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Assalamu’alaikum Pre Hospital Trauma Keperawatan Gawat Darurat I.

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Presentasi berjudul: "Assalamu’alaikum Pre Hospital Trauma Keperawatan Gawat Darurat I."— Transcript presentasi:

1 Assalamu’alaikum Pre Hospital Trauma Keperawatan Gawat Darurat I

2 March 31, 20152

3 3

4 4 General Trauma Assessment 1.Scene size up 2.Initial assessment/ primary survey 3.Rapid trauma survey or focus assessment/ secondary survey

5 March 31, 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

6 March 31, Alat yang diperlukan Proteksi penolong Long back board/scoop stretcher Cervical collar OPT, suction Oksigen

7 Cervical collar March 31, 20157

8 Oropharyngeal tube March 31, 20158

9 Airway Equipment March 31, 20159

10 Dressing and Bandages March 31,

11 Long Back Board March 31,

12 Scoop stretcher March 31,

13 March 31, 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

14 March 31,

15 March 31, Rapid Trauma Survey Pemeriksaan secara sistematis dari kepala, leher, dada, abdomen, pelvis dan ekstremitas dengan melihat, mendengar, meraba untuk menemukan kasus life threatening

16 March 31, 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

17 March 31,

18 Critical Interventions and Transport Decision 1.Initial assessment –Penurunan kesadaran –Respirasi abnormal –Sirkulasi abnormal  syok, perdarahan tidak terkontrol 2.Rapid trauma survey –Abnormal chest exam  flail chest, etc –Tender/distended abdomen –Pelvic instability –Bilateral femur fractures 3.High risk group March 31,

19 March 31, Transport Jenis transportasi? Transfer ke trauma centre berdasar prioritas pasien!

20 Wassalamu’alaikum March 31,


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