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Identification Of Early Warning Signs In Patients At Risk Of Acute Respiratory Emergencies Hasibuan, Ira Astuti
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 1 (2023): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i1.2534

Early identification of warning signs is the key to preventing further complications and reducing the death rate due to this condition. This study aims to identify early warning signs in patients at risk of cardiovascular emergencies and analyze the relationship between cardiovascular risk factors and the appearance of clinical symptoms that can predict the occurrence of emergencies. In this study, an analysis was carried out on 200 patients with cardiovascular risk factors, such as hypertension, diabetes, obesity, and a family history of heart disease, who came to the emergency department. The results of the study showed that some of the most common early warning signs found in patients included chest pain (58%), shortness of breath (45%), extreme fatigue (38%), palpitations or irregular heartbeat (30%), swelling of the legs (22%), and dizziness or fainting (18%). The risk factors of hypertension, diabetes and obesity were found to be significantly associated with the appearance of these symptoms. This research emphasizes the importance of early recognition and treatment of these warning signs to prevent further complications, such as heart attacks or acute heart failure, which can be fatal. Better early detection through patient and medical personnel education can improve the prognosis and quality of life of patients at risk of cardiovascular emergencies.

Analysis Of Risk Factors For Delay In Emergency Handling In Primary Services Br. Tarigan, Junita
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 1 (2023): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i1.2537

Delays in the treatment of unidentified accident victims can increase the risk of complications and death, especially in cases of severe trauma. Therefore, it is essential to identify the factors contributing to these delays.This study employs a qualitative approach with a descriptive method, involving 10 informants selected based on their experience in handling unidentified patients during the research period. A purposive sampling technique was applied to choose informants who met the study's relevant criteria.The research instrument used was a semi-structured interview guide with open-ended questions designed to explore the informants' experiences and perspectives regarding delays in treating unidentified patients.The findings reveal several key factors causing these delays, such as ineffective coordination with the police and a lack of necessary information for the identification process. These factors are interconnected and impact the quality of care provided to the victims.To minimize delays, hospitals are advised to strengthen inter-agency cooperation, utilize digital technology to expedite identification, and provide continuous training for medical and administrative staff. These steps are expected to improve the quality of services in handling unidentified accident victims.

Technology-Based Referral System In Handling Emergency Catfish Diseases In Primary Services Porkas Lubis, Muhammad Ishaq
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 1 (2023): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i1.2538

Catastrophic diseases, such as stroke, heart attack, and severe trauma, require rapid and well-coordinated emergency care to prevent fatal outcomes. Primary healthcare facilities often serve as the first point of contact for these critical cases, making an efficient referral system essential. However, conventional referral systems frequently face challenges, including delays, miscommunication, and a lack of real-time patient data, which can negatively impact patient outcomes. The integration of technology-based referral systems has the potential to enhance emergency response and streamline the transfer of critically ill patients to higher-level healthcare facilities.This study aims to analyze the effectiveness of technology-based referral systems in improving the management of catastrophic diseases in primary healthcare settings and their impact on patient outcomes.A literature review and data analysis were conducted to evaluate the role of digital referral platforms, telemedicine, and real-time patient monitoring systems in emergency referrals. Data were collected from case studies, research articles, and reports related to technology-driven emergency response in primary healthcare services.The findings indicate that technology-based referral systems significantly improve response time, communication between healthcare providers, and the overall efficiency of patient transfers. Digital platforms facilitate faster decision-making, reduce administrative burdens, and provide real-time access to critical patient information. Moreover, telemedicine consultations enable primary healthcare providers to receive immediate guidance from specialists, leading to more accurate diagnoses and pre-transfer stabilization of patients. As a result, patients with catastrophic diseases experience better survival rates, reduced complications, and improved continuity of care.The integration of technology in referral systems is a crucial advancement in emergency healthcare, particularly for catastrophic diseases requiring urgent intervention. To maximize its benefits, standardized protocols, interoperability between digital platforms, and adequate training for healthcare personnel must be implemented. Policymakers and healthcare institutions should prioritize the adoption of digital referral systems to enhance emergency medical services and improve patient outcomes in primary healthcare settings.

