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All Journal Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Majalah Anestesia dan Critical Care Andalas obstetrics and gynecology journal International Journal of Social Science COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat Jurnal Neuroanestesi Indonesia
Emilzon Taslim
Faculty Of Medicine Universitas Andalas Padang
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Pola Kuman Terbanyak Sebagai Agen Penyebab Infeksi di Intensive Care Unit pada Beberapa Rumah Sakit di Indonesia Taslim, Emilzon; Maskoen, Tinni T.
Majalah Anestesia dan Critical Care Vol 34 No 1 (2016): Februari
Publisher : Perdatin Pusat

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Tingkat penggunaan antibiotik yang tinggi di ruang perawatan intensif atau intensive care unit (ICU) telahmenyebabkan peningkatan kejadian resistensi antibiotik terhadap kuman. Penulisan tinjauan pustaka iniberdasarkan studi kepustakaan yang dikumpulkan dari berbagai sumber. Hasil penulisan ini menunjukkan bahwakuman yang paling banyak terdapat di ICU adalah Pseudomonas aeruginosa dan Klebsiella pneumonia. Selain itu,didapatkan pula peningkatan kejadian Methycillin Resistant Staphylococcus Aureus (MRSA) . Beberapa antibiotiktidak sensitif lagi terhadap kuman-kuman yang terdapat di ICU, antara lain ampicillin, cefotaxime, tetracycline,ceftazidime, chloramphenicol, dan ciprofloxacin. Disarankan agar dilakukan perputaran penggunaan antibiotik(antibiotic cycling) berdasarkan pola kepekaan bakteri dan pola sensitivitas antibiotik untuk mengurangi kejadianresistensi antibiotik. Kata kunci: Intensive Care Unit , pola kuman, resistensi antibiotik High usage of antibiotics in the Intensive Care Unit (ICU) have led to increased incidence of antibiotic resistanceto microbial agents. This paper based on the study of literature gathered from various sources. The results of thispaper show that most numerous microbial agents found in the ICU was Pseudomonas aeruginosa and Klebsielapneumonia. Besides that, there is also an increase of the incidence of MRSA (Methycilin Resistant StaphylococcusAureus). Some antibiotics that are no longer sensitive to microbial agents in the ICU are ampicilin, cefotaxime,tetracycline, ceftazidime, chloramphenicol, and ciprofloxacin. Recommended to do an antibiotic cycling basedon the antibiotics usage pattern and bacterial sensitivity patterns to reduce the incidence of antibiotic resistance. Key words: Antibiotic resistance, bacterial patterns, Intensive Care Unit Reference Undang-Undang Republik Indonesia No. 44 Tahun 2009. Widyaningsih R, Buntaran L. Pola Kuman Penyebab Ventilator Associated Pneumonia (VAP) dan Sensitivitas Terhadap Antibiotik di RSAB Harapan Kita. Sari Pediatri. 2012;13(6):384–90. Noer SF. Pola Bakteri dan Resistensinya Terhadap Antibiotik yang Ditemukan pada Air dan Udara Ruang Instalasi Rawat Khusus RSUP dr.Wahidin Sudirohusodo Makassar. Majalah Farmasi dan Farmakologi. 2012;16(2):73–8. Adisasmito AW, Hadinegoro SR. Infeksi Bakteri Gram Negatif di ICU Anak: epidemiologi Manajemen Antibiotik dan Pencegahan. Sari Pediatri. 2004;6(1):32–9. Dwiprahasto I. Kebijakan untuk Meminimalkan Risiko Terjadinya Resistensi Bakteri di Unit Perawatan Intensif Rumah Sakit. JMPK. 2005;8(4):177–81. Fauziyah S, Radji M, Nurgani A. Hubungan Penggunaan Antibiotika pada Terapi Empiris dengan Kepekaan Bakteri di RSUP Fatmawati Jakarta. Jurnal Farmasi Indonesia. 2011;5(3):150–58. Setiawan MW. Pola Kuman Pasien yang Dirawat di Ruang Rawat Intensif RSUP Dr. Kariadi Semarang. Artikel Penelitian. Semarang: Fakultas Kedokteran Universitas Diponegoro; 2010. 2–16. Saharman YR, Lestari DC. Phenotype Characterization of Beta-Lactamase Producing Enterobacteriaceae in the Intensive Care Unit (ICU) of Cipto Mangunkusumo Hospital in 2011. Acta Med Indones.2013;45(1):11–6. Peta Bakteri Terbanyak yang dapat Diisolasi dari Berbagai Spesimen di Ruang ICU di Rumah Sakit Hasan Sadikin Bandung 2012. Tyas WM, Suprapti B, Hardiono, Widodo ADW. Analysis of Antibiotic Use in VAP (Ventilator-Association Pneumonia) Patients. Folia Medica Indonesiana. 2013;49(3):168–72. Mahmudah R, Soleha TU, Ekowati CN. Identifikasi Methicillin-Resistant Staphylococcus Aureus (MRSA) pada Tenaga Medis dan Paramedis Di Ruang Intensive Care Unit (ICU) dan Ruang Perawatan Bedah Rumah Sakit Umum Daerah Abdul Moeloek. Med J Lampung Univercity. 2013;2(4):70–8.
Perimortem Cesarean Section : As Resucitative Hysterotomy On Maternal Cardiac Arrest Madona Utami Dewi; Syahredi Syaiful Adnani; Emilzon Taslim
Andalas Obstetrics And Gynecology Journal Vol 4, No 2 (2020)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.2.218-230.2020

