Pengabdian Kepada Masyarakat Bantuan Hidup Dasar Pada Santri

ABSTRAK Angka kejadian henti jantung atau cardiac arrest ini berkisar 10 dari 100.000 orang normal yang berusia dibawah 35 tahun dan per tahunnya mencapai sekitar 300.000-350.000 kejadian. Pertolongan pertama yang tepat pada kasus henti jantung adalah bantuan hidup dasar (BHD). Tindakan yang bisa dilakukan adalah resusitasi jantung paru (RJP). Tujuan dari resusitasi jantung paru adalah mengembalikan sirkulasi spontan serta mempertahankan fungsi organ vital pada henti jantung dan henti nafas dengan melakukan kompresi dada dan bantuan nafas. Tujuan setelah dilakukan pelatihan ini diharapkan santri dapat berperan aktif dan dapat memberikan pertolongan pertama henti jantung dan henti nafas secara tepat serta mampu melakukan RJP. Kegiatan ini dilakukan dengan metode pemaparan teori tentang anatomi fisiologi sistem respirasi dan sistem sirkulasi, dampak dari henti nafas dan henti jantung, bantuan hidup dasar dan pada hari kedua dilanjutkan dengan praktik RJP melalui manekin. Hasil yang didapatkan sebagian besar santri (80%) memahami dan mengerti tentang bantuan hidup dasar dan mampu mempraktekkan RJP kepada manekin meskipun masih butuh pendampingan. Kata Kunci : bantuan hidup dasar, santri, pondok pesantren ABSTRACT The incidence of cardiac arrest or cardiac arrest ranges from 10 out of 100,000 ordinary people aged under 35 years and annually reaches around 300,000-350,000 events. Appropriate first aid in cases of cardiac arrest is basic life support (BLS). Action that can be done is cardiopulmonary resuscitation (CPR). Cardiopulmonary resuscitation aims to restore spontaneous circulation and maintain vital organ function in cardiac arrest and stop breathing by performing chest compressions and breath support. After this training, the goal is that students will be able to play an active role and be able to provide first aid for cardiac arrest and stopping breathing appropriately and be able to perform CPR. This activity was carried out using the method of presenting theories on the respiratory system's physiological anatomy and the circulatory system, the impact of respiratory and cardiac arrest, basic life support, and on the second day, continued with the practice of CPR through mannequins. The results obtained were most of the students (80%) understood and understood basic life support and were able to practice CPR to the mannequins even though they still needed assistance. Keyword: basic life support, student, Islamic boarding school

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Initial capnography values and resuscitation outcomes of patients assisted by basic life support units in ﬁrst instance; descriptive prospective study

10.22514/sv.2021.099 ◽

2021 ◽

Keyword(s):

Cardiac Arrest ◽

Cardiopulmonary Resuscitation ◽

Work Experience ◽

Basic Life Support ◽

Life Support ◽

Survival Rates ◽

Spontaneous Circulation ◽

Patient Treatment ◽

Mean Values ◽

Hospital Cardiac Arrest

Introduction: Understanding the key factors which affect out hospital cardiac arrest (OHCA) outcomes is essential in order to promote patient treatment. The main objective of this research was to describe the correlations between the capnographic values obtained during the first minute of monitoring on cardiopulmonary resuscitation, assisted by basic life-support units, with the results as return of spontaneous circulation (ROSC) and alive hospital admission. The secondary objectives were to describe the sociodemographic characteristics of the patients assisted, and to analyze any correlations between receiving basic life-support units and/or defibrillation prior to the arrival of basic life-support units, and the results of the cardiopulmonary resuscitation maneuvers. Methods: A prospective, descriptive, observational study of adult non-traumatic out hospital cardiac arrest patients was conducted. The patients were initially assisted by basic life-support units on the island of Mallorca, with one minute of initial capnography monitoring. Results: From July 2018 to March 2020, fifty-nine patients meeting the inclusion criteria were assisted, 76% were men and their mean age was 64.45 (±15.07) years old. The number of emergency lifesaving technicians who participated in the study was 58, they had a mean work experience of 14.05 (±6.7) years. Thirty-seven (63.7%) patients underwent basic life-support by bystanders and in 91.5% of cases the semi-automatic external defibrillator was used. Capnometry values during the first minute were obtained in 34 (58.6%) patients, their mean values were 22 (±19.07) mmHg, 35.5% of patients had values <10 mmHg. In 25.4% of the patients, spontaneous circulation returned during cardiopulmonary resuscitation, and 18.6% were admitted to hospital alive. Conclusion: No correlations were found between initial capnography values scoring above or below 10 mmHg and survival, however, basic life-support maneuvers, and defibrillation by bystanders and first responders, did correlate with survival rates. The average patient assisted in out of hospital cardiac arrest by the basic life-support units sampled was an adult male aged over 65 years.

