Integrated Emergency Response System Research Articles

Implementation of the Integrated Emergency Response System: Systematic Review

ABSTRACT The aim of this research is to highlight the urgency of the need for an Integrated Emergency Response System in overcoming the complexity of current global disasters and emergencies. With the need for rapid and coordinated responses, this research explores the global implementation of these systems. The focus includes integration of resources from various agencies and community participation while addressing challenges such as climate change. Given the need for a rapid and coordinated response, this research explores the application of this system globally. The focus includes integration of resources from various institutions and community participation while addressing challenges such as climate change. This research method is a systematic research that adopts the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) method. Research stages include: formulating background, objectives and research questions, as well as literature searches using related keywords in databases such as Google Scholar, PubMed, and ResearchGate. The sample consists of articles in accredited academic journals published between 2020-2023, with a focus on the Implementation of an Integrated Emergency Response System. The results of the analysis show the importance of preparation before a disaster occurs. Preparedness through health education, emergency planning, and community participation increases knowledge about emergency response. Active community involvement plays an important role in the success of an emergency management system. Factors such as resources, policies, technology, and interagency cooperation influence system implementation and response to disasters. Health system evaluation and education is an integrated strategy to improve disaster response and mitigation. Keywords: Integrated Emergency Response System, Emergency Response System and Implementation

The Influence of Integrated Emergency Response System (SPGDT) Health Education on Pre-Health Services on Residents' Knowledge of Maternal Emergencies in the Work Area of the Plaju Health Center

Background: The Integrated Emergency Management System (SPGDT) is an emergency patient management system consisting of pre-hospital service elements, in-hospital and inter-hospital services. Quick response services to reduce the number of victims and avoid disability, by involving the community, competent health workers (nurses and medical personnel), emergency ambulance services and communication systems. Objective : To determine the effect of SPGDT health education on pre-health services on residents' knowledge of maternal emergencies. Methods : This research was a Quasi Experiment with a nonequivalent pretest-posttest non-control group design which was carried out in July 2023 in the working area of ​​​​the Plaju Palembang Health Center and a sample of 28 people were given health education about SPGDT in pre-health services to residents' knowledge about maternal emergencies. The media used was a booklet compiled by the researcher himself. Data analysis used the Wilcoxon test. Results: Health education statistics on prevention of pregnancy emergencies; Unsafe Abortion in Adolescents is effective in increasing respondents' knowledge with a value of 0.000. Conclusion : statistically health education is effective in increasing respondents' knowledge about SPGDT in Pre-Health Services Against Residents' Knowledge of Maternal Emergencies in the Work Area of ​​​​Plaju Palembang Health Center with a P value of 0.000. Suggestion : Suggestions for further research, namely that further research can be carried out discussing the effectiveness of health education to prevent pregnancy emergencies in pre-health services using other media.

An Integrated Emergency Response Tool for Developing Countries: Case of Uganda

This paper presents a First responder emergency response tool (EMApp) as a step towards achieving integrated emergency care in developing countries, the case of Uganda. The EMApp prototype has potential to support health emergency response from various emergency stakeholders. This innovation is in line with strategic plans to embrace technologies towards the establishment of integrated social services such as emergency healthcare services (EHS) in Uganda. We describe the prototype and provide its functionalities that can be further enhanced to enable access to emergency services and save life. The possible assumptions, potential challenges and recommendations to implement and deployment of such a system are provided. There is currently no such integrated emergency response system in Uganda as is the case in many other developing countries. For future studies, there is need to deploy the tool and assess its impact on the communities.

