scholarly journals KESIAP SIAGAAN RUMAH SAKIT DALAM PENANGGULANGAN BENCANA STUDI KASUS DI RSU ELPI AL AZIZ RANTAUPRAPAT, 2020

2021 ◽  
Vol 5 (2) ◽  
pp. 1345-1352
Author(s):  
Marylin Parulian Simanjuntak ◽  
Myrnawati Myrnawati ◽  
Seri Asnawati
Keyword(s):  
Emergency Operation ◽  
Disaster Plan

Penelitian ini bertujuan untuk mengetahui kesiapsiagaan RSU Elpi Al Azis Rantauprapat dalam penanggulangan bencana, dengan subfokus mengetahui pelaksanaan Hospital Disaster Plan, Emergency Operation Plan, Specific Operation Plan dan Pedoman Penanggulangan Bencana di RSU itu. Jenis penelitian  yang  digunakan adalah penelitian kualitatif dengan menggunakan rancangan Studi Kasus. Informan penelitian ini adalah 7 orang, yaitu Direktur RS, Tim K3 RS, Kepala Perawat IGD, Manajer Keperawatan, Kepala Farmasi Kepala Kamar Operasi dan Kepala Sarpras RS. Penelitian ini dilaksanakan dalam periode Oktober 2019 hingga September 2020 (12 bulan). Pemeriksaan keabsahan data dengan cara credibility, dependability, confirmability, dan transferability. Pengumpulan data dilakukan dengan wawancara mendalam dan observasi dengan menggunakan alat perekam dan kamera. Analisis data dilakukan dengan metode Miles & Hubberman. Pelaksanaan Hospital Disaster Plan di RSU Elpi Al Aziz Rantauprapat sudah cukup baik karena RS ini telah memiliki organisasi pencegahan dan penanggulangan bencana rumah sakit yang di dalamnya melibatkan beberapa instalasi rumah sakit. Emergency Operation Plan yang ada sudah mengikuti standar pelayanan minimal rumah sakit kelas B, namun kuantitas sarana dan prasarana masih harus lebih ditingkatkan lagi karena Specific Operation Plan belum memenuhi standar yang ada. Pedoman Penanggulangan Bencana di RSU Elpi Al Aziz sudah ada namun masih ada beberapa staff di RS Elpi Al Aziz yang belum mengerti dan paham mengenai kesiapsiagaan dalam menghadapi bencana. 

scholarly journals (A164) Emergency Preparedness Model for a Level-One Trauma Center

2011 ◽  
Vol 26 (S1) ◽  
pp. s47-s47
Author(s):  
T.E. Rives ◽  
C. Hecht ◽  
A. Wallace ◽  
R. Gandhi
Keyword(s):  
Emergency Preparedness ◽  
Trauma Center ◽  
Emergency Operation ◽  
Daily Basis ◽  
Standards Of Care ◽  
Disaster Plan ◽  
Preparedness Plan ◽  
Trauma Research ◽  
Emergency Situations ◽  
Daily Experiences

This Level-1 Trauma Center, with a service area covering a population of approximately four million people, treats approximately 80,000 patients per year. In 2010 it is anticipated that > 23,000 patients will be admitted, and > 850,000 patient encounters will occur within the network. This year was especially fruitful with the World Series, Dallas Cowboys, and other large crowd events simultaneously. The disaster plan prepares the hospital for the Super Bowl in February 2011, and its anticipated 250,000 extra people. The emergency preparedness program is a unique hybrid model integrating hospital accreditation guidelines, governmental guidelines, and regulations with the daily experiences at the trauma center. Emergency Preparedness is a program of the Trauma Department; this relationship provides a direct connection between the emergency preparedness program and direct execution of the plan. The emergency preparedness coordinator is responsible for directing the hospital command center at the time of a disaster requiring activation of the plan. The four phases of emergency planning: (1) Mitigation; (2) Preparedness; (3) Response; and (4) Recovery comprise the core of the plan. However, memoranda of understanding with local, regional, and state emergency operation professionals and organizations are enacted so depleted resources can be replenished. This integration provides for a flexible web that allows sharing of expertise and resources. Trauma Research is available for conducting measurable assessments of emergency preparedness drills and exercises, as well as actual disasters and emergencies where a paucity of research exists. Compliance with all relative agencies is important. A successful emergency preparedness plan directly incorporates daily experiences. This model allows for the continued provision of standards of care and continuity of service during disasters and emergency situations on a daily basis.

