The mortality rate concerning post-traffic accident trauma is estimated to gets higher for the next years. When a traffic accident occurs, the provision of first aid is carried out by laypeople/communities around the scene with limited knowledge and equipment available. Especially, if a traffic accident occurs in an area that has not applied an integrated pre-hospital service. This research aims to explore the first responders’ care administration in a region that has not applied pre-hospitalized emergency service formally. This is a qualitative study with a case study approach. This approach is chosen to identify emerging themes. The research was conducted in Konawe municipality, from February until March 2020. It was done by interviewing 8 participants consisting of the citizens, traffic police officers, hospital party, and health agency in the research site that had been selected based on the applied inclusion criteria. Five themes were found in this research. First responders struggle to save the traffic accident victims after the incident. They helped accident victims with limited tools. They helped the accident victims by sending them off to a health service immediately. They attempt to help the victims by sending them off to health services by using public transportation. Support Police action when finding accident victims. It could be concluded that in the area that has not applied integrated-emergency pre-hospital service would directly influence service availability in the society. The people would struggle to substitute the roles of medical workers in administering the first aid outside of a hospital with various limitations. Education and training programs concerning administering first aid, given quarterly, could be an appropriate health service program to offer for broader people as the first responders.

Traffic incidents become typical cases of trauma outside of hospitals. The integrated-emergency nursing system outside of hospitals becomes an important component to minimize any worsening condition of the traumatic victims. However, this pre-hospitalized<em> </em>service system has not been formally established in several cities or municipalities. This research aims to explore various hopes of the trauma-victim aid process in a region that has not applied pre-hospitalized<em> </em>emergency service formally. This research was carried out by implementing a qualitative research method and a case study approach to identify the themes. The research was conducted in Konawe municipality, from February until March 2020. It was done by interviewing eight participants consisting of the citizens, traffic police officers, hospital party, and health agency. Four themes result from this research. Establishing the pre-hospitalized<em> </em>emergency service, socializing the first aid for the incident victims, training dealing with the first aid of taking care of trauma victims, and promoting socialization for all citizens about the emergency numbers of health service institutions which could be immediately contacted when an accident occurs. There is a need for an emergency service system establishment and development.