Paradigma Baru dalam MEMAHAMI dan MERESPON Bencana disarikan dari kerangka kerja the World Association for Disaster and Emergency Medicine (WADEM) Ahmad Muttaqin Alim
Paradigma Baru dalamMEMAHAMI dan MERESPON
Bencana
disarikan dari kerangka kerja the World Association for Disaster and Emergency Medicine (WADEM)
Ahmad Muttaqin Alim
Yang Mana termasuk bencana?
Change in Function
Hazard
Event
Damage
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
• Apapun yang bisa mengakibatkan bahaya• Bisa natural, human-made, campuran• Memiliki potensi untuk berefek negatif
terhadap kesehatan manusia, properti, aktivitas dan/atau lingkungan
• “Energi Potensial”
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
• Peristiwa/kejadian yang memiliki potensi untuk mempengaruhi makhluk hidup ataupun lingkungan.
• Aktualisasi dari Hazard• Primer – Sekunder• Energi yang dilepaskan
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
• Kerusakan atau luka• Hasil negatif dari event
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
• Damage dapat mengakibatkan berubahnya fungsi (change in function)– Kerusakan pipa mengakibatkan kekurangan
suplai air– Kerusakan jembatan mengakibatkan
terganggunya transportasi– Robohnya bangunan mengakibatkan
kehilangan tempat tinggal– Kaki yang patah mengakibatkan kehilangan
mobilitas
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
• Perbedaan antara kebutuhan dan sumberdaya yang tersedia
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
• Gangguan serius atas keberfungsian masyarakat,
• yang menyebabkan kerugian manusia, material maupun lingkungan,
• yang melebihi kemampuan masyarakat tsb untuk mengatasinya dengan kemampuan/sumberdayanya sendiri
• A serious disruption of the functioning of a society, causing widespread human, material, and/or environmental losses, which exceed the ability of an affected society to cope using only its own resources. (WADEM)
Risk, Probability, Capacity, Resilience
Risk
• Risk = Probability of something will occur• “High”, “Moderate”, “Medium”, “Mild” etc• “1 in 10”, “1 in 1000”, “1 in 1 million”• “4 tahun sekali”
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
Prob Event Hazard Modification
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
Prob Event
Absorbing CapacityProb Damage
Hazard Modification
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
Prob Event
Absorbing Capacity
Buffering Capacity
Prob Damage
Prob ∆ function
Hazard Modification
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
Prob Event
Absorbing Capacity
Buffering Capacity
Local Response Capacity
Prob Damage
Prob ∆ function
Hazard Modification
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
Prob Event
Absorbing Capacity
Buffering Capacity
Local Response Capacity
Res
ilien
ce
Prob Damage
Prob ∆ function
Hazard Modification
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
Prob Event
Absorbing Capacity
Buffering Capacity
Local Response Capacity
Res
ilien
ce
Prob Damage
Prob ∆ function
Prob Disaster
Hazard Modification
Prob Emergency
“Risk Reduction”
• World Health Organization (WHO)• International Strategy for Disaster Reduction
(ISDR)• UN-Ooffice for Coordination of Humanitarian
Affair (UN-OCHA)• Inter-Agency Standing Committee (IASC)
Risk = Probability
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
Prob Event
Absorbing Capacity
Buffering Capacity
Local Response Capacity
Res
ilien
ce
Prob Damage
Prob ∆ function
Prob Disaster
Hazard Modification
Prob Emergency
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
Risk Event
Absorbing Capacity
Buffering Capacity
Local Response Capacity
Res
ilien
ce
Risk Damage
Risk ∆ function
Risk Disaster
Hazard Modification
Risk Emergency
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
Risk Event
Absorbing Capacity
Buffering Capacity
Local Response Capacity
Res
ilien
ce
Risk Damage
Risk ∆ function
Risk Disaster
Hazard ModificationR
isk
Red
uctio
n
Pre
pare
dnes
s
Risk Emergency
Hazard
Event
Damage
Change in Function
Needs
Disaster
Pre-Event
Event
Damage
Change in Function
Relief
Recovery
Waktu
Mengamati Proses Bencana (Assesment)
Hazard
Event
Damage
Change in Function
Needs
Disaster
Pre-Event
Event
Damage
Change in Function
Relief
Recovery
Waktu
Status Masyarakat, Status Rumah Sakit
EarthquakeRumah Sakit colaps
Tidak bisa operasi, tempat tidur kurang
RS Lapangan
Rebuild
Mengamati Proses Bencana (Assesment)
Hazard
Event
Damage
Change in Function
Needs
Disaster
Pre-Event
Event
Damage
Change in Function
Relief
Recovery
Waktu
Status Masyarakat, Status Rumah Sakit
EarthquakeRumah Sakit colaps
Tidak bisa operasi, tempat tidur kurang
RS Lapangan
Rebuild
Assessment 1 Assessment 2 Assessment 3
Mengamati Proses Bencana (Assesment)
Paradigma
D-I-S-A-S-T-E-Rdalam Respons Bencana/MCI
disarikan dari Advanced Disaster Life Support®
D-I-S-A-S-T-E-R
• D – Detection• I – Incident Command• S – Scene Security and Safety• A – Assess Hazards • S – Support• T – Triage and Treatment• E – Evacuation• R – Recovery
• M Major Incident – Apa yang terjadi? • E Exact location – Dimana?• T Type of incident – Tipe Kejadian?• H Hazard at scene – kemungkinan bahaya• A Access and egress routes – Akses ke lokasi?• N Number of casualties involved – Jumlah korban?• E Emergency services present and requested - kalkulasi
resource yang ada dan diminta?
• Apakah membutuhkan resource dari luar? • Kalau ya, siap-siap deklarasikan BENCANA!
D-I-S-A-S-T-E-RDetect
• Lapor Kepada Komandan/Koordinator• Atau.. Jadilah komandan/koordinator• Aktifkan Incident Command System
D-I-S-A-S-T-E-RIncident Command
• Violence? Power lines? Secondary devices?• Hati-hati bahaya berikutnya
– Bombs, Shrapnel devices, Incapacitating Devices, Multiple Snipers/Terrorists, Delay Devices
D-I-S-A-S-T-E-R Scene Security and Safety
D-I-S-A-S-T-E-R Assess Hazards
• Fire? • HAZMAT? (Chemical, Biological, Radiation, Nuclear)• Radiation? • Building collapse? • Etc.
D-I-S-A-S-T-E-RSupport
• Panggil Bantuan! (Polisi, PMK, Ambulan, Pemerintah lain)
• Menejemen Relawan• Menejemen Logistik• Menejemen Keuangan
M.A.S.S. Triage
M – MoveA – AssessS – SortS – Send
• M.A.S.S. Triage is a disaster triage system that utilizes US military triage categories with a proven means of handling large numbers of casualties in a mass casualty incident (MCI).
D-I-S-A-S-T-E-RTriage & Treatment
• Caranya?• Sarananya?• Jalurnya?• Tujuannya?• Tindakan Pasca Evakuasi?
D-I-S-A-S-T-E-REvacuation
Prioritas:• Public Safety• Healthcare• Special Needs
D-I-S-A-S-T-E-RRecovery