Report Day 2: Tuesday July, 26 2016

Coverage from the Kalasan Room
Center for Health Policy and Management (CHPM), Faculty of Medicine, Universitas Gadjah Mada-Jogja.

INSARAG ASIA PACIFIC REGIONAL EARTHQUAKE RESPONSE EXERCISE

Yogyakarta, 25-28 July 2016

Emergency Medical Team (EMT) Group Discussion

EMT meeting day two was held in Tuesday, July 26, 2016 in Kalasan Room, Inna Garuda Hotel,Yogyakarta.  This session purpose to discuss how they will act in simulation process for tomorrow. This team consist of player, local government and emergency medical team. This team agreed that all of EMT international should registered in Ministry of Health (MoH), Indonesia Republic. If they already registered, it will make a simple way if Indonesia need EMT International (when natural disaster came).

The second session was presentation from 4 speaker, from Health Crisis Center MoH, Pusat Penanganan Krisis/PKK or Health Crisis Center Central Java Regional, DIY Province Health Office, and lesson learnt from Faculty of Medicine, UGM. dr. Ira C Tresna explain about the position of MoH and team for tomorrow simulation. MoH will accept all of EMT international and distribute them to disaster area. The next speaker, Haris Kurniawan, SKM (Health Crisis Center, Central Java Regional) describe that HCC Regional is extension of the hand’ of MoH. Haris and team claim that they was a group of crazy people that respected. In short term, HCC Central Java will make a training for volunteers about basic life support and water rescue.

dr. Anung Trihadi from Health district office, DIY Province recite about Standard Operating and Procedure (SOP) when emergency disaster came. MoH will base in Health district office, DIY Province, and MoH will command HCC, EMT international, call center 118, BPBD (Local Disaster Management Agency), BNPB (National Disaster Management Agency) and another team or volunteers.

Lesson learnt from Faculty of Medicine, UGM explained by dr. Hendro Wartatmo, Sp. BD. Hendro was lecturer in UGM, a doctor and Disaster Working Group member in FoM UGM. He told about Merapi eruption and Bantul earthquake. Merapi eruption causing mental and physics. It is happen because major explosion would occur in 2006. That’s why preparedness is never enough. We already knew that Merapi always gave us a slowdown lava before.

Bantul earthquake made a huge movement to health disaster team in DIY. It was valuable experience in disaster management. Why? Because when Bantul earthquake, Hendro saw an emergency hospital from EMT international on the center of main road. And it was recorded 400 operations are performed in the first 30 days after the earthquake but the data is not detail. So, the conclusion is, in disaster management we are not lack of resources but lack of coordination.

In the middle day session, Supriyadi, Klaten, Central Java, one of the former SAR and Klaten Red Cross volunteers share experiences about what is most important in a disaster and hopes disabilities to be more involved in decision making in the treatment of victims. Supriyadi suffered physical trauma, spinal fractures so use a wheelchair to move. Experience when an earthquake occurs, he has a basic self-rescue, then it could escape, but there are his children who were aged 1 year at that time, then Supriyadi save his son, he became earthquake victims. Currently, many countries that have ratified the CRTF and Sendai Framework, which is a joint agreement to reduce the risk of catastrophic risks. There are 3 points of Sendai Frmework, ie the threats, vulnerabilities and capacities. Disability is currently regarded as a vulnerability, Supriyadi hope each country involving disability opinion as input to determine policy. They also have the capability to reduce the risk of disaster. They are now involved in decision making and policy. It used to be only separated groups of children and gender segregation before.  But now, the existing data classified only age and gender. After Indonesia ratified the Sendai Framework, disability data collection has been done the appropriate form. However, our home work is how the business of international EMT team to be able to work together with the inclusion of persons with disabilities?
 

After Supriyadi’s sharing session, the next session of the group is split into 4 groups discussion: for Logistics, Coordination, Culture, Clinical cases with facilitator dr. Ali Haedar, SP. EM, dr. Cristrijogo Sumartono W, Sp. An, KAR, Alfrinna Hanny, MN, and dr. Surya Prananda Airlangga, Sp. An, M. Kes, KIC.
Some list of questions that raised during the discussion are:

• Is there a cultural shock when registration EMT International to Indonesia?
• If there are cultural differences, what to prepare?
• Does it need a permit if a male doctor checking female?
• Do customs check of EMT international drug arrivals?
• Is there a cultural prohibition if the foreign teams will help?

The results of the group discussions will be used for international EMT simulation which will be held tomorrow (Wednesday, July 27, 2016) with hundreds of health care workers and other volunteers from Indonesia and abroad.

Report Day 3: Wednesday July, 27 2016

Coverage from the Kalasan Room
Center for Health Policy and Management (CHPM), Faculty of Medicine, Universitas Gadjah Mada-Jogja.

INSARAG ASIA PACIFIC REGIONAL EARTHQUAKE RESPONSE EXERCISE

Yogyakarta, 25-28 July 2016

Simulation Day 1

An earthquake has struck Yogyakarta on Tuesday night 26 July 2016 and shudder three district in Special Region of Yogyakarta, more precisely the earthquake hit Bantul district, Sleman district, and Yogyakarta municipality. Communications were cut off, thousands of people have died and the wounded have been taken to the hospital for medical assistance.

An Earthquake is a sudden and violent shaking of the ground, sometimes causing great destruction, as a result of movements within the earth's crust or volcanic action. Such natural phenomenon happens frequently in an area that is close to volcanic mountain and also in the areas that is surrounded by vast oceans.

