Erika Poggiali, Chiara Negri, Federico Mosso, M. Petrini, E. Michieletti, A. Vercelli
{"title":"A rare and unusual cause of acute abdominal pain: A case of spontaneous isolated dissection of the celiac trunk","authors":"Erika Poggiali, Chiara Negri, Federico Mosso, M. Petrini, E. Michieletti, A. Vercelli","doi":"10.4081/ecj.2022.10988","DOIUrl":"https://doi.org/10.4081/ecj.2022.10988","url":null,"abstract":"Spontaneous dissection of the celiac trunk is a rare and uncommon cause of acute abdominal pain. Risk factors, natural history and optimal treatment are still unclear due to the rarity of the disorder. Therapeutic strategies and follow-up procedures are based on limited observations, and the absence of guidelines warrants a patient-tailored approach. We report the case of a 50-year-old woman who presented to our emergency department for epigastric pain, nausea, and vomiting resulting from a spontaneous dissection of the celiac trunk, successfully treated endovascular technique.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48948001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"When emergency medicine embraces palliative care","authors":"Erika Poggiali, R. Berté, L. Orsi","doi":"10.4081/ecj.2022.11013","DOIUrl":"https://doi.org/10.4081/ecj.2022.11013","url":null,"abstract":"In Italy Emergency Medicine (EM) and Palliative Care (PC) are still considered two opposite disciplines with two opposite endpoints: saving lives for EM clinicians, and taking care of end-stage patients for palliative care physicians. According to the WHO, PC is “an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychological and spiritual. [...]","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42689766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. McLatchie, Aakash Gupta, Sarah Wilson, M. Reed, Aortic Dissection Diagnosis in ED Research Group
{"title":"A sinister needle in an enormous haystack: A clinician survey regarding Acute Aortic Syndrome diagnostic practice in United Kingdom Emergency Departments","authors":"R. McLatchie, Aakash Gupta, Sarah Wilson, M. Reed, Aortic Dissection Diagnosis in ED Research Group","doi":"10.4081/ecj.2022.10758","DOIUrl":"https://doi.org/10.4081/ecj.2022.10758","url":null,"abstract":"Acute Aortic Syndrome (AAS) is a life-threatening condition associated with high diagnostic uncertainty. This results in an unacceptable number of missed cases, which contributes to its high mortality. We designed and distributed a survey to Emergency Departments (EDs) across the United Kingdom to establish the standard practice for investigation and diagnosis of AAS across the UK. 56 EDs across the UK responded. The majority of these did not have a formal work-up pathway for AAS. The estimated CT scanning rates and missed cases of AAS were highly variable between departments. This suggests variation in practice and diagnostic uncertainty. Given its time sensitive nature, the need for a more standardised diagnostic pathway for AAS in EDs is evident. This may aid clinicians rule out AAS more safely and reduce the number of missed cases, which would in turn reduce the high morbidity and mortality associated with AAS.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43661814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Victoria Siu, Samuel Lin, Milan Sivakumar, Thomas Varkey
{"title":"Evidence-based work up and management of non-specific neck pain in the emergency department","authors":"Victoria Siu, Samuel Lin, Milan Sivakumar, Thomas Varkey","doi":"10.4081/ecj.2022.10929","DOIUrl":"https://doi.org/10.4081/ecj.2022.10929","url":null,"abstract":"Neck pain has become a commonly encountered complaint in the emergency department and primary care office. A large proportion of the population, ranging from a fifth (⅕) to a third (⅓) of the total, will experience non-specific neck pain in their lifetime. Because of the difficulty to quickly parse out the differential and the severity of several of these diagnoses, it is imperative for physicians in the emergency department to establish a systematic and effective approach for evaluating nonspecific neck pain. This article will present a standardized case of a patient presenting with nonspecific neck pain, critically analyze current evidence and guidelines from major ruling bodies in internal medicine, neurology, neurosurgery, and radiology, examine major statements released by the Choosing Wisely Campaign, and propose a new diagnostic decision tree for the management of nonspecific neck pain.