scholarly journals Pemberdayaan Santri Melalui Pelatihan Basic Life Support

2021 ◽  
Vol 4 (5) ◽  
pp. 1097-1102
Author(s):  
Mukhammad Toha ◽  
Ida Zuhroidah ◽  
Ida Zuhroidah ◽  
Mokh. Sujarwadi ◽  
Mokh. Sujarwadi ◽  
...  

ABSTRAK Penyakit kardiovasuler merupakan penyakit yang menjadi ancaman dunia saat ini, di Indonesia menjadi penyakit ke-2 yang menyebabkan kematian. Di Dunia 17 juta lebih orang meninggal akibat penyakit jantung. Cardiac arrest merupakan kegawatdaruratan dari penyakit jantung  yang akan menyebabkan kematian apabila pertolongan secara dini oleh orang awam tidak segera dilakukan. Tujuan dari resusitasi jantung paru yang dilakukan oleh orang awam adalah untuk mempertahankan fungsi vital. Apabila resusitasi jantung paru segera di lakukan, maka kelangsungan hidup mencapai 75%. Tujuan pemberdayaan santri ini adalah agar santri menjadi garda terdepan dalam memberikan pertolongan pada orang yang berada disekitarnya ketika mengalami serangan jantung sehingga komplikasi dapat di minimalkan serta harapan hidup korban meningkat serta mampu melakukan tindakan resusitasi jantung paru secara tepat, cepat dan akurat. Metode yang digunakan pada pelatihan ini adalah ceramah dan diskusi serta praktik resusitasi jantung paru pada manekin yang dilakukan pada hari ke-2. Hasil dari pelatihan ini adalah sebagian besar (85%) santri mengerti tentang konsep basic life support serta satu persatu santri mampu melakukan resusitasi jantung paru pada manekin. Kata Kunci : pemberdayaan, santri, basic life support  ABSTRACT Cardiovascular disease is a world threat today; in Indonesia, it is the second disease that causes death. In the world, more than 17 million people die from heart disease. Cardiac arrest is an emergency of heart disease that will cause death if ordinary people's early help is not immediately carried out. The goal of cardiac pulmonary resuscitation performed by the layman is to maintain vital functions. If cardiac pulmonary resuscitation is performed immediately, the survival rate is 75%. The aim of empowering these students is to make the students at the forefront of providing help to those around them when they experience a heart attack so that complications can be minimized and the life expectancy of the victim increases and is able to perform cardiac pulmonary resuscitation actions appropriately, quickly and accurately. The methods used in this training were lectures and discussions as well as the practice of cardiopulmonary resuscitation on the mannequin which was conducted on the 2nd day. The result of this training was that most of the students (85%) understand the basic concept of life support and one by one one student able to perform cardiopulmonary resuscitation on the mannequins.  Keyword : empowerment, student, basic life support

2020 ◽  
Vol 8 (2) ◽  
pp. 153
Author(s):  
Lutfi Wahyuni ◽  
Agus Haryanto

Introduction: Basic Life Support is an effort that must be done immediately by someone if  finding  victims who experienced cardiac arrest, every health worker must obtained the skilfull ability to provide Basic Life Support (BLS) measures. According to Riskesdas in 2018 the prevalence of cardiovascular disease sufferers in Indonesia is 1.5%. Whereas in the East Java region showed  the prevalence of coronary heart disease sufferers at all ages is 1.7. The purpose of this study is to analyze the ability of nurses to implement Basic Life Support in Cardiac Arrest patients. Method: The design used is descriptive analysis. The population is all nurses in the emergency department as many as 45 nurses. The sampling technique used is total sampling. The variable is the ability of nurses in conducting Basic Life Support in Cardiac Arrest patients. The instrument used  an SPO Basic Life Support observation sheet. Result: The results showed, most of the respondents did the Basic Life Support action according to the SPO as many as 35 nurses (84.4%), while those who were not performingvaccording to the SPO were 10 nurses (15.6%). Discussion: Basic Life Support is performed on patients who have Cardiac Arrest. Nurses in the emergency room are authorized to conduct Basic Life Support which includes checking consciousness, free airway, cardiac massage,and ventilation.


Author(s):  
Mark S. Link ◽  
Mark Estes III

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.


