scholarly journals Prospects for improving primary health care to children with thermal injuries

2021 ◽  
Vol 25 (3) ◽  
pp. 174-178
Author(s):  
D. S. Oborkina ◽  
D. D. Dolotova ◽  
L. I. Butkevich
Keyword(s):  
Surgical Treatment ◽  
Burn Injury ◽  
Medical Personnel ◽  
First Aid ◽  
Medical Documentation ◽  
Thermal Lesion ◽  
Life Threatening ◽  
Thermal Injuries ◽  
Treatment Of Wounds

Introduction. Burn injury in children has been and remains one of the most significant cause of disability and death in the world. An important aspect in relation to the prognosis and course of the wound process is the quality of the first aid provided at the prehospital stage. Untimely diagnosed shock, inadequately prescribed anesthesia, attempts to perform surgical treatment of wounds at the site of the accident can fatally affect the prognosis of the disease.Material and methods. A retrospective analysis of medical documentation of 328 children who were treated at the burn center from 2016 to 2019 was made. Selection criteria were: arrival to the center by ambulance, shock, transfer to ICU. To analyze actions performed in the prehospital stage, a number of parameters were identified: diagnosis, length of transportation, specialists in the ambulance team, TBSA (total burn surface area), thermal inhalation lesion, and others.Results. The overwhelming majority of errors refer to diagnostics: shock (94.5%), incorrect TBSA assessment (63.7%), inadequate pain relief (61.9%), etc. A reliable correlation was revealed between ineffective analgesia and incorrect assessment of thermal lesion area. Life-threatening conditions develop in case of incorrect primary surgical treatment of wounds, incorrect vascular puncture, tracheal intubation, etc.Conclusions. The revealed difficulties in providing the primary medical aid to burnt patients at the site of accident require the development of a clearer and more understandable algorithm for medical personnel who provide the first aid to children with burns.  

scholarly journals Considerations for Continuing Semielective and Emergency Otolaryngological Procedures During the COVID-19 Pandemic

2020 ◽  
Vol 100 (1) ◽  
pp. 19-25
Author(s):  
Sarina K. Mueller ◽  
Maximilian Traxdorf ◽  
Konstantinos Mantsopoulos ◽  
Antoniu-Oreste Gostian ◽  
Matti Sievert ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Emergency Surgery ◽  
Transmission Rate ◽  
Medical Personnel ◽  
Human Beings ◽  
Threatening Condition ◽  
Long Time ◽  
Life Threatening

Introduction: During the COVID-19 pandemic, worldwide over 600,000 human beings died due to the cause of the disease. In order to deescalate the transmission rate and to avoid crush loading the countries medical health systems social distancing, face masks, and lockdowns have been considered essential by the majority of governments. Whereas some countries have highly reduced or completely stopped otorhinolaryngological procedures, other countries have continued selected surgeries. The objective of this study was to analyze procedures and outcomes of continuing semielective and emergency surgeries during the COVID-19 pandemic. Methods: Retrospective analysis of n = 750 patients who received semi-elective or emergency surgery between March 26 and June 16, 2020, in the Otolaryngology Department of the Friedrich-Alexander-University of Erlangen-Nürnberg. All patients were screened for COVID symptoms and swabbed for SARS-CoV-2 prior to surgery. Results: Of the n = 750 patients, n = 699 patients received semielective surgery and n = 51 emergency surgery. For 27 patients, the swab result could not be awaited due to a life-threatening condition. In these cases, surgery was performed in full protective equipment. No patient was tested positive during or after the surgery (follow-up 45 to 127 days). No member of the medical personnel showed symptoms or was tested positive after contact with patients. Due to the continuation of surgeries, patients’ lives were saved and improvement of long-term quality-of-life and outcomes is anticipated. Conclusions: Continuing selected otorhinolaryngological surgeries is crucial for patients’ health, survival, and long-time quality of life, yet, the protection of the medical personnel has to be granted.

scholarly journals Pelatihan Pertolongan Pertama Pada Anak Tersedak (Choking) di Madrasah Ibtidaiyah Al Furqan Muhammadiyah Cabang 3 Banjarmasin

2022 ◽  
Vol 1 (1) ◽  
pp. 49-54
Author(s):  
Suci Fitri Rahayu ◽  
Esme Anggeriyane
Keyword(s):  
Survival Rate ◽  
Foreign Body ◽  
Community Service ◽  
Basic Life Support ◽  
Life Support ◽  
Medical Personnel ◽  
First Aid ◽  
Questions And Answers ◽  
Life Threatening ◽  
Respiratory Emergencies