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An innovative cardiopulmonary resuscitation mannequin for common people

MEDISAINS ◽

10.30595/medisains.v18i1.7054 ◽

2020 ◽

Vol 18 (1) ◽

pp. 35

Author(s):

Runi Pramesti Putri ◽

Endiyono Endiyono

Keyword(s):

Cardiopulmonary Resuscitation ◽

Basic Life Support ◽

Life Support ◽

First Aid ◽

Ordinary People ◽

Common People ◽

The Individual ◽

Led Lights ◽

And Training

Background: The success of basic life support is determined by the role of the individual(s) who first encountered a patient with a heart attack, and he will be a helper in the situation. Lack of socialization and training for laypeople makes them unable to implement a right first aid in cases of cardiac arrest. There is a need for innovations in cardiac, pulmonary resuscitation for ordinary people to facilitate them in practicing compression measures.Technique: CPR mannequin is made of a plywood material in the shape of the human body; it is 34 cm long, 34 cm wide, and 6.5 cm high. There are 2 LED lights to detect the accuracy of the compression depth.Conclusion: CPR mannequin can facilitate and improve the skills of laypeople in performing cardiopulmonary resuscitation

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Resuscitation on the field: basic and advanced life support and automatic external defibrillators

The ESC Textbook of Sports Cardiology ◽

10.1093/med/9780198779742.003.0044 ◽

2019 ◽

pp. 403-410

Author(s):

Mark S. Link ◽

Mark Estes III

Keyword(s):

Cardiac Arrest ◽

Cardiopulmonary Resuscitation ◽

Basic Life Support ◽

Life Support ◽

Action Plan ◽

Advanced Life Support ◽

Advanced Cardiac Life Support ◽

Screening Strategy ◽

Automated External Defibrillators ◽

Playing Field

Resuscitation on the playing field is at least as important as screening in the prevention of death. Even if a screening strategy is largely effective, individuals will suffer sudden cardiac arrests. Timely recognition of a cardiac arrest with rapid implementation of cardiopulmonary resuscitation (CPR) and deployment and use of automated external defibrillators (AEDs) will save lives. Basic life support, including CPR and AED use, should be a requirement for all those involved in sports, including athletes. An emergency action plan is important in order to render advanced cardiac life support and arrange for transport to medical centres.

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A Cross-Over Trial Comparing Conventional to Compression-Adjusted Ventilations with Metronome-Guided Compressions

Prehospital and Disaster Medicine ◽

10.1017/s1049023x19000098 ◽

2019 ◽

Vol 34 (02) ◽

pp. 220-223 ◽

Cited By ~ 1

Author(s):

Dhimitri A. Nikolla ◽

Brandon J. Kramer ◽

Jestin N. Carlson

Keyword(s):

Cardiac Arrest ◽

Cardiopulmonary Resuscitation ◽

Null Hypothesis ◽

Basic Life Support ◽

Life Support ◽

Minute Ventilation ◽

Group Versus ◽

Time Intervals ◽

Minute Interval ◽

Ventilation Rates

Introduction:Hyperventilation during cardiopulmonary resuscitation (CPR) negatively affects cardiopulmonary physiology. Compression-adjusted ventilations (CAVs) may allow providers to deliver ventilation rates more consistently than conventional ventilations (CVs). This study sought to compare ventilation rates between these two methods during simulated cardiac arrest.Null Hypothesis:That CAV will not result in different rates than CV in simulated CPR with metronome-guided compressions.Methods:Volunteer Basic Life Support (BLS)-trained providers delivered bag-valve-mask (BVM) ventilations during simulated CPR with metronome-guided compressions at 100 beats/minute. For the first 4-minute interval, volunteers delivered CV. Volunteers were then instructed on how to perform CAV by delivering one breath, counting 12 compressions, and then delivering a subsequent breath. They then performed CAV for the second 4-minute interval. Ventilation rates were manually recorded. Minute-by-minute ventilation rates were compared between the techniques.Results:A total of 23 volunteers were enrolled with a median age of 36 years old and with a median of 14 years of experience. Median ventilation rates were consistently higher in the CV group versus the CAV group across all 1-minute segments: 13 vs 9, 12 vs 8, 12 vs 8, and 12 vs 8 for minutes one through four, respectively (P <.01, all). Hyperventilation (>10 breaths per minute) occurred 64% of the time intervals with CV versus one percent with CAV (P <.01). The proportion of time which hyperventilation occurred was also consistently higher in the CV group versus the CAV group across all 1-minute segments: 78% vs 4%, 61% vs 0%, 57% vs 0%, and 61% vs 0% for minutes one through four, respectively (P <.01, all).Conclusions:In this simulated model of cardiac arrest, CAV had more accurate ventilation rates and fewer episodes of hyperventilation compared with CV.Nikolla DA, Kramer BJ, Carlson JN. A cross-over trial comparing conventional to compression-adjusted ventilations with metronome-guided compressions. Prehosp Disaster Med. 2019;34(2):220–223

