印度尼西亚的院前护理。
Prehospital care in Indonesia.
作者信息
Pitt E, Pusponegoro A
机构信息
Accident and Emergency Department, Level 4, Ninewells Hospital and Medical School, Dundee DD1 9SY, UK.
出版信息
Emerg Med J. 2005 Feb;22(2):144-7. doi: 10.1136/emj.2003.007757.
BACKGROUND
Indonesia is a huge, diverse, and developing country that until recently had no public ambulance service let alone a system of prehospital care. It commonly experiences many natural disasters, manmade conflicts, and violence as well as the daily emergencies seen worldwide.
CURRENT SYSTEM
Hospitals of varying standards are widespread but have no system of emergency ambulance or patient retrieval. Indonesia's only public emergency ambulance service, 118, is based in five of the biggest cities and is leading the way in paramedic training and prehospital care.
CHALLENGES AND DEVELOPMENTS
There are many challenges faced including the culture of acceptance, vast geographical areas, traffic, inadequate numbers of ambulances, and access to quality training resources. Recently there have been a number of encouraging developments including setting up of a disaster response brigade, better provision of ambulances, and development of paramedic training.
CONCLUSIONS
An integrated national regionalised hospital and prehospital system may seem fantastic but with the enthusiasm of those involved and perhaps some help from countries with access to training resources it may not be an unrealistic goal.
背景
印度尼西亚是一个幅员辽阔、情况多样的发展中国家，直到最近都没有公共救护车服务，更不用说院前急救系统了。该国经常遭受许多自然灾害、人为冲突和暴力事件，以及世界各地常见的日常紧急情况。
当前系统
不同标准的医院分布广泛，但没有紧急救护车或患者转运系统。印度尼西亚唯一的公共紧急救护车服务118设在五个最大的城市，正在引领护理人员培训和院前急救工作。
挑战与发展
面临诸多挑战，包括接受文化、地域广阔、交通、救护车数量不足以及获得优质培训资源的机会。最近有一些令人鼓舞的发展，包括成立了灾难应对大队、更好地配备救护车以及开展护理人员培训。
结论
一个综合的国家区域化医院和院前系统看似很棒，但有相关人员的热情，或许再加上一些能提供培训资源的国家的帮助，这可能并非一个不切实际的目标。
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