ABSTRAKTersedak merupakan suatu kondisi terjadinya sumbatan atau hambatan respirasi oleh benda  asing yang menyempit pada saluran napas internal, termasuk faring,  hipofaring,  dan trakea. Penyempitan  jalan  napas bisa berakibat fatal jika itu mengarah pada gangguan serius oksigenasi dan ventilasi. Kondisi tersedak pada anak dapat menimbulkan situasi kegawatdaruratan respirasi yang jika tidak ditangani dengan segera dapat mengancam jiwa ataupun kecacatan anak. Penanganan yang dilakukan biasanya berhasil dan tingkat kelangsungan hidup sebesar 95%. Untuk melakukan pertolongan terhadap kejadian ini diperlukan teknik Bantuan Hidup Dasar (BHD) penanganan tersedak. Teknik ini, selain harus dikuasai oleh petugas medis, juga penting diketahui oleh orang tua dan guru sebagai pertolongan pertama jika menemukan anak tersedak sebelum mendapatkan penanganan medis selanjutnya. Oleh karena itu orang tua perlu memiliki wawasan yang didapatkan dari pelatihan yang diberikan oleh tim tentang penatalaksanaan tersedak pada anak untuk mengurangi angka kejadian dan kemungkinan perburukan kondisi pada anak. Tujuan pengabdian masyarakat ini untuk mengetahui dan mengaplikasikan prosedur pertolongan pertama pada anak tersedak (choking). Metode pengabdian masyarakat ini dilakukan dengan ceramah, demonstrasi dengan alat peraga dan tanya jawab. Kesimpulan didapatkan orangtua dan guru mampu mengetahui  dan mengaplikasikan pertolongan pertama pada anak tersedak (choking) sesudah diberikan pelatihan. Kata Kunci: Pelatihan, Tersedak, Anak ABSTRACTChoking is a condition of obstruction or obstruction of respiration by a narrowed foreign body in the internal airways, including the pharynx, hypopharynx, and trachea. The narrowing of the airway can be fatal if it leads to serious impairment of oxygenation and ventilation. Choking conditions in children can lead to respiratory emergencies which if not treated immediately can be life-threatening or disabled. Treatment is usually successful and the survival rate is 95%. To help with this incident, a Basic Life Support (BHD) technique is needed to deal with choking. This technique, besides having to be mastered by medical personnel, is also important for parents and teachers to know as first aid if they find a child choking before getting further medical treatment. Therefore, parents need to have the insight gained from the training provided by the team on the management of choking in children to reduce the incidence and possible worsening of the condition in children. The purpose of this community service is to find out and apply first aid procedures to choking children. This community service method is carried out with lectures, demonstrations with props, and questions and answers. The conclusion is that parents and teachers are able to know and apply first aid to choking children after being given training. Keywords: Training, Choking, Children

scholarly journals Laparoscopic Fundoplication for the Surgical Management of Gastroesophageal Reflux Disease in Children

2020 ◽  
Vol 30 (02) ◽  
pp. 150-155
Author(s):  
Charlene Dekonenko ◽  
George W. Holcomb
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Laparoscopic Fundoplication ◽  
Recent Literature ◽  
Failure To Thrive ◽  
Life Threatening

AbstractGastroesophageal reflux (GER) is common in infants generally resolving in early childhood. However, gastroesophageal reflux disease (GERD) is diagnosed when persistent troublesome symptoms and/or complications of GER develop. These symptoms and complications can significantly affect the quality of life, thus requiring medical or surgical treatment. Medical management is typically trialed, but operative treatment is indicated with severe symptoms such as aspiration pneumonia, apneic episodes, bradycardia, apparent life-threatening events, severe vomiting, failure to thrive, esophagitis, stricture, and failed medical therapy. We review the recent literature on the indications and outcomes for laparoscopic fundoplication in the management of pediatric GERD.

scholarly journals The Risk Assessment of Adverse Events of Nursing Activities as the Element of Quality Management in Healhcare

2015 ◽  
Vol 6 (1) ◽  
pp. 79-86
Author(s):  
Malgorzata Z. Wiśniewska ◽  
Piotr Grudowski ◽  
Emila Konieczyńska
Keyword(s):  
Risk Assessment ◽  
Adverse Events ◽  
District Hospital ◽  
First Aid ◽  
Poor Quality ◽  
Pareto Analysis ◽  
Management Commitment ◽  
Life Threatening ◽  
Staff Supervision

Abstract The purpose of the paper is to present MedCARVER+Shock method and Pareto analysis and its usability for the risk assessment of adverse events of nursing activities. 888 activities carried out by all 190 nurses working at the District Hospital X located in Poland were taken into account. During the research the qualitative approach was used. As the result sixteen groups of nursing activities causing the highest risk of adverse events were selected. Special attention required in: admission of a patient to the ward, sterilization, verbal communication with the patient, using of intravenous cannulas, needles, syringes, devices for transfusion of infusion liquids, servicing of hospital rooms, first aid in life-threatening situations, using medical devices and equipment. Ten basic causes of the risk of adverse events were identified, among others: lack of trainings, of modern equipment, of staff, failure to comply with procedures, lack of staff supervision, poor quality of ancillary materials, lack of management commitment. Finally MedCARVER+Shock method and Pareto analysis usability has been confirmed but it appeared that it is time-consuming and requires support from skilled professionals. Several suggestions have been put forward to improve the utility of MedCARVER+Shock.

