan Terhadap Sistem Penanggulangan Gawat Darurat Terpadu Di Kota Semarang. Jurnal Kesehatan Masyarakat (e-Journal), 5(4), 164-171.

Pallavisarji, U., Gururaj, G., & Girish, R. N. (2013). Practice and perception of first aid among lay first responders in a southern district of India. Archives of trauma research, 1(4), 155.

Pigoga, J. L., Cunningham, C., Kafwamfwa, M., & Wallis, L. A. (2017). Adapting the emergency first aid responder course for Zambia through curriculum mapping and blueprinting. BMJ open, 7(12), e018389.

Polri, K. (2018). Jumlah Kecelakaan Lalulintas. Indonesia: Korps Lalulintas Kepolisian Negara Republik Indonesia.

Suryanto, Plummer, V., & Boyle, M. (2017). EMS systems in lower-middle income countries: a literature review. Prehospital and disaster medicine, 32(1), 64.

Uthkarsh, P. S. (2010). Study of gaps between precepts and practices in prevention of injuries and prehospital care among injury cases admitted to MSRMC Bangalore, Karnataka, India. Injury prevention, 16(Suppl 1), A195-A195.

Wesson, H. K. H., Boikhutso, N., Bachani, A. M., Hofman, K. J., & Hyder, A. A. (2014). The cost of injury and trauma care in low-and middle-income countries: a review of economic evidence. Health policy and planning, 29(6), 795-808.

Wesson, H. K. H., & Kwong, M. (2017). Trauma care in India: A review of the literature. Surgery, 162(6), S85-S106.