2019 ◽  
Vol 34 (02) ◽  
pp. 220-223 ◽  
Author(s):  
Dhimitri A. Nikolla ◽  
Brandon J. Kramer ◽  
Jestin N. Carlson

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


CJEM ◽  
2001 ◽  
Vol 3 (03) ◽  
pp. 186-192 ◽  
Author(s):  
David A. Petrie ◽  
Valerie De Maio ◽  
Ian G. Stiell ◽  
Jonathan Dreyer ◽  
Michael Martin ◽  
...  

ABSTRACT Objectives: Previous studies have shown a low but meaningful survival rate in cases of prehospital cardiac arrest with an initial rhythm of asystole. There may be, however, an identifiable subgroup in which resuscitation efforts are futile. This study identified potential field criteria for predicting 100% nonsurvival when the presenting rhythm is asystole in a Basic Life Support-Defibrillation (BLS-D) system. Methods: This prospective cohort study, a component of Phases I and II of the Ontario Prehospital Advanced Life Support (OPALS) Study, was conducted in 21 Ontario communities with BLS-D level of care, and included all adult arrests of presumed cardiac etiology according to the Utstein Style Guidelines. Analyses included descriptive and appropriate univariate tests, as well as multivariate stepwise logistic regression to determine predictors of survival. Results: From 1991 to 1997, 9899 consecutive cardiac arrest cases with the following characteristics: male (67.2%), bystander-witnessed (44.7%), bystander CPR (14.2%), call–response interval (CRI) ≤ 8 minutes (82%) and overall survival (4.3%) were enrolled. Of 9529 cases with available rhythm strip recordings, initial arrest rhythms were asystole in 40.8%, pulseless electrical activity in 21.2% and ventricular fibrillation or ventricular tachycardia in 38%. Of 3888 asystolic patients, 9 (0.2%) survived to discharge; 3 of these cases were unwitnessed arrests with no bystander CPR. There were no survivors if the CRI exceeded 8 minutes. Logistic regression analysis demonstrated that independent predictors of survival to admission were “CRI in minutes” (odds ratio [OR] = 0.87; 95% confidence interval [CI], 0.77–0.98) and “bystander-witnessed” (OR = 2.6; 95% CI, 1.5–4.4). Conclusions: In a BLS-D system, there is a very low but measurable survival rate for prehospital asystolic cardiac arrest. CRIs of over 8 minutes were associated with 100% nonsurvival, whereas unwitnessed arrests with no bystander CPR were not. These data add to the growing literature that will help guide ethical decision-making for protocol development in emergency medical services systems.


2014 ◽  
Vol 22 (4) ◽  
pp. 562-568 ◽  
Author(s):  
Daniela Aparecida Morais ◽  
Daclé Vilma Carvalho ◽  
Allana dos Reis Correa

OBJECTIVE: to analyze determinant factors for the immediate survival of persons who receive cardiopulmonary resuscitation from the advanced support units of the Mobile Emergency Medical Services (SAMU) of Belo Horizonte.METHOD: this is a retrospective, epidemiological study which analyzed 1,165 assistance forms, from the period 2008 - 2010. The collected data followed the Utstein style, being submitted to descriptive and analytical statistics with tests with levels of significance of 5%.RESULTS: the majority were male, the median age was 64 years, and the ambulance response time, nine minutes. Immediate survival was observed in 239 persons. An association was ascertained of this outcome with "cardiac arrest witnessed by persons trained in basic life support" (OR=3.49; p<0.05; CI 95%), "cardiac arrest witnessed by Mobile Emergency Medical Services teams" (OR=2.99; p<0.05; CI95%), "only the carry out of basic life support" (OR=0.142; p<0.05; CI95%), and "initial cardiac rhythm of asystole" (OR=0.33; p<0.05; CI 95%).CONCLUSION: early access to cardiopulmonary resuscitation was related to a favorable outcome, and the non-undertaking of advanced support, and asystole, were associated with worse outcomes. Basic and advanced life support techniques can alter survival in the event of cardiac arrest.


2021 ◽  

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.


