BASILISK 1st Intervention
SCOME CIMSA-BEM KM FK Unand
Cardiac arrest is an emergency condition that occurs suddenly without initial symptoms anywhere and anytime, for example in an environment outside the hospital that is called Out of Hospital Cardiac Arrest (OHCA). In Indonesia, it is estimated that 30 people per day or 10,000 people experienced cardiac arrest outside the hospital (Indonesian Cardiovascular Specialist Doctors Association, 2020). In order to deal with emergency cases of cardiac arrest, an effort is needed to restore and maintain vital organ functions. It is commonly known as Basic Life Support. The basic life support for cardiac arrest is cardiopulmonary resuscitation (CPR).
On September 18th, 2022, SCOME CIMSA-BEM KM FK Unand held 1st intervention of BASILISK activity including simulation of cardiopulmonary resuscitation, how to splint in case of fracture, wound management , and choking management. The simulation of cardiopulmonary resuscitation and choking management were given by the expert from IDI (Ikatan Dokter Indonesia) of West Sumatra, dr. Kino, SpJP(K) for cadres of BASILISK. This material will be useful when finding life-threatening emergency cases, especially sudden cardiac death (SCD).
Several things should be concerned in the management of basic life support such as knowing the sign of cardiac arrest, emergency activation, cardiopulmonary resuscitation, and defibrillator usage.
Cardiopulmonary resuscitation is an action with 30x chest compression and 2x breathing. The differences of action will be found in COVID-19 and intubated patients. In patients with intubation, we should do 100x/min compression and 8-10x/min bagging in 2 minutes. Meanwhile, for COVID-19 patients there are several managements such as reducing the exposure of helper, prioritizing oxygenation and ventilation strategy with low risk aerosolization, and also determining propiness of resuscitation.
The take home message that we can learn is early cardiac life support can help us to fix spontaneous circulation of sudden cardiac death patients. So, it is important for individuals to know and practice basic life support knowledge.
After the simulation of CPR and choking management, members of SCOME CIMSA-BEM KM FK Unand were given simulation of splints in case of fracture and wound management to the cadres of BASILISK according to what was understood in the pre-intervention. All cadres have practiced CPR, splinting, choking management, and wound management so that they are ready to carry out test cases in the next intervention.
SCOME
Standing Committee on Medical Education
CIMSA
Empowering Medical Students
Improving Nation’s Health