An Emergency Department Management on Acute Asthma Exacerbations in Children Younger than 12 Years

Objectives: The main objective of the study is to clinically audit and analyse the acute asthma exacerbations in children younger than 12 years regarding management of emergency department. Methods: This clinical audit was done in Bahawal Victoria Hospital, Bahawalpur during January 2020 till June 2020. We retrospectively revised all the files of children aged 0–12 years who were visited for acute asthma in the Paediatric ED of Hospital. All the patients with a diagnosis of “acute asthma,” “wheezing bronchitis,” and “bronchospasm” were included. Results: A total of 864 patients were seen in the Emergency Department during the study. Of these, a total of 293 patients were seen for a presentation of acute asthma. As some patients had multiple visits, the 293 records represented 278 unique patients. For assessing age and gender distribution of the patients, only data from the first visit were used. Otherwise, each record was treated independently for the purpose of analyses. Conclusion: It is concluded that acute asthma management still remains an area of medical practice that continues to have long-standing difficulties.

Rapid Assesmen Manajemen Instalasi Gawat Darurat RSUT pada Pandemi Covid-19

Covid-19 caused changes in services related to procedures, facilities, procedures and safety of patients and officers in work. RSU Tangerang Regency (RSUT) is one of the government-owned hospitals appointed to provide services for Covid-19 patients throughout its service scope. RSUT has made changes in the management of IGD services, especially in patient triage to adjust for changes in current disease patterns. The purpose of this study is to find out the rapid assessment of emergency department management management in the covid-19 pandemic. This paper is the result of a rapid assessment of service observations at IGD RSUT in June 2020, accompanied by interviews to igd management teams and hospitals. This study is a case study by conducting rapid assessment of services at the Emergency Department of RSU Tangerang Regency during June 2021. The results of the observations showed that IGD RSUT had made changes in accordance with the ministry's guidelines on hospital services during the covid-19 pandemic, only adding thoracic radiological examinations as part of screening.