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Improved basic life support skills and patient transportation at ambulance drivers in Medan Tuntung and Medan Sunggal area to improve patient safety Yetty Machrina; Siregar, Kamal Basri; Nuraiza Meutia; Gema Nazri Yanni; Yunita Sari Pane
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 2 (2019): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (197.264 KB) | DOI: 10.32734/abdimastalenta.v4i2.4238

Abstract

The technique of providing basic and quick life support (BHD) and transportation to patients with cardiac and pulmonary arrest can save a patient's life. An ambulance driver as one of the ambulance personnel should be equipped with the two forms of skills above. The aim of community service is to increase the capacity of ambulance drivers in terms of providing basic life support skills and patient transportation to improve patient safety. This training was held in September 2019, at the H. Adam Malik General Hospital Training Center Installation Medan, with 24 participants. The training is carried out with 2 methods, namely exposure to BHD theory and BHD skills training. The knowledge and skills of participants before and after the training were assessed. Pre and post assessment results were analyzed using paired t-test with a significance level of p <0.05 Ambulance drivers in the Medan Tuntung and Medan Sunggal area are mostly over 30 years old, with most working as ambulance drivers for more than 5 years. The most recent level of education is high school graduation or equivalent. The results of statistical analysis using paired t-test, obtained a significant difference in the knowledge of ambulance drivers about basic life support theory before and after training (p = 0.000). Likewise, ambulance driver skills in providing basic life support for adult patients, infants and children were significantly different before and after training (p = 0.000). Training in basic life support skills and patient transportation can increase the capacity of ambulance drivers in providing basic life support..
RISK FACTORS OF CONGENITAL ANOMALIE AT HAJJ ADAM MALIK GENERAL HOSPITAL AND UNIVERSITY OF NORTH SUMATERA HOSPITAL IN 2017-2019. Refa Perdana Mukti; Gema Nazri Yanni
Sumatera Medical Journal Vol. 3 No. 3 (2020): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v3i3.3727

Abstract

Background. Congenital abnormalities or congenital abnormalities are abnormalities that have existed since birth that can be caused by genetic and non genetic factors. The study of congenital abnormalities is called dysmorphology. Congenital abnormalities are one of the biggest contributors to death and morbidity in neonates, infants, and children. There were 7.9 million cases of congenital abnormalities and 3.3 million premature deaths due to congenital abnormalities in the world in 2013. In Southeast Asia it is estimated that cases of congenital abnormalities numbered 1,946,606 cases each year in 2013 according to WHO. In 2018, more than 8 million babies worldwide are born every year with congenital abnormalities. In the United States nearly 120,000 babies are born with congenital abnormalities each year. The cause of fetal congenital abnormalities due to genetic and non-genetic factors. Single gene mutations, balance disorders due to chromosomal abnormalities, and multifactorial abnormalities are included in genetic factors. Non-genetic factors can be caused by teratogen drugs (drugs, chemicals, infections, and maternal diseases that affect the fetus) and radiation. There are 5 risk factors that influence the occurrence of fetal congenital abnormalities, namely genetic, socioeconomic and demographic factors, environment, infection, and nutritional status. Aim. To determine the risk factors for congenital abnormalities in newborns at the Haji Adam Malik General Hospital and the University Hospital of North Sumatra in 2017-2019. Method. The design used by researchers uses a cross-sectional approach. The sample used was Patients with Congenital Abnormalities who were in the Human Rights Hospital and USU Hospital in 2017-2019. Result. The most influential risk factors for fetal abnormalities are maternal age, disease history, infectious history, and poor nutritional status. There are no results that can prove that the history of pregnancy affects the occurrence of fetal congenital abnormalities.
Peran Antitrombin III sebagai Penanda Sepsis pada Anak Indah Nur Lestari; Chairul Yoel; Munar Lubis; Rina Amalia C Saragih; Gema Nazri Yanni; Yunnie Trisnawati; Aridamuriany D Lubis; Badai Buana Nasution
Cermin Dunia Kedokteran Vol 50 No 11 (2023): Pediatri
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i11.914

Abstract

Sepsis is a life-threatening organ dysfunction caused by dysregulation of the immune response to infection. Antithrombin III is a single plasma bound glycoprotein and include a class of serine protease (serpine) inhibitors; its synthesis in the liver decreases during sepsis.