The Role Of Point-Of-Care Testing In The Rapid Diagnosis Of Catastropic Disease Emergencies Hutomo, Yugi Tri
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 1 (2023): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i1.2542

Catastrophic diseases, such as heart attack, stroke, or septic shock, are emergency conditions that require prompt diagnosis and proper treatment. One promising approach to speed up diagnosis is the use of Point-of-Care Testing (POCT), which allows diagnostic test results to be obtained directly at the point of care. The purpose of this study is to evaluate the role of POCT in the rapid diagnosis of catastrophic diseases in emergency patients and to determine its impact on the speed of medical decision-making as well as clinical outcomes of patients. This study uses an observational research design with a prospective approach in patients with suspected catastrophic diseases who are treated in the emergency department (ER). Data were collected from patients undergoing POCT in the ER and compared with conventional diagnostic results. Univariate and bivariate analyses were performed to evaluate the relationship between the use of POCT and the time to diagnosis, decision-making, and clinical outcomes of patients. Statistical tests using t-or chi-square tests for comparison between groups with univariate analysis results showed that the use of POCT significantly accelerated the time to diagnosis (p<0.05) compared to conventional diagnostic methods. In addition, the use of POCT results in faster and more precise treatment decisions. In bivariate analysis, there was a significant association between the use of POCT and improved patient clinical outcomes, such as reduced mortality rates and shorter recovery times. Patients who get a quick diagnosis using POCT show faster and better improvement in their condition. In contrast, in patients who do not use POCT, late diagnosis often results in decreased organ function and further complications with POCT conclusions play an important role in the rapid diagnosis of catastrophic diseases in the ER and can improve the speed of medical decision-making and improve the patient's clinical outcomes.

Challenges and Solutions in the Implementation of Standard Operating Procedures (SOP) for Emergency Services in Community Health Centers (Puskesmas) Aritonang, Barita
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 2 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i2.2543

Emergency services at Community Health Centers (Puskesmas) play a crucial role in providing first aid to patients in critical conditions before they are referred to higher-level healthcare facilities. However, the implementation of Standard Operating Procedures (SOP) for emergency services still faces various challenges, such as a lack of understanding among healthcare personnel, limited resources, high workloads, and insufficient coordination with referral hospitals. Therefore, the aim of this study is to identify the main challenges in the implementation of emergency SOPs at Puskesmas and to formulate solutions that can improve their effectiveness. The method used in this research is a descriptive study with a qualitative approach, involving interviews and observations with healthcare workers in several Puskesmas. The results show that the majority of healthcare personnel have not fully understood and optimally applied the SOPs due to a lack of training and simulation. Additionally, the limited availability of medical equipment and healthcare staff has led to delays in handling emergency cases. High workloads also become a key factor influencing adherence to the SOPs. The discussion indicates that to overcome these challenges, regular training and simulations, increased availability of medical equipment and healthcare personnel, as well as stricter monitoring and evaluation systems are necessary. Strengthening coordination with referral hospitals also becomes a strategic step to expedite the patient referral process. In conclusion, with the proper implementation of solutions, the SOPs for emergency services at Puskesmas can be improved, making emergency services more effective and efficient in saving patients' lives

Challenges And Opportunities Of Community Health Center In Initial Emergency Management Of Patients With Acute Kidney Failure Astuti Sigalingging, Yulia Emma Wahyu Kristi
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 1 (2023): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i1.2546

Acute kidney injury (AKI) is a sudden condition in which kidney function declines drastically, leading to disturbances in fluid balance, electrolyte regulation, and waste excretion. This medical emergency requires immediate intervention as it can result in life-threatening complications. This study discusses the early emergency phase of patients with AKI, focusing on the causes, clinical manifestations, and medical approaches to stabilize patients. Early recognition of AKI is crucial for preventing progression to severe complications such as metabolic acidosis, hyperkalemia, fluid overload, and uremic complications. The abstract highlights key aspects of emergency assessment, including laboratory and imaging evaluations, as well as initial management strategies. Initial treatment involves identifying and addressing underlying causes, fluid resuscitation, electrolyte correction, and determining the need for renal replacement therapy such as emergency dialysis. The role of healthcare professionals is emphasized in providing timely and effective treatment to improve patient outcomes and reduce morbidity and mortality rates. This research aims to provide valuable insights into the early management of AKI emergencies, equipping medical professionals with essential knowledge to optimize patient care and prevent further deterioration. Early management involves identifying and treating the underlying cause, optimizing fluid balance through careful resuscitation, correcting electrolyte imbalances, and assessing the need for renal replacement therapy (such as emergency dialysis). Supportive care, including monitoring for complications like sepsis and cardiovascular instability, is crucial to improving patient outcomes. The role of healthcare professionals is vital in ensuring timely and effective treatment, which can significantly reduce morbidity and mortality associated with AKI. This research aims to provide comprehensive insights into the early emergency management of AKI, equipping medical professionals with essential knowledge to optimize patient care, prevent further deterioration, and improve overall prognosis.

