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"ABSTRAKKadar AT-III saat awal masuk rumah sakit pada pasien CAP berkorelasi kuat dengan kematian dalam 30 hari. Semakin rendah kasar AT-III, semakin tinggi angka kematian 30 hari. "

"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."

"Latar Belakang: Identifikasi risiko mortalitas pasien non bedah yang masuk ke ruang gawat darurat sangat penting dilakukan karena banyaknya pasien yang datang dengan berat penyakit bervariasi. Rapid Emergency Medicine Score (REMS) dikembangkan untuk memprediksi mortalitas pasien secara cepat sehingga dapat membantu dokter membuat keputusan klinis berdasarkan data yang objektif. Perbedaan karakteristik pasien di Indonesia dapat memengaruhi performa skor tersebut, sehingga perlu dilakukan validasi sebelum sistem skor tersebut digunakan. Tujuan: Menilai performa kalibrasi dan diskriminasi REMS dalam memprediksi mortalitas pasien gawat darurat non bedah di Instalasi Gawat Darurat Rumah Sakit Cipto Mangunkusumo (IGD RSCM). Metode: Penelitian ini merupakan studi kohort prospektif dengan subjek pasien non bedah yang masuk ke IGD RSCM pada bulan Oktober-Desember 2012. Usia, suhu tubuh, mean arterial pressure, denyut jantung, frekuensi pernapasan, saturasi oksigen perifer, dan Glasgow coma scale dinilai saat pasien masuk ke IGD untuk penilaian REMS. Luaran dinilai saat pasien keluar dari RSCM (hidup atau meninggal). Performa kalibrasi dinilai dengan plot kalibrasi dan uji Hosmer-Lemeshow. Performa diskriminasi dinilai dengan area under the curve (AUC). Hasil: Sebanyak 815 pasien non bedah masuk ke IGD RSCM selama penelitian. Terdapat 741 (90,9%) pasien yang berhasil diikuti sampai terjadi luaran dengan angka mortalitas sebanyak 145 pasien (19,57%). Plot kalibrasi REMS menunjukkan koefisien korelasi r = 0,913 dan uji Hosmer-Lemeshow menunjukkan p = 0,665. Performa diskriminasi ditunjukkan dengan nilai AUC 0,77 (IK 95% 0,723; 0,817). Simpulan: Rapid Emergency Medicine Score memiliki performa kalibrasi dan diskriminasi yang baik untuk memprediksi mortalitas pasien non bedah yang masuk ke IGD RSCM.

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Background: Identifying the mortality risk of nonsurgical emergency department (ED) patients is essential as a consequence of increasing number of attendence with diverse severity of disease. Rapid Emergency Medicine Score (REMS) was developed to predict patient?s mortality rapidly, therefore it can help doctors to make clinical decision based on objective data. Difference in characteristic of patients in Indonesia may influence the score?s performance, therefore validation of REMS is needed before applying this scoring system in Indonesia.

Objective: To evaluate calibration and discrimination of REMS in predicting mortality of nonsurgical ED patients in Cipto Mangunkusumo Hospital.

Methods: This is a prospective cohort study of nonsurgical patients who attended to ED of Cipto Mangunkusumo Hospital in October-December 2012. Age, body temperature, mean arterial pressure, heart rate, respiratory rate, peripheral oxygen saturation, and Glasgow coma scale were obtained when the patient was arrived at emergency room to perform the calculation of REMS. Outcome was assessed when patients were discharge from the hospital (alive or dead). Calibration was evaluated with calibration plot and Hosmer-Lemeshow test. Discrimination was evaluated with area under the curve (AUC).

Results: A total of 815 nonsurgical patients attended to ED of Cipto Mangunkusmo Hospital during the study. As many as 741 (90.9%) patients were followed through the outcome. Mortality was observed in 145 patients (19.57%). Calibration plot of REMS showed r = 0.913 and Hosmer-Lemeshow test showed p = 0.665. Discrimination was shown by ROC curve with AUC 0.77 (95% CI 0.723; 0.817).

Conclusion: Rapid Emergency Medicine Score showed a good calibration and discrimination in predicting mortality of nonsurgical emergency department patients in Cipto Mangunkusumo Hospital."

"Penelitian ini membahas tentang gambaran pemenuhan dari pelaksanaan sistem tanggap darurat di Fakultas Teknik Universitas Indonesia tahun 2016 berdasarkan Pedoman Kesiapsiagaan dan Tanggap Darurat Universitas Indonesia yang mengacu pada NFPA 1600 edisi 2016. Penelitian merupakan penelitian kualitatif dengan desain penelitian deskriptif analitik.Metode yang digunakan berupa wawancara, observasi langsung, dan telaah dokumen menggunakan instrumen checklist self-assessment for conformity NFPA 1600 edisi 2016. Penelitian dilakukan terhadap enam elemen di dalam NFPA 1600 edisi 2016 dan diperoleh hasil dengan total rata-rata terpenuhi sebesar 58,20%, tidak terpenuhi sebesar 29,40% dan tidak dapat teraplikasikan (not applicable) sebesar 12,40%.

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This Research discusses about the compliance of emergency response system implementation at Faculty of Engineering Universitas Indonesia in 2016, based on the University?s Guidelines for Emergency Preparedness and Response which refer to 2016 edition of NFPA 1600. It is a qualitative research with descriptive analytic design.

The method being used in this research are interview, observation, and document study using self-assessment for conformity checklist of NFPA 1600, 2016 edition. This research assess six elements of 2016 edition of NFPA 1600. The result of this study shows 58,20%% points are conforming, 29,40% are nonconforming, and 12,40% are not applicable."

"Penelitian ini membahas tentang sistem tanggap darurat yang Rumpun Ilmu Kesehatan Universitas Indonesia tahun 2016 mengacu pada pedoman tanggap darurat yang dimiliki K3L UI atau NFPA 1600 edisi 2016. Penelitian ini adalah penelitian kualitatif dengan disain deskriptif analitik.Hasil penelitian ini diperoleh dari wawancara semi-terstruktur, telaah dokumen terkait, serta observasi tempat penelitian. Dari 6 elemen yang diteliti, didapatkan hasil dengan total rata-rata kategori "Terpenuhi" yaitu 37,61%, kategori "Tidak Terpenuhi" yaitu 50,85%, dan kategori "Tidak Tersedia" yaitu 12,01%.

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This research is conducted in order to assess conformity of Faculty of Health Sciences Universitas Indonesia‟s emergency response system in accordance with the existent emergency response guidance by K3L UI. This is a qualitative research with descriptive analytic design.

The result of this research is obtained from semi-structured interview, review of related documents, and observation of research location. Out of all six elements that has been assessed, results are obtained with total average of "Conforming" category is 37,61%, "None Conforming" category is 50,85%, and "Not Available" category is 12,01%."

"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."