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Management of EMS on-scene time during advanced life support in out-of-hospital cardiac arrest: a retrospective observational trial

European Heart Journal Acute Cardiovascular Care ◽

10.1177/2048872620925681 ◽

2020 ◽

Vol 9 (4_suppl) ◽

pp. S82-S89

Author(s):

Michael Poppe ◽

Mario Krammel ◽

Christian Clodi ◽

Christoph Schriefl ◽

Alexandra-Maria Warenits ◽

...

Keyword(s):

Cardiac Arrest ◽

Cardiopulmonary Resuscitation ◽

Emergency Medical Services ◽

Life Support ◽

Advanced Life Support ◽

Spontaneous Circulation ◽

Medical Services ◽

Extracorporeal Cardiopulmonary Resuscitation ◽

Emergency Medical ◽

Hospital Cardiac Arrest

Objective Most western emergency medical services provide advanced life support in out-of-hospital cardiac arrest aiming for a return of spontaneous circulation at the scene. Little attention is given to prehospital time management in the case of out-of-hospital cardiac arrest with regard to early coronary angiography or to the start of extracorporeal cardiopulmonary resuscitation treatment within 60 minutes after out-of-hospital cardiac arrest onset. We investigated the emergency medical services on-scene time, defined as emergency medical services arrival at the scene until departure to the hospital, and its association with 30-day survival with favourable neurological outcome after out-of-hospital cardiac arrest. Methods All patients of over 18 years of age with non-traumatic, non-emergency medical services witnessed out-of-hospital cardiac arrest between July 2013 and August 2015 from the Vienna Cardiac Arrest Registry were included in this retrospective observational study. Results Out of 2149 out-of-hospital cardiac arrest patients, a total of 1687 (79%) patients were eligible for analyses. These patients were stratified into groups according to the on-scene time (<35 minutes, 35–45 minutes, 45–60 minutes, >60 minutes). Within short on-scene time groups, out-of-hospital cardiac arrest occurred more often in public and bystander cardiopulmonary resuscitation was more common (both P<0.001). Patients who did not achieve return of spontaneous circulation at the scene showed higher rates of 30-day survival with favourable neurological outcome with an on-scene time of less than 35 minutes (adjusted odds ratio 5.00, 95% confidence interval 1.39–17.96). Conclusion An emergency medical services on-scene time of less than 35 minutes was associated with higher rates of survival and favourable outcomes. It seems to be reasonable to develop time optimised advance life support protocols to minimise the on-scene time in view of further treatments such as early coronary angiography as part of post-resuscitation care or extracorporeal cardiopulmonary resuscitation in refractory out-of-hospital cardiac arrest.

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Out-of-Hospital Cardiac Arrest Response to a Pregnant Woman by the 119 Emergency Medical Service System: A Case Study

Fire science and engineering ◽

10.7731/kifse.2020.34.1.127 ◽

2020 ◽

Vol 34 (1) ◽

pp. 127-134

Author(s):

Jae-Min Lee ◽

Soo-Mi Hong ◽

Guk-Ki An ◽

Hyeong-Wan Yun

Keyword(s):

