Tata Laksana Jalan Napas pada Pasien Trauma Maksilofasial ...
INITIAL ASSESMENT PASIEN TRAUMA - Surabaya
Transcript of INITIAL ASSESMENT PASIEN TRAUMA - Surabaya
![Page 1: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/1.jpg)
PENILAIAN AWALPASIEN
GAWATDARURAT
INITIAL ASSESMENT
RESUME
CODE BLUE RSUD dr.M.Soewandhie
![Page 2: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/2.jpg)
AIRWAY + CERVIKAL SPINECONTROL
BREATHING +TENSION PNEUMOTHORAK
CIRCULATION + STOPBLEEDING
DISABILITY + CEGAH TIKMENINGKAT
EXPOSSURE + CEGAHHIPOTERMI
FOLLEYCATHETER
GASTRICTUBE
HAERTMONITOR
IMAGING
CODE BLUE RSUD dr.M.Soewandhie
![Page 3: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/3.jpg)
CODE BLUE RSUD dr.M.Soewandhie
![Page 4: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/4.jpg)
INITIALASSESMENT
PASIENTRAUMA
3A
AMANKAN DIRI
AMANKAN LINGKUNGAN
INFORMCONCENTTNDAKAN RESUSITASI
AMANKAN PASIEN
PEGANGKEPALA
IN LINE KEPALADAN LEHERKEPALA
CODE BLUE RSUD dr.M.Soewandhie
![Page 5: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/5.jpg)
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
![Page 6: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/6.jpg)
PRIMARY SURVEY
RE EVALUASI A B C D E F G HI
RIWAYAT A M P L E
CODE BLUE RSUD dr.M.Soewandhie
![Page 7: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/7.jpg)
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
![Page 8: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/8.jpg)
CODE BLUE RSUD dr.M.Soewandhie
![Page 9: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/9.jpg)
CODE BLUE RSUD dr.M.Soewandhie
![Page 10: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/10.jpg)
CODE BLUE RSUD dr.M.Soewandhie
![Page 11: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/11.jpg)
PASANG HEAD BLOCK/BANTAL PASIR/BANTALINFUS
PASANG COLLAR BRACE/NECKCOLLAR
CERVIKAL SPINECONTROL
CODE BLUE RSUD dr.M.Soewandhie
![Page 12: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/12.jpg)
CODE BLUE RSUD dr.M.Soewandhie
![Page 13: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/13.jpg)
CODE BLUE RSUD dr.M.Soewandhie
![Page 14: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/14.jpg)
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
![Page 15: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/15.jpg)
(JACSON REES
NONREBREATHING MASK)
_ CT SCANKEPALA
BREATHING
OPENPNEUMOTHORAK
TENSIONPNEUMOTHORAK
MassiveHematothorak
FLAILCHEST
CODE BLUE RSUD dr.M.Soewandhie
![Page 16: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/16.jpg)
TRAUMA KAPITIS, HEMATOM MATA KANAN PERDARAHAN TELINGGA KESADARAN MENURUN
OKSIGEN 60% TANPA BIDAI LEHER DAN BANTAL PASIRCODE BLUE RSUD dr.M.Soewandhie
![Page 17: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/17.jpg)
CODE BLUE RSUD dr.M.Soewandhie
![Page 18: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/18.jpg)
CODE BLUE RSUD dr.M.Soewandhie
![Page 19: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/19.jpg)
CODE BLUE RSUD dr.M.Soewandhie
![Page 20: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/20.jpg)
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
![Page 21: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/21.jpg)
CODE BLUE RSUD dr.M.Soewandhie
![Page 22: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/22.jpg)
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
![Page 23: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/23.jpg)
CODE BLUE RSUD dr.M.Soewandhie
![Page 24: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/24.jpg)
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
![Page 25: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/25.jpg)
CODE BLUE RSUD dr.M.Soewandhie
![Page 26: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/26.jpg)
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
![Page 27: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/27.jpg)
CODE BLUE RSUD dr.M.Soewandhie
![Page 28: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/28.jpg)
CODE BLUE RSUD dr.M.Soewandhie
![Page 29: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/29.jpg)
CF CostaPosterior
10,11
HematothoraxS
CODE BLUE RSUD dr.M.Soewandhie
![Page 30: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/30.jpg)
(EDH)
EPIDURAL
HEMATOMCODE BLUE RSUD dr.M.Soewandhie
![Page 31: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/31.jpg)
INITIALASSESMENT
PASIENTRAUMA
SECONDARY SURVEY
RE-EVALUASI ABCDEFGHI DARIHEAD
TOTOE
RIWAYATAMPLE
MOI :MECHANISM OF INJURY/
BIOMEKANIKA TRAUMA
CODE BLUE RSUD dr.M.Soewandhie
![Page 32: INITIAL ASSESMENT PASIEN TRAUMA - Surabaya](https://reader030.fdocuments.net/reader030/viewer/2022012014/615917d939887946431f184d/html5/thumbnails/32.jpg)
KONSUL
B 1 BREATH
B2BLEED
B3 BRAIN
B4BLADDER
B5BOWEL
B6BONE
CODE BLUE RSUD dr.M.Soewandhie