Perlukah Paramedik digabungkan sebagai satu unit???

the sun today...kira the latest la ni....hampir sama scenario yg nizamsha katakan...cuma dgn bas.....let make it intersting, bcos of petrol hike this van converted to NGV.....PPP already finish their job...comment on ur side Nizamsha what strategy should be done!!

Wan wrote:

nizamsha wrote:SMART tu macam dah tak smart je...kah..kah...kah....Korang tau tak SMART....tu ditubuhkan sebagai skuad kamikaze.....ha..ha..ha...lawak tul SMART ni...keje ngan dieorang 3 thn..sengal je semacam....ha..ha..ha..

compius la, nizamsha ni pengalaman keje byk tempat, tapi umur baru 24, stat keje umur 16 ke?

alah wan dia tu tanya org je...nth2 dgr2 cita senior je
pastu cita kat sini
kita dgr pun cm hebat jee

pendekar 5 wrote:

Wan wrote:

nizamsha wrote:SMART tu macam dah tak smart je...kah..kah...kah....Korang tau tak SMART....tu ditubuhkan sebagai skuad kamikaze.....ha..ha..ha...lawak tul SMART ni...keje ngan dieorang 3 thn..sengal je semacam....ha..ha..ha..

compius la, nizamsha ni pengalaman keje byk tempat, tapi umur baru 24, stat keje umur 16 ke?

alah wan dia tu tanya org je...nth2 dgr2 cita senior je
pastu cita kat sini
kita dgr pun cm hebat jee

..aa..how come u all can rely that......it dosnt make sense........tapi ada tengok berita jam lapan budak 4thun pun geneuis kan!!!

cuba bawa isu di perkatakan ni.......kan berfaedah!!

jangan la mencontohi golongan lain didalam seksyen ni...yg fikir orang lain tak tahu apa apa!!!!.........jaga adab kita!!!!!

Ok zulk kalau ikut Arahan MKN No.20-Pengurusan Bencana...OSC is PDRM.....tapi tu disaster level Zulk...betul apa yg diajar....

Ni ada benda nak share...kalau kita bercakap pasal disaster...ianya melibatkan 3 perkara...Casualty,Effect and duration...

Membezakan bencana dan kecemasan ialah dari aspek tiga tersebut...


Bagi satu Incident ek...Ok..MVA...

Scenario 1:

Jumlah Mangsa: 2 org.

Effect : No effect to sosio economy..

Duration : Maybe 1 hour of Operation...


Scenario 2:

Jumlah mangsa: 21 org....

Effect : Effect on sosio economy to resdiential or public users.

Duration: 1-5 hours...


Scenario 1 is Emergency...Scenario 2 is Disaster....

If you're dealing with scenario 2...u have to refer to MKN 20.

If you're dealing with scenario 1..u have to use your own departmental protocol or SOP....

Problem..when you are dealing Scenario 1...yg dtg kat Incident tu semua agensi ada....So nak ikut sape punye SOP atau Protocol????

Tu yang chaos....No integrated response plan...

Betul tak????


THIS IS NOT A HEARSAY....THIS WHAT I HAVE BEING STUDIED FOR THE PAST 5 YEARS.....OPERATIONALLY AND STRATEGICALLY...AND ALSO SOME EXPERIENCE....THANKS TO GOD...I BEING GIFTED A USEFUL BRAIN TO BE UTILISED.....UTILISE YOUR OWN BRAIN BEFORE STARTING TO COMMENT OTHERS...WE ARE DISCUSSING IN OUR FIELD...NOT YOUR FIELD...SO PELASE RESPECT OUR JUDGEMENT AND OUR DISCUSSION....AND ANOTHER THING IS....BEING YOUNG DOES NOT PROHIBITED YOU TO BECOME KNOWLEDGEABLE....ITS ALL ON YOUR HAND AND DEPEND ON YOUR BRAIN CAPACITY....AND FOND OF YOUR FIELD...KNOW ME WELL BEFORE TRYING TO ASSUMING....ASSUMING IS NOTHING COMPARED TO THINKING...IF YOU DO UNDERSTAND WHAT AM I ARE WRITING...PLEASE RESPECT OTHERS AS WE ARE RESPECTING YOU...THANK YOU.....

