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All Journal Jurnal Keperawatan dan Fisioterapi (JKF) JURNAL KEBIDANAN KESTRA (JKK)
Ajartha, Ronny
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The Analysis of Acute Heart Failure Severity and Therapeutic Response in the Emergency Department: Analysis of Acute Heart Failure Severity and Therapeutic Response in the Emergency Department Ajartha, Ronny
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 2 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i2.2566

Abstract

Acute heart failure (AHF) is a serious medical condition that requires immediate treatment in the emergency department (ED). This study aims to analyze the severity of AHF and the response to therapy given in the ED. This retrospective study involved 150 patients diagnosed with AHF in the ED of Lubuk Pakam General Hospital during the period of January 2023 to December 2024. Demographic data, clinical outcomes, and response to therapy were taken from patient medical records. The results showed that 60% of patients had high severity AHF, while the other 40% of patients had moderate severity. The most common initial therapies given were diuretics (80%), vasodilators (60%), and inotropics (40%). Analysis of the response to therapy showed that 70% of patients showed significant clinical improvement within the first 48 hours. Factors that influenced the response to therapy included age, comorbidities, and delay in treatment. This study concluded that the severity of AHF and response to therapy varied widely in the ED, and rapid and appropriate intervention is essential to improve patient clinical outcomes.
The Implementation and Challenges of the Triage System in Managing Catastrophic Disease Emergencies in Hospitals: Implementation and Challenges of the Triage System in Managing Catastrophic Disease Emergencies in Hospitals Ajartha, Ronny
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i1.2555

Abstract

Emergency management of catastrophic illnesses in hospitals requires an effective and efficient triage system to ensure that critically ill patients receive prompt and appropriate care. This article discusses the implementation and challenges faced in implementing a triage system in a hospital environment. This study used a qualitative method with data collection through in-depth interviews, observations, and literature studies. The results showed that, although the triage system has been successful in improving the response to emergencies, there are several challenges that need to be addressed, including limited resources, lack of adequate training for medical personnel, and communication gaps between departments. Recommendations for improvement include increasing staff training, providing additional resources, and developing better communication protocols. This study is expected to provide insights for policy makers and medical practitioners in improving the quality of emergency management of catastrophic illnesses in hospitals.
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