Comparison of Risk Scores for Predicting Outcomes in Patients with Hematologic Emergency Sihombing, Benny
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 2 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i2.2549

Hematologic emergencies are critical conditions that require rapid and accurate evaluation to determine the best management strategy. Various risk scores have been developed to predict patient outcomes in these situations, including the Sequential Organ Failure Assessment (SOFA), Acute Physiology and Chronic Health Evaluation (APACHE), and Hematologic Emergency Scoring System (HESS). This study aims to compare the effectiveness and accuracy of several risk scores in predicting mortality and morbidity in patients with hematologic emergencies. The method used is a retrospective study with data analysis from patients treated in the emergency unit with a critical hematologic diagnosis. The results show that the SOFA score has higher sensitivity compared to other scores in predicting patient mortality, while the APACHE score is superior in assessing long-term prognosis. The HESS score is specifically useful for evaluating patients with hematologic malignancies. The conclusion of this study is that selecting the appropriate risk score is crucial to improving the accuracy of outcome prediction and management of patients with hematologic emergencies.

The Role of Community Health Centers in Early Detection and Initial Management of Cardiovascular Emergencies Br Bangun, Callina Floriana Yudisia
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 2 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i2.2553

Cardiovascular emergencies (CED) are medical conditions that require rapid treatment to prevent death or disability. Community Health Centers (CHCs), as first-level health care facilities, play an essential role in the early detection and early management of CED. This study aims to evaluate the role of CHCs in the early detection and management of CED in the research area. It also seeks to examine the relationship between demographic factors and the success of CED management at CHCs. The research used a quantitative approach with an analytical observational design. Data were collected through both primary and secondary sources from local CHCs. Univariate analysis was performed to assess the frequency distribution of the relevant variables, while bivariate analysis employed the chi-square statistical test to examine the relationship between demographic factors (such as age, gender, nutritional status) and the success of cardiovascular emergency management. The univariate analysis results indicated that the majority of patients experiencing CED were between the ages of 45-60, with chest pain as the primary complaint. The CHCs have implemented early detection activities using an electrocardiogram (ECG) device; however, there are challenges related to limitations in human resources and facilities. Bivariate analysis revealed a significant relationship between age and gender with the success of early CED management, with better outcomes observed in patients who received prompt treatment. Other influencing factors include the level of education and public awareness of the importance of regular check-ups.

The IDENTIFICATION OF EARLY WARNING SIGNS IN PATIENTS AT RISK OF ACUTE RESPIRATORY EMERGENCIES: IDENTIFICATION OF EARLY WARNING SIGNS IN PATIENTS AT RISK OF ACUTE RESPIRATORY EMERGENCIES Hasibuan, Ira Astuti
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 2 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i2.2559

Early identification of warning signs is the key to preventing further complications and reducing the death rate due to this condition. This study aims to identify early warning signs in patients at risk of cardiovascular emergencies and analyze the relationship between cardiovascular risk factors and the appearance of clinical symptoms that can predict the occurrence of emergencies. In this study, an analysis was carried out on 200 patients with cardiovascular risk factors, such as hypertension, diabetes, obesity, and a family history of heart disease, who came to the emergency department. The results of the study showed that some of the most common early warning signs found in patients included chest pain (58%), shortness of breath (45%), extreme fatigue (38%), palpitations or irregular heartbeat (30%), swelling of the legs (22%), and dizziness or fainting (18%). The risk factors of hypertension, diabetes and obesity were found to be significantly associated with the appearance of these symptoms. This research emphasizes the importance of early recognition and treatment of these warning signs to prevent further complications, such as heart attacks or acute heart failure, which can be fatal. Better early detection through patient and medical personnel education can improve the prognosis and quality of life of patients at risk of cardiovascular emergencies.

The Implementation of Mobile Health (mHealth) for Early Detection and Management of Catastrophic Disease Emergencies JUNITA BR.TARIGAN
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 2 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i2.2561

Non-communicable diseases are a type of disease that can have a very big impact both socially and economically, for the sufferer, for the family and also for the government because treating it takes a very long time. Some diseases included in this catastrophic category are hypertension, diabetes mellitus (DM), and stroke. The aim of this research activity is to increase understanding and early prevention efforts against catastrophic diseases in all age groups. This research was carried out through several stages, including outreach, examination of early detection of risk factors for catastrophic diseases, counseling and training on measuring blood pressure and height and also on the use of online consultation applications. The results of this research show that public knowledge about catastrophic diseases has increased significantly. This socialization is very important to increase public awareness about catastrophic diseases, with the aim of enabling people to carry out early detection, rapid treatment, and control risk factors to reduce the level of disease and death due to these catastrophic diseases.

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Beny Irawan

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Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Beny Irawan

Contact Email benyirawan77@gmail.com

Phone -

Journal Mail Official benyirawan77@gmail.com

Editorial Address -

Location Kab. deli serdang, Sumatera utara INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Beny Irawan

Contact Email
benyirawan77@gmail.com

Phone
-

Journal Mail Official
benyirawan77@gmail.com

Editorial Address
-

Location
Kab. deli serdang,

Sumatera utara

INDONESIA