Comment on the incident.....No Vehicle Stabilization i think so...coz i didn't get the whole picture.....Based on my experience and knowledge....the extrication technique to be done is by removing the casualty leg...normally in Frontal Collision like what we have seen...The casualty leg is trapped inside the lower compartment(compartment where fuel,brake and clutch). The best technique to be done is by using Dashboard Roll or Dashboard Lift. Technique..where the dashbord being roll out by a hydraulic ram or beig lift up by Hydraulic Spreader....Then the casualty is free to go...The team is not necessary to conduct pillar cutting as usual...The method stated above is more practical and rapid extraction of casualty can be done at the same time....why wasting time during Golden Hours...

I try to get some illustration on the method explained above...

Maybe it be usefull to all of us..except those who are not in the field...

how about safety measurement....

my concern.....
1. look for label to confirm vehilcle used NGV
2. some like to on emerg signal /tis early morning could be light still on..active electricle circ easy cause electricle spark!!!!!
3. Posible NGV leakage...dispite collision away from engine (VAN)

dose it any harm to PPP they done with reflextive vest before bomba!!!!.........
What a hazard lavel to MVA with NGV used?
if there any rule to enforced used of NGV need safety label?

This is what we called 3 point stabilization...where car is in normal condition.....

This is being executed to avoid unnecessary movement during the physical and medical extrication process...

NGV is chemical substance which posed at hazard to Human...It is categorized as mild liquid agent which exposure or contact to human skin will resulted in minor injury...It is advisable for the responder to use a long sleeve shirt...and a face mask urig the process to avoid fumes and vapor from the incident...PPP shud always stand away...even the need for medical attention is needed...he or she who act as Paramedic has to instruct the firefighter in administrating treatment and shall be at safe distance. Not administrating patient in situation above..The fire and rescue personnel is also being trained in FRLS..he or she shud know how to address the issue...if he or she, on his or her judgement..A paramedic should be called for Administrating Medical Aid to Casualty...The OSC should ensure that the Paramedic is fully equipped with PPE..(helmet, BunkerCoat,Vest..etc..) If not...the paramedic should refuse for ot entering the area...It is wiseable for Paramedic to instruct and advise Fire and Rescue Personnel on Medical Aid...The best is by using walkie Talkie to the OSC...

This is Dashboard Roll Technique...it is used to extricate foot well entrapment...

NGV mesra alam tidaklah semesranya untuk PPP ambl called...itu yg kawe perhatikan pasal kerja kita ni....yg tidak pernah dihiraukan...lemah dalam enforcement...kita hanya belajar setelah melapetaka......... (tembak)):ada mana2 A&E depart kat mesia yg SOP menberi penekanan yg serupa??????....

TQ nizamsha.....

nizamsha wrote:NGV is chemical substance which posed at hazard to Human...It is categorized as mild liquid agent which exposure or contact to human skin will resulted in minor injury...It is advisable for the responder to use a long sleeve shirt...and a face mask urig the process to avoid fumes and vapor from the incident...PPP shud always stand away...even the need for medical attention is needed...he or she who act as Paramedic has to instruct the firefighter in administrating treatment and shall be at safe distance. Not administrating patient in situation above..The fire and rescue personnel is also being trained in FRLS..he or she shud know how to address the issue...if he or she, on his or her judgement..A paramedic should be called for Administrating Medical Aid to Casualty...The OSC should ensure that the Paramedic is fully equipped with PPE..(helmet, BunkerCoat,Vest..etc..) If not...the paramedic should refuse for ot entering the area...It is wiseable for Paramedic to instruct and advise Fire and Rescue Personnel on Medical Aid...The best is by using walkie Talkie to the OSC...

NGV mesra alam tidaklah semesranya untuk PPP ambl called...itu yg kawe perhatikan pasal kerja kita ni....yg tidak pernah dihiraukan...lemah dalam enforcement...kita hanya belajar setelah melapetaka......... (tembak)):ada mana2 A&E depart kat mesia yg SOP menberi penekanan yg serupa??????....

bila kawe mula masuk topic ni kawe tidak menemui apa apa konklusi............so now dose anybody see this how compliance to tis topic...hopefully we can have a good vote!!!!!!!!!!

