initial assesment pasien trauma -...
Post on 25-Jun-2020
12 Views
Preview:
TRANSCRIPT
PENILAIAN AWALPASIEN
GAWATDARURAT
INITIAL ASSESMENT
RESUME
CODE BLUE RSUD dr.M.Soewandhie
AIRWAY + CERVIKAL SPINECONTROL
BREATHING +TENSION PNEUMOTHORAK
CIRCULATION + STOPBLEEDING
DISABILITY + CEGAH TIKMENINGKAT
EXPOSSURE + CEGAHHIPOTERMI
FOLLEYCATHETER
GASTRICTUBE
HAERTMONITOR
IMAGING
CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
INITIALASSESMENT
PASIENTRAUMA
3A
AMANKAN DIRI
AMANKAN LINGKUNGAN
INFORMCONCENTTNDAKAN RESUSITASI
AMANKAN PASIEN
PEGANGKEPALA
IN LINE KEPALADAN LEHERKEPALA
CODE BLUE RSUD dr.M.Soewandhie
INITIALASSESMENT
PASIENTRAUMA
CEKKESADARAN
AVPU
AWAKE/ALERT
ADA RESPON LANGSUNGCEK
AIRWAY
RESPON TO VERBAL
ADA RESPON LANGSUNGCEK
AIRWAY
RESPONTOPAIN
ADA RESPON LANGSUNGCEK
AIRWAY
UNRESPONSIBLE
TIDAKADARESPON
BUKAJALAN
NAFAS
CEK BREATHING
PASIEN TIDAK
BERNAFAS
RJP 30:2
CODE BLUE RSUD dr.M.Soewandhie
PRIMARY SURVEY
RE EVALUASI A B C D E F G HI
RIWAYAT A M P L E
CODE BLUE RSUD dr.M.Soewandhie
INITIALASSESMENT
PASIENTRAUMA
AIRWAY
GURGLING
TANPA ALAT:FINGERSWEAP
DENGAN ALAT: SUCTIONING
SNORING
TANPA ALAT:HEAD TILL,CHINLIFT,JAW
THRUST
DENGAN ALAT: OROPHARINGEAL
NASOPHARINGEAL
CROWING/
STRIDOR
INTUBASIRSI
(RAPIDSEQUENCE INTUBATION)
CHOKING/
TERSEDAK
TANPA ALAT
BACK BLOW, HEMELICH MANUVER (ABDOMINAL THRUST/CHESTTHRUST)
DENGAN ALAT
NEEDLE CRICOTIROIDOTOMI
SURGICAL CRICOTIROIDOTOMI
TRAKHEOSTOMI.
CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
PASANG HEAD BLOCK/BANTAL PASIR/BANTALINFUS
PASANG COLLAR BRACE/NECKCOLLAR
CERVIKAL SPINECONTROL
CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
TENSION PNEUMOTHORAK
LAKUKAN NEEDLE THORAKO SINTESIS DI ICS 2DIATASCOSTA3 GARIS MIDKLAVIKULA
(NEEDLE14,16)
BREATHING
GUNAKAN ALAT DENGAN
KONSENTRASI TERBESAR
YANG ANDA PUNYA (JACSON
REES, NON REBREATHING
MASK)
CODE BLUE RSUD dr.M.Soewandhie
(JACSON REES
NONREBREATHING MASK)
_ CT SCANKEPALA
BREATHING
OPENPNEUMOTHORAK
TENSIONPNEUMOTHORAK
MassiveHematothorak
FLAILCHEST
CODE BLUE RSUD dr.M.Soewandhie
TRAUMA KAPITIS, HEMATOM MATA KANAN PERDARAHAN TELINGGA KESADARAN MENURUN
OKSIGEN 60% TANPA BIDAI LEHER DAN BANTAL PASIRCODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
CIRCULATION
CEK TANDA TANDA SYOK
POSISI SYOK 450
STOPBLEEDING
PASANGIV LINEDOUBLE
BERI CAIRAN
KRISTALOID
20 -40 CC/KGBB
LAKUKAN (BANDAGING)
BEBAT TEKAN
LAKUKAN (SPLINTING)
BIDAI : MENCEGAH
SYOK NEUROGENIK
AMBIL SAMPEL DARAH
CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
INITIALASSESMENT
PASIENTRAUMA
DISABILITY / KESADARAN(+)
CEGAH TIK MENINGKAT
CEK GCS
POSISIKANSLIGHTHEAD
UP 20O - 300
REFLEK CAHAYA
LATERALISASI
TINDAKAN A-B-C
SUPORT
CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
INITIALASSESMENT
PASIENTRAUMA
EXPOSSURE + CEGAHHIPOTERMIA
THERMOREGULASI (PASANG SELIMUT) temp.rektal
EVALUASI HEAD TO TOE
LAKUKAN LOG ROLL BILA PX SUDAHSTABIL
CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
INITIALASSESMENT
PASIENTRAUMA
FOLLEY
CATHETER
INDIKASI
KONTRA
INDIKASI
GASTRIC TUBE
INDIKASI
KONTRA
INDIKASI
HEARTMONITOR
- EKG 12LEAD
- SPO2 MINIMAL 95 %
IMAGING
-CERVIKAL (LATERAL)
- PHOTOTHORAK(AP)
- PHOTO PELVIS(AP)
_ CT SCANKEPALA
CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
CF CostaPosterior
10,11
HematothoraxS
CODE BLUE RSUD dr.M.Soewandhie
(EDH)
EPIDURAL
HEMATOMCODE BLUE RSUD dr.M.Soewandhie
INITIALASSESMENT
PASIENTRAUMA
SECONDARY SURVEY
RE-EVALUASI ABCDEFGHI DARIHEAD
TOTOE
RIWAYATAMPLE
MOI :MECHANISM OF INJURY/
BIOMEKANIKA TRAUMA
CODE BLUE RSUD dr.M.Soewandhie
KONSUL
B 1 BREATH
B2BLEED
B3 BRAIN
B4BLADDER
B5BOWEL
B6BONE
CODE BLUE RSUD dr.M.Soewandhie
top related