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"Emergency Medicine, 2nd Edition delivers all the relevant clinical core concepts you need for practice and certification, all in a comprehensive, easy-to-absorb, and highly visual format. This well-regarded emergency medicine reference offers fast-access diagnosis and treatment guidelines that quickly provide the pearls and secrets of your field, helping you optimize safety, efficiency, and quality in the ED as well as study for the boards. Get clear, concise descriptions and evidence-based treatment guidelines for a full range of clinical conditions, ranging from the common to the unusual.Find the information you need quickly with a highly visual format that features hundreds of full-color clinical photographs, illustrations, algorithms, tables, and graphs, plus key information highlighted for fast reference.Consult high-yield text boxes in every chapter for Priority Actions, Facts and Formulas, Documentation, Patient Teaching Tips, Red Flags, and Tips and Tricks. Make the most of your limited time with easy-to-digest blocks of information, consistently presented for clear readability and quick reference.Study efficiently and effectively for the boards, or rapidly consult this title in daily practice, thanks to well-organized chapters, a superb use of images and diagrams, and clinically relevant, easy-to-understand content.Benefit from the knowledge and expertise of renowned educators, dedicated to compiling today's best knowledge in emergency medicine into one highly useful, readable text."

"ContentsThe cellular environment -- Assessment and documentation -- Pharmacology -- Trauma -- Bleeding and shock -- Burns -- Airway management and respiratory emergencies -- Cardiovascular emergencies -- Neurologic emergencies -- Endocrine emergencies -- Medical emergencies -- Gastrointestinal emergencies -- Toxicology : poisonings and substance abuse -- Hematology and the immune system -- Environmental emergencies -- Obstetric and gynecologic emergencies -- Pediatric emergencies -- Geriatric considerations."

"Pertumbuhan industri manufaktur dan konstruksi dapat meningkatkan potensi kecelakaan dan kejadian darurat yang perlu dipertimbangkan. Diperlukan sistem tanggap darurat untuk mengurangi dan meminimalkan dampak dan kerugian yang bisa disebabkan oleh peristiwa darurat. Tujuan dari penelitian ini adalah untuk menganalisis kesesuaian implementasi sistem tanggap darurat di pabrik fabrikasi baja PT Wijaya Karya pada tahun 2019 berdasarkan National Fire Protection Association 1600 (NFPA 1600) 2016 edisi untuk menangani peristiwa darurat/bencana. Penelitian ini adalah desain penelitian deskriptif kualitatif yang menggunakan dua jenis data-ata primer diperoleh melalui wawancara dan observasi lapangan, sedangkan data sekunder adalah melalui tinjauan dokumen. Dari penelitian ini, dapat disimpulkan bahwa kesesuaian implementasi sistem tanggap darurat berbasis NFPA 1600 di pabrik fabrikasi baja PT Wijaya Karya adalah 74%, sedangkan ketidaksesuaian adalah 26%. Meskipun hasilnya dapat diterima, perusahaan dituntut untuk meningkatkan perencanaan dan implementasi sistem tanggap darurat agar lebih komprehensif.

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The growth of the manufacturing and construction industry can increase the potential for accidents and emergencies that need to be considered. Emergency response systems are needed to reduce and minimize the impact and losses that can be caused by emergency events. The purpose of this study is to analyze the suitability of the implementation of the emergency response system at PT Wijaya Karya steel fabrication plant in 2019 based on the 2016 National Fire Protection Association (NFPA 1600) edition to handle emergency/disaster events. This research is a descriptive qualitative research design that uses two types of data; Primary data obtained through interviews and field observations, while secondary data is through a document review. From this study, it can be concluded that the suitability of the implementation of the NFPA 1600-based emergency response system at PT Wijaya Karya steel fabrication plant is 74%, while the non-conformity is 26%. Although the results are acceptable, companies are required to improve the planning and implementation of emergency response systems to be more comprehensive."