Abstract

Maternal cardiac arrest or maternal collaps is defined as an acute event involving the cardiorespiratory systems and/or brain, resulting in a reduced or absent consciousness level (and potentially death), at any stage in pregnancy and up to six weeks after delivery. Perimortem Cesarean Section (PCS) is performed either during maternal cardiac arrest or during impending maternal cardiac arrest toresuscitate mother and fetal. Current recommendations for maternal resuscitation include performance of the procedure following five minutes of unsuccessful cardiopulmonary resuscitation. The most common aetiology of maternal collaps was know as “4 H and  4 T” (Hypovolemia, Hypoxia, Hypo/Hyperkalemia,Hypothermia; Tromboembolism, Toxicity, Tension pneumothorax, Tamponade). Resuscitation in maternal cardiac arrest is mostly similar with non-pregnant patient resuscitation. There are several considerations need to be addressed in primary survey such as endotracheal tube 1 size smaller, supplemental O2 regardless of peripheral saturation, aggressive volume resuscitation, and uterine displacement to relieve compression of the IVC.Keywords: Maternal cardiac arrest; non-pregnant patient resuscitation
STUDENTS PERCEPTION ON IMPLEMENTATION OF INTERPROFESSIONAL EDUCATION Multazam Fahreza Chandra; Laila Isrona; Emilzon Taslim; Ilmiawati Ilmiawati
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 10, No 2 (2021): July
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.59527

Abstract

Background: Collaboration between health professionals is needed to improve health services. The collaboration can be applied to the education system through the Interprofessional Education (IPE) concept. This study aimed to examine students’ perception on the IPE implementation.Methods: This was a descriptive study using cross-sectional method. The study sample were 300 undergraduate students in Medical Faculty Andalas University (MFAU). It consisted of 190 medical students, 72 psychology students, and 38 midwifery students. The sample was determined by proportionate stratified random sampling method. The research instrument used was Interdisciplinary Education Perception Scale (IEPS) questionnaire.Results:     The    252    students    (84%)     showed    positive    perception    on    IPE implementation. The highest percentage (90%) of the component of perception was actual cooperation and the component of understanding of others’ profession had the lowest percentage (51%). Midwifery students had the highest percentage of perception (92.1%), while the lowest percentage of perception was showed by psychology students (72.2%). The perception tended to increase in perception from first-year (85.7%) to second-year (89.9%) and declined in third-year students (76%).Conclusion: Students of MFAU having a good perception on the IPE implementation. However, there is a lack of understanding of others’ profession that needs to be addressed and improved.                   
Patofisiologi Kejang dan Perubahan Susunan Saraf Pusat pada Eklampsia Emilzon Taslim
Jurnal Neuroanestesi Indonesia Vol 2, No 1 (2013)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (6332.133 KB) | DOI: 10.24244/jni.vol2i1.190