Analisis Sistem Penanggulangan Gawat Darurat Terpadu Melalui Implementasi Jember Safety Center Di Kabupaten Jember

Some incidence of emergency in Jember District tends to increase every year. The Jember Safety Center (JSC) is an alternative solution to problems carried out by the Jember District in dealing with the high number of emergency cases in Jember District. Based on the results of the preliminary survey, researchers find several aspects, tasks, and functions of the JSC that have problems in its implementation. These problems indicate the need for more in-depth research related to the input and process aspects of the implementation of the JSC in Jember District. This study aims to analyze an integrated emergency response system through the implementation of the Jember Safety Center in Jember District. This type of research is qualitative research with a case study approach. The data analysis technique used the Miles & Huberman analysis model. They are data collection, data reduction, data presentation, and conclusions. This research is taken place at the location of the JSC call center, the Jember District Health Office, the Public Health Center in Jember District, the JSC user home, and the Soebandi Jember Hospital. The results of the study show that the need for human resources in organizing the Public Safety Center is guided by the Minister of Health Regulation Number 19 of 2016. However, the quality of human resources needs to be improved. The current budget given by the government is still focused on the physical budget and JSC equipment. Information and emergency calls from the community are still lacking, this is due to inadequate socialization, and not all services via the village ambulance are recorded through the JSC Call Center. It is necessary to improve the service management of JSC as the center for the Integrated Emergency Management System (SPGDT) in Jember District. Improvements are made by taking into account the input aspects consisting of Men, Money, Materials, Machines, and Methods in the Implementation of the Jember Safety Center in Jember District to improve services JSC to the community in Jember District Keywords: Jember Safety Center, Emergency, AKI and AKB

Self-Efficacy of Instrument Nurse during the Assignment of Earthquake Disaster in Nusa Tenggara Barat (NTB)

Introduction: Nurse is the spearhead of hospital services at disaster, which is also links to the Integrated Emergency Response System (SPGDT). This study aims to describe self efficacy of instrument nurse during the assignment period. Method: The study used a qualitative design with descriptive phenomenology approach. The study population was instrument nurse assigned to the earthquake in West Nusa Tenggara (NTB), the study sample was obtained by snowball sampling, participants were 16 instrument nurse. Method of collecting data using in-depth interview. Data collection tools used are voice recorder, interview guideline, and field note. Data is processed by thematic analysis according to Colaizzi. Results: Nurses' self efficacy can be seen from a positive assessment of their capabilities as evidenced by expressing understanding, forming a team, and establishing an emergency response team. In addition, nurse have high motivation to do assignments, and nurse show a positive attitude when appointed to work in NTB. Discussion: Knowledge, attitudes, and motivation of nurses, will be build a nurse self efficacy. Nurses who have high self efficacy, are confident in their abilities in carrying out their duties, will be able to carry out their duties well despite the demands and high workload.

Determinants of collaboration between digital volunteer networks and formal response organizations in catastrophic disasters

PurposeWhen catastrophic disasters recently occurred, digital volunteer networks formed by the public emerged across the globe. They aggregated, analyzed and visualized disaster data. Those volunteer networks sometimes shared their data with formal response organizations. Such data sharing and integration increased the capacity of formal response organizations for dealing with disasters. However, despite the emergence and contributions of digital volunteer networks, the literature has been focused primarily on the role of formal response organizations such as emergency management agencies and the Red Cross. The purpose of this paper is to describe how technical and organizational factors influence collaboration between digital volunteer networks and formal response organizations.Design/methodology/approachThis research employs a case study method, focusing on the 2015 Nepal earthquake.FindingsThis study found that information technology and a shared understanding of disaster situations and how to address disasters are key determinants of collaboration between digital volunteer networks and formal response organizations.Originality/valueThis research is expected to contribute to building an integrated emergency response system in the information age.

Estimating Added Values of the Integrated Emergency Response System for Airport Accident: Improved Responsiveness and Increased Service Capacity

This study presents a framework for estimating the value of response time and quantifying the economic impacts of improved responsiveness and increased service capacity in emergency response systems. In these systems, the value of response time, defined as the number of casualties rescued, forms the basis for understanding the value proposition of the emergency system. Efficiency gains from improved responsiveness are calculated by the difference in the time value function, considering the medical department emergency system as a benchmark. Based on the evaluating systems for welfare gains from price changes, this study will be the first of its kind to adopt the compensating variation method to deal with welfare gains from increased emergency service capacity, while the issue of number of casualties rescued forms the log-linear function of emergency service capacity and supply capacity. Two civil aviation accidents are empirically estimated, illustrating our approaches with specific civil aviation accident cases and examining how other parameters affect improved performance from the responsiveness and welfare arising from service capacity.

