ABSTRAK Cardiac arrest menjadi penyebab kematian terbesar di dunia yang dapat terjadi di luar atau di dalam rumah sakit. Kesalahan atau ketidaktepatan pemberian pertolongan pertama dapat menyebabkan kematian. Upaya yang harus dilakukan untuk meminimalkan angka kematian penderita gawat darurat harus mempersingkat response time. Pengabdian kepada masyarakat dilaksanakan bekerja sama dengan Palang Merah Remaja (PMR) dari SMK Kesehatan PGRI Denpasar untuk melaksanakan penyuluhan tentang deteksi dini henti jantung pada orang dewasa dan pelatihan resusitasi jantung paru (RJP). Meningkatkan pengetahuan dan keterampilan siswa-siswi PMR SMK Kesehatan PGRI Denpasar dalam memberikan pertolongan pertama pre hospital disesuaikan dengan standar AHA 2020 sehingga keterlambatan pertolongan bagi pasien henti jantung dapat dihindari sehingga lebih banyak nyawa yang tertolong bila ditemukan kasus henti jantung pada orang dewasa. Metode pengabdian masyarakat ini dilakukan dengan 3 tahap yaitu Tahap 1: Memberikan pre test tentang RJP, melakukan penyuluhan tentang RJP, Diskusi. Tahap 2: Demonstrasi RJP, Pelatihan RJP, Evaluasi pelatihan. Tahap 3: Review RJP dan Post test. Evaluasi pre test dan post test menggunakan kuesioner dengan 30 pertanyaan. Jumlah Peserta dalam kegiatan ini sebanyak 50 orang. Analisa data yang digunakan bivariat dengan Wilcoxon. Data pre test dan post test dianalisis dengan menggunakan analisis Wilcoxon. Penggunaan Wilcoxon digunakan karena distribusi nilai pre test dan post test tidak normal, dan diperoleh nilai signifikan < 0,05. Hasil uji statistik nilai pre test dan post test diperoleh rata-rata nilai pre test 91.70 dan post test 100. Hal ini menunjukkan bahwa pemberian penyuluhan dan pelatihan tentang RJP terhadap tingkat pengetahuan peserta, penyuluhan dan pelatihan BHD sangat bermanfaat bagi siswa SMK kesehatan terutama siswa perawat dan siswa farmasi dan saran yang dapat diberikan bahwa perlu dilakukan penyuluhan dan pelatihan secara terus menerus di berbagai tempat dengan tujuan agar semua orang terutama calon tenaga kesehatan dapat membantu setiap orang yang mengalami henti jantung dapat selamat. Kata Kunci: Penyuluhan, Pelatihan, Henti Jantung, RJP, Siswa PMR ABSTRACT Cardiac arrest is the biggest cause of death in the world which can occur outside or in the hospital. Errors or inaccuracies in providing first aid can cause death. Efforts that must be made to minimize the death rate of emergency patients must shorten the response time. Community service implementation in collaboration with the Youth Red Cross (PMR) from the PGRI Denpasar Health Vocational School to carry out counseling on early detection of cardiac arrest in adults and cardiopulmonary resuscitation (CPR) training. To increase the knowledge and skills of PMR students at the PGRI Denpasar Health Vocational School in providing pre-hospital first aid in accordance with the 2020 AHA standards so that delays in assistance for cardiac arrest patients can be avoided so that more lives are saved if cases of cardiac arrest are found in adults. This community service method is carried out in 3 stages, namely Stage 1: Giving a pre-test about CPR, conducting counseling about CPR, Discussion. Stage 2: CPR Demonstration, CPR Training, Training evaluation. Stage 3: CPR Review and Post test. Evaluation of pre test and post test using a questionnaire with 30 questions. The number of participants in this activity was 50 people. Data analysis used bivariate with Wilcoxon. Pre-test and post-test data were analyzed using Wilcoxon analysis. The use of Wilcoxon was used because the distribution of pre-test and post-test values was not normal, and a significant value of <0.05 was obtained. The results of the statistical tests for the pre-test and post-test scores obtained an average pre-test value of 91.70 and a post-test of 100. This shows that the provision of counseling and training about CPR on the level of knowledge of participants, BHD counseling and training is very beneficial for SMK students health, especially nursing students and pharmacy students and suggestions that can be given that it is necessary to carry out continuous counseling and training in various places with the aim that everyone, especially prospective health workers can help everyone who has had a cardiac arrest safe. Keywords: Counseling, Training, Cardiac Arrest, CPR, PMR Students
An emergency condition is a situation that requires quick, precise, and appropriate action to save lives. Delays in providing emergency assistance often occur in children, where the result of this delay is permanent disability and even death. Emergency for children is an important concern because children are not used to expressing uncomfortable conditions in an emergency. Emergency conditions that often occur in children are choking and cardiac arrest. The purpose of this study was to determine the difference in maternal knowledge before and after being given counseling about choking, and cardiopulmonary resuscitation. This study uses a Pre-Experiment with One Group Pre-test Post-test design with a cross-sectional approach. The research was conducted in Ubung Kaja Village. The population in this study were 70 parents who had children aged 0-2 years. Univariate analysis was used to determine the demographic data of the respondents. Bivariate analysis was used to determine differences in maternal knowledge before and after being given counseling about choking and CPR. The results showed that (Choking P 0.000 <a = 0.05), and (Cardiac arrest P 0.000 <a = 0.05). There is an effect of providing counseling on mother's knowledge in emergency handling of fever, choking and cardiac arrest. Further training on emergencies needs to be carried out on an ongoing basis because emergencies can happen anywhere.
