Three Years of EMSB in Indonesia: A J ourney in Standardizing and - - PowerPoint PPT Presentation

Three Years of EMSB in Indonesia: A J

• urney in Standardizing and

Escalating Burn Care in Indonesia

(AUSTRALIA - NEW ZEALAND - INDONESIA)

Lisa Hasibuan, M D

Convener of EM SB Indonesia Indonesian College of Surgeons

PRESENTED IN ANZBA ASM 2019, HOBART , 17 SEPTEM BER 2019

Managing severe burn cases is still a problem in many countries, including our country with population of 270 million people Managing severe burn cases is still a problem in many countries, including our country with population of 270 million people

Need significant change

Burn care and prevention is a team activity

Training of staff is critical To achieve better outcome in managing burn injuries

• 2. Potokar T, Ali S, Bouali R, Walusimbi M , Chamania S. Training of medical and paramedical personnel in burn care and prevention. Indian J Plast Surg

Supplement 1 2010 Vol 43

• 1. SCHEELE F. The art of medical education. FVV IN OBGYN, 2012, 4 (4): 266-269

EMSB

I t ’s been Since our 1

st course in I ndonesia

( DECEM BER 2013 )

T

• insert EM SB course in National Curriculum for General

Surgery and Plastic Surgery Training in Indonesia T

• provide EM SB course as a Continuing Professional

Development Program for practicing general surgeons in Indonesia

To provide 690 health work forces in 2020 who are able to perform EM SB standards ?

spesif ic

HOW ARE WE DOI NG ???

EMSB

Origin of Participants Institution These are only the institutions, the true origin of participants are almost from all parts of Indonesia

EMSB

2013 2016 2017 2018-now

1st Independent Course EM SB Course (InaPRAS1st joined) courses are held independently in various regions of Indonesia (Bandung, Jayapura, Jogjakarta, dll) 1st EM SB Course (BALI)

INVOLVING 2 COLLEGES : ICS & INDONESIAN COLLEGE OF PLAS TIC SURGEONS

EMSB

2013 2016 2018 2019-now

2 COURSES

(2 provider courses, 1 TtT)

2017

1 COURSE

(2 provider courses, 1 TtT)

3 COURSES

(11 provider courses)

5 COURSES

(15 provider courses, 1 TtT)

5 COURSES

(16 provider courses)

2016 – August 2019 : 47 provider courses (1102 participants) 27 active instructors 9 coordinators

35 82 261 384 375

50 100 150 200 250 300 350 400 450

2013 2016 2017 2018 2019

Number of Participants

TOTAL P ARTICIP ANTS

(until now)

TOTAL P ARTICIP ANTS

(until now)

1102

doctors and nurses To provide 690 health work forces in 2020 who are able to perform EM SB standards

so we did a lit t le

UL TIM ATE GOAL

To provide health work forces competent in early burn resuscitation in all hospitals all across Indonesia

JAKARTA (4) W E ST JAVA (23) CE NTRAL JAVA (4) JOGJAKARTA (5) E AST JAVA (8) BALI (3) ACE H (5) W E ST SUMATE RA (2) SOUTH SUMATE RA (1) LAMPUNG (4) BE LITUNG (1) BE NGKULU (1) E AST KALIMANTAN (1) NORTH SULAW E SI (2) SOUTH SULAW E SI (2) CE NTRAL SULAW E SI (1) P APUA (4)

70 responders of 511 questionaires distributed randomly to our EM SB participants

<1 hour 73% 1-8 hours 21% >1 day 6%

DISTANCE BETWEEN PARTICIPANT'S HOSPITAL TO THE NEAREST BURN CENTER

>10 cases in 6 months 57% 5-9 cases in 6 months 19% < 5 cases in 6 months 23% Never 1%

FREQUENCIES IN TREATING SEVERE BURN INJ URY AFTER ATTENDING EM SB COURSE

Yes 81.9% No 18.1%

ANY EXPERIENCE OF TREATING SEVERE BURN PATIENTS AFTER EM SB?

In treating severe burn cases

Yes No No cases yet Able to identify and manage inhalation trauma 57 (100%) Able to rescucitate 57 (100%) Able to identify the indications and perform escharotomy 43 (75.4%) 2 (3.5%) 12 (21.1%) Able to refer in SPAM and ISBAR format 45 (78.9%) 12 (21.1%)

1(1,7%) 2 (5,1%) 17 (30,5%) 37 (62,7%)

5 10 15 20 25 30 35 40

1 2 3 4 5

M ajor changes

Changes and improvement in treating severe burn cases after EM SB

No changes at all

No 87% Anesthesiologist Problem 7% M orphine 3% Too aggressive 2% Distance in referral 1% Other 13%

DIFFICUL TIES IN APPL YING EM SB PRINCIPLES IN PARTICIPANT’S HOSPITAL

To incr ease knowledge and skill f or sever e bur n management in t he f ir st 48 hour s

Our GOALS

1

CONCLUSION

EM SB is increasingly known and practiced in Indonesia  we have achieved beyond the expected goal

2 3

The path has been started to have a standardized and qualified burn care all over Indonesia Still many challenges to face :

• having every doctors participating in the

National Burn Registry,

• building a good Burn Referral System and
• also educating the people about burn

prevention

THANK YOU THANK YOU

FOR FIGHTING TOGETHER FOR INDONESIA FOR FIGHTING TOGETHER FOR INDONESIA