dr. ismail, inisial asesmen pada trauma
TRANSCRIPT
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Inisial Asesmen Pada TraumaDr. Ismail Bastomi, SpOT, FICSPPGD DOKTER/GELSRSUP. Dr. M. Hoesin Palembang
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Standard Precautions
• Cap • Gown• Gloves• Mask• Shoe covers• Goggles /
face shields
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UNIVERSAL PRECAUTION
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Mechanisms of Injury
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AIRWAY A
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BREATHING B
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SIRKULASI C
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BALUT TEKAN
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BALUT TEKAN
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DISABILITY D
• Periksa : • 1. Kesadaran dg cara:
– AVPU– GCS
• 2. Lateralisasi– Pupil isocor/tidak
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Traumatic Head Injury
ALL-NET Pediatric Critical Care Textbook Source: LifeART EM Pro (1998) Lippincott Williams & Wilkins. www.med.ub.es/All-Net/english/neuropage/trauma/head-8htm
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Epidural and Subdural Hematoma
ALL-NET Pediatric Critical Care Textbook - Source: LifeART EM Pro (1998) Lippincott Williams & Wilkins. www.med.ub.es/All-Net/english/neuropage/trauma/head-8htm
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Subarachnoid Hemorrhage
Rogers (1996) Textbook of Pediatric Intensive Care pp. 829
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Management of Traumatic Head Injury
• Maximize oxygenation and ventilation
• Support circulation / maximize cerebral
perfusion pressure
• Decrease intracranial pressure
• Decrease cerebral metabolic rate
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Monitoring
• Serial neurologic examinations
• Circulation / Respiration• Intracranial Pressure• Radiologic Studies • Laboratory Studies
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EXPOSURE E
• Buka seluruh pakaian pasien trauma (telanjangi)
• Untuk melihat adanya cedera lain di tubuh pasien trauma
• Hindari hypothermia dengan cara menyelimuti pasien
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GRACIAS
MERCI
THANKS