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44007682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Upaya Mengatasi Masalah Nyeri pada Pasien Hipertensi dengan Melakukan Kompres Hangat","authors":"Susi Roida Simanjuntak, Linda F Napitupulu","doi":"10.35584/carejournal.v2i1.130","DOIUrl":"https://doi.org/10.35584/carejournal.v2i1.130","url":null,"abstract":"Latar belakang: Hipertensi merupakan kelainan pada sistem sirkulasi darah yang dapat mengakibatkan peningkatan tekanan daah diatas nilai normal yaitu tekanan darah > 140/90 mmHg. Hipertensi dapat mengakibatkan terjadinya penyakit stroke, infark miokardium, dan gagal ginjal.Tanda dan gejala yang biasaynya dirasakan oleh penderita hipertensi seperti nyeri, pusing, rasa berat ditengkuk, sulit tidur, lelah dan lemah. Rasa nyeri penderita hipertensi dapat mengganggu aktivitas sehari-hari, Penatalaksanaan yang dilakukan untuk mengatasi nyeri pada pasien hipertensi salah satunya adalah pemberian kompres hangat. Tujuan: Studi kasus ini bertujuan untuk mengatasi masalah nyeri pada pasien hipertensi dengan melakukan kompres hangat. Metode penelitian: Metode penelitian ini merupakan penelitian deskriptif dengan menggunakan pendekatan studi kasus. Studi kasus dilakukan pada responden yang memenuhi kriteria penelitian. Intervensi dilakukan selama 5 hari. Hasil: Setelah dilakukan intervensi selama 5 hari yaitu upaya mengatasi nyeri pada pasien hipertensi. Hasil yang didapatkan yaitu adanya penurunan skala nyeri sebelum dilakukan kompres hangat 5 dan setelah dilakukan kompres hangat pada hari ke lima menjadi 1. Kesimpulan :Pemberian kompres hangat pada pasien hipertensi mampu menurunkan nyeri dari skala nyeri 5 menjadi skala nyeri 1","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"29 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78230678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Upaya Mengatasi Gangguan Pola Tidur pada Pasien Hipertensi Melalui Terapi Relaksasi Benson","authors":"Y. Sihombing, Marsinta Mutiara Paulina","doi":"10.35584/carejournal.v2i1.129","DOIUrl":"https://doi.org/10.35584/carejournal.v2i1.129","url":null,"abstract":"Latar Belakang. Hipertensi merupakan suatu keadaan tanpa gejala, dimana tekanan yang abnormal tinggi didalam arteri menyebabkan meningkatnya resiko terhadap stroke, aneurisma, gagal jantung, serangan jantung dan kerusakan. Pada penderita hipertensi, gejala yang sering muncul adalah sakit kepala, pandangan mata kabur, mudah marah, sulit tidur, nyeri dada, pusing, denyut jantung kuat dan cepat. Kualitas tidur yang buruk akan berpengaruh besar terhadap kenaikan tekanan darah sehingga bisa mengalami pemicunya hipertensi dan berbagai penyakit lainnya. Terdapat dua metode penatalaksaan yang dapat meningkatkan kualitas tidur yaitu dengan cara farmakologi dan non-farmakologi.Salah satu penatalaksanaan non farmakologi yaitu teknik relaksasi relaksasi benson, terapi relaksasi benson merupakan pengembangan metode respon relaksasi dengan melibatkan faktor keyakinan pasien, yang dapat menciptakan suatu lingkungan internal sehingga dapat membantu pasien mencapai kondisi kesehatan dan kesejahteraan lebih tinggi. Maka dari itu peneliti tertarik untuk mengangkat studi kasus pada pasien hipertensi yang mengalami gangguan pola tidur dengan judul upaya mengatasi gangguan pola tidur pada pasien hipertensi melalui terapi relaksasi benson. Desain penulisan yang dilakukan adalah pengolahan data diambil dari hasil wawancara dan observasi yang