Immediate birth – an analysis of women and their babies undergoing time critical birth in a tertiary referral obstetric hospital

BackgroundAt our institution, the emergency obstetric ‘code green’ activates the system for immediate birth, usually by caesarean section. This study aimed to determine the incidence of immediate birth, indications, modes of anaesthesia, and short-term neonatal and maternal outcomes. MethodA review was performed for all women at the Royal Women’s Hospital, Parkville, Australia who underwent immediate birth over a two-year period: January 1, 2013 to December 31, 2014. ResultsWithin the study period 14,115 women gave birth, of which 387 women underwent an immediate birth, the majority (83%) by caesarean section. The commonest indication for immediate birth was prolonged fetal bradycardia (53%), however cord prolapse (4%) produced the most rapid decision-to-delivery interval, with a median [IQR] time of 14 [13–16] min versus 18 [14–23] min for all immediate births (P<0.01). Epidural top-up was the most common anaesthesia method. Conversion to general anaesthesia following inadequate neuraxial anaesthesia occurred in 6.2% of women. Among 103 general anaesthetics, there was one failed intubation (successful ventilation) and one dental injury. Nine women (2.3%) were admitted to the high dependency or intensive care units, and there were no maternal deaths. Babies born by caesarean section with a decision-to-delivery interval of less than 30min were more likely to have longer times to establish respiration (22.6% vs 16.7%, P<0.001). ConclusionRequest for immediate delivery is a common obstetric emergency. Epidural top-up has become the most common anaesthetic technique. Rapid delivery times can be achieved with an integrated emergency response system.

Emergency Management Business Process Reengineering and Integrated Emergency Response System Structure Design for a City in China

How to handle emergencies is the core of government emergency management. This paper reformed emergency management business process base on Qinzhou government's emergency management work. A city integrated emergency response system (CIERS) was also designed according to this business process and the actual situations of the city's emergency were also considered. The new structure applies an innovative idea that was centralization and authorization emergency management mode (CAEMM). To perform this idea, the government will set up a city integrated emergency response center (CIERC), and authorize the emergency platform to deal with the basic routines; the significant events are disposed by emergency decision-making platform with an overall consideration.

Endovascular comprehensive stroke center designation parameters

The approval of IV tissue plasminogen activator (IV tPA),1 the first stroke revascularization therapy, limiting ischemia in progress, led to the establishment of criteria to define primary stroke centers (PSCs),2 capable of delivering this treatment. Corollary to PSC designation, the establishment of stroke units, comprising nursing and physician personnel trained in the care of stroke patients, improves outcome for stroke patients.3,–,7 The market approval of various novel devices aimed at removing thrombus from occluded blood vessels in the setting of acute ischemic stroke (AIS)8,9 and the recognition of these as a potential treatment option for certain patients has helped spur the development of recommendations and metric standards for comprehensive stroke centers (CSCs) by the Brain Attack Coalition (BAC), and endorsement by the Society of Vascular and Interventional Neurology (SVIN).10,11 Additionally, the evolution of the neurocritical care discipline over the past 2 decades, with specialized care for AIS and hemorrhagic stroke, including subarachnoid and intracranial hemorrhage, is considered as an optional component in the proposed metrics criteria for CSCs (table). View this table: Table Primary vs comprehensive stroke center requirementsa and optional elements Many proposed components of CSCs include infrastructure also necessary for PSC function: “acute stroke teams, written care protocols … [and an] integrated emergency response system.” In addition, basic services required for care of stroke patients remain core requirements for both PSCs and CSCs: “availability and interpretation of CT scans 24 hours … and rapid laboratory testing, administrative support, strong leadership, and continuing education.”2 Beyond these elements, CSCs may be further distinguished by the availability of “vascular neurosurgery and neurology; advanced neuroimaging capabilities such as MRI and various types of cerebral angiography; surgical and endovascular techniques, including clipping and coiling of intracranial aneurysms, carotid endarterectomy, and intra-arterial …

