GAMBARAN PENANGANAN PASIEN GAWATDARURAT DI INTALASI GAWAT DARURAT RUMAH SAKIT SANTA ELISABETH MEDAN

2018 ◽  
Vol 3 (2) ◽  
pp. 63-72
Author(s):  
Rusmauli Lumban Gaol

Emergency is a condition in which someone needs immediate treatment or help because if he does not get first aid quickly it will threaten his soul or cause permanent disability. Patients of emergency are brought to Emergency Installation. Emergency Installation is the spearhead of the hospital where all incoming patients will be handled on this unit. The scope of emergency services is to conduct a primary survey, such as airway, breathing, circulation, disability and secondary survey. Goals:The purpose of this study is to find out the handling of Emergency patients at the Emergency Installation of Santa Elisabeth Hospital Medan in 2017 Methods:The research design used was descriptive. The population used was emergency patients, with sampling technique of pulposive sampling of 297 people. The criteria used were inclusion with the criteria of an acute myocardial infarction patient, head trauma, airway obstruction, pneumothorax, burns and shock Results:Technique used by researcher was documentation study with the results of the study showed male gender of 176 people (59.3%), age> 65 years were 98 people (33%) Handling of the case of the highest emergency patients was acute myocardial infarction 98 people (33%). Conclusion: The conclusion shows that male patients tend to suffer from heart disease. Age> 65 years is age that susceptible to disease because of the lack body system work such as heart

1991 ◽  
Vol 17 (2) ◽  
pp. A65
Author(s):  
W.Douglas Weaver ◽  
Jenny S Martin ◽  
Paul E Litwin ◽  
Alfred P Hallstrom ◽  
Peter J Kudenchuk ◽  
...  

2020 ◽  
Vol 9 (5) ◽  
pp. 1357 ◽  
Author(s):  
Tarun Bathini ◽  
Charat Thongprayoon ◽  
Api Chewcharat ◽  
Tananchai Petnak ◽  
Wisit Cheungpasitporn ◽  
...  

Background: This study aimed to assess the risk factors and impact of acute myocardial infarction on in-hospital treatments, complications, outcomes, and resource utilization in hospitalized patients for heat stroke in the United States. Methods: Hospitalized patients with a principal diagnosis of heat stroke were identified in the National Inpatient Sample dataset from the years 2003 to 2014. Acute myocardial infarction was identified using the hospital International Classification of Diseases, Ninth Revision (ICD-9), diagnosis of 410.xx. Clinical characteristics, in-hospital treatment, complications, outcomes, and resource utilization between patients with and without acute myocardial infarction were compared. Results: A total of 3372 heat stroke patients were included in the analysis. Of these, acute myocardial infarction occurred in 225 (7%) admissions. Acute myocardial infarction occurred more commonly in obese female patients with a history of chronic kidney disease, but less often in male patients aged <20 years with a history of hypothyroidism. The need for mechanical ventilation, blood transfusion, and renal replacement therapy were higher in patients with acute myocardial infarction. Acute myocardial infarction was associated with rhabdomyolysis, metabolic acidosis, sepsis, gastrointestinal bleeding, ventricular arrhythmia or cardiac arrest, renal failure, respiratory failure, circulatory failure, liver failure, neurological failure, and hematologic failure. Patients with acute myocardial infarction had 5.2-times greater odds of in-hospital mortality than those without myocardial infarction. The length of hospital stay and hospitalization cost were also higher when an acute myocardial infarction occurred while hospitalized. Conclusion: Acute myocardial infarction was associated with worse outcomes and higher economic burden among patients hospitalized for heat stroke. Obesity and chronic kidney disease were associated with increased risk of acute myocardial infarction, while young male patients and hypothyroidism were associated with decreased risk.


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