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Initial Management Pre Hospital: A Systematic Review Rizky Rachmatullah; Sriyono Sriyono; Hakim Zulkarnain
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.
Implementasi Modul Kesadaran Diri Emosional dan Spiritual untuk Penurunan Tekanan Darah pada Pasien Hipertensi di Kelurahan Ditotrunan Lumajang: Implementation of Emotional and Spiritual Self-Awareness Module for Blood Pressure Reduction in Hypertensive Patients Abu Bakar; Nur Arifah Astri; Dianis Wulan Sari; Rizki Fitryasari; Neisya Pratiwindya Sudarsiwi; Nauvila Fitrotul 'Aini; Ah Yusuf; Aziz Nashiruddin Habibie; Hakim Zulkarnain
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 11 No. 5 (2026): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v11i5.11714

Abstract

The priority health problem in Ditotrunan Village, Lumajang Regency, is the high prevalence of unmanaged hypertension. This condition causes degenerative diseases such as heart disease and stroke, which significantly reduce the community’s quality of life. Unhealthy lifestyles, including smoking, consuming foods high in salt and fat, and a lack of physical activity, further aggravate hypertension. Many residents also lack understanding of the importance of stress management and emotional and spiritual awareness in controlling blood pressure. Therefore, an emotional and spiritual self-awareness module was implemented as an intervention. The implementation involved delivering educational materials, training health cadres to use sphygmomanometers, and quantitatively monitoring the outcomes of the counseling sessions. The results showed an improvement in residents’ knowledge, increasing from an average score of 55.3 to 72.22. This community service program proved effective in enhancing public awareness of the role of emotional and spiritual self-awareness in managing hypertension.