Assalamu’alaikum Pre Hospital Trauma Keperawatan Gawat Darurat I
April 9, 2017
April 9, 2017
General Trauma Assessment Scene size up Initial assessment/ primary survey Rapid trauma survey or focus assessment/ secondary survey April 9, 2017
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
Alat yang diperlukan Proteksi penolong Long back board/scoop stretcher Cervical collar OPT, suction Oksigen April 9, 2017
Cervical collar April 9, 2017
Oropharyngeal tube April 9, 2017
Airway Equipment April 9, 2017
Dressing and Bandages April 9, 2017
Long Back Board April 9, 2017
Scoop stretcher April 9, 2017
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
April 9, 2017
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
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
April 9, 2017
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
Transport Jenis transportasi? Transfer ke trauma centre berdasar prioritas pasien! April 9, 2017
Wassalamu’alaikum April 9, 2017