"Pelayanan kefarmasian di puskesmas merupakan satu kesatuan guna mendukung pelayanan upaya kesehatan. Pelayanan kefarmasian adalah suatu pelayanan langsung dan bertanggung jawab kepada pasien yang berkaitan dengan sediaan farmasi dengan maksud mencapai hasil yang pasti untuk meningkatkan mutu kehidupan pasien. Salah satu kegiatan pelayanan kefarmasian berdasarkan Peraturan Menteri Kesehatan Republik Indonesia Nomor 74 Tahun 2016 yaitu pengelolaan sediaan farmasi dan bahan medis habis pakai. Sebagai salah satu upaya peningkatan pelayanan mutu kesehatan di Puskesmas, maka diperlukan penyediaan obat emergensi. Pelayanan kegawatdaruratan adalah tindakan medis yang dibutuhkan oleh pasien gawat darurat dalam waktu segera untuk menyelamatkan nyawa dan pencegahan kecacatan. Obat emergensi merujuk pada obat-obatan yang bersifat life saving dan diperlukan segera untuk pertolongan pasien. Ruang bersalin merupakan salah satu unit pelayanan di puskesmas yang menyediakan obat emergensi, sehingga dalam meningkatkan pelayanan kegawatdaruratan maka dibutuhkan pengelolaan obat emergensi yang baik. Oleh karena itu, dilakukan evaluasi pengelolaan obat emergensi di ruang rawat bersalin puskesmas kecamatan pasar rebo dalam aspek perencanaan, permintaan, penerimaan, penyimpanan, pendistribusian, pengendalian, pencatatan dan pelaporan serta pemantauan dan evaluasi. Penelitian ini bertujuan untuk mengetahui jenis-jenis obat emergensi yang tersedia di ruang rawat bersalin dan mengetahui pengelolaan obat emergensi di ruang rawat bersalin. Metode yang dilakukan ialah melakukan pendataan jenis-jenis obat emergensi dan melakukan observasi terkait pengelolaan obat emergensi di ruang rawat bersalin. Berdasarkan hasil penelitian, beberapa kegiatan dalam pengelolaan obat emergensi ruang rawat bersalin sudah memenuhi regulasi yang ada namun kegiatan penyimpanan dan pemantauan pengelolaan obat emergensi belum memenuhi kriteria dalam regulasi.

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Pharmaceutical services are essential components of health centers, dedicated to enhancing healthcare initiatives. These services encompass direct patient care through pharmaceutical preparations, aiming to tangibly enhance patients' quality of life. The management of pharmaceutical preparations and consumable medical materials is a pivotal activity outlined in the Regulation of the Minister of Health of the Republic of Indonesia Number 74 of 2016. Within public health centers, the provision of emergency medicines is paramount to addressing medical crises swiftly. Emergency services encompass urgent medical interventions that save lives and prevent disability, often involving the immediate administration of life-saving drugs. The delivery room, a pivotal unit within health centers, plays a pivotal role in administering such emergency medicines. Efficient management of emergency drugs is crucial for elevating healthcare quality, particularly in emergency scenarios. Effective emergency drug management is pivotal to ensuring swift and sufficient responses to medical emergencies. The study underscores the necessity for enhancing certain facets of emergency drug management, emphasizing compliance with regulations and standards to optimize patient care within Pasar Rebo Health Center's maternity ward. This study evaluates the management of emergency drugs within Pasar Rebo Health Center's maternity ward, focusing on planning, requesting, receiving, storing, distributing, controlling, recording, reporting, monitoring, and evaluating aspects. The study aims to identify available emergency drug types and assess overall management practices. Data collection and observations were employed. While numerous aspects of emergency drug management conform to regulatory standards, deficiencies emerged in storage and monitoring procedures, failing to meet specified criteria."

"Pelayanan Unit Gawat Darurat (UGD) merupakan ujung tombak pelayanan kesehatan di rumah sakit dan puskesmas perawatan, dengan waktu yang sangat krusial. Obat darurat darurat (emergency) merupakan sebagian dari obat-obatan yang harus ada dalam persediaan ruangan, obat ini mutlak harus selalu tersedia di puskesmas. Namun dalam melakukan pengolahan data obat, Puskesmas masih menggunakan metode pencatatan manual, yaitu semua data – data dicatat didalam sebuah buku atau arsip. Puskesmas Kecataman Matraman mempunyai pelayanan kegawat-daruratan, dengan menyediakan emergency trolley yang lengkap. Emergency trolley merupakan salah satu peralatan untuk darurat medis, emergency trolley terdapat di Unit Gawat Darurat, selain itu disediakan juga di unit pelayanan 24 jam. Dalam Keputusan Menteri Kesehatan Republik Indonesia Nomor Hk.01.07/MENKES/4799/2021 mengatur tentang daftar obat keadaan darurat medis. Daftar obat emergensi pada emergency trolley yang terdapat di puskesmas Kecamatan Matraman sudah memenuhi persyaratan daftar obat darurat medis sesuai peraturan serta sesuai penggunaannya dalam keadaaan darurat medis.

