First Aid For Patients Research Articles

Effect of Educational Program on Nurses Role Regarding First Aid for Patients having Toxic Aluminum Phosphate Suicide

Effect of Educational Program on Nurses Role Regarding First Aid for Patients having Toxic Aluminum Phosphate Suicide

Initial diagnosis and treatment of shock

Structured procedures have been established internationally for the initial clinical care of patients with traumatic injuries. Comparable concepts have not yet been applied to the initial clinical care of life-threatening nontraumatic emergencies. In 2022, aworking group of the German Society for Acute and Emergency Medicine (DGINA) presented the Advanced Critical Illness Life Support (ACiLS) concept for the care of nontraumatic emergencies and offers corresponding training courses. To present systematic clinical first aid for patients with the leading symptom of shock according to the ACiLS concept. The (PR_E-)AUD2IT basic algorithm used in the ACiLS concept divides the initial care of acritically ill patient into the elements of preparation, resources, initial care, medical history, examination, differential diagnosis, diagnostics, interpretation and to do, interrupted by three team time-out elements for structured communication. The use of this concept is demonstrated here using the example of shock. The ACiLS concept has the potential to improve the quality of initial care of nontraumatic emergencies in emergency department shock rooms and intensive care units. Further evaluations in practice and training capacities are essential.

EDUKASI PELAKSANAAN TRIAGE TERHADAP TINGKAT PENGETAHUAN KELUARGA PASIEN DI IGD RS ADI HUSADA KAPASARI

Introduction & Aim: The Emergency Department (ED) is one of the spearheads of hospital health services aimed at providing first aid for patients. Providing emergency services to reduce morbidity and mortality rates it requires the ability of nurses to sort out patients who need help first, this sorting is called Triage. This community service aims to provide education on the implementation of triage on the level of knowledge of the patient's family in the ED. Method of Activity: Implementation of community service at the ED of Adi Husada Kapasari Hospital, January 2023, the target is the patient's family. The method of providing education on the implementation of triage to the patient's family is with lectures and media leaflets. The first stage collects the patient's family and gives a questionnaire sheet. The second stage is the delivery of material and discussion of questions and answers about the implementation of triage, as well as giving questionnaires. Results: A total of 10 representatives of the patient's family members participated. Characteristics based on age showed that half (50%) were aged 36-45 years, based on gender the majority (60%) were female, and based on education the majority (80%) had high school/vocational high school education. Knowledge of the patient's family before being given triage education showed that most (60%) had less knowledge, whereas after being given triage education most (60%) had good knowledge about triage. Discussion: Providing education on the implementation of triage to the patient's family is very useful, and has proven to be able to provide information as well as understanding regarding health service procedures in the ED, families better understand the actions given to their family members while in the ED, and can change the behavior and perceptions of the patient's family towards the procedure given by ED health workers.

Effect of different pre-hospital first aid methods on the efficacy and prognosis of acute myocardial infarction with left heart failure: a systematic review and meta-analysis.

Pre-hospital first aid for acute myocardial infarction (AMI) is an important way to save patients. However, there are still some disputes about the way of pre-hospital first aid. Therefore, this paper provides a Meta-analysis to evaluate the efficacy and prognosis of different prehospital care for AMI with left heart failure. By searching the published studies in the databases, the literature related to the pre-hospital first aid for patients with AMI and left heart failure was screened out. The quality of the literature was evaluated according to the Newcastle-Ottawa scale (NOS), and the corresponding data were extracted for meta-analysis. Meta-analysis was performed on 7 outcome indicators (clinical effect of patients after treatment, respiratory rate, heart rate, systolic blood pressure (SBP), diastolic blood pressure (DBP), survival status, and incidence of complications). A funnel plot and Egger's test were used to test risk of bias. A total of 16 articles were finally included, comprising a total of 1,465 patients. The literature quality evaluation found that 8 literatures were rated as low risk of bias, and 8 literatures were rated as medium risk of bias. The meta-analysis results showed that the clinical effect of the first aid and then transportation group was better than that of the transportation and then first aid group [risk ratio (RR) =1.35, 95% confidence interval (CI): 1.27 to 1.45, P<0.01]; the respiratory rate decreased [mean difference (MD) =-4.84, 95% CI: -6.50 to -3.18, P<0.01]; the heart rate decreased (MD =-11.34, 95% CI: -12.69 to -9.99, P<0.01); SBP decreased (MD =-6.00, 95% CI: -10.00 to -2.00, P<0.01); the DBP decreased (MD =-3.54, 95% CI: -4.45 to -2.64, P<0.01); the survival status of the patients improved (RR =1.29, 95% CI: 1.18 to 1.41, P<0.01); the incidence of complications was reduced (RR =0.31, 95% CI: 0.20 to 0.48, P<0.01). Pre-hospital first aid and then transportation can significantly improve the clinical treatment effect of patients. However, considering that the literatures included in this paper are non-randomized controlled studies and the overall quality of the included literatures is not high and the number of studies is limited, further exploration is needed.

