Multidisciplinary cooperative first aid model for the treatment of patients with pelvic and multiple fractures

Objectives: To retrospectively evaluate a multidisciplinary cooperative first aid model for the treatment of patients with pelvic and multiple fractures in the emergency department. Methods: The records of patients with pelvic fractures complicated with multiple fractures treated in our hospital from February 2020 to April 2021 were selected, of which 34 patients received conventional trauma first aid mode (control group) and 34 patients received multidisciplinary joint first aid mode (study group). We compared pelvic function (Majeed functional score) and fracture reduction outcomes, as well as serum inflammatory factor levels and complication rates after treatment between the two groups. Results: The Majeed score in the study group (90.15 ± 6.83) was higher than that in the control group (75. 47 ± 5.35), and the differences were statistically significant (P<0.05). The value for combined excellent and good rates of fracture reduction in the study group (85.29%, 29/34) was significantly higher than that in the control group (58.82%, 20/34), and the difference was statistically significant(P<0.05). We found similar levels of TNF-a and IL-6 between the two groups at admission (P>0.05); however, the serum levels of TNF-a and IL-6 in the study group were lower than those in the control group on the fifth day after admission, and the difference was statistically significant (P<0.05 or P<0.01). The incidence of complications in the study group (17.64%, 6/34) was significantly lower than that in the control group (61.76%, 21/34), the difference was statistically significant (P<0.05). Conclusion: The multidisciplinary cooperative first aid model for the treatment of patients with pelvic and multiple fractures can effectively shorten the treatment time, increase the excellent functional rehabilitation rate, inhibit the release of inflammatory factors, and reduce the incidence of complications (such as infections), when compared to the conventional trauma emergency system. doi: https://doi.org/10.12669/pjms.38.3.5014 How to cite this:Han Y, Peng G, Liu L, Xie X. Multidisciplinary cooperative first aid model for the treatment of patients with pelvic and multiple fractures. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.5014 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

The Status of First Aid Skills Mastery and Training Preferences of College Students: A Cross-Sectional Survey

Objective： Bystander first aid can improve the survival rate after out-of-hospital cardiac arrest or trauma, College students are potential bystanders of first aid in society. In the research, we aim to determine the universality of first aid training and the mastery of first aid skills among college students in order to implement first aid. Methods：From January to October 2021, Carry out questionnaire surveys by WeChat push, A random cross-sectional study was conducted on students from five universities in Wenzhou. In order to understand the knowledge and skills of first aid, Respondents accepted the first aid scenario that answered two hypotheses. Results：Among the 1,171 college students interviewed. Among them, 37.23% are males and 62.77% are females; 78.31% have first aid training experience, and 21.69% have no first aid training experience; 71% of college students acquire theoretical knowledge and practical skills through first aid training conducted by the Red Cross, medical emergency centers or hospitals, etc. 22% of college students study through the information network; All college students interviewed expressed their willingness to participate in first aid training. But 21.69% of college students have not received first aid training, The reason for the inability to participate in the training is that they do not understand the ways to participate in first aid training, accounting for 37.01%; Lack of confidence accounted for 19.69%, and lack of time accounted for 35.04%; In the hypothetical emergency scene, In the male group, 48.96% were willing to treat the injured, and 36.19% in the female group. There is a statistical difference between the two (P＜0.01); The junior college student group and the undergraduate student group are 28.09% and 44.09% separately. The medical professional group and the students with the first aid training group are 60.4% and 43.51% separately, The willingness to implement first aid has a clear advantage over the non-medical and non-trained two groups. The comparison between the two groups was statistically significant (P <0.01). The first aid skills are well mastered: chest compression 46.19%, judgment awareness 35.95%, hemostasis bandaging 32.88%, The worse ones were artificial respiration 24.67%, open airway 23.56%, and fracture fixation 8.96%. Conclusion: College students have a positive attitude towards learning first aid knowledge. However, it was found that the first aid skills were not well mastered, and the training was insufficient. Colleges and universities should provide first aid-related courses, extracurricular intensive training and other methods, Increase the knowledge of college students to deal with emergencies and improve basic first aid skills. Incorporating first aid skills training into university curricula and implementing it is a long-term strategy. Improve college students' awareness of first aid knowledge to obtain better social benefits. Key words: Attitude, First aid skills, college student training.

