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No. Sampel : Tanggal/jam MRS : LEMBAR PENELITIAN VALIDITAS CHEST TRAUMA SCORE DALAM MENDETEKSI TERJADINYA ACUTE RESPIRATORY DISTRESS SYNDROME PADA PASIEN TRAUMA THORAK Identitas Pasien Nama : Jenis kelamin/Umur : Alamat/No telpon : No. Rekam Medis : Mekanisme Trauma : Chest Trauma Score (CTS) Age score <45 th 1 45-65 th 2 >65 th 3 Pulmonary contusion None 0 Unilateral minor 1 Bilateral minor 2 Unilateral mayor 3 Bilateral mayor 4 Rib score <3 rib fracture 1 3-5 rib fracture 2 >5 rib fracture 3 Bilateral rib fracture

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No. Sampel :Tanggal/jam MRS :LEMBAR PENELITIANVALIDITAS CHEST TRAUMA SCORE DALAM MENDETEKSI TERJADINYA ACUTE RESIRATORY DISTRESS SYNDROME ADA ASIEN TRAUMA THORAKI!en"#"a$ a$#enNama :Jen#$ %elam#n/Um&' :Alama"/No "elpon :No. Re%am Me!#$ :Me%an#$me T'a&ma :C(e$" T'a&ma S)o'e *CTS+Age $)o'e,-. "( /-.01. "( 231. "( 4&lmona'5 )on"&$#onNone 6Un#la"e'al m#no' /7#la"e'al m#no' 2Un#la"e'al ma5o' 47#la"e'al ma5o' -R#8 $)o'e,4 '#8 9'a)"&'e /40. '#8 9'a)"&'e 2 3. '#8 9'a)"&'e 47#la"e'al '#8 9'a)"&'e No 6 Ye$ /J&mla(N#la# A:D :aO2 :;#O2:Ra"#o aO2/;#O2 :