Knowledge, attitude, and practice regarding epilepsy first aid among caregivers of epileptic patients in Tabuk city, Saudi Arabia

Objective: This study aimed to examine knowledge level, attitude, and practice regarding epilepsy first aid among caregivers in Tabuk city, Saudi Arabia. Methods: Using a cross-sectional study design, data from 506 adult caregivers in Tabuk city, Saudi Arabia, were collected to evaluate their knowledge, attitude, and practice related to epilepsy and first aid for patients with epilepsy. Results: Regarding epilepsy first aid, the participants showed good knowledge, and the majority felt comfortable providing first aid to epileptic patients. Many participants held that cultural or religious beliefs do not influence how epilepsy first aid is perceived or administered. Over half of the participants had heard misconceptions or myths about epilepsy and its first aid. Younger participants showed higher knowledge of epilepsy first aid than older participants. Most participants believed that providing first aid for epilepsy was not solely the responsibility of healthcare professionals. Conclusion: Good knowledge was noticed among the participants regarding epilepsy first aid. Most participants were not familiar with any alternative or traditional remedies for epilepsy that are believed to be effective.

Observation on the Nursing Effect of the Whole Process in Patients with Severe Intracranial Hemorrhage.

Objective The goal of this study was to look at the clinical impact of the entire process of nursing care for patients with severe cerebral hemorrhage. Method From January 2018 to December 2019, the clinical data of 160 patients with severe cerebral hemorrhage who were hospitalized to our hospital were reviewed retrospectively. They were separated into two groups based on their admission: routine and complete procedure. The routine group used routine emergency care, the whole process group was provided first aid care with whole process nursing. The diagnosis and treatment time, the success rate of emergency care, the incidence of adverse events, and the complaint rate were compared between the two groups. Results The treatment time, emergency examination time, and preoperative rescue time of emergency patients in the whole process group were significantly shorter than those in the conventional group, with statistically significant differences (all P < 0.05). The rescue success rate of emergency patients in the whole process group was 95.00% (76/80), and the rescue success rate of emergency patients in the routine group was 83.75% (67/80); the difference was statistically significant (χ2 = 4.378, P = 0.034). The complaint rate of emergency patients in the whole process group was 2.50% (2/80), while that in the routine group was 8.75% (7/80), with statistically significant difference (χ2 = 4.732, P = 0.024). The incidence of total nursing adverse events was 6.25% (5/80) in the whole process group and 17.50% (14/80) in the routine group; the difference was statistically significant (χ2 = 5.011, P = 0.027). Conclusion The implementation of whole process nursing care for patients with severe intracranial hemorrhage can shorten the time-consuming first aid for patients with intracranial hemorrhage. And it also can improve the rescue success rate of patients and reduce the incidence of adverse events and complaints, which represents a significant clinical application effect.

Analysis on the Key Points and Effects of Emergency First Aid for Patients with Sudden Stroke

Analysis on the Key Points and Effects of Emergency First Aid for Patients with Sudden Stroke

Nursing Procedure and Effect of Pre-hospital First Aid for Patients with Acute Myocardial Infarction

Nursing Procedure and Effect of Pre-hospital First Aid for Patients with Acute Myocardial Infarction

Study on the Effect of Pre-hospital Emergency Nursing Intervention in the First Aid of Patients with Severe Craniocerebral Trauma

Study on the Effect of Pre-hospital Emergency Nursing Intervention in the First Aid of Patients with Severe Craniocerebral Trauma

The effect of nursing management in different levels and areas in emergency treatment of patients with acute ST segment elevation myocardial infarction