Program Desa Wisata Aman dan Sehat: Edukasi Penolong Pertama Wisata Pulau

ABSTRAK Kegawatandarutan bisa terjadi dimana saja terutama wisata pulau. Tujuan pengabdian kepada masyarakat untuk meningkatkan pengetahuan pertolongan pertama masyarakat wisata pulau. Metode pelaksanaan pengabdian kepada masyarakat adalah penyuluhan tentang pertolongan pertama wisata pulau kepada masyarakat Desa Lemukutan Kecamatan Sungai Raya Kepulauan. Hasil pengabdian kepada masyarakat didapatkan data terjadi peningkatan pengetahuan masyarakat sebelum dan setelah penyuluhan kesehatan tentang pertolongan pertama wisata pulau. Peningkatan pengetahuan masyarakat tentang pertolongan pertama menjadi upaya penanganan kegawatdaruratan di Pulau Lemukutan. Kata Kunci: Pertolongan pertama, Pengetahuan, Edukasi ABSTRACT The emergency condition can occur anywhere, especially island tourism. The purpose of community service was to increase the knowledge of first aid for island tourism communities. The method of implementing community service is counseling about island tourism first aid to the people of Lemukutan Island, Sungai Raya Islands District. The results of community service showed that there was an increase in community knowledge before and after health counselling about island tourism first aid. Increasing public knowledge about first aid in an effort to handle emergencies on Lemukutan Island. Keywords: First Aid, Knowledge, Education

Trial Assay for Safe First-Aid Protocol for the Stinging Sea Anemone Anemonia viridis (Cnidaria: Anthozoa) and a Severe Toxic Reaction

Anemonia viridis is an abundant and widely distributed temperate sea anemone that can form dense congregations of individuals. Despite the potential severity of its sting, few detailed cases have been reported. We report a case of a severe toxic reaction following an A. viridis sting in a 35-year-old oceanographer. She developed severe pain, itching, redness, and burning sensation, which worsened one week after treatment with anti-inflammatories, antihistamines and corticosteroids. Prompted by this event, and due to the insufficient risk prevention, lack of training for marine-environment users, and lack of research into sting-specific first-aid protocols, we evaluated the cnidocyst response to five different compounds commonly recommended as rinse solutions in first-aid protocols (seawater, vinegar, ammonia, baking soda, and freshwater) by means of the Tentacle Solution Assay. Vinegar and ammonia triggered an immediate and massive cnidocyst discharge after their application and were classified as activator solutions. Baking soda and freshwater were also classified as activator solutions, although with a lower intensity of discharge. Only seawater was classified as a neutral solution and therefore recommended as a rinse solution after A. viridis sting, at least until an inhibitory solution is discovered.

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

Geotechnical Management of Isolated Sustainable Alpine Communities

The Albanian Alps are situated in a mountainous block in the Northern Albania region, in the counties of Shkodër (also known as Shkodra or Gegëria) and Kukës (Kukësi). The nature of the mountainous terrain formation has led to the creation of isolated communities. The need for integrating these scattered communities into a cohesive co-operating community for area sustainability is now possible by using the Internet to link them all onto an online system. To deal with natural catastrophes, disaster management cells will be created which will serve as hubs. These hubs will be located at geographically strategic positions that will enable a predetermined geofenced region for evaluation of different disasters viz. forest fires, landslide, flooding, avalanches, the burial of villages under heavy snowfalls, etc. These cells will connect the particular case with the most appropriate disaster relief, rescue service and EMR (Emergency Medical Responder), first aid services (e.g. Green Crescent/Red Cross) and EMT (Emergency Medical Technician) personnel. The cells shall be managed by locally trained human resources with the necessary equipment to provide the monitoring/analyses and first aid assistance in case of need. The technology needed for the monitoring and geotechnical management of the isolated Alpine communities will be described. The socio-economic impact of the deployment of these technologies aiding in the sustainability of these vulnerable communities will conclude the research.