TQ nizamsha.....

"Ni ada benda nak share...kalau kita bercakap pasal disaster...ianya melibatkan 3 perkara...Casualty,Effect and duration...

Membezakan bencana dan kecemasan ialah dari aspek tiga tersebut...


Bagi satu Incident ek...Ok..MVA...

Scenario 1:

Jumlah Mangsa: 2 org.

Effect : No effect to sosio economy..

Duration : Maybe 1 hour of Operation...


Scenario 2:

Jumlah mangsa: 21 org....

Effect : Effect on sosio economy to resdiential or public users.

Duration: 1-5 hours..."
copy dr nizamsha.. he he he... bro..kita kt hosp cuma concentrate on disaster.. n disaster/ not.. depends on number of casualties.. if more than 5..consider as disaster.. no matter how long it takes.. ED people..please correct me if i'm wrong.

Ya betull...tau dah jawapan bro zulk tu...ha..ha...when ED people talk about disaster...More than 5...Disaster....n Startlah Disaster Triage kan...tau dah jawapan tu....sebab tu kalau ada Exercise.....lain kefahaman org2 medical ni...luckily aku penah ada gf keje kat ED...kalau tak aku pun rasa macam nak marah je...suke2 declare disaster....After i read about ur disaster management plan..then i know....sumting is not inline with BOMBA and JPA3...coz KKM focusing more to Hospitalization Matters...rather than overcoming the incident..Different understanding...so benda2 macam ni...kena diperbetulkan...Ada satu DR. lah kat JB area ni....die ni dari JKN kot...Klau ada exercise...kami wat table top dlu..atau paper move exercise...sebelum Mocking up...so dalam tu...menampakkan sgt betapa tak tahunya beliau berkaitan pengurusan bencana....Masa tu baru ada 2 casualty.....die dah contact spital satu Johor dah...minta bantuan.....padahal..ianya disaster tier 1 je....peringkat daerah...call je lah KK ngn spital daerah tu..tu pun kalau ada byk casualty..kalau 2 org....satu kali hembus naik ambulans kan boleh.....that show she is not ready to be in that position...ntah ler....pastu ada dua AMO dah jadi bisu dah kat exercise tu...nak kata tak tau...U36....ada Pos Basik....(jgn marelah...sekadar buat renungan)....Kalau betul berminat ngan disaster and emergency...belaja betul2...dalami segalanya....supaya org lain tak ble mengatakan pada anda...anda silap....and always..bawak manual..kalu silap atau tak tau..ler refer..amalkan...sebab itu yg aku amalkan....setiap kali masuk keje..aku akan baca balik SOP....kalau nak tau lah...SOP aku ada 87 process..bermula dari firefighting,rescue, and medical response..setiap satunya...tebal die lebih kurang 12 ke 15 muka surat...dan hari2 aku perasan ada je bende yang perlu ditukar mengikut keadaan semasa....biarpun aku yang buat semua SOP..tapi aku rasa perlu ditambah baik atau ditukar....Cthnya: dlu hanya ada HAZMAT....skang aku dah tambah satu iaitu CBRN...dua benda yang sama tapi aplikasi yang berbeza....Process kena betul...Ikut standard..BOMBA baru start CBRN tahun lepas...aku dah belajar CBRN 4 tahun lpas..masa aku attachment dlu..kan jauh level kita ngn negara luar...Mengapa???bukan kita tak ble improved..tapi kita sendiri yang jadikan kita tak de improvement...sikap hipokrit..Perasan Tahu..Sombong....memandai-mandai...semua nya jadi penghalang buat kita....Kalau kita bergabung....semuanya akan jadi satu...response plan satu...Ambulanse same standard..equipment sama...ada medical direction sama.....n jimat budget...Kenape???sebabnya sikap kita sendiri....Kalau bab lawatan kerja...kalahkan PM bertanya...tapi bile balik...satu bende pun tak diimplement kan...Byk kali aku try dlu....lpas balik dari mana2...try nak implement system...tapi byk yang bersuara..kurang enak...last2 aku implement kat Swasta.....tau pulak dieorang datang tgk..n lagi sekali cakap nak implement....sengal...masa aku keje ngan dieorang...tak mau plak implement...tak pasal bayar royalti kat aku kan...sengal...cemana nak maju????fikirkanlah kenapa kita mundur dari segi pengurusan bencana....korang g Jamaica...tgk cemana they handle situation kat sana....jauh lebih baik dari kita..biarpun Ambulans pun org sedekah tau...Fire Engine pun beli 2nd hand....tapi kerja...quality..bukan quantity...."andanglah sekelilingmu dengan mata terbuka agar kamu tahu sainganmu".....That te words....Soryy bro...keterlaluan skit...tapi itu antara sebab mengapa aku blah dari goment....aku bosan dan bosan....Aku tak bole keje dengan semangat yang layu...biarpun aku melayu.....

