Assalamu’alaikum Pre Hospital Trauma

Presentasi berjudul: "Assalamu’alaikum Pre Hospital Trauma"— Transcript presentasi:

1 Assalamu’alaikum Pre Hospital Trauma
Keperawatan Gawat Darurat I

2 April 9, 2017

3 April 9, 2017

4 General Trauma Assessment
Scene size up Initial assessment/ primary survey Rapid trauma survey or focus assessment/ secondary survey April 9, 2017

5 Scene size up Universal precaution? Lihat keadaan sekitar
Prioritas utama: keselamatan penolong  lingkungan yang aman untuk bekerja Initial triage. Berapa jumlah korban? Mekanisme cedera? Rapid extrication? Aktifkan EMS April 9, 2017

6 Alat yang diperlukan Proteksi penolong Long back board/scoop stretcher
Cervical collar OPT, suction Oksigen April 9, 2017

7 Cervical collar April 9, 2017

8 Oropharyngeal tube April 9, 2017

9 Airway Equipment April 9, 2017

10 Dressing and Bandages April 9, 2017

11 Long Back Board April 9, 2017

12 Scoop stretcher April 9, 2017

13 Primary survey Gambaran umum korban
Tentukan respon pasien  tingkat kesadaran  AVPU Kaji airway, breathing & circulation  lakukan tindakan jika terdapat gangguan bebaskan airway, stabilkan spine, support pernafasan dan kontrol perdarahan mayor Tentukan prioritas  keputusan transfer ke trauma centre April 9, 2017

14 April 9, 2017

15 Rapid Trauma Survey Pemeriksaan secara sistematis dari kepala, leher, dada, abdomen, pelvis dan ekstremitas dengan melihat, mendengar, meraba untuk menemukan kasus life threatening April 9, 2017

16 Secondary survey SAMPLE (Symptoms, Allergies, Medications, Past medical history, Last oral intake, Events preceding the incident) Vital sign Deformities, Contusion, Abrasion, Penetration, Burn, Laceration, Swelling (DCAP-BLS) Tenderness, Instability, Crepitation (TIC) Pulse, Movement, Sensation (PMS) LOC  AVPU Pulse oxymetry Intervensi lanjut: balut & bidai April 9, 2017

17 April 9, 2017

18 Critical Interventions and Transport Decision
Initial assessment Penurunan kesadaran Respirasi abnormal Sirkulasi abnormal  syok, perdarahan tidak terkontrol Rapid trauma survey Abnormal chest exam  flail chest, etc Tender/distended abdomen Pelvic instability Bilateral femur fractures High risk group April 9, 2017

19 Transport Jenis transportasi?
Transfer ke trauma centre berdasar prioritas pasien! April 9, 2017

20 Wassalamu’alaikum April 9, 2017