Pembentukan Ems (Emergency Medical System) Sederhana Melalui 3d  (Detection, Dispatch, Delivery) Dalam Meningkatkan Manajemen Pra-Hospital Pasien Stroke Di Desa Grogol Wilayah Kerja  Puskesmas Cukir Kabupaten Jombang

Kholis, Anja Hesnia

doi:10.33023/jpm.v5i1.225

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…To enhance prehospital stroke patient treatment, health facilities in distant locations may develop an EMS (emergency medical system) team and village ambulances on standby with an integrated 3D system (detection, delivery, and dispatch). 13,22 Other causes of a patient's delay in coming to the hospital include waiting for relatives and not knowing the symptoms of a stroke. As a result, raising awareness among the patient's family and others about the early signs and symptoms of stroke is critical to avoiding more serious effects.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Recurrent Stroke in Patients with First Stroke Ischemic and Hemorrhagic in Soetomo General Academic Hospital Surabaya

Sihotang,

Ardhi,

Parenrengi

2024

AKSONA

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Highlight: The incidence of recurrent stroke in patients with the first stroke of ischemic type was 2.5-fold higher than that of hemorrhagic type, with the majority of recurrent strokes being the same type as the first stroke. Hypertension is the most common modifiable stroke risk factor in both stroke types, and in 5% of cases, secondary prevention is still not optimal. The average length of hospital stay for patients with the first stroke of hemorrhagic type was 3 days longer, along with a higher average NIHSS score on presentation than patients with ischemic stroke. ABSTRACT Introduction: Stroke is the leading cause of mortality and disability in Indonesia, as well as being the major cause of death and disability-adjusted life years (DALY) lost worldwide. Recurrent stroke is one of the most common complications of stroke after discharge, despite being highly preventable. Objective: This study aimed to compare the differences in recurrent stroke profiles between patients with first stroke ischemic and hemorrhagic strokes. Methods: The study was done by collecting secondary data from medical records and the stroke registry at Dr. Seotomo General Academic Hospital over a period of six months (January–July 2020). Result: This study examined 36 samples that met the inclusion criteria. The results revealed that patients who experienced their first stroke of the ischemic type had a 2.5-fold higher incidence of recurrent stroke than those who suffered a hemorrhagic type. Except for one case, the majority of patients had the same type of stroke as the first. The most frequent modifiable risk factors seen in these two types of strokes are hypertension and physical inactivity. It was found that there were still 5% of the risk factors for which secondary prevention had not been carried out optimally with antidyslipidemic, antidiabetic, or antihypertensive drugs. The most common acute treatment for ischemic stroke is antiplatelet therapy, either single or dual therapy. Up to 90% of hemorrhagic strokes were treated conservatively, and in one patient, extraventricular drainage was performed. Conclusion: There were more stroke patients with a first stroke of hemorrhagic type that presented with NIHSS scores in the severe to very severe range, and the average length of hospitalization in this group was longer.

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Section: Discussionmentioning

confidence: 99%

Comparison of Recurrent Stroke in Patients with First Stroke Ischemic and Hemorrhagic in Soetomo General Academic Hospital Surabaya

Sihotang,

Ardhi,

Parenrengi

2024

AKSONA

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“…Emergency Medical Service (EMS) sederhana merupakan bagian terkecil dari upaya Public Safety Center (PSC) atau Pos Pelayanan Gawat Darurat Terpadu (Pos Yan Gadar Terpadu) menjamin respon cepat dan tepat untuk menyelamatkan nyawa dan mencegah kecacatan setiap orang yang mengalami kegawatdaruratan. PSC merupakan pusat pelayanan yang menjamin kebutuhan masyarakat dalam di kabupaten/kota yang merupakan ujung tombak pelayanan untuk mendapatkan respon cepat (12).…”

Section: Pembahasanunclassified

Pengaktifan Ems (Emergency Medical System) Sederhana Dengan Metode Act F.A.S.T Terhadap Penangan Kegawat Daruratan Pasien Stroke

Nur¹

2022

Jurnal Pengabdian Masyarakat Indonesia

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Tujuan dari penatalaksanaan stroke secara umum adalah menurunkan morbiditas dan menurunkan tingkat kematian serta menurunnya angka kecacatan. Waktu dari onset stroke sampai kunjungan ke rumah sakit merupakan kontributor terbesar terhadap keterlambatan sejak awal stroke akut untuk memulai pengobatan. Metode Act FAST membantu masyarakat mengenali tanda dan gejala serangan stroke dengan cepat dan membawa korban ke rumah sakit dengan segera.. Tujuan EMS adalah agar setiap pasien dapat dilakukan stabilisasi, pengobatan dan transportasi yang tepat waktu ke Rumah Sakit yang menyediakan layanan perawatan medis yang dibutuhkan. Hasil pengabmas menunjukan perangkat kelurahan, 10 kepala lingkungan wilatah kelurahan Mamunya hadir, kader, tokoh masyarakat, Babinsa, Binmas dan Bidan penanggung jawab Posbindu sangat pro aktif untuk mendukung semua kegiatannya, namun belum terpapar tentang deteksi dini F.A.S.T stroke. Fasilitas yang dimiliki untuk memudahkan transportasi warga ke fasilitas kesehatan terdekat adalah inisiatif warga sendiri karena ambilan puskesmas hanya untuk rujukan, dan PSC 119 belum tersosialisasi secara baik. Hanya saja belum diketahui bagaimana sistem komunikasi antara PSC 119 dan penyedia fasilitas kesehatan terdekat. Hasil pengabdian Masyarakat adalah terbentuknya satuan tugas kedaruratan masing-masing lingkungan di wilayahnya sebagai penghubung fasilitas pelayanan kesehatan meminimalisir resiko akibat stroke.

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Pembentukan Ems (Emergency Medical System) Sederhana Melalui 3d (Detection, Dispatch, Delivery) Dalam Meningkatkan Manajemen Pra-Hospital Pasien Stroke Di Desa Grogol Wilayah Kerja Puskesmas Cukir Kabupaten Jombang

Cited by 2 publications

References 2 publications

Comparison of Recurrent Stroke in Patients with First Stroke Ischemic and Hemorrhagic in Soetomo General Academic Hospital Surabaya

Comparison of Recurrent Stroke in Patients with First Stroke Ischemic and Hemorrhagic in Soetomo General Academic Hospital Surabaya

Pengaktifan Ems (Emergency Medical System) Sederhana Dengan Metode Act F.A.S.T Terhadap Penangan Kegawat Daruratan Pasien Stroke

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