penatalaksanaan fraktur
DESCRIPTION
Pelatalaksanaan Gawat Darurat Fraktur. Materi Kuiah Dr. Ahmad Rizal, SpB, SpBO, FICS.Pengertian patah tulang(fraktur), klasifikasi dan penatalaksanaannya.TRANSCRIPT
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PENATALAKSANAAN GAWAT DARURAT
FRAKTUR
Oleh :Dr. H. Ahmad Rizal, SpB, SpBO, FICS
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FRAKTUR= PATAH TULANG
DISKONTINUITAS :–Korteks Tulang–Epifise Tulang–Rawan Sendi
#
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KULIT PENUTUP :UTUH : # TERTUTUPLUKA : # TERBUKA
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HUBUNGAN JARINGAN LUNAK
- TERTUTUP kulit intak
- TERBUKA O2
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KOMPLIKATA
KERUSAKANNEUROVASKULER
VISCERALLIGAMENT/OTOT
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PEMERIKSAAN RADIOLOGI
• KOMPLITTIDAK KOMPLIT
• GARIS #–SIMPEL–MULTI FRAGMEN (KOMINUTIF)–SEGMENTAL
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PENYEBAB
• LANGSUNG / TIDAK LANGSUNG• TRAUMA TEKANAN LAMA
STRESS #• MELEMAHNYA TULANG
PATOLOGIS
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KRITERIA DIAGNOSIS
# : BAGIAN SEKUJUR TUBUH PASIEN
PERLU DIPERIKSA KESELURUHAN TUBUH PASIEN
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1. SYOK / PERDARAHAN
2. TRAUMA PENYERTA1. KEPALA2. DADA3. PERUT4. SUMSUM TULANG
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3. PREDISPOSISI1. OSTEOPOROSIS2. INFEKSI TULANG3. TUMOR
4. RASA NYERI PADA TEMPAT LAIN
TRAUMA
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PEMERIKSAAN FISIK DIAGNOSTIK
DILAKUKAN BILA K.U PASIEN
STABIL
• INSPEKSI–BENGKAK–DEFORMITAS– LUKA
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• PALPASI–NYERI TEKAN –NYERI SUMBU–KREPITASI
• PERGERAKAN – TULANG #– SENDI
LOKASI #
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• KONDISI AKRAL– FUNGSI : FUNCTIO LAESA–NEURO VASCULER
LUMPUHGANGREN
PERIKSAPULSASI ARTERIREFILLING KAPILERGERAKAN JARI-JARIGERAKAN JARI-JARISENSIBILITAS
A
TN
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PEMERIKSAAN PENUNJANG
• RADIOLOGITULANG
PROYEKSISENDISISI
2
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# GANDAHARUS DIBUAT X – RAY PADA BEBERAPA
TEMPAT
• LABORATORIUMDARAH - URIN
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DIAGNOSA
LOKASISENDIGARIS #TERTUTUP / TERBUKA
> FRAKTUR FEMUR 1/3 TENGAH DEXTRA TERTUTUP – GARIS # TRANSVERSAL
DIAGNOSA
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THERAPI
TUJUAN :1. MENDAPATKAN PENYAMBUNGAN TULANG
YANG ANATOMIS2. KEMBALINYA FUNGSI DARI ANGGOTA
GERAK
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TAHAPAN THERAPII. PRIMARY SURVEY
P2GD(PERTOLONGAN PERTAMA GAWAT DARURAT)PRINSIP = A.T.L.S
TRAUMA
LIFE SAVING
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1. BIDAI / BEBAT2. TRANSPORTASI3. ATASI : - SYOK
- PERDARAHAN- TRAUMA LAIN
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II. SECONDARY SURVEY
KU STABIL
BARU KITA TERAPI FRAKTUR :─ RECOGNITION─ REDUCTION─ RETAINING─ REHABILITATION
4 R
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TERAPI = FRAKTURR I : RECOGNITION
DIAGNOSAR II : REDUCTION
REPOSISIMENGEMBALIKAN POSISI FRAGMEN
TULANG KE POSISI SEMULA
CARA : TERTUTUPTERBUKA
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R III : RETAINING
IMMOBILISASI (MEMPERTAHANKAN POSISI)
IMMOBILISASI :– TRAKSI–GIPS– FIKSASI : - INTERNA
- EXTERNA
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R IV : REHABILITATIONGERAKAN SENDITONUS & FUNGSI MUSCULOSKELETAL
TUJUAN UTAMA :
FUNGSI PULIH KEMBALI
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1. # TERTUTUPREPOSISI TERTUTUPIMMOBILISASI
2. # TERBUKADEBRIDEMENTDILUSIREPOSISIIMMOBILISASI
EMERGENSI
SIKAP
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