Psychological influences on wound healing

2019 ◽  
Vol 98 (8) ◽  
pp. 312-314
Keyword(s):  
Wound Healing ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Wound Complications ◽  
State Of Mind ◽  
Life Threatening ◽  
Psychological Influences ◽  
Fear And Anxiety ◽  
Care Costs

Surgical wound complications remain a major cause of morbidity; although usually not life threatening, they reduce the quality of life. They are also associated with excessive health care costs. Wound healing is affected by many factors – wound characteristics, infection, comorbidities and nutritional status of the patient. In addition, though, psychological stress and depression may decrease the inflammatory response required for bacterial clearance and so delay wound healing, as well. Although the patient´s state of mind can be influenced only to a certain extent, we should nevertheless stick to ERAS (Enhanced Recovery After Surgery) guidelines and try to diminish fear and anxiety by providing enough information preoperatively, pay due attention to postoperative analgesia and seek to provide an agreeable environment.

Sophistry and Circumstance at the End of Life

2008 ◽  
Vol 5 (1) ◽  
pp. 81-88
Author(s):  
Philip Berry
Keyword(s):  
Liver Failure ◽  
Medical Personnel ◽  
Medical Decision ◽  
Loss Of Consciousness ◽  
Supportive Treatment ◽  
Medical Decisions ◽  
Life Threatening Illness ◽  
Two Factors ◽  
Life Threatening ◽  
Counselling Process

When life-threatening illness robs a patient of the ability to express their desires, medical personnel must work through the issues of management and prognosis with relatives. Management decisions are guided by medical judgement and the relatives’ account of the patient’s wishes, but difficulties occur when distance grows between these two factors. In these circumstances the counselling process may turn into a doctor-led justification of the medical decision. This article presents two strands of dialogue, in which a doctor, counselling for and against continuation of supportive treatment in two patients with liver failure, demonstrates selectivity and inconsistency in constructing an argument. The specific issues of loss of consciousness (with obscuration of personal identity), statistical ‘futility’ and removal of autonomy are explored and used to bolster diametrically opposed medical decisions. By examining the doctor’s ability to interpret these issues according to circumstance, the author demonstrates how it is possible to shade medical facts depending on the desired outcome.

Health-related quality of life one year after surgical treatment of the type I chronic aortic dissection

2019 ◽  
Vol 38 (1) ◽  
Author(s):  
Oksana Kamenskaya ◽  
Asya Klinkova ◽  
Irina Loginova ◽  
Alexander Chernyavskiy ◽  
Dmitry Sirota ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Aortic Dissection ◽  
Type I ◽  
Health Related Quality ◽  
Chronic Aortic Dissection ◽  
Related Quality ◽  
Health Related ◽  
One Year

Pengaruh Kompetensi Coder terhadap Keakuratan dan Ketepatan Pengkodean Menggunakan ICD 10 di Rumah Sakit X Pekanbaru Tahun 2016

2018 ◽  
Vol 1 (1) ◽  
pp. 31-43
Author(s):  
Nur Maimun ◽  
Jihan Natassa ◽  
Wen Via Trisna ◽  
Yeye Supriatin
Keyword(s):  
Medical Record ◽  
Human Error ◽  
Medical Personnel ◽  
Quality Of Data ◽  
Accuracy And Precision ◽  
Result Show ◽  
Study Implementation ◽  
Icd 10 ◽  
The Cost

The accuracy in administering the diagnosis code was the important matter for medical recorder, quality of data was the most important thing for health information management of medical recorder. This study aims to know the coder competency for accuracy and precision of using ICD 10 at X Hospital in Pekanbaru. This study was a qualitative method with case study implementation from five informan. The result show that medical personnel (doctor) have never received a training about coding, doctors writing that hard and difficult to read, failure for making diagnoses code or procedures, doctor used an usual abbreviations that are not standard, theres still an officer who are not understand about the nomenclature and mastering anatomy phatology, facilities and infrastructure were supported for accuracy and precision of the existing code. The errors of coding always happen because there is a human error. The accuracy and precision in coding very influence against the cost of INA CBGs, medical and the committee did most of the work in the case of severity level III, while medical record had a role in monitoring or evaluation of coding implementation. If there are resumes that is not clearly case mix team check file needed medical record the result the diagnoses or coding for conformity. Keywords: coder competency, accuracy and precision of coding, ICD 10

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