Antibiotic Therapy Did Not Prevent the Rupture of Mycotic Aneurysm of the Superior Mesenteric Artery

2015 ◽  
Vol 18 (3) ◽  
pp. 088
Author(s):  
Ye-tao Li ◽  
Xiao-bin Liu ◽  
Tao Wang
Keyword(s):  
Abdominal Pain ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Mycotic Aneurysm ◽  
Acute Abdominal Pain ◽  
Rare Complication ◽  
Emergency Operation ◽  
History Of

<p class="p1"><span class="s1">Mycotic aneurysm of the superior mesenteric artery (SMA) is a rare complication of infective endocarditis. We report a case with infective endocarditis involving the aortic valve complicated by multiple septic embolisms. The patient was treated with antibiotics for 6 weeks. During preparation for surgical treatment, the patient developed acute abdominal pain and was diagnosed with a ruptured SMA aneurysm, which was successfully treated with an emergency operation of aneurysm ligation. The aortic valve was replaced 17 days later and the patient recovered uneventfully. In conclusion, we present a rare case with infective endocarditis (IE) complicated by SMA aneurysm. Antibiotic treatment did not prevent the rupture of SMA aneurysm. Abdominal pain in a patient with a recent history of IE should be excluded with ruptured aneurysm.</span></p>

scholarly journals An Approach to Analyze Diagnosis Errors in Advanced Main Control Room Operations Using the Cause-Based Decision Tree Method

Energies ◽  
2021 ◽  
Vol 14 (13) ◽  
pp. 3832
Author(s):  
Awwal Mohammed Arigi ◽  
Gayoung Park ◽  
Jonghyun Kim
Keyword(s):  
Decision Tree ◽  
Nuclear Power ◽  
Power Plants ◽  
Human Error ◽  
Cognitive Activity ◽  
Emergency Operation ◽  
Nuclear Industry ◽  
Working Environment ◽  
Control Rooms ◽  
Diagnosis Errors

Advancements in the nuclear industry have led to the development of fully digitized main control rooms (MCRs)—often termed advanced MCRs—for newly built nuclear power plants (NPPs). Diagnosis is a major part of the cognitive activity in NPP MCRs. Advanced MCRs are expected to improve the working environment and reduce human error, especially during the diagnosis of unexpected scenarios. However, with the introduction of new types of tasks and errors by digital MCRs, a new method to analyze the diagnosis errors in these new types of MCRs is required. Task analysis for operator diagnosis in an advanced MCR based on emergency operation was performed to determine the error modes. The cause-based decision tree (CBDT) method—originally developed for analog control rooms—was then revised to a modified CBDT (MCBDT) based on the error mode categorizations. This work examines the possible adoption of the MCBDT method for the evaluation of diagnosis errors in advanced MCRs. We have also provided examples of the application of the proposed method to some common human failure events in emergency operations. The results show that with some modifications of the CBDT method, the human reliability in advanced MCRs can be reasonably estimated.

scholarly journals Perforation of the atrial wall and aortic sinus after closure of an atrial septal defect with an Atriasept occluder: a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zai-Qiang Zhang ◽  
Jia-Wang Ding
Keyword(s):  
Case Report ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Emergency Operation ◽  
Atrial Wall ◽  
Aortic Sinus ◽  
Case Presentation ◽  
Lethal Complications ◽  
Life Threatening

Abstract Background While the perforation of the atrial wall and aortic sinus after closure of an atrial septal defect (ASD) is rare, it’s life-threatening, with rapid progress and high mortality. To the best of our knowledge, 21 similar cases have been reported since 1976. Case presentation We report a 16-year-old male whose atrial septal defect (ASD) was closed using a 12-mm Amplatzer septal occluder (ASO). Atrial wall and aortic sinus perforation occurred 3 months after transcatheter closure, and the patient was discharged after emergency operation. He was discharged on the 12th postoperative day in good overall condition. Conclusions With this case report, we want to illustrate that although percutaneous closure of ASD is regarded as a routine procedure, we should not forget the potentially lethal complications, especially cardiac erosion. Therefore, we should carefully evaluate the risk of erosion before surgery, and careful lifelong follow-up is needed.