ABSTRAK Penyakit kardiovaskular masih menjadi penyebab utama kematian di dunia. Diperkirakan 17,9 juta orang meninggal karena penyakit kardiovaskular pada 2019, angka ini mewakili 32% dari semua kematian secara global. Dari kematian tersebut, 85% disebabkan oleh stroke dan serangan jantung/sindrom koroner akut (SKA). Kasus SKA di Indonesia terus mengalami peningkatan tiap tahunnya. Dibutuhkan suatu penanganan yang cepat dan tepat (<2jam) untuk mencegah morbiditas dan mortalitas saat SKA terjadi. Namun dengan kurangnya pengetahuan dan adanya faktor resiko penyakit SKA pada lansia harus segera ditangani, sehingga perlu untuk dilakukan penyuluhan kesehatan tentang pencegahan penyakit SKA. Untuk meningkatkan pengetahuan dan kemampuan lansia dalam mendeteksi penyakit Sindrom koroner akut dan terlaksananya kegiatan deteksi dini terhadap faktor resiko penyakit Sindrom koroner akut sehingga lansia dapat mengontrol faktor resiko yang dimilikinya. Metode pengabdian masyarakat ini dilakukan dengan 3 tahap yaitu Tahap 1: Memberikan penyuluhan tentang prokes covid 19 yaitu cara mencuci tangan yang baik dan benar menurut WHO dan cara menggunakan masker dengan baik dan benar serta diskusi. Tahap 2: Melakukan penyuluhan tentang SKA dan diskusi. Tahap 3: Review prokes covid 19 dengan mencuci tangan 6 langkah dan menggunakan masker dengan baik dan benar serta pengetahuan tentang SKA dan Post test secara lisan. Evaluasi post test secara lisan diperoleh hasil bahwa lansia dapat menjawab semua pertanyaan yang diberikan oleh presenter tentang pengertian dari SKA, penyebab SKA, tanda dan gejala SKA, serta penanggulangan SKA. penyuluhan yang diberikan pada lansia tentang mencuci tangan dengan baik dan benar, cara menggunakan masker dengan benar dan penyuluhan tentang SKA dapat meningkatkan pengetahuan lansia. Maka perlu dilakukan pemberian informasi secara berkelanjutan dengan materi kedaruratan yang lainnya. Kata Kunci: Pengetahuan, Kemampuan, Deteksi Dini, Sindrom Koroner Akut ABSTRACT Cardiovascular disease is still the leading cause of death in the world. An estimated 17.9 million people died from cardiovascular disease in 2019, this figure represents 32% of all deaths globally. Of these deaths, 85% are caused by strokes and heart attacks/acute coronary syndrome (ACS). Cases of ACS in Indonesia continue to increase every year. It requires a fast and appropriate treatment (<2 hours) to prevent morbidity and mortality when ACS occurs. However, with a lack of knowledge and the presence of risk factors for ACS in the elderly, it must be addressed immediately, so it is necessary to carry out health education about the prevention of ACS. coronary heart disease so that the elderly can control their risk factors. This community service method is carried out in 3 stages, namely Stage 1: Providing counseling about the COVID-19 health program, namely how to wash hands properly and correctly according to WHO and how to use masks properly and correctly and discuss. Stage 2: Conduct counseling about SKA. Stage 3: Review of the covid 19 health program by washing hands 6 steps and using masks properly and correctly as well as knowledge about SKA and Post test orally. understanding of ACS, causes of ACS, signs and symptoms of ACS, and prevention of ACS. counseling on hand washing programs properly and correctly, how to use masks properly and counseling about SKA can increase the knowledge of the elderly at the Wana Seraya Nursing Home, Denpasar. Keywords: Knowledge, Ability, Early Detection, Acute Coronary Syndrome
Introduction: Intravenous anesthetic induction is a medically-induced technique that can cause hemodynamic disorder. The impact that occurs if hemodynamic disorders are not immediately resolved in patients with intravenous anaesthesia induction can cause an increase or decrease in blood pressure, decreased tissue perfusion, increased heart rate and arrhythmias so that it disrupts the surgical action plan. Blood pressure, Mean Arterial Pressure (MAP), and pulse should be monitored carefully during induction. We ought to examine the effect of intravenous induction of anesthesia on the hemodynamic changes among patients in the Level-II Udayana Denpasar Hospital. Methods: This was a descriptive cross-sectional study with a consecutive sampling technique. All patients under intravenous induction of anesthesia were considered eligible study respondents. Data were collected using an observation sheet, The number of samples in this study were 60 respondents, and the statistical test used a univariate technique by looking at the frequency distribution of the hemodynamic features of the patient's blood pressure and pulse. Results: Findings reported that the majority of patients were documented with normal systolic blood pressure (51: 85.0%), normal MAP (56; 93.3%), and normal pulse rate (44; 73.3%) during the intravenous induction. Low diastolic blood pressure was reported among 33 respondents (55.5%). Conclusion: The intravenous anesthetic induction altered the hemodynamic status among the respondents.
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