Untuk semua...boleh buat panduan bagi Pengendalia Bencana....Petiakan tersebut boleh didapati dalam Arahan MKN No. 20.....

nizamsha wrote:Untuk semua...boleh buat panduan bagi Pengendalia Bencana....Petiakan tersebut boleh didapati dalam Arahan MKN No. 20.....

TQ nizamsha ulasan panjang ko terselit ihktibarnya.......tapi kawe heran juga....poor respose....kering la idea kawe nak berforum......vote macam tu x berganjak!!!!!!!...... ........perasaan layu ko tu memang compliance kpd forumer lain juga la......kiukiukiuk!

Mungkin tak perasan topik ni kot....takpe....sape2 yg sudie berhak memberi pendapat....tak salah berkongsi ilmu....bile berkongsi...makin banyak yang kita dapat balik....dan semakin kita sedar..kita tak penah sempurna mengejar ilmu.....baik di duniawi dan ukhrawi........Sesunggunya Islam itu penuh dengan logik......dan salah satunya....inilah.....

ni topik ilmiah.. berat ckit org nk join.. betul..???

nizamsha wrote:meh kengkawan...bagi opinion........u all kan subject matters specialist kan......AMO...SRN...meh give ur opinion...sama2 kita mencemerlangkan kerjaya Paramedik ni......

Dah lama dah digabungkan. Tak caya? Hospital tempat kamu bekerja tu adalah satu unit dan satu unity. Satu unit yg BESAR di mana magic word TEAMWORK dan PLEASE sentiasa diamalkan. Syabas! teruskan kesemua paramedik berkhidmat dgn ikhlas dan jujur!

Cuma pembaharuan atau penambahbaikan sahaja yg perlu difikirkan. GO PARAMEDIC GO.

i'm reffering the above matter. i think the original idea is, to merge between all the categories dealing with emergencies. not all the paramedics category in malaysia. as far as my concern, paramedics reffer to the person dealing with emergencies but in malaysia they have different definition.

Yup..its true as per said by edrizz...andak got the wrong idea lah...hospital is not a Paramedic Institution..it is HOSPITAL...FULLMEDIC....Radiographer is not a Paramedic according to NFPA Rating or NREMT....MS kot...

edrizz wrote:i'm reffering the above matter. i think the original idea is, to merge between all the categories dealing with emergencies. not all the paramedics category in malaysia. as far as my concern, paramedics reffer to the person dealing with emergencies but in malaysia they have different definition.

klu ikut web yg aku surf.. mmg paramedik ni keja dia deal ngn emergency.. cuma kt malaysia semua kategori latihan separa perubatan d gelar paramedik.. ya la separa perubatan = para medik.. klu kita lihat perbincangan d sini pn menjurus kpd perubatan kecemasan..

kawe rasa apa yg dimaksud dengan Andak_64 diperingkat hospital as a team work ...posible...rase kita ada membincang kan bawah tajuk AHP satu masa dulu kawe dah tak jumpa thread tu....kemudian ada lagi satu thread terkemudian : https://paramedik.catsboard.com/perkembangan-kerjaya-paramedik-f32/kesatuan-paramedik-malaysia-t1243.htm
yg mana kita percaya dgn mewujud kan satu persatuan @ kesatuan bersatu!!!...tetapi kedua2 nya tiada konklusi muktamat!!!..kalo x silap la.....

Kalo nak bersatu satukan kerja yg buat AHP (def dulu paramedik) agak mustahil..sedangkan korikulum PPP yg multitasking pun tidak diterima baik dalam lain2 teritory AHP....

kawe berasa kuat, Nizamsha bermaksud mencari "vote" seperti yg di definasikan oleh edrizzz..