Automated disaster plan auditing using knowledge base technology

1988 ◽  
Vol 18 (3) ◽  
pp. 24-28 ◽  
Author(s):  
Jonathan Simon ◽  
Aaron Konstam
Keyword(s):  
Knowledge Base ◽  
Disaster Plan

scholarly journals Hepatic Inflammatory Myofibroblastic Tumor Detected in the Fetal Period That Caused an Oncologic Emergency

2020 ◽  
Vol 13 (3) ◽  
pp. 1513-1519
Author(s):  
Hirotaka Kato ◽  
Yasuyuki Mitani ◽  
Taro Goda ◽  
Masaki Ueno ◽  
Shinya Hayami ◽  
...  
Keyword(s):  
Inflammatory Myofibroblastic Tumor ◽  
Emergency Operation ◽  
Cystic Mass ◽  
Abdominal Distention ◽  
Tumor Biopsy ◽  
Emergency Cesarean ◽  
Subcutaneous Edema ◽  
Male Neonate ◽  
Circulation Dynamics ◽  
Inflammatory Effect

A huge abdominal cystic lesion with ascites was detected in a male neonate at 31 weeks of gestation. Increasing ascites and the appearance of subcutaneous edema were detected, which caused fetal hydrops. The patient was delivered by emergency cesarean section at 33 weeks of gestation. The birth weight was 2,407 g, and the Apgar score was 8/9 points (1-/5-min values). Breathing at birth was stable, but the patient presented with remarkable abdominal distention due to the ascites. Later, the patient presented with tachypnea, and breathing gradually worsened, so an emergency operation was performed. There were no intraoperative findings within the small intestine, but there was a large amount of ascites and a cystic mass arising from the liver. The patient’s breathing and circulation dynamics could only be stabilized by ascites removal, so only a tumor biopsy was performed. The pathological findings led to the diagnosis of an inflammatory myofibroblastic tumor, and steroids were administered early after surgery for the purpose of an anti-inflammatory effect and tumor shrinkage. The abdominal distention was alleviated, and blood examinations showed a reduced inflammatory response. There was no apparent shrinkage of the tumor, however; thus, radical surgical treatment was performed on day 24. The postoperative course was uneventful, so the patient was discharged on day 36. Seven years after the operation there has been no recurrence or distant metastasis.

Improving the Appropriateness of Advanced Life Support Teams’ Dispatch: A Before-After Study

2021 ◽  
pp. 1-7
Author(s):  
Lorenzo Gamberini ◽  
Cosimo Picoco ◽  
Donatella Del Giudice ◽  
Corrado Zenesini ◽  
Marco Tartaglione ◽  
...  
Keyword(s):  
Sensitivity And Specificity ◽  
Life Support ◽  
Advanced Life Support ◽  
Emergency Operation ◽  
Support Teams ◽  
Global Sensitivity ◽  
Emergency Logistics ◽  
Prehospital Emergency ◽  
Task Time ◽  
Algorithm Implementation

Abstract Background and Importance: The dispatch of Advanced Life Support (ALS) teams in Emergency Medical Services (EMS) is still a hardly studied aspect of prehospital emergency logistics. In 2015, the dispatch algorithm of Emilia Est Emergency Operation Centre (EE-EOC) was implemented and the dispatch of ALS teams was changed from primary to secondary based on triage of dispatched vehicles for high-priority interventions when teams with Immediate Life Support (ILS) skills were dispatched. Objectives: This study aimed to evaluate the effects on the appropriateness of ALS teams’ intervention and their employment time, and to compare sensitivity and specificity of the algorithm implementation. Design: This was a retrospective before-after observational study. Settings and Participants: Primary dispatches managed by EE-EOC involving ambulances and/or ALS teams were included. Two groups were created on the basis of the years of intervention (2013-2014 versus 2017-2018). Intervention: A switch from primary to secondary dispatch of ALS teams in case of high-priority dispatches managed by ILS teams was implemented. Outcomes: Appropriateness of ALS team intervention, total task time of ALS vehicles, and sensitivity and specificity of the algorithm were reviewed. Results: The study included 242,501 emergency calls that generated 56,567 red code dispatches. The new algorithm significantly increased global sensitivity and specificity of the system in terms of recognition of potential need of ALS intervention and the specificity of primary ALS dispatch. The appropriateness of ALS intervention was significantly increased; total tasking time per day for ALS and the number of critical dispatches without ALS available were reduced. Conclusion: The revision of the dispatch criteria and the extension of the two-tiered dispatch for ALS teams significantly increased the appropriateness of ALS intervention and reduced both the global tasking time and the number of high-priority dispatches without ALS teams available.

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