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All Journal Faletehan Health Journal Indonesian Journal of Global Health research
Rachmatullah, Rizky
Unknown Affiliation
Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Initial Assessment Pra Hospital pada Pasien Acute Coronary Syndrome: Systematic Review Rachmatullah, Rizky; Sriyono, Sriyono; Zulkarnain, Hakim
Faletehan Health Journal Vol 12 No 02 (2025): Faletehan Health Journal, Juli 2025
Publisher : Universitas Faletehan

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Abstract

Some previous acute coronary syndrome (ACS) studies have focused on educational interventions or general management of ACS, without reviewing the key role of systematic early assessment in reducing morbidity and mortality. This study aims to analyze the effectiveness of initial assessment in improving early response and clinical outcomes in ACS patients in pre-hospital care. A systematic review was conducted on 16 articles obtained from five databases: PubMed, ScienceDirect, Google Scholar, Scopus, and ProQuest. Keywords used in the literature search included “initial assessment,” “Pre hospital,” and “Acute coronary syndrome (ACS),” with a publication range between 201 and 2024. The initial search yielded 88 articles. After removing duplicates and screening based on inclusion criteria as well as selection by title, abstract, and full text, 16 articles were included in the final analysis. Article quality was assessed using the Joanna Briggs Institute (JBI) appraisal tool. The analysis showed that a systematic and timely initial assessment significantly improves diagnostic speed, accuracy of early intervention, and reduces mortality and complications in ACS patients. Ongoing training for pre-hospital healthcare providers, standardized treatment protocols, and inter-system emergency care collaboration are essential to improve overall clinical outcomes. This review recommends integrating initial assessment as a key component of pre-hospital services and cardiovascular emergency management strategies.
Initial Management Pre Hospital: A Systematic Review Rachmatullah, Rizky; Sriyono, Sriyono; Zulkarnain, Hakim
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6363

Abstract

Early management in the pre-hospital phase plays a crucial role in the emergency medical service system. Quick, accurate, and targeted interventions can prevent patient deterioration, reduce mortality rates, and improve clinical outcomes. This phase begins with the initial assessment, which serves as the foundation for determining the priority of medical interventions. This review aims to identify and analyze various literatures related to the strategies of early management applied to patients in pre-hospital care settings. Method: A systematic review was conducted by searching five major databases: PubMed, ScienceDirect, Scopus, Google Scholar, and ProQuest. The search was limited to publications from 2019 to 2024 using keywords such as “initial management,” “pre-hospital care,” and “emergency patient”. A total of 88 articles were obtained, while 16 articles that met the inclusion criteria were analyzed descriptively. The review indicates that structured and evidence-based early management in the pre-hospital phase can improve handling efficiency, accelerate intervention time, and reduce the risk of complications in emergency patients. Medical personnel skills, clear protocols, and a well-established coordination system are key factors for success. Early management in the pre-hospital phase is a crucial part of the emergency medical system. Optimal implementation based on scientific evidence can improve service quality and have a positive impact on patient safety and prognosis.
Co-Authors Hakim Zulkarnain Sriyono Sriyono