dilakukan kepada pasien. Pada metode wawancara dilakukan untuk mengetahui data subjektif pasien, dan berdasarkan data observasi terkait pemeriksaan fisik head to toe. Intervensi yang dilakukan peneliti adalah terapi relaksasi benson dalam mengatasi gangguan pola tidur. Tujuan Memberikan terapi relaksasi benson. Pada diagnosa gangguan pola tidur adalah masalah teratasi dengan kriteria hasil yang ada pada klien yaitu klien sudah tidak sulit lagi dalam memulai tidurnya dan tidak terjaga saat tidur. Metode penelitian. Metode observasi partisipasif, metode wawancara dan metode dokumentasi. Hasil yang didapatkan yaitu adanya pengaruh terapi relaksasi benson dalam mengatasi gangguan pola tidur","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"62 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86028931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elvira Rosa, Haini Santi, Ika Pratiwi, Anindya Tri Hardiningtyas
{"title":"Tingkat Pendidikan Orang Tua terhadap Pengetahuan tentang Antibiotik pada Anak Usia 0 – 12 Tahun di Desa Puguh Kecamatan Pegandon Kabupaten Kendal","authors":"Elvira Rosa, Haini Santi, Ika Pratiwi, Anindya Tri Hardiningtyas","doi":"10.35584/carejournal.v2i1.122","DOIUrl":"https://doi.org/10.35584/carejournal.v2i1.122","url":null,"abstract":"Latar Belakang: Peresepan antibiotik untuk penyakit infeksi yang cukup tinggi dan kurang bijak akan meningkatkan kejadian resistensi. Tujuan Penelitian untuk mengetahui hubungan tingkat pendidikan orang tua terhadap pengetahuan penggunaan antibiotik pada anak usia 0-12 tahun di Desa Puguh, kecamatan pegandon, Kabupaten Kendal \u0000Metodologi: Penelitian ini menggunakan observasional analitik dengan pendekatan cross sectional. Populasi pada penelitian ini adalah seluruh orang tua yang memiliki anak usia 0-12 tahun di Desa PuguhKidul. Teknik pengambilan sampel yang digunakan yaitu purposive sampling sejumlah 55 responden yang telah memenuhi kriteria inklusi dan eksklusi. Data tingkat Pendidikan dan tingkat pengetahuan selanjutnya dianalisis dengan uji Chi-Square. \u0000Hasil Penelitian: Hasil uji Chi-Square antara tingkat pendidikan dengan tingkat pengetahuan diperoleh p=0,006. Hal ini menunjukan nilai p kurang dari 0,05 dengan taraf kepercayaan 95% sehingga terdapat hubungan yang signifikan antara tingkat pendidikan dengan tingkat pengetahuan tentang antibiotik. \u0000Kesimpulan: Adanya hubungan tingkat pendidikan orang tua dengan pengetahuan tentang antibiotik pada anak usia 0-12 tahun di Desa Puguh Kecamatan Pegandon Kabupaten Kendal.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"159 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76629845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Haini Santi, Elvira, Ika Pratiwi, Wulan Purnawati, Titis Kurnia Prastiwi
{"title":"Gambaran Tingkat Pengetahuan Penggunaan Obat Antibiotik di Desa Kebonharjo Kecamatan Patebon Kabupaten Kendal","authors":"Haini Santi, Elvira, Ika Pratiwi, Wulan Purnawati, Titis Kurnia Prastiwi","doi":"10.35584/carejournal.v2i1.121","DOIUrl":"https://doi.org/10.35584/carejournal.v2i1.121","url":null,"abstract":"Antibiotik merupakan obat yang banyak dikenal masyarakat, namun penggunaan antibiotik sering kali tidak tepat, yang dapat berakibat pada peningkatan resistensi bakteri terhadap antibiotik. Resistensi merupakan kemampuan bakteri dalam menetralisir dan melemahkan daya kerja antibiotika. Pada awalnya resistensi terjadi ditingkat rumah sakit, tetapi lambat laun berkembang juga dilingkungan masyarakat, khususnya Streptococcus pneumonia (SP), Streptococcus Pneumonia, dan Esherichia coli (Menkes RI, 2016). Hasil penelitian tentan gambaran tingkat pengetahuan penggunaan obat golongan obat antibiotik di Desa KEBONHARJO Kecamatan PATEBONKabupaten Kendal diperoleh kesimpulan sebagai berikut, Tingkat pengetahuan di Desa KEBONHARJO Kecamatan PATEBONKabupaten Kendal dikatagorikan sedang. Hal ini dapat dilihat dari hasil tingkat pengetahuan yaitu tingkat pengetahuan tertinggi adalah 13 (18,1%) responden, tingkat pengetahuan sedang 38 (52,8%) responden dan tingkat pengetahuan terendah adalah 21 (29,2%) responden.