Abstract

Eklampsia merupakan komplikasi serius kehamilan yang menimbulkan berbagai komplikasi neurologis seperti nyeri kepala, gangguan penglihatan, mual, muntah, koma, dan kejang. Patofisiologi/ Patogenesis kejang serta perubahan sitim saraf pusat eclampsia belum diketahui secara pasti dan merupakan pokok bahasan yang terus diteliti secara ekstensif. Beberapa mekanisme etiologi yang berimplikasi terhadap patofisiologi /pathogenesis kejangeklampsiadan berbagai perubahan sistem saraf pusat meliputi vasospasme hipertensis ensefalopati, edema serebral (terutama edema vasogenik), iskemia uteroplasental, dan kerusakan/ disfungsi endotel. Komplikasi neurologic eklampsia mirip dengan hipertensi ensefalopati yang ditandai dengan peningkatan tekanan darah secara akut dan ekstrim sehingga menyebakan kerusakan sawar darah otak, berkuranganya aliran darah ke otak, gangguan autoregulasi, hiperperfusi, dan edema. Edema otak pada pasien peeklampsia-eklampsia juga berhubungan dengan abnormalitas penanda kerusakan endotel. Pathophysiology of Convulsion and Central Nervous System Changes in EclampsiaEclampsia is a serious complication of pregnancy due to some neurologic complications, including convulsion and central nervous system changes in eclampsia remains unknown and contionues to be the subject of extensive investigation. Some of etiologic mechanisms that are implicated in the pathophysiology/pathogenesis of eclamptic convulsion and other central nervous system change have included vasopasm hypertensive, encephalopathy, cerebral edema (mostly vaspgenic edema), the uteroplacental ischemia, and endothelial damage/endothel dysfunction. Neurologic complication of eclampsia are thought to be similar to hypertensive encephalopathy in which an acute, excessive elevation in blood pressure causes blood-brain barrier disruption, lossof cerebral blood flow autoregulation, hyperperfusion, and edema formation, Brain edema in patients with preeclampsia-eclampsia also was associated with abnormalities in endhotelial damage markers.
FAMILY FRIENDLY ICU QUALITY ORIENTED WITH EMIL MODEL: STUDY AT RSUP DR. M. DJAMIL PADANG Emilzon Taslim; Afrizal; Tinni Trihartini Maskoen; Yusirwan Yusuf; Almh. Ike Sri Redjeki
International Journal of Social Science Vol. 2 No. 2: Agustus 2022
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/ijss.v2i2.3056

Abstract

This study aims to determine the culturally competent family-friendly ICU model on ICU service satisfaction. This research was conducted in April-December 2021 at Dr. RSUP. M. Djamil Padang. The research design used Quantitative Research Methods. The results showed that there was a relationship between satisfaction with information and satisfaction with service quality (p = 0.001), there was a relationship between satisfaction with comfort and satisfaction with service quality (p = 0.002) and there was a relationship between satisfaction with spiritual needs with satisfaction with service quality (p= 0.001). The researcher concludes that information, comfort and spiritual needs greatly affect the quality of service in the ICU Dr. M. Djamil Padang
EARLY HAEMORRHAGE POSTPARTUM (HPP); WITH COMPLICATION DISSEMINATED INTRAVASCULAR COAGULATION, SEPSIS, ACUTE KIDNEY INJURY Rizki Oktavian; Gunawan Efri; Roza Sriyanti; Emilzon Taslim
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 1 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.1.620-629.2024