Objective: Study on the effect of nursing management in different levels and areas in emergency treatment of patients with acute ST segment elevation myocardial infarction. Methods: 200 patients with acute ST segment elevation myocardial infarction admitted by our hospital from January 2018 to October 2019 were divided into observation group and control group according to the nursing mode of patients, with 100 cases in each group. The patients in the control group were given routine emergency care, and the patients in the observation group were given graded and partitioned nursing management. Result: The time of emergency treatment, coronary angiography and stent placement were compared between the two groups. The results showed that the time of observation group was significantly shorter than that of control group (P &lt; 0.05). The results showed that the time of the observation group was significantly shorter than that of the control group (P &lt; 0.05). The incidence of complications was 11.00% in the control group and 1.00% in the observation group. There was statistical significance between the two groups (P &lt; 0.05). The nursing satisfaction of the control group was 80.00%, and that of the observation group was 96.00%. There was statistical significance between the two groups (P &lt; 0.05). Conclusion: The application effect of grading and zoning nursing management in the first aid of patients with acute ST segment elevation myocardial infarction is better. It can effectively shorten the waiting time of patients, reduce nursing complications, improve nursing satisfaction, and effectively improve the effect of first aid, which is worth popularizing.

Clinical Effect of Hyperbaric Oxygen in First Aid for Patients with Acute Carbon Monoxide Poisoning

Clinical Effect of Hyperbaric Oxygen in First Aid for Patients with Acute Carbon Monoxide Poisoning

One year into the COVID-19 pandemic - temporomandibular disorders and bruxism: What we have learned and what we can do to improve our manner of treatment.

The coronavirus disease 2019 (COVID-19) pandemic has drastically changed the routine way of life and challenged the ways in which health and dental services are provided. During the 1st lockdown, practiced in most of the countries, routine dental procedures were suspended. Even after the lockdown was eased, visiting crowded dental clinics was still considered health-threatening, especially among populations at high risk of developing a severe reaction to COVID-19. Regretfully, in most cases, temporomandibular disorders (TMD) and bruxism were not included under the definition of emergency, leaving many patients without the possibility of consulting their dentists. A literature search, performed about 10 months after the declaration of the pandemic, found only a few studies dealing with TMD and bruxism during COVID-19. Most of the studies indicate adverse effects on subjects' psycho-emotional status (stress, anxiety, depression), which in turn lead to the intensification of subjects' TMD and bruxism symptoms, and increased orofacial pain. Unlike other oral pathologies, which require manual interventions, chronic orofacial pain can be addressed, at least at its initial stage, through teledentistry and/or consultation. Remote first aid for patients suffering from orofacial pain includes various kinds of treatment, such as the self-massage of tense and painful areas, stretching, thermotherapy, drug therapy, relaxation techniques, meditation, and mindfulness, all of which can be administered through the phone and/or the Internet. Relevant legal and ethical issues should be considered while using remote modes for the triage, diagnosis and treatment of chronic orofacial pain patients.

Effect of integrated emergency nursing on the first-aid of patients with stroke

Objective To explore the clinical effect of integrated emergency nursing on the first-aid of patients with stroke. Methods We implemented the integrated emergency nursing since January 2013, the clinical data of patients were collected before and after the implementation. Fourty patients with routine nursing from January 2012 to December 2012 were divided into control group, fourty patients with integrated emergency nursing from January 2013 to December 2013 were divided into observation group. Quality of nursing and accident rate in transfer were compared between two groups. Results The pre-hospital emergency response time was (11.2±2.7)min and treatment time of emergency department was (17.2±8.1)min in observation group, shorter than those of control group (14.1±4.5), (22.8±12.5)min, the differences were statistical significance (t=3.495, 2.378, respectively; P<0.05). The survival rate and the accident rate of transfer declined of observation group were 82.5% and 7.5%, higher than control group (χ2=4.013, 4.501, respectively; P<0.05). Conclusions The integrated emergency nursing significantly shortens the first-aid time of patients with stroke, and promotes the effect of treatment. Key words: Stroke; Integrated emergency nursing; Nursing quality