National Search and Rescue Agency Republic of Indonesia in collaboration with the local or international EMT (Emergency Medical Team) are immediately dispatched to the affected areas, to evacuate and carry out medical assistance to relief the emergency situation caused by the earthquake.  

All of the EMT, both national and international, are directed to registration booth in the Yogyakarta Special Region Public Health Center before carrying out their duties. This is to allow initial assessment of the needs, current situation and to decide the most appropriate measures in responding to the emergency situation.

When the EMT team has finished the pre-registration in the Public Health center in DIY, they are directed to the minister of health office to know the current situation. The EMT is then directed to the district health office representative of the affected areas (Sleman health district, Bantul health district, and Yogyakarta health office); those who received assignment from the health district concerning the number of the EMT personnel needed to be deployed are directed to the data management room.

After conducting field duties, the EMT team writes a daily report that will be returned to the corresponding district health office to allow monitoring EMT needs and in order to meet challenges in the field such as human resources needs, drugs, and determine medical assistance. After the EMT team has carried out their duties, they quickly return to the health district to report their finding in the field and update the current situation in the affected area.
Earthquake can happen at any time without any warning. However, the epicenter tends to occur in certain areas such as pacific tectonic plates. This is known as the ring of fire due to the great number of volcanic mountains.

Report Day 1 EMT Session, Monday July, 25 2016

Coverage from the Nakula Sadewa Room
Center for Health Policy and Management (CHPM), Faculty of Medicine, Universitas Gadjah Mada-Jogja.

INSARAG ASIA PACIFIC REGIONAL EARTHQUAKE RESPONSE EXERCISE

Yogyakarta, 25-28 July 2016

Emergency Medical Team Session

Our country is considered by many as a country that is plagued with disasters. These disasters are either caused by natural disasters such as earthquake, floods, tsunami, and many other causes or from human activities such as bombing terrors, civil unrest, fire or even accidents at work due to human negligence. As part of the ERT (Emergency Response Team), the Medical Emergency Response Team (EMT) focuses on providing medical assistance to the disaster victim.

ERP (Emergency Response Plan)  management system is always needed and must ready to be implemented in the event of an emergency, therefore it is advised that every corporation incorporate ERP management system as early as possible. One of the many ways to learn it is through dissemination and Emergency Response Plan exercises, followed by routine and continuous exercises.

It is hoped that through this exercise, participants will acquire knowledge in meaning disaster and conduct emergency techniques accurately. The purposes of the exercise are as follows:

• To coordinate Emergency Planning efforts/ERP (Emergency Response Plan) therefore efficiency and effectiveness can achieved in managing emergency.
• To have the proper understanding with the logistics of things concerning with ERP (Emergency Response Plan) as a system that is always needed and implemented in the event of an emergency therefore emergency response can be carried out quickly and with precision.
• To understand the risk of emergency situation and exercise preparedness in managing emergency situation therefore anxiety and panic can be managed.
• To be better prepared in reducing the risk of more loses in the event of an emergency.  
• To manage procedures in conducting Emergency Response thus reducing company loss.
• To ensure that control measures and ERP (Emergency Response Plan) is well organized.

Report Day 1, Monday July, 25 2016
Nakula Sadewa Room, Inna Garuda Hotel

INSARAG ASIA PACIFIC REGIONAL EARTHQUAKE RESPONSE EXERCISE

Yogyakarta, 25-28 July 2016

INSARAG Asia Pacific Regional Earthquake Response Exercise was held in Inna Garuda Hotel, Malioboro on Monday, July 25, 2016. The opening ceremony begins with the singing of the Indonesian national anthem by all of the INSARAG participants, and then followed by Gambyong traditional dance.
 

The opening speech came from Mr. Gatot as the Yogyakarta Special Region representative. In his speech, he was very pleased to have the INSARAG Asia Pacific Regional Earthquake Response Exercise held in Yogyakarta. This exercise would increase the capabilities of community of Search and Rescue Agencies especially in managing with earthquakes disaster. This exercise would also create awareness both for the people and the government in Yogyakarta Special Region in managing and providing relief aid due to earthquakes disaster. Furthermore, the regional government views this exercise as an opportunity for Yogyakarta to become the local representative for Indonesia in the international community.
 

Mr.Zhao Ming, as the head of INSARAG Asia Pacific Regional added that reflecting from the Banda Aceh tsunami in 2004, Indonesia has demonstrated the ability as a nation capable in dealing with unexpected challenges emerged from such natural disaster.  As a developing country and as a nation that is plagued with natural disaster, it is hoped that through this exercise, Indonesia would like to be ready in managing all kinds of natural disaster.  

Mr.Oliver Lacey Hall, Head of OCHA Indonesia/ASEAN Liaison Officer stated that through this exercise it enables a nation to reinforce its safety lines and relief aid, especially Indonesia. As a nation, Indonesia has to be ready at all times to deal with natural disaster.
 

Supporting statement arise also from the head of the Indonesia Search and Rescue Agency (BASARNAS), Air Marshall Mr. FHB Soelistyo, he conceded that there is an opportunity to cooperate and coordinate with other nations and continue its commitment for humanity. It is hoped that in the near future this development of readiness will be maintained and developed along with Indonesia’s regional partner and it can also become a valuable experience and an opportunity for collaboration with the regional government that is hit with the natural disaster as a response to the Indonesian people concerning health and safety in the event of a disaster.