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Gigaramadan Sema
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Tatalaksana Malaria Berat Gigaramadan Sema; Hanna Mutiara; Tri Umiana Soleha
Medula Vol 13 No 1 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i1.584

Abstract

Malaria is a disease caused by the infection of Plasmodium parasite. Severe Malaria is accompanied by complications such as cerebral Malaria, seizures, acute kidney failure, hemodynamic shock, and so on. intravenous artesunate is the first-line treatment for severe Malaria caused by all Plasmodium species. Early RRT therapy is necessary to manage acute renal failure, also careful fluid resuscitation is important to prevent lethal pulmonary edema. Delayed-onset hemolysis following Artesunate administration necessitate hemoglobin checks and post-treatment monitoring. ACT treatment is the first line treatment after complications have subsided, followed by primaquine administration to treat relapse cases. G6PD testing is required before primaquine administration to prevent hemolysis.  
Polytrauma dan Injury Severity Score (ISS) Gigaramadan Sema; Helmi Ismunandar; Rani Himayani; Risti Graharti
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.834

Abstract

Polytrauma is trauma that occurs at several areas on the body, followed by decline in physiological function which has the potential to cause multiple organ dysfunction and death in patients. Initial assessment of polytrauma is important to identify injuries that require initial treatment, determine the management of these injuries, and assess the patient's prognosis. There are several scoring systems that can be used to assess polytrauma injuries. Abbreviated Injury Scale (AIS) can be used to assess the severity of the injury and the probability of death of the patient. The Injury Severity Score (ISS) is a scoring system that assesses the three most severe injuries from six body regions. New Injury Severity Score (NISS) is an update from ISS; assessment of the three most severe injuries to the body regardless of body region. These assessment methods can help the trauma care system to better prevent complications and death in polytrauma patients.
Co-Authors hanna mutiara Helmi Ismunandar Rani Himayani Risti Graharti Tri Umiana Soleha