Assalamualaikum Pre Hospital Trauma Keperawatan Gawat Darurat I

General Trauma Assessment 1. Scene size up 2. Initial assessment/ primary survey 3. Rapid

Scene size up • Universal precaution? • Lihat keadaan sekitar – Prioritas utama: keselamatan

Alat yang diperlukan • • • Proteksi penolong Long back board/scoop stretcher Cervical collar

Dressing and Bandages 04 December 2020 10

Primary survey • Gambaran umum korban • Tentukan respon pasien tingkat kesadaran AVPU •

Rapid Trauma Survey • Pemeriksaan secara sistematis dari kepala, leher, dada, abdomen, pelvis dan

Secondary survey • SAMPLE (Symptoms, Allergies, Medications, Past medical history, Last oral intake, Events

Critical Interventions and Transport Decision 1. Initial assessment – – – Penurunan kesadaran Respirasi

Transport • Jenis transportasi? • Transfer ke trauma centre berdasar prioritas pasien! 04 December

Slides: 20

Download presentation

Assalamu’alaikum Pre Hospital Trauma Keperawatan Gawat Darurat I

04 December 2020 2

04 December 2020 3

General Trauma Assessment 1. Scene size up 2. Initial assessment/ primary survey 3. Rapid trauma survey or focus assessment/ secondary survey 04 December 2020 4

Scene size up • Universal precaution? • Lihat keadaan sekitar – Prioritas utama: keselamatan penolong lingkungan yang aman untuk bekerja • • Initial triage. Berapa jumlah korban? Mekanisme cedera? Rapid extrication? Aktifkan EMS 04 December 2020 5

Alat yang diperlukan • • • Proteksi penolong Long back board/scoop stretcher Cervical collar OPT, suction Oksigen 04 December 2020 6

Cervical collar 04 December 2020 7

Oropharyngeal tube 04 December 2020 8

Airway Equipment 04 December 2020 9

Dressing and Bandages 04 December 2020 10

Long Back Board 04 December 2020 11

Scoop stretcher 04 December 2020 12

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 04 December 2020 13

04 December 2020 14

Rapid Trauma Survey • Pemeriksaan secara sistematis dari kepala, leher, dada, abdomen, pelvis dan ekstremitas dengan melihat, mendengar, meraba untuk menemukan kasus life threatening 04 December 2020 15

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 • December Intervensi lanjut: balut & bidai 04 2020 16

04 December 2020 17

Critical Interventions and Transport Decision 1. Initial assessment – – – Penurunan kesadaran Respirasi abnormal Sirkulasi abnormal syok, perdarahan tidak terkontrol 2. Rapid trauma survey – – Abnormal chest exam flail chest, etc Tender/distended abdomen Pelvic instability Bilateral femur fractures 3. High risk group 04 December 2020 18

Transport • Jenis transportasi? • Transfer ke trauma centre berdasar prioritas pasien! 04 December 2020 19

Wassalamu’alaikum