Ada pertambahn vote tidak bersetuju di sini ....harap vote itu berasas definasi yg tepat!!

zulk wrote:

edrizz wrote:i'm reffering the above matter. i think the original idea is, to merge between all the categories dealing with emergencies. not all the paramedics category in malaysia. as far as my concern, paramedics reffer to the person dealing with emergencies but in malaysia they have different definition.

klu ikut web yg aku surf.. mmg paramedik ni keja dia deal ngn emergency.. cuma kt malaysia semua kategori latihan separa perubatan d gelar paramedik.. ya la separa perubatan = para medik.. klu kita lihat perbincangan d sini pn menjurus kpd perubatan kecemasan..

Oops so sorry! kalau u maksudkan "all the categories dealing with emergencies". Aku telah topik ni. Cuma aku dpt kesimpulan definasi paramedic tu spt apa yg aku faham sebelum ni (coz aku x medical lagi dah).Tu da lama dah. So komen aku mcm tu lah.

Maksud u all nak gabung kesemua insan mulia dealing with emergencies. Ku harap betul persepsi aku kali ini. Kalau itu lah tujuannya apa salahnya, tapi ada tak kemungkinan u all terpaksa di keluarkan dari senario skrg. Iaitu sebagai PPP sebagai jawatan rasminya. Pasal setahu aku yg tak berapa tahu ni, rescue team ni di bawah Kem. Perumahan dan Kerajaan Tempatan (correct if I'm wrong). Kira2 agak sama mcm kat US tu ke?

Maksudnya u all nak gabungkan ambulance service, SMART, Bomba, Pertahanan Awam dan apa2 lagi sebagai satu identiti? Aku fikir tak salah cuma kena fikirkan pro and con nya aje.

Anyway thanks for your concern.

Kalau nak gabung semua...kesemuanya hendaklah diletakkan dibawah Pertahanan Awam hanya di Malaysia sahaja.....Pertahanan Awam ni sengal skit...korang penah baca tak Akta Pertahanan Awam...quite interesting but no amendment.....sebab tu negara maju meletakkan Perkhidmatan Ambulans Kecemasan dan Perkhidmatan Kebombaan di bawah Pertahanan Awam....Korang gi Geneva di Civil Defence Training Institute..lihatlah bagaimana Pertahanan Awam berfungsi...Segalanya dijadikan satu......Siap Ada Bunkers lagi....unit kebajikan......

Secara amnya..mana2 unsur pertahanan awam akan ada unsur seperti berikut:

1. Section Penyelamat.
2. Section Ambulans.
3. Section Melawan Kebakaran.
4. Section Warden.
5. Section HQ.
6. Section Kebajikan.

Mesti Ada 6 unsur bagi Pertahanan Awam...masing2 adalah specialist bagi keje2 tertentu....sebab tu di letakkan dibawah Pertahanan Awam.....korang gi Arab Saudi.... pun Civil Defence...Singapore pun Civil Defence...sebabnya...dalam unsur2 tu ada Pre-Hospital..Ada Firefighters....tapi di Malaysia....susah skit....masa aku join dlu.....Pertahanan Awam masih lagi membangun...opis pun wat dari bekas quarters.....so jauh perjalanan bagi mereka membangun.....nak sama macam BOMBA...lambat skit,....lagi satu budget terlalu kecik....n terlalu ramai sgt volunteer....beza ngan BOMBA....byk staff..dan sedar mereka ada saingan iaitu SMART dan JPA3...even SMART is specialist they have to realize that in the event of disaster...he or she....should be directed by BOMBA.

benda ni mungkin boleh jd kenyataan.. tp tak tahu la makan brapa taun lg.. sbb yg jelas ialah pertindihan bidang tugas dan kuasa.. pas tu perjawatan.. kna ada org yg betul2 pakar dlm bidang ni utk wat paer work n propose kpd JPA.. dan aku melihat satu jalan yg agak praktikal ialah dgn meletakkn paramedik ni b bwh fire brigade (aku x tau kenapa aku suka paramedik d letakkn d bwh fire brigade)..mungkin bleh rujuk post2 aku yg lps kot..