Cardiac Arrest ◽

Pregnant Woman ◽

Cardiopulmonary Resuscitation ◽

Life Support ◽

Pregnant Patient ◽

Advanced Cardiac Life Support ◽

Spontaneous Circulation ◽

Emergency Medical Service System ◽

Rescue Workers ◽

System A

When a pregnant woman experiences cardiac arrest, resuscitation is of the utmost importance. Cardiac arrest in pregnant women differs from cardiac arrest in the general population since both mother and fetus need to be taken into consideration. In the event of cardiac arrest, determining whether to deliver the baby is significant. Cardiopulmonary resuscitation is not always successful, and the survival rate depends on the speed and precision of the procedure. In this study, we focus on the case of a 30-year-old pregnant woman who experienced cardiac arrest and whose family was quick to perceive her condition and call the hospital. A witness performed initial cardiopulmonary resuscitation, while rescue workers performed the advanced procedure. In this case, the patient and baby received proper treatment and left the hospital after six days. It is extremely rare for a pregnant patient to achieve return of spontaneous circulation (ROSC) or receive advanced cardiac life support before reaching the hospital. However, the woman in question in this study achieved ROSC and received both cardiopulmonary resuscitation before reaching the hospital and advanced cardiac life support at the hospital. The specifics of the case are reported in the context of a literature review.

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The Effect of Basic Life Support Course on Community Knowledge Level

Babali Nursing Research ◽

10.37363/bnr.2021.2252 ◽

2021 ◽

Vol 2 (2) ◽

pp. 49-61

Author(s):

I Kadek Artawan ◽

Yupin Aungsuroch ◽

I Gede Juanamasta ◽

I Made Sukma Wijaya ◽

Komang Agus Jerry Widyanata

Keyword(s):

Cardiac Arrest ◽

Basic Life Support ◽

Life Support ◽

Study Participant ◽

Sampling Technique ◽

First Aid ◽

Mean Difference ◽

Knowledge Level ◽

Community Knowledge ◽

Level Of Knowledge

Introduction: Cardiac arrest is the most pre-hospital emergency cases. Approximately 30.000 people have cardiac arrest in pre-hospital and about 33% have treated with bystander. Basic life support (BLS) with cardiopulmonary resuscitation (CPR) is a first aid procedure that needs to be performed in this case. Death could occur within minutes if the first aid does not adequately performed. The study aimed to know the effect of BLS courses on the community knowledge level in the North Denpasar District. Methods: The study was a pre-experimental study with a pre-posttest design. Study participant selected by cluster random sampling technique and 199 participants chosen as study participants. To collect the community knowledge data, a questionnaire employed in this study. American Heart Association (AHA) guideline for the public published in 2015 enrolled as a reference in organizing ten questions in the questionnaire with Guttman Scale. Results: The characteristics of respondents were 27% participants were aged between 30-39 years, 56% graduated from senior high school, 55% work as employees and 90% never attended BLS training program. There was a significant mean difference from the pre-test and post-test data. The mean difference before and after the BLS course were 8.38 and 9.74, respectively. There was a significant correlation between the BLS course and the level of knowledge (p = 0.000). Conclusion: The level of knowledge about BLS before the course was 63%. It classified into a good knowledge level. The level of knowledge about BLS after the course was significantly improved. It increased to 97.5%.

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Sosialisasi Algoritma Basic Life Support AHA 2017 Bagi Masyarakat Awam

jurnalempathy.com ◽

10.37341/jurnalempathy.v1i2.26 ◽

2020 ◽

Vol 1 (2) ◽

pp. 146-154

Author(s):

Sunarto Sunarto ◽

Addi Mardi Harnanto

Keyword(s):

Cardiac Arrest ◽

Basic Life Support ◽

Life Support ◽

Respiratory Arrest ◽

First Aid ◽

Before And After ◽

Post Test ◽

Recent Developments ◽

Asking Questions ◽

Increased Activity

Background: Recent developments both in terms of science, population density, modern lifestyle, increased activity, congestion in terms of transportation and so on have a real impact on life in society. One impact that is not recognized is less concerned about the risks of these developments. Where this makes individuals vulnerable to a disease and other threats. One of them is a heart attack, the number of accidents has increased, so there is a risk of trauma, even resulting in cardiac arrest and stopping breathing. In line with this, first aid in emergency conditions really needs to be known by all people. So we need a guide for the flow of help, which is currently with algoritma basic life support AHA 2017. Community service goals: The community understands the flow or algorithm of first aid for people with cardiac arrest and respiratory arrest. Methods: In the implementation using question and answer lecture and demonstration models, with the module learning media. Pre-test and post-test is done by asking questions. Results: There is a difference in the results of the correct answer before and after the socialization of the AHA 2017 basic life support algorithm. The increase is between 3 and 6. Conclusion: After socialization of basic life support algorithm AHA 2017 knowledge increased.

