Pelatihan Pertolongan Pertama Pada Anak Tersedak (Choking) di Madrasah Ibtidaiyah Al Furqan Muhammadiyah Cabang 3 Banjarmasin

ABSTRAKTersedak merupakan suatu kondisi terjadinya sumbatan atau hambatan respirasi oleh benda asing yang menyempit pada saluran napas internal, termasuk faring, hipofaring, dan trakea. Penyempitan jalan napas bisa berakibat fatal jika itu mengarah pada gangguan serius oksigenasi dan ventilasi. Kondisi tersedak pada anak dapat menimbulkan situasi kegawatdaruratan respirasi yang jika tidak ditangani dengan segera dapat mengancam jiwa ataupun kecacatan anak. Penanganan yang dilakukan biasanya berhasil dan tingkat kelangsungan hidup sebesar 95%. Untuk melakukan pertolongan terhadap kejadian ini diperlukan teknik Bantuan Hidup Dasar (BHD) penanganan tersedak. Teknik ini, selain harus dikuasai oleh petugas medis, juga penting diketahui oleh orang tua dan guru sebagai pertolongan pertama jika menemukan anak tersedak sebelum mendapatkan penanganan medis selanjutnya. Oleh karena itu orang tua perlu memiliki wawasan yang didapatkan dari pelatihan yang diberikan oleh tim tentang penatalaksanaan tersedak pada anak untuk mengurangi angka kejadian dan kemungkinan perburukan kondisi pada anak. Tujuan pengabdian masyarakat ini untuk mengetahui dan mengaplikasikan prosedur pertolongan pertama pada anak tersedak (choking). Metode pengabdian masyarakat ini dilakukan dengan ceramah, demonstrasi dengan alat peraga dan tanya jawab. Kesimpulan didapatkan orangtua dan guru mampu mengetahui dan mengaplikasikan pertolongan pertama pada anak tersedak (choking) sesudah diberikan pelatihan. Kata Kunci: Pelatihan, Tersedak, Anak ABSTRACTChoking is a condition of obstruction or obstruction of respiration by a narrowed foreign body in the internal airways, including the pharynx, hypopharynx, and trachea. The narrowing of the airway can be fatal if it leads to serious impairment of oxygenation and ventilation. Choking conditions in children can lead to respiratory emergencies which if not treated immediately can be life-threatening or disabled. Treatment is usually successful and the survival rate is 95%. To help with this incident, a Basic Life Support (BHD) technique is needed to deal with choking. This technique, besides having to be mastered by medical personnel, is also important for parents and teachers to know as first aid if they find a child choking before getting further medical treatment. Therefore, parents need to have the insight gained from the training provided by the team on the management of choking in children to reduce the incidence and possible worsening of the condition in children. The purpose of this community service is to find out and apply first aid procedures to choking children. This community service method is carried out with lectures, demonstrations with props, and questions and answers. The conclusion is that parents and teachers are able to know and apply first aid to choking children after being given training. Keywords: Training, Choking, Children

Structure of emergencies at the prehospital stage in Moldova from 2019-2020 years

Background: In the last 2 years, some changes have occurred in the structure of emergencies at the prehospital stage in the Republic of Moldova, being largely influenced by the COVID-19 pandemic. Material and methods: Retrospective analysis of the Prehospital Emergency Medical Service (PEMS) Request Sheets of the National Centre of Prehospital Emergency Medicine (NCPEM) of the Republic of Moldova for the years 2019-2020. Results: According to the nosological profile in 2020 at the prehospital stage, respiratory emergencies were on the first place with 23% of the 761.416 of total number of requests. On the second – cardiovascular (20.6%), on the third – neurological (13.3%), infectious – 3.1%. In 2019, on the first place – cardiovascular with 22.3% of the 845.572 of total number of requests, followed by respiratory – 19.3%, neurological – 13.6%, infectious – 2.2%. In 2020, on the first place were respiratory emergencies, which compared to 2019 increased practically by 4% and the infectious emergencies by almost 1%. The number of endotracheal intubation procedures and medical-assisted transportations practically doubled in y.2020 compared to y.2019. Conclusions: All these changes: increased respiratory and infectious emergencies, intubation procedures, and assisted-medical transportations, have occurred exeptionally due to COVID-19 infection.

HIV Screening During the Coronavirus Disease-19 Pandemic in a Respiratory-Emergencies Unit from a Single-Hospital in Mexico

The COVID-19 has affected million people around the world with Mexico being one of the most affected countries. This pandemic has impacted the continuum of care for people living with HIV so it was decided to know the frequency and usefulness of performing rapid HIV tests during COVID-19 pandemic.

Edukasi Dengan Metode Audiovisual Sebagai Upaya Peningkatan Pengetahuan Kader Mengenai Bahaya Tersedak Pada Bayi

Background: Children are uniquely vulnerable to a variety of emergency situations. These situations are often life-threatening if not treated quickly and effectively. Infants and young children are at higher risk for respiratory emergencies than adolescents or adults. Young children often lack coordination, which makes them prone to choking on food and small objects, which can also lead to cardiac arrest. The aim of this community service is that after receiving health education and demonstrations about the dangers of choking, it hopes that an increase in cadres' knowledge of the dangers of choking at the Posyandu for toddlers, Sadar Ibu I, Dusun Jetak. Methods: Respondents involved were 14 cadres of Posyandu Toddler Sadar Ibu I Dusun Jetak. Activities carried out online. The activity began with a pre-test, then continued with provisions health education using audio-visual video media, and ended with a post-test measurement. Results: The percentage of knowledge of cadres during the pre-test showed that 3 cadres (21%) had good knowledge, and the remaining 11 cadres (79%) had less knowledge. The post-test results showed that 10 cadres (71%) had good knowledge, and the remaining 4 cadres (29%) still had a bad knowledge. Conclusion: Increase Cadre's knowledge of the dangers of choking on babies.

A case study on various disorders and defects present in congenital myasthenia syndrome

The Congenital Myasthenia Syndromes (CMS) are a different gathering of problems that have a hidden deformity in the transmission of signs from nerve cells to muscles. These problems are described by muscle shortcoming, which is declined upon effort. The time of beginning, seriousness of introducing indications and dissemination of muscle shortcoming can shift starting with one patient then onto the next. The synapse, acetylcholine, or ACh for short that goes about as a compound 'courier' with guidelines for the muscles to contract. A three years old child female patient was brought to our department with the complaints of drooping of the left eyelid after one week she developed drooping of right eye. With scientific and laboratory discoveries, she is identified by congenital myasthenia and treatment was started. Evidence from case notes, history, review and accept. Muscle fatigue habits included limb, trunk, bulbar, respiratory, nasal, extraocular muscles and patients reacted with anticholinesterase and 3,4-diaminopyridine. Quick channel syndrome compared with AChR in serious respiratory emergencies in infancy or early childhood. Two children's fatalities, also in care and family history of sibling deaths, highlight the need for effective genetic diagnosis.