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