It is uncommon to have pulmonary hypertension. We describe a case of pulmonary hypertension in which the underlying etiology was determined to be hyperthyroidism. Clinical manifestations of hyperthyroidism-induced pulmonary hypertension can result in cyanosis and heart rhythm abnormalities, which are indicators of right heart failure. The 56-year-old woman in this case study complained of tightness and edema in both of her legs when she arrived at the emergency room. Upon examination, cyanosis, atrial fibrillation, and right heart failure were noted. Due to the patient's prior history of hyperthyroidism, secondary pulmonary hypertension is currently complicating the condition. In order to improve the prognosis for pulmonary hypertension, the patient's thyroid function is managed with medication while receiving treatment in the hospital.

The first responders who are often exposed to emergency condition play important roles in providing PHEC to victims withroad accident trauma. Hence, empowerment of first responders is highly required to achieve the target of response timeof less than 10 minutes to provide PHEC in order to minimize the numbers of deaths and disabilities caused by trauma.This study applied quasi-experimental design with static group comparison pattern using cross-sectional approach. Anumber of 40 samples of common people consisting of 20 samples in treatment group and 20 samples in control groupwere taken. The statistic test used in this research is t-test. The results reveals that simulation model using algorithminfluences the improvement of traffic volunteers’ emergency management capabilities with p-value of < 0.05 and meanscore difference of 34.5%, and the model is highly effective to be implemented to improve the capability of traffic assistantvolunteers to manage trauma emergency with the mean score difference of 11.5%. Algorithm models for PHEC simulationhave some strengths in real setting and effective interactive learning to evaluate the capabilities of first responders inmanaging pre-hospital emergency, and improve problem-solving skills, as well as their performance in such aspects asskill, knowledge, and attitude.