2018 ◽  
Vol 26 (3) ◽  
pp. 156-164
Author(s):  
Azizul Fadzli Wan Jusoh ◽  
Rosliza Yahaya ◽  
Nik Ahmad Shaiffudin Nik Him ◽  
Nik Arif Nik Mohamed ◽  
Mohd Nizam Zahary ◽  
...  

Introduction: Cardiopulmonary resuscitation is a primary method used in the treatment of sudden cardiac arrest. It is a crucial skill that a healthcare provider and a lay rescuer should acquire to improve the survival and the neurological outcome of out-of-hospital cardiac arrest. Several modules were used to teach cardiopulmonary resuscitation for the healthcare provider and lay rescuer, but no module been developed that could be utilised in both population. Thus, this study aims to investigate the effectiveness of modified cardiopulmonary resuscitation training to knowledge (K), attitude (A), and performance (P) between medical and non-medical university students. Methods: This research was a single experimental study involving a total number of 125 students: 58 for a medical group and 67 for a non-medical group. A modified basic life support module, based on American Heart Association guideline 2015 was delivered to both groups under the same study setting. Pre and post KA scores were assessed using Res-Q questionnaire. The performance was evaluated by resuscitation feedback machine. The KA scores were analysed using repeated measure analysis of variance, and performance was examined using Pearson chi-square. Results: The study showed 64.8% of the participants were able to perform high-quality chest compression. Despite significant differences of sociodemographic background, there was no significant difference on effective chest compression between two groups (p = 0.200). There were also significant improvements in KA scores in both groups after intervention (p < 0.001). Conclusion: The knowledge of cardiopulmonary resuscitation can be delivered to everyone as aspired by our stakeholder to have one qualified cardiopulmonary resuscitation provider in a family. This modified basic life support module is reliably applicable to both healthcare and lay rescuer cardiopulmonary resuscitation training. All rescuers will perform in a similar manner, and this will tremendously reduce the discrepancy in the cardiopulmonary resuscitation qualities. Ultimately, this will improve an out-of-hospital return of spontaneous circulation rate.


2021 ◽  
Vol 4 (2) ◽  
pp. 329-333
Author(s):  
Ida Zuhroidah ◽  
Mukhammad Toha ◽  
Mokh Sujarwadi ◽  
Nurul Huda

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


2020 ◽  
Vol 5 (2) ◽  
pp. 202
Author(s):  
Ahmad Jamaluddin ◽  
Sheli Azalea ◽  
Rizki Andita Noviar ◽  
Dian Eka Putra Suwarto ◽  
Nyityasmono Tri Nugroho

Background: Cardiac arrest mostly happens in out hospital setting. Bystander CPR improves survival after out-of-hospital cardiac arrest.In 2018 BSMI Jakarta Raya started the Mosque lifesaver training as basic life support training for laypersons’ in Indonesia, optimizing mosques as the center of community activities. The aim of this study is to evaluate the effect of “mosque lifesaver training” for the laypersons’ knowledge and willingness to perform basic life support.Methods: There are 247 people from twelve mosques that participated in this research. The participants were given fifteen multiple-choice preposttest questioners in basic life support knowledge, one full day two-direction training, one-by-one practicing in small group for adult and pediatric CPR (Cardio-Pulmonary Resuscitation), and CPR skill test. Data was collected and statistically analyzed with SPSS 24 Software by IBM.Results and discussion: From 247 participants, 32 were excluded due to lack of data. For rest of 215 participants, 32.1% was housewife, mean value of age was 39.1 ± 0.9 SD years, educational background was bachelor in 44.7% participants. Mean value of pre-test and post-test were 28.70 ± 16.8 SD and 55.73 ± 19.30 SD, respectively. The post-test result has significant correlation of profession (p=0.003), but no significant correlation of age (p=0.08) and educational background (0.51). Marginal homogeneity test for pre and post test data brought p<0.001 significance. Before the training, only 57.2% participants had willingness to perform cardiopulmonary resuscitation. After the training, 91.2% participants have willingness to perform cardiopulmonary resuscitation if witness sudden cardiac arrest of unknown people.Conclusion: Participants who enrolled the training were predominantly by housewife, productive age with bachelor educational background. Mosque lifesaver training show significant improvement in laypersons’ knowledge and willingness to perform basic life support.International Journal of Human and Health Sciences Vol. 05 No. 02 April’21 Page: 202-206


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