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To strengthen self-confidence as a step in improving prehospital youth laymen basic life support

BMC Emergency Medicine ◽

10.1186/s12873-020-0304-8 ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Anna Abelsson ◽

Per Odestrand ◽

Annette Nygårdh

Keyword(s):

Cardiac Arrest ◽

Young People ◽

Basic Life Support ◽

Life Support ◽

Traumatic Event ◽

First Aid ◽

Educational Effort ◽

Self Confidence ◽

Cardio Pulmonary Resuscitation ◽

Short Education

Abstract Background A rapid emergency care intervention can prevent the cardiac arrest from resulting in death. In order for Cardio Pulmonary Resuscitation (CPR) to have any real significance for the survival of the patient, it requires an educational effort educating the large masses of people of whom the youth is an important part. The aim of this study was to investigate the effect of a two-hour education intervention for youth regarding their self-confidence in performing Adult Basic Life Support (BLS). Methods A quantitative approach where data consist of a pre- and post-rating of seven statements by 50 participants during an intervention by means of BLS theoretical and practical education. Results The two-hour training resulted in a significant improvement in the participants’ self-confidence in identifying a cardiac arrest (pre 51, post 90), to perform compressions (pre 65, post 91) and ventilations (pre 64, post 86) and use a defibrillator (pre 61, post 81). In addition, to have the self-confidence to be able to perform, and to actually perform, first aid to a person suffering from a traumatic event was significantly improved (pre 54, post 89). Conclusion By providing youth with short education sessions in CPR, their self-confidence can be improved. This can lead to an increased will and ability to identify a cardiac arrest and to begin compressions and ventilations. This also includes having the confidence using a defibrillator. Short education sessions in first aid can also lead to increased self-confidence, resulting in young people considering themselves able to perform first aid to a person suffering from a traumatic event. This, in turn, results in young people perceiveing themselves as willing to commence an intervention during a traumatic event. In summary, when the youth believe in their own knowledge, they will dare to intervene.

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Abstract 19: Effects of Stomach Inflation on Hemodynamic and Pulmonary Function During Cardiopulmonary Resuscitation in Pigs

Circulation ◽

10.1161/circ.116.suppl_16.ii_927-a ◽

2007 ◽

Vol 116 (suppl_16) ◽

Author(s):

Peter Paal ◽

Andreas Neurauter ◽

Michael Loedl ◽

Daniel Pehböck ◽

Holger Herff ◽

...

Keyword(s):

Cardiopulmonary Resuscitation ◽

Pulmonary Function ◽

Partial Pressure ◽

Basic Life Support ◽

Life Support ◽

Coronary Perfusion Pressure ◽

Spontaneous Circulation ◽

Coronary Perfusion ◽

Arterial Partial Pressure ◽

Stomach Inflation

Background : Stomach inflation during cardiopulmonary resuscitation (CPR) is frequent. The purpose of this study was to evaluate effects of different levels of stomach inflation on hemodynamic and pulmonary function during CPR in a porcine model. Methods: After 4min of ventricular fibrillation, randomization to 0, 5, or 10L of stomach inflation was performed in 21 piglets. Basic life support CPR was then initiated for 3min, followed by a combination of epinephrine (45mcg/kg) and vasopressin (0.4U/kg) and defibrillation 2min later, and a post resuscitation phase of 30min. Kruskal-Wallis test was used for analysis; results are given as median (range). Results : During basic life support CPR, 0, 5, and 10L stomach inflation resulted in comparable coronary perfusion pressure between groups [10 (2–20), 8 (4–35), and 5 (0 –18) mmHg, respectively]. Increasing (0, 5, and 10L) stomach inflation resulted in significantly (P<.05) decreasing static pulmonary compliance [52 (38 –98), 19 (8 –32), and 12 (7–15) mL/cmH 2 O, respectively], and significantly increasing mean airway pressure during mechanical ventilation [14 (12–15), 26 (20 – 66), and 40 (13– 46) cmH 2 O]. Arterial partial pressure of oxygen was significantly higher with 0L when compared with 5 and 10L stomach inflation, but comparable between 5 and 10L stomach inflation [378 (88–440), 58 (47–113), and 54 (43–126) mmHg, respectively]. Similarly, arterial partial pressure of carbon dioxide was significantly lower with 0L when compared with 5 and 10L of stomach inflation [30 (24–36), 41(34 –51), and 56 (45– 68) mmHg, respectively]. Return of spontaneous circulation rates were comparable between groups [5/7 in 0L, 4/7 in 5L, and 3/7 in 10L stomach inflation]. Conclusion : In this CPR model, increasing levels of stomach inflation had adverse effects on pulmonary, but not on hemodynamic function.

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