Abstract

 Abstarct Background : Hemorrhage Postpartum (HPP) is the leading cause of maternal death worldwide with an incidence of 5%-10% of all deliveries. 70% of cases of HPP are caused by atony of the uterus. If HPP is not handled properly, it will cause worsening of the patient's condition which causes various multiorgan complications.Objectives : To discuss the management of HPP cases complicated by DIC, sepsis and AKI.Method : case report.Case : A female patient, 36 years old, was referred from a private hospital to PONEK RSUP Dr. M. Djamil Padang with a diagnosis of decreased consciousness ec suspected sepsis in post SCTPP oi used SC 2x + post relaparotomy oi bleeding subfascia + moderate anemia. After surgery, the patient looked pale and the hemoglobin was 7, then relaparotomy was done and done B-lynch oi uterine hypotony. After relaparotomy, the patient experienced worsening then referred to the hospital. The patient arrives with hipovolemic shock + AKI + Sepsis + DIC , then the condition improvement is carried out in ROI and hysterectomy relaparotomy is performed. The patient has worsened, maximum treatment has been carried out from the intersivist, but the patient's condition continues to worsen and eventually dies.Conclusion : Early diagnosis and rapid treatment through a multidisciplinary team and the availability of an Intensive Care Unit (ICU) can prevent complications and reduce morbidity and mortality.
Management of Eclampsia Patients Post-ROSC (Return of Spontaneous Circulation) at RSUP M Djamil Padang Ressy Permatasari; Emilzon Taslim; Yusrawati
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.801-808.2024

Abstract

Background: Eclampsia is a convulsive condition associated with hypertensive disorders in pregnancy which threatens maternal and fetal life which generally requires intensive care. Worsening conditions can complicate multi-organ disorders, coagulation disorders, and infections. Case: A 20 year old, nulliparous woman, preterm gestational age 35-36 weeks of gestation, referred to M Djamil General Hospital with complaints of 3 seizures at home and loss of consciousness. At the time of examination, we found apathetic consciousness; blood pressure of 210/118 mmHg. Urine protein is +3. The patient was terminated by emergency cesarean section. The patient was anesthetized under general anesthesia, and was treated in the postoperative intensive care unit with a ventilator attached. During hospitalization, the patient developed recurrent seizure, laryngeal edema and cardiac arrest, but returned to circulation spontaneously after resuscitation. Hemodynamic and metabolic monitoring is strict on the patient and managed appropriately with good result. Discussion: Eclampsia preceded by preeclampsia is known as a theoretical disease with a two-stage pathogenesis. The principles of eclampsia management are control of seizure, regulation of blood pressure, and termination of pregnancy. Collaboration between multidisciplinary teams determines the success of managing eclampsia cases and improving outcomes for the better.
Efektivitas Edukasi dan Pelatihan Bantuan Hidup Dasar (BHD) dalam Meningkatkan Pengetahuan dan Keterampilan Mahasiswa di Provinsi Sumatera Barat sebagai Kesiapsiagaan Tanggap Darurat Bencana Puar, Nasman; Abdullah, Yulinda; Ananta, Liliriawati; Taslim, Emilzon; Anggraini, Fika; Yemigoe, Randy
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 5 No. 1 (2025): COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v5i1.3096

Abstract

Peningkatan pengetahuan dan keterampilan dalam Bantuan Hidup Dasar (BHD) sangat penting, terutama bagi mahasiswa yang memiliki peran sebagai agen perubahan dan relawan potensial dalam situasi darurat medis atau bencana. Dalam konteks bencana, pemahaman yang baik tentang BHD memungkinkan mahasiswa untuk memberikan pertolongan pertama yang krusial, sehingga dapat mengurangi risiko fatalitas dan meningkatkan peluang keselamatan korban. Penelitian ini bertujuan untuk mengevaluasi efektivitas edukasi dan pelatihan BHD terhadap peningkatan pengetahuan mahasiswa Universitas Andalas. Penelitian dilakukan pada 140 mahasiswa dari tujuh fakultas, menggunakan metode kuantitatif pre-test dan post-test dengan 20 pertanyaan untuk mengukur tingkat pengetahuan sebelum dan sesudah pelatihan. Hasil penelitian menunjukkan bahwa sebelum pelatihan, mayoritas peserta berada pada kategori pengetahuan cukup (64,29%) dan kurang (35,71%), dengan tidak ada peserta yang mencapai kategori baik. Setelah pelatihan, terjadi peningkatan signifikan, dengan 85,71% peserta mencapai kategori baik dan 14,29% berada pada kategori cukup, serta tidak ada peserta dalam kategori kurang. Secara keseluruhan, terdapat peningkatan kemampuan pengetahuan mahasiswa sebesar 55,56%. Edukasi berbasis kuliah dan pelatihan berbasis demonstrasi terbukti efektif dalam meningkatkan pemahaman dan keterampilan peserta. Dalam konteks pengabdian masyarakat, hubungan antara BHD dan kesiapsiagaan bencana menegaskan pentingnya pelatihan ini untuk mempersiapkan mahasiswa menghadapi situasi darurat di lapangan. Ke depan, pelatihan dapat ditingkatkan dengan teknologi simulasi modern untuk memberikan pengalaman yang lebih realistis dan mendalam.
Perimortem Cesarean Section : As Resucitative Hysterotomy On Maternal Cardiac Arrest Dewi, Madona Utami; Adnani, Syahredi Syaiful; Taslim, Emilzon
Andalas Obstetrics And Gynecology Journal Vol. 4 No. 2 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.2.218-230.2020