Evaluation of the City Integrated Emergency Response System Based on the Analytic Hierarchy Process

The city integrated emergency response system achieved consolidated receive alarm and command which cross-regional, inter-departmental and cross-force, it can conduct emergency rescue or relief disaster timely, orderly and efficiently. This paper mainly used the method of analytic hierarchy process (AHP), analysis the city integrated emergency response system through the establishment of evaluation index system, get the calculation formula of its comprehensive score, and take Nanning city integrated emergency response system for example, apply and prove the index system and calculation formula.

Ｓｔｒｏｋｅ Ｕｎｉｔの現状と課題：急性期脳卒中診療体制に関する全国アンケート調査から

Guideline for Stroke Treatment 2004 published in Japan strongly recommended that acute stroke patients should be managed in dedicated stroke care unit or stroke unit. We conducted a nation-wide survey of all hospitals providing acute stroke care. We sent a questionnaire to 7, 835 hospitals and obtained 2, 603 answers (33.2%). According to the meta-analysis by Stroke Unit Trialists' Collaboration, service organizations were classified into five categories as a hierarchy in descending order as follows ; acute stroke units, comprehensive stroke units, mixed rehabilitation ward, mobile stroke team, and general medical ward. Only 8.3% of hospitals had organized stroke units (acute stroke units ; 0.9%, comprehensive stroke units ; 7.4%), and 63.8% of hospitals managed acute stroke patients in general medical words. The categorization of stroke service organizations was highly correlated with the number of patients admitted in a year. We compared performance levels of the key elements recommended for establishing primary stroke centers by the Brain Attack Coalition among the five categories, such as acute stroke teams, stroke units, written care protocols, and an integrated emergency response system, availability and interpretation of computed tomography scans 24 hours everyday, access to neurosurgeon within 2 hours and rapid laboratory testing. Currently there are very few hospitals with performance levels required for the primary stroke center. More importantly, measures were taken for the quality improvement of stroke care only by 6.5% of hospitals. Intravenous thrombolytic therapy is now widely available in Japan. Establishment of clearly defined stroke units or stroke care units is urgently needed.

Editorial Comment—Organized Stroke Care

The past decade has witnessed a dramatic change in treatment of acute stroke, leaving the era of an indifferent approach firmly behind. However, equally important to the development of particular emergency treatments is the recognition that the organization of stroke services per se plays a key role in the provision of effective therapies and in improving the overall outcome after stroke. In this issue of the journal, the consensus statement from the Brain Attack Coalition (BAC), a group with representatives from major professional and advocacy organizations involved in stroke care, with extensive recommendations for comprehensive stroke centers is published.1 The report is a companion to the recommendations for the establishment of primary stroke centers published by the same group in 2000.2 The previous report of the BAC2 detailed 11 key elements of a primary stroke center to improve patient care and outcomes. Recommendations included acute stroke teams, stroke units, written care protocols, and an integrated emergency response system. A major impetus for the recommendation was clearly to establish the infrastructure and logistics to permit broad implementation of intravenous tissue plasminogen activator therapy within the 3-hour window according to the criteria of the NINDS trial. A survey showed that in 2001, emergency services for acute stroke therapy were in place at the majority of hospitals,3 and the situation has further improved later on. However, and somewhat surprisingly from a non-US perspective, establishment of stroke units was given less emphasis in the BAC recommendations. Stroke units were not considered to be required for primary stroke centers that did not intend to provide care …