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When delays become lethal: A case report of a rare and fatal complication in traumatic carotid cavernous fistula Yuddy Imowanto; Dwiwardoyo Triyuliarto; Putra, Rico Wicaksana; Fatah Abdul Yasir
Indonesian Journal of Biomedicine and Clinical Sciences Vol 57 No 4 (2025)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v57i4.20562

Abstract

Carotid cavernous fistula (CCF) is a rare complication that can be easily missed after blunt traumatic brain injury. It is defined as an abnormal arteriovenous shunt between the carotid artery or its branches with the cavernous sinus. Most cases are traumatic in origin and although not typically life-threatening, carry a risk of serious complications. One of the most fatal complications is spontaneous intracerebral haemorrhage (ICH), occurring only 0.9-2.6% of cases. We report a rare case of a 27 yo female, who sustained traumatic brain and craniofacial injuries in a motor vehicle accident 25 d earlier. She presented with gradual loss of consciousness following ophthalmic symptoms that began 5 d prior to admission. Imaging confirmed the presence of ICH as a complication of traumatic CCF. This case highlights the diagnostic challenges of traumatic CCF and its potential complications. Diagnosis is challenging due to its rare occurrence with variable time interval for symptoms to develop (ranging from several hours to years after the initial injury), non-specific symptoms that may mimic other conditions, and delays in seeking care. Delayed diagnosis can be fatal, leading to visual loss, cerebral infarction, and haemorrhagic events. Rapid recognition and prompt management of traumatic CCF are crucial for preventing complications and achieving complete resolution with low rates of morbidity and mortality.
PENINGKATAN PENGETAHUAN DRIVER AMBULANS MELALUI PELATIHAN DASAR KEGAWATDARURATAN Dwiwardoyo Triyuliarto; Antonius Freddy; Yuddy Imowanto; Choga Ilham Arlando; Dewi Puspitasari
Bestari: Jurnal Pengabdian Kepada Masyarakat Vol 5 No 2 (2025)
Publisher : Sekolah Tinggi Keguruan dan Ilmu Pendidikan (STKIP) Melawi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46368/dpkm.v5i2.2060

Abstract

Penyelenggaraan layanan medis darurat (EMS) cukup beragam. Di Indonesia, ambulans gratis yang dijalankan oleh relawan semakin banyak, namun tidak semua memahami kewajiban sebagai seorang driver ambulans. Oleh karena itu, diperlukan pelatihan untuk meningkatkan kompetensi mereka. Evaluasi melalui penelitian setelah pelatihan dapat membantu menilai peningkatamn pengetahuan yang dimiliki. Sampel penelitian merupakan peserta pelatihan yang mengikuti seluruh pelatihan dan mengikuti pretest serta postest. penelitian ini menggunakan desain pra-eksperimental dengan metode One group pretest-posttest. Dari gambaran deskriptif terhadap 85 sampel driver ambulans yang mengikuti pelatihan, didapatkan mean pretest 51,80 (IK95%;49,74 - 53,86) dan postest 57,48 (IK95%;54,62 - 60,35) selanjutnya dilakukan uji t berpasangan dengan hasil  p <0,001 yang bermakna pelatihan atau intervensi yang diberikan memiliki efek yang signifikan terhadap peningkatan pengetahuan driver ambulans. Pelatihan dasar kegawatdaruratan bagi driver ambulans bermanfaat bagi peningkatan pengetahuan driver ambulans. Diperlukan pelatihan berkala dan refreshing materi kepada para driver ambulans. Penelitian ini dapat dijadikan landasan untuk pelatihan-pelatihan selanjutnya yang lebih baik