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All Journal PREPOTIF : Jurnal Kesehatan Masyarakat JOURNAL LA MEDIHEALTICO
Ahmad, St. Lutfiah
Unknown Affiliation
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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ANALISIS FORENSIK MEDIS PADA KASUS KEKERASAN SEKSUAL DEWASA: LAPORAN VISUM ET REPERTUM DI RS BHAYANGKARA MAKASSAR Pasombak, Selin Iriana; Aulya NR2, Putri Saskia; Dewi , Ridha Kurnia Sulistiawati; Syahrir, Muhammad; Yusuf, Yuskiyah Ananda; Ahmad, St. Lutfiah; Muktar, Aldi Pratama; Mathius , Denny; Surdam, Zulfiyah; Dirgahayu, Andi Millaty Haliah
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.47285

Abstract

Kekerasan seksual terhadap perempuan dewasa membutuhkan perhatian serius dari segi medis dan hukum. Studi ini menganalisis hasil visum et repertum pada perempuan berusia 23 tahun korban kekerasan seksual yang diperiksa di RS Bhayangkara Makassar. Metode yang digunakan adalah studi kasus deskriptif kualitatif berdasarkan data pemeriksaan fisik dan penunjang oleh dokter forensik. Hasil menunjukkan tujuh luka robek pada hymen, lima memar di paha. Temuan ini sesuai dengan laporan korban dan mendukung dugaan pemerkosaan dengan kekerasan. Penanganan korban dilakukan secara menyeluruh, meliputi perawatan medis, pengambilan sampel biologis, kontrasepsi darurat, dan dukungan psikologis. Pencegahan meliputi edukasi seksual komprehensif, penguatan sistem rujukan, dan penerapan UU TPKS secara efektif. Visum et repertum penting dalam pembuktian hukum dan harus dibuat objektif oleh dokter forensik. Pendekatan multidisiplin menjadi kunci keberhasilan penanganan dan pencegahan kasus serupa.
Initial Emergency Management of Trauma: A Literature Review Ahmad, St. Lutfiah; Swarga, Tirta; Irna, Ade
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2614

Abstract

Trauma continues to be one of the leading causes of mortality and disability worldwide, including in Indonesia, with the most critical period occurring within the golden hour. Elevated mortality rates are often linked to delayed medical response, the absence of standardized treatment protocols, and limited healthcare resources. Objective: This review aims to assess the effectiveness of internationally recognized, protocol-driven interventions that have been adapted to the Indonesian context in enhancing trauma care outcomes. A systematic-narrative literature review was conducted in accordance with the PRISMA 2020 guidelines. Sources included SINTA, Scopus, ClinicalKey, as well as conference proceedings and dissertations published between 2023 and 2024. Each study was evaluated for methodological rigor, strength of evidence, and applicability to emergency care settings in Indonesia. Thematic analysis was applied to synthesize the findings. Adaptations of ATLS protocols, interdisciplinary simulation-based training, and the implementation of digital technologies for triage and prehospital communication demonstrated the potential to reduce trauma-related mortality by up to 30%. Furthermore, the early administration of tranexamic acid (TXA), application of tourniquets, and whole blood transfusion proved highly effective in managing severe trauma cases. The integration of international trauma care protocols with locally contextualized innovations and digital health technologies holds significant promise for improving the quality and effectiveness of trauma management in Indonesia.
Co-Authors Aulya NR2, Putri Saskia Dewi , Ridha Kurnia Sulistiawati Dirgahayu, Andi Millaty Haliah Irna, Ade Mathius , Denny Muktar, Aldi Pratama Pasombak, Selin Iriana Surdam, Zulfiyah Swarga, Tirta Yusuf, Yuskiyah Ananda