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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, 20155 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, 20156 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, 201510

11 Long Back Board March 31, 201511

12 Scoop stretcher March 31, 201512

13 March 31, 201513 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, 201514

15 March 31, 201515 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, 201516 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, 201517

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, 201518

19 March 31, 201519 Transport Jenis transportasi? Transfer ke trauma centre berdasar prioritas pasien!

20 Wassalamu’alaikum March 31, 201520


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