Abstract

Maternal cardiac arrest or maternal collaps is defined as an acute event involving the cardiorespiratory systems and/or brain, resulting in a reduced or absent consciousness level (and potentially death), at any stage in pregnancy and up to six weeks after delivery. Perimortem Cesarean Section (PCS) is performed either during maternal cardiac arrest or during impending maternal cardiac arrest toresuscitate mother and fetal. Current recommendations for maternal resuscitation include performance of the procedure following five minutes of unsuccessful cardiopulmonary resuscitation. The most common aetiology of maternal collaps was know as “4 H and  4 T” (Hypovolemia, Hypoxia, Hypo/Hyperkalemia,Hypothermia; Tromboembolism, Toxicity, Tension pneumothorax, Tamponade). Resuscitation in maternal cardiac arrest is mostly similar with non-pregnant patient resuscitation. There are several considerations need to be addressed in primary survey such as endotracheal tube 1 size smaller, supplemental O2 regardless of peripheral saturation, aggressive volume resuscitation, and uterine displacement to relieve compression of the IVC.Keywords: Maternal cardiac arrest; non-pregnant patient resuscitation
Early Haemorrhage Postpartum (HPP); With Complication Disseminated Intravascular Coagulation, Sepsis, Acute Kidney Injury Oktavian, Rizki; Gunawan Efri; Sriyanti, Roza; Taslim, Emilzon
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.1.632-641.2024

Abstract

Background : Hemorrhage Postpartum (HPP) is the leading cause of maternal death worldwide with an incidence of 5%-10% of all deliveries. 70% of cases of HPP are caused by atony of the uterus. If HPP is not handled properly, it will cause worsening of the patient's condition which causes various multiorgan complications. Objectives : To discuss the management of HPP cases complicated by DIC, sepsis and AKI. Method : case report. Case : A female patient, 36 years old, was referred from a private hospital to PONEK RSUP Dr. M. Djamil Padang with a diagnosis of decreased consciousness ec suspected sepsis in post SCTPP oi used SC 2x + post relaparotomy oi bleeding subfascia + moderate anemia. After surgery, the patient looked pale and the hemoglobin was 7, then relaparotomy was done and done B-lynch oi uterine hypotony. After relaparotomy, the patient experienced worsening then referred to the hospital. The patient arrives with hipovolemic shock + AKI + Sepsis + DIC , then the condition improvement is carried out in ROI and hysterectomy relaparotomy is performed. The patient has worsened, maximum treatment has been carried out from the intersivist, but the patient's condition continues to worsen and eventually dies.Conclusion : Early diagnosis and rapid treatment through a multidisciplinary team and the availability of an Intensive Care Unit (ICU) can prevent complications and reduce morbidity and mortality.
Co-Authors Abdullah, Yulinda Adnani, Syahredi Syaiful Afrizal Almh. Ike Sri Redjeki Ananta, Liliriawati Anggraini, Fika Dewi, Madona Utami Gunawan Efri Gunawan Efri Ilmiawati, Ilmiawati Laila Isrona Madona Utami Dewi Multazam Fahreza Chandra Nasman Puar Oktavian, Rizki Ressy Permatasari Rizki Oktavian Sriyanti, Roza Syahredi Syaiful Adnani Tinni T. Maskoen Tinni Trihartini Maskoen Yanti, Roza Sri Yemigoe, Randy Yusirwan Yusuf Yusrawati Yusrawati