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Emergency Unit Services are the spearhead of health services in hospitals and health centres, with very crucial time. Emergency drugs are some of the drugs that must be in the room stock, these drugs must always be available at the health centre. However, in processing drug data, the Health Center still uses a manual recording method, namely all data is recorded in a book or archive. The Matraman District Health Center has emergency services, by providing a complete emergency trolley. An emergency trolley is one of the equipment for medical emergencies, an emergency trolley is available in the Emergency Unit, besides that it is also provided in the 24-hour service unit. The Decree of the Minister of Health of the Republic of Indonesia number Hk.01.07 / MENKES / 4799/2021 regulates the list of drugs for medical emergencies. The list of emergency drugs on the emergency trolley at the Matraman District Health Center has met the requirements for the list of medical emergency drugs according to regulations and according to their use in medical emergencies."

"Latar Belakang: Rapid Emergency Medicine Score (REMS) merupakan sistem skor yang sudah tervalidasi dengan baik dalam memprediksi mortalitas selama rawat untuk pasien non bedah yang mengunjungi instalasi gawat daruat (IGD). Namun penggunaanya pada populasi usia lanjut yang umumnya menunjukkan tanda vital normal walaupun kondisi medik berat masih belum diketahui. Kami bertujuan untuk mengevaluasi performa REMS dengan menambahkan nilai kadar natrium dan lingkar lengan atas yang rendah dalam memprediksi mortalitas di rumah sakit pada pasien usia lanjut non bedah yang datang ke IGD. Tujuan: Untuk mengetahui nilai tambah kadar natrium dan lingkar lengan atas pada skor REMS dalam memprediksi mortalitas di rumah sakit pada pasien usia lanjut non bedah yang datang ke IGD. Metode: Studi kohort prospektif dengan subjek penelitian pasien usia ³60 tahun, non bedah, yang datang ke IGD RS Cipto Mangunkusumo (RSCM) periode September- Oktober 2018. Subjek diikuti sampai diketahui luaran selama rawat di rumah sakit. Uji Hosmer-Lemeshow dan kurva ROC digunakan untuk mengetahui performa kalibrasi dan diskriminasi dari REMS dan modifikasi REMS. Hasil: Dari 272 subjek, median usia adalah 66 tahun (rentang 7). Insiden kematian selama rawat di rumah sakit sebesar 22,1%. Nilai Area Under Curve (AUC) untuk REMS adalah 0,72 (95% CI 0,56-0,74), dan modifikasi REMS dengan menambahkan kadar natrium dan lingkar lengan atas adalah 0,79, p=,000 (IK95% 0,72-0,85), dengan nilai performa kalibrasi menggunakan uji Hosmer-Lemeshow yaitu p=0,759. Simpulan: Kadar natrium dan lingkar lengan atas memiliki nilai tambah pada skor REMS dalam memprediksi mortalitas selama rawat di rumah sakit pada pasien usia lanjut non bedah yang datang ke IGD RSCM.

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Background. Rapid Emergency Medicine Score (REMS) is a well validated scoring system in predicting in-hospital mortality for non-surgical patients visiting Emergency Department (ED). None has been known about its use in elderly population who frequently shows normal vital signs despite of severe condition. We aim to evaluate the performance of REMS by adding value of sodium level and mid-upper arm circumference (MUAC), to predict in hospital mortality of elderly visiting ED in Indonesia.

Objective. To evaluate added value of sodium serum level and mid-upper arm circumference to REMS in predicting in-hospital mortality for non-surgical elderly patients visiting Emergency Department (ED).

Methods. A prospective cohort study in non-surgical elderly aged 60 years or older visiting ED of Cipto Mangunkusumo hospital (RSCM) between September to October 2018 was performed. Subjects were followed during hospitalization for outcome assesment. Hosmer-Lemeshow test and area under receiving operating characteristic (ROC) curve were used to determine the calibration and discrimination of REMS and modified REMS.

Results. From the 272 partcipants, the median age was 66 years (range 10). The incidence of in-hospital mortality was 22.1%. The area under curve (AUC) score of REMS was 0,72 (95% CI 0.65-0.80), and the modified REMS by adding sodium level and mid-upper arm circumference was 0.79, p=.000 (IK95% 0.72-0.85), with calibration performance using Hosmer-Lemeshow test showed p=0,759.

Conclusion. Serum sodium level and mid-upper arm circumference have added value to REMS in predicting in-hospital mortality of non-surgical elderly patient visiting RSCM ED."