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Efektivitas Edukasi dan Pelatihan Early Warning System (EWS) untuk Meningkatkan Kesiapsiagaan Tenaga Kesehatan Rumah Sakit Kurnia, Dedy; Indra, Beni; Effendi, Rinal; Rustini, Rini; Usman, Elly; Aulia, Apif
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 5 (2025): JURNAL LOCUS: Penelitian & Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i5.4011

Abstract

Pelatihan Early Warning System (EWS) memiliki peran penting dalam kesiapsiagaan prabencana, terutama bagi tenaga kesehatan yang berperan sebagai garda depan dalam situasi darurat. Penelitian ini bertujuan untuk mengevaluasi efektivitas pelatihan EWS dalam meningkatkan pengetahuan petugas kesehatan di Rumah Sakit Dr. Adnaan WD Payakumbuh. Sebanyak 40 petugas kesehatan mengikuti pelatihan ini, yang terdiri dari sesi pre-test, pelatihan, dan post-test menggunakan 20 pertanyaan pilihan ganda untuk mengukur tingkat pengetahuan peserta sebelum dan sesudah pelatihan. Hasil penelitian menunjukkan bahwa sebelum pelatihan, sebagian besar peserta berada pada kategori pengetahuan kurang (75%) dan cukup (25%), tanpa ada peserta yang mencapai kategori baik. Setelah pelatihan, terjadi peningkatan signifikan, dengan 40% peserta mencapai kategori baik, 60% berada dalam kategori cukup, dan tidak ada lagi peserta dalam kategori kurang. Secara keseluruhan, terdapat peningkatan pengetahuan sebesar 62% setelah pelatihan, yang menegaskan efektivitas metode pelatihan berbasis kuliah dan simulasi langsung. Pelatihan EWS terbukti dapat meningkatkan kesiapan tenaga kesehatan dalam menghadapi situasi prabencana. Implementasi pelatihan ini secara rutin dan meluas, didukung dengan penggunaan teknologi simulasi modern, dapat semakin memperkuat kesiapsiagaan prabencana dalam menghadapi berbagai ancaman bencana di masa depan.
Peranan Regional Blok Analgesia di Departemen Kegawatdaruratan Effendi, Rinal
Action Research Literate Vol. 8 No. 7 (2024): Action Research Literate
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/arl.v8i7.460

Abstract

Nyeri adalah salah satu masalah utama yang dialami pasien dalam setting kegawatdaruratan. Penggunaan opioid memiliki banyak keterbatasan. Anestesi regional dapat menjadi pilihan dalam tatalaksana nyeri dan tindakan Anestesi. Penelitian ini bertujuan untuk mengevaluasi efektivitas dan keamanan penggunaan blok analgesia regional di departemen kegawatdaruratan. Penelitian ini menggunakan pendekatan kualitatif dengan desain studi kasus. Fokus utama adalah mengeksplorasi peranan blok analgesia regional dalam departemen kegawatdaruratan. Hasil menunjukkan bahwa pelatihan berkelanjutan dan integrasi USGRA ke dalam kurikulum pelatihan medis darurat dapat meningkatkan kualitas perawatan pasien. Edukasi formal dan praktik terawasi di ruang operasi diperlukan untuk membentuk keterampilan dasar dalam USGRA. Pengetahuan tentang komplikasi potensial seperti cedera saraf perifer dan toksisitas anestesi lokal sangat penting untuk memastikan keselamatan pasien. Penelitian ini menyimpulkan bahwa regional blok analgesia, khususnya dengan bantuan USG, memiliki potensi besar untuk meningkatkan manajemen nyeri di departemen gawat darurat, asalkan disertai dengan pelatihan yang memadai dan pengawasan klinis.
Implementation of Code Blue In Hospitals Effendi, Rinal
Devotion : Journal of Research and Community Service Vol. 4 No. 2 (2023): Devotion: Journal of Research and Community Service
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/devotion.v4i2.402

