Transcript Pre Hospital Trauma

Assalamu’alaikum
Pre Hospital Trauma
Keperawatan Gawat Darurat I
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General Trauma Assessment
1. Scene size up
2. Initial assessment/ primary survey
3. Rapid trauma survey or focus
assessment/ secondary survey
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Scene size up
• Universal precaution?
• Lihat keadaan sekitar
– Prioritas utama: keselamatan penolong 
lingkungan yang aman untuk bekerja
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Initial triage. Berapa jumlah korban?
Mekanisme cedera?
Rapid extrication?
Aktifkan EMS
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Alat yang diperlukan
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Proteksi penolong
Long back board/scoop stretcher
Cervical collar
OPT, suction
Oksigen
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Cervical collar
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Oropharyngeal tube
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Airway Equipment
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Dressing and Bandages
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Long Back Board
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Scoop stretcher
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Primary survey
• Gambaran umum korban
• Tentukan respon pasien  tingkat
kesadaran  AVPU
• Kaji airway, breathing & circulation 
lakukan tindakan jika terdapat gangguan
– bebaskan airway, stabilkan spine, support
pernafasan dan kontrol perdarahan mayor
• Tentukan prioritas  keputusan transfer
ke trauma centre
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Rapid Trauma Survey
• Pemeriksaan secara sistematis dari
kepala, leher, dada, abdomen, pelvis dan
ekstremitas dengan melihat, mendengar,
meraba untuk menemukan kasus life
threatening
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Secondary survey
• SAMPLE (Symptoms, Allergies, Medications,
Past medical history, Last oral intake, Events
preceding the incident)
• Vital sign
• Deformities, Contusion, Abrasion, Penetration,
Burn, Laceration, Swelling (DCAP-BLS)
• Tenderness, Instability, Crepitation (TIC)
• Pulse, Movement, Sensation (PMS)
• LOC  AVPU
• Pulse oxymetry
•AprilIntervensi
lanjut: balut & bidai
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Critical Interventions and
Transport Decision
1. Initial assessment
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Penurunan kesadaran
Respirasi abnormal
Sirkulasi abnormal  syok, perdarahan tidak terkontrol
2. Rapid trauma survey
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Abnormal chest exam  flail chest, etc
Tender/distended abdomen
Pelvic instability
Bilateral femur fractures
3. High risk group
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Transport
• Jenis transportasi?
• Transfer ke trauma centre berdasar
prioritas pasien!
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Wassalamu’alaikum
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