Nursing cooperation of prehospital first-aid for patients with cardiac trauma

Objective To summarize the nursing experience in prehospital first-aid of patients with cardiac traumas in order to improve the cooperation capability of prehospital first-aid. Methods The nursing cooperation of prehospital first-aid of 33 patients with cardiac trauma was analyzed retrospec-tively. Results 24 cases of them were rescued successfully, and were completely recovered without se-quelas. 4 cases complicated with severe multiple trauma, died after arriving at hospital, and 3 cases com-plicated with multiple trauma died of complications, while 2 cases with injury of thoracic aorta died during the surgery. Conclusions Early emergency treatment and judgment of traumatic condition could pro-vide valuable chance for inhospital first-aid. Key words: Cardiac trauma; Prehospital first-aid; Nursing cooperation

Application of emergency nursing management before disasters in great medical succors

Objective To supply the fastest and most effective first aid for patients with the least medical workers and within the shortest time after the occurrence of emergent public health accidents by application of emergency management. Methods We carried out retrospective invetigations about 55 great medical succors from the year of 2004 to 2006.Results Application of emergency nursing management played a pivotal role in these 55 great medical succors. The medical workers handled all the emergencies without confusion and a large number of patients got first aid in time. Conclusion It could facilitated the first aid for emergent public health accidents by application of emergency nursing management. Key words: Nursing before disasters; Emergency management; First-aid

Advantages of a new miniature hearing aid for mild to moderate hearing loss.

To evaluate the performance of a new, miniature, behind-the-ear hearing aid designed for individuals with mild to moderate high-frequency hearing loss who need an aid but are reluctant to try one. The aid is essentially invisible, leaves the ear canal open, and can be fit in less than 30 minutes without an ear impression. The cost is less than $500. A 4-week trial of the aid in 63 ears (62 subjects) with mild to moderate bilateral hearing loss. A questionnaire was completed at the end of the study by each subject asking them to evaluate several features of the aid (cosmesis, comfort, understanding speech, amplification, and so forth) and to compare their unaided performance in quiet and in noise with the test hearing aid. A rating scale of 1 to 10 was used, with 10 being excellent and 1 poor. Subjective improvement in understanding speech in both quiet (5.8-->7.3) and noise (4.6-->5.9) occurred with the aid. Cosmesis, comfort, and appearance were highly rated (mean scores, > 8). This aid appears to have several features (comfort, cost, performance, and cosmesis) that make it ideal as a first aid for patients with mild to moderate losses.

Sorption of cesium, strontium, lead, and cadmium ions by fibrous carbon sorbents

Medical sorbents are used for reducing the negative effects on humans and animals of radionuclides, toxic metals, pesticides and other technological pollutants, particularly at the site of the Chernobyl accident. Sorbents based on fibrous carbon materials have a special place, especially the enterosorbent (Vaulen) and its modified forms prepared using cellulose hydrate materials. These agents differ from granular sorbents in having more homogeneous composition and structure; they have high internal and external surface areas and good kinetic characteristics for sorption. This property of fibrous carbon sorbents, along with their highly developed and regular porosity, results in rapid contact of the entire surface of the sorbent with the medium, which is important, for example, for the first aid of patients in serious states. Thanks to a complex of valuable properties, fibrous carbon hemo- and enterosorbents are of interest as therapeutic and prophylactic agents for reducing the risk of diseases in unfavorable radioecological conditions. Previous studies have demonstrated that fibrous active carbon (FAC) and fibrous carbon ionites (FCI) have better toxin- and metabolic-sorption and better kinetic characteristics than granular active carbons, which are widely used in clinical practice and are characterized by their selectivity for plasma proteins. In the present report, wemore » compare the properties of the enterosorbent {open_quotes}Vaulen{close_quotes} and its modified forms in terms of sorption of Cs, Sr, Pb, and Cd ions from dilute aqueous solutions of the appropriate salts. 10 refs., 1 fig., 3 tabs.« less

General practitioner attendance at emergencies notified to ambulance control.

For two years doctors from a small village went to the scene of emergency calls received by ambulance control. On 80% of the occasions when the doctor was called at the same time as the ambulance was dispatched the doctor arrived before the ambulance. There were 24 incidents, 16 of which were road traffic accidents. In two cases the doctor established a clear airway in an unconscious patient before the ambulance arrived. Two patients were trapped in their vehicles and were given parenteral analgesics. Four patients required intravenous fluids. The call out system provided first aid for patients before the ambulance arrived and medical assistance to the emergency services at serious accidents. Patients who did not require hospital attention could be examined and treated at the scene, making the ambulance available for other duties and reducing the number of patients taken to the hospital accident and emergency department.