Abstract

Cardiac Arrest is a form of emergency due to malfunction of electrical waves in the heart that cause arrhythmias, so that the heart cannot pump blood to the brain, lungs, and other organs that can occur to anyone and at any time so that it needs proper and immediate treatment to be able to save the patient's life. In the case of hospitals, an activation code system to respond to cardiac arrest, called Code blue, was established to provide an appropriate, fast, and systematic Basic Life Support. The Code blue system was formed by the local hospital by establishing a code blue system, including code blue teams, BLS equipment and equipment, code blue activation through communication systems in hospitals, and regular education and training to ensure quality control. Cardiac Arrest treatment is the ability to be able to detect and react quickly and correctly to restore the heart rate to a normal condition as soon as possible to prevent brain death and permanent death, The patient's chances of survival are reduced by 7 to 10 percent every minute that runs without cardiopulmonary resuscitation and defibrillation
The Use of Dexmedetomidine, Midazolam, and Ketamine in Prevention of Emergence Agitation in Pediatric Patients Undergoing Surgery Under General Anesthesia Syilfana, Hanifah; Indra, Beni; Welan, Rahmani; Effendi, Rinal; Rustam, Erlina
Indonesian Journal of Anesthesiology and Reanimation Vol. 6 No. 2 (2024): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijar.V6I22024.116-124

Abstract

Introduction: Emergence agitation (EA) is a problem that often occurs in pediatric patients during recovery from anesthesia. The cause of EA remained unclear, but the combination of etiologies increases the risk of postoperative agitation. The researchers use various drugs such as ketamine, midazolam, and dexmedetomidine to prevent and treat EA. Objective: This review aims to determine the effectiveness of dexmedetomidine, midazolam, and ketamine in preventing emergence agitation in pediatric patients undergoing surgery under general anesthesia. Method: This literature review is a narrative review that looks at the outcomes of randomized controlled trials (RCT) studies that tested how well dexmedetomidine, midazolam, and ketamine worked at keeping pediatric patients from becoming agitated during emergence. Literature was collected through Google Scholar and PubMed using the keywords Pediatric, Children, Dexmedetomidine, Ketamine, Midazolam, Emergence Agitation, Emergence Delirium, Postoperative Agitation, and Postoperative Delirium and published within the last ten years (2011–2021) in English or Indonesian. The researchers excluded articles that were not available in full, as well as literature reviews. Results: Based on the specified database and keywords identified, there were 695 articles. This literature study included thirteen articles that met the inclusion criteria. Ten articles examined the effectiveness of dexmedetomidine, four reviewed the effectiveness of midazolam, and three examined the effectiveness of ketamine. Conclusion: According to the ten reviewed articles, administering dexmedetomidine or ketamine reduced the incidence of emergence agitation in children. However, the administration of midazolam yielded inconsistent results. To evaluate the optimal dosage, route, and timing of dexmedetomidine, midazolam, and ketamine in preventing EA, further studies are necessary.
Prediktor Kesulitan Intubasi: Perbandingan Antara Rasio Tinggi Badan Terhadap Jarak Tiromental, Skor Mallampati Dan Jarak Tiromental Firdaus, Riyadh; Perdana, Aries; Effendi, Rinal
Majalah Kedokteran Indonesia Vol 73 No 1 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.1-2023-813

Abstract

Introduction: The Mallampati score and thyromental distance (TMD) are frequently used to identify challenging laryngoscopies, but their reliability in predicting difficulty is uncertain. This study aims to assess the effectiveness of using the ratio of height to thyromental distance (RHTMD) in predicting difficult visualization of the larynx (DVL) when compared to the Mallampati score and TMD.Method: To achieve this goal, 277 patients who received general anesthesia during elective surgery were evaluated using the Mallampati score, TMD, and RHTMD. The Cormack and Lehane (CL) classification was used to grade the laryngeal view, with CL grade 3 and 4 indicating difficult visualization. The study then determined and compared the area under the curve (AUC), sensitivity, and specificity for each airway predictor.Results: The AUC of RHTMD (85.5%) was better than TMD (82.7%) and significantly better than the Mallampati score (61.4%).Conclusion: RHTMD is more accurate in predicting difficult laryngoscopy than both the Mallampati score and TMD.