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All Journal JURNAL KESEHATAN INDRA HUSADA Sci-Tech Journal Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Cipto Wahyuning Utama
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Pengaruh Pemberian Posisi Head Up 30° Terhadap Tingkat Kenyamanan Pasien Cedera Kepala Di Ruang Instalasi Gawat Darurat RSUD Tidar Kota Magelang: Case Report Muh. Ihya Alimuddin; Al-Afik; Cipto Wahyuning Utama
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 2 No. 2 (2024): Juni : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v2i2.394

Abstract

Background: Head injury is a pathophysiological event that occurs after trauma to the head which can cover every part of the head consisting of the scalp, bones and brain tissue or all the organs in the head. Objective: To determine the effect of providing Head Up 30⁰ position on the comfort level of head injury patients. Method: The method in this research is to use a case report with the nursing intervention of providing a Head Up 30⁰ position to the comfort level of head injured patients, carried out for 4 observations every 15 minutes. Results: From the results of the research, nursing intervention was carried out, namely by providing Head Up 30⁰ position for 4 observations every 15 minutes. The results showed that there was a change in comfort level before and after Head Up 30⁰ position was carried out. Conclusion: Based on the results of research conducted by researchers regarding the effect of providing Head Up 30⁰ position on the comfort level of head injury patients in instalation emergency RSUD Tidar, Magelang City obtained from the results of case study research through intervention, it can be concluded that  Head Up 30⁰ therapy has an effect on changes. comfort level of mild to moderate head injury patients with changes in oxygen saturation values increasing, intracranial pressure decreasing, and pain scale decreasing.    
Case Report Penurunan Tingkat Nyeri Pada Pasien Fraktur Femur Dengan Balut Bidai Di IGD RSUD Tidar Kota Magelang Rizkiana Kurniasari; Al Afik; Cipto Wahyuning Utama
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 2 No. 2 (2024): Juni : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v2i2.412

Abstract

Fracture is one of the causes of disability caused by trauma due to an accident. Fractures can be caused by direct trauma, for example a collision or blow that results in a broken bone. Splinting is an action carried out as first aid for musculoskeletal injuries so that the injured body part can rest, avoid shifting of the injured bone and reduce the level of pain. By using a splint, the skeletal muscles that are experiencing spasm will slowly relax, thereby reducing the level of pain and holding parts of the body from shifting and reducing pain. To determine the application of splint therapy to reduce the pain level of femur fracture patients in IGD at RSUD Tidar Magelang. The research method used a case report with the nursing intervention of providing splints on the pain level of fracture patients. Conducted 3 observations every 30 minutes on the patient Mr. M, 27 years old, who was involved in a traffic accident. From the results of the research, a nursing intervention was carried out, namely by providing a splint dressing for 3 observations every 30 minutes. The result was that there was a decrease in the level of pain before and after the splint dressing. Based on research conducted with Mr. Therefore, the reduction in pain levels in femur fracture patients with splint dressing in the emergency room at Tidar Hospital Magelang can be concluded that splint therapy has an effect on the pain level of fracture patients by reducing the level of the pain scale.
Penerapan Klinikal Pathway Rosier pada Pasien Stroke Akut Alde Afinturi Ajye; Al Afik; Cipto Wahyuning Utama
Sci-tech Journal Vol. 4 No. 2 (2025): Sci-Tech Journal
Publisher : MES Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56709/stj.v4i2.768

Abstract

Acute stroke is a condition in which a patient experiences a disorder in the blood vessels of the brain that disrupts the flow of blood to the brain, and the disorder can be in the form of blockage or rupture of blood vessels. Stroke can occur due to several diseases, such as hypertension and unhealthy lifestyles. The tool to establish a stroke diagnosis is ROSIER, or Recognition of Stroke in the Emergency Room, which provides several elements, including clinical symptoms, namely loss of consciousness, seizure activity, asymmetrical face, weakness in the hands, weakness in the legs, experiencing speech disorders, and decreased vision. Method: This study is a case study of patients with acute stroke who came to the ER, patients were assessed using the ROSIER clinical pathway after triage with 7 ROSIER elements when the total score is >0 then the possibility of having a stroke is high but if ≤0 then the possibility of having a stroke is slight. Results: The patient's total score is +2, which means that the patient has had a stroke and is supported by supporting examinations, namely a CT scan of the head, which shows intracerebral hemorrhage. Conclusion: Enforcement using a stroke diagnosis has proven to be effective and fast, so that it can be applied in the ER
EVALUASI PENERAPAN TRIASE ATS (AUSTRALIAN TRIAGE SCALE) MODIFIKASI TERHADAP PASIEN TRAUMADI IGD RSUD TIDAR MAGELANG Desi Rahmawati; Al Afik; Cipto Wahyuning Utama
JURNAL KESEHATAN INDRA HUSADA Vol 13 No 1 (2025): Juni 2025
Publisher : SEKOLAH TINGGI ILMU KESEHATAN INDRAMAYU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36973/jkih.v13i1.753

Abstract

Emergency conditions can occur anywhere, anytime, and can be experienced by anyone. The Aim: This study aims to evaluate the implementation of ATS triage in the ER in patients with trauma. Method: This study used a descriptive quantitative design with a cross-sectional approach. The population was 36 nurses. The sampling technique used was purposive sampling with a sample size of 36 nurses. Data collection was carried out by observation. Data analysis used descriptive analysis with the help of computerization. Results: As many as 63.9% respondents were aged 25-35 years, male, had a Diploma 3 education, had a work period of ≥ 6 years and all had attended training such as BT and CLS. The implementation of ATS Triage on service waiting time, vital signs, and ATS examinations in patients with trauma showed that each triage category was in accordance with the SOP. In the implementation of vital signs due to several conditions, blood pressure and pulse examinations, especially in fussy children aged <12 years who were sometimes missed and only respiration, respiratory rate, temperature, VAS pain response, and GCS were checked. Conclusion: The application of ATS to trauma patients based on service waiting time, vital signs, and the application of ATS examination showed appropriate results and all were carried out according to SOP.
Co-Authors Al Afik Al-Afik Alde Afinturi Ajye Desi Rahmawati Muh. Ihya Alimuddin Rizkiana Kurniasari