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"350 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78077906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Faktor yang Berhubungan dengan Keluhan Gangguan Pendengaran pada Tenaga Kerja Pembangunan Dermaga di PT. Pelindo IV Makassar New Port","authors":"Nurul Adha, M. Mulyadi, Abdur Rivai, F. Farida","doi":"10.35584/carejournal.v2i1.104","DOIUrl":"https://doi.org/10.35584/carejournal.v2i1.104","url":null,"abstract":"Kemajuan ilmu pengetahuan dan teknologi telah membawa industri dan mekanisme tumbuh berkembang dalam rangka mewujudkan masyarakat industri yang maju dan mandiri. Salah satu bahaya yang umum dan sering ditemui di industri adalah bahaya kebisingan. Pemajanan kebisingan yang melebihi batas ambang yang ditentukan merupakan risiko pada fungsi pendengaran manusia dan juga secara langsung dapat menurunkan produktivitas kerja pada pekerja. Setiap pekerja yang terpajan kebisingan mempunyai risiko untuk mengalami gangguan pendengaran. Penelitian ini merupakan penelitian analitik dengan rancangan penelitian secara cross sectional, jumlah sampel sebanyak 80 dengan metode pengambilan sampel menggunakan purposive sampling. analisis data dengan menggunakan uji statistik pearson correlation. Hasil penelitian menunjukkan bahwa dari empat variabel yang diteliti terdapat satu variabel yang tidak memiliki hubungan yang signifikan yaitu masa kerja (P=0,097) sedangkan untuk variabel intensitas kebisingan(P=0,038) lama kerja (P=0,037) dan pemakaian Alat Pelindung Telinga (P=0,027) memiliki hubungan yang signifikan dengan keluhan gangguan pendengaran pada tenaga kerja pembangunan dermaga. Maka simpulan dari penelitian ini adalah secara statistik terdapat hubungan yang signifikan antara intensitas kebisingan, lama kerja dan pemakaian alat pelindung telinga (APT) dengan keluhan gangguan pendengaran pada tenaga kerja pembangunan dermaga di PT.PP Pelindo IV Makassar New Port, sedangkan masa kerja tidak ada hubungan signifikan dengan keluhan gangguan pendengaran pada tenaga kerja pembangunan dermaga di PT.PP Pelindo IV Makassar New Port. Disarankan bahwa kepada tenaga kerja di PT. Pelindo IV Makassar New Port, agar memakai alat pelindung telinga dengan baik dan benar serta konsisten pada saat bekerja guna mengurangi risiko terjadinya keluhan gangguan pendengaran.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"26 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72929432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pemanfaatan Data Rekam Medis dalam Menentukan Cluster Penyakit Melalui Data Mining di Rs Aisyiyah Siti Fatimah Tulangan Sidoarjo","authors":"Umi Khoirun Nisak, Brema Arya Yudano, Uce Indahyanti","doi":"10.35584/carejournal.v2i1.98","DOIUrl":"https://doi.org/10.35584/carejournal.v2i1.98","url":null,"abstract":"Jumlah rekam medis yang masuk setiap hari mengalami penambahan jumlah data di rumah sakit Aisyiyah Siti Fatimah Tulangan Sidoarjo. Namun, data yang tersimpan terbatas menjadi tumpukan data yang belum tergali secara optimal dalam pemanfaatannya. Pemanfatan data yang belum optimal seharusnya dapat dimanfaatkan untuk menghasilkan informasi baru jika digali lebih dalam dengan metode data mining. Penelitian ini bertujuan melakukan clustering diagnosa penyakit berdasarkan data rekam medis menggunakan algoritma K-Means. Metode penelitian menggunakan deskriptif. Hasil proses clustering software RapidMiner dengan 5 cluster mendapatkan hasil C0 didominasi diagnosa I11.0, C1 didominasi diagnosa E11.8, C2 didominasi diagnosa A15.3, C3 didominasi diagnosa E05.9, C4 didominasi diagnosa E11.8. Uji validitas cluster menggunakan metode Davies Bouldin Index (DBI) dengan 5 cluster mendapatan nilai 0.469 \u0000 ","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"18 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84845701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}