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  • Pre Hospital Trauma: Keperawatan Gawat Darurat I

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    Allea Azalea
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    The document provides an overview of pre-hospital trauma care procedures, including general trauma assessment, equipment, and interventions. It discusses performing an initial assessment to evaluate safety, number of victims, and mechanism of injury. The primary survey involves assessing the patient's level of consciousness, airway, breathing, and circulation and intervening if needed. The rapid trauma survey and secondary survey systematically examine the patient for life-threatening injuries. Critical patients requiring transport to a trauma center are identified based on instability in vital signs or physical exam findings. Appropriate transportation and prioritization of patients for transfer is also covered.

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    Pre Hospital Trauma

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    The document provides an overview of pre-hospital trauma care procedures, including general trauma assessment, equipment, and interventions. It discusses performing an initial assessment to evaluate safety, number of victims, and mechanism of injury. The primary survey involves assessing the patient's level of consciousness, airway, breathing, and circulation and intervening if needed. The rapid trauma survey and secondary survey systematically examine the patient for life-threatening injuries. Critical patients requiring transport to a trauma center are identified based on instability in vital signs or physical exam findings. Appropriate transportation and prioritization of patients for transfer is also covered.

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    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    29 views20 pages

    Pre Hospital Trauma: Keperawatan Gawat Darurat I

    Uploaded by

    Allea Azalea
    The document provides an overview of pre-hospital trauma care procedures, including general trauma assessment, equipment, and interventions. It discusses performing an initial assessment to evaluate safety, number of victims, and mechanism of injury. The primary survey involves assessing the patient's level of consciousness, airway, breathing, and circulation and intervening if needed. The rapid trauma survey and secondary survey systematically examine the patient for life-threatening injuries. Critical patients requiring transport to a trauma center are identified based on instability in vital signs or physical exam findings. Appropriate transportation and prioritization of patients for transfer is also covered.

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    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    of 20

    Assalamualaikum

    Pre Hospital Trauma

    Keperawatan Gawat Darurat I

    September 19, 2012

    September 19, 2012

    General Trauma Assessment


    1. Scene size up 2. Initial assessment/ primary survey 3. Rapid trauma survey or focus assessment/ secondary survey

    September 19, 2012

    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
    5

    September 19, 2012

    Alat yang diperlukan


    Proteksi penolong Long back board/scoop stretcher Cervical collar OPT, suction Oksigen

    September 19, 2012

    Cervical collar

    September 19, 2012

    Oropharyngeal tube

    September 19, 2012

    Airway Equipment

    September 19, 2012

    Dressing and Bandages

    September 19, 2012

    10

    Long Back Board

    September 19, 2012

    11

    Scoop stretcher

    September 19, 2012

    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


    September 19, 2012 13

    September 19, 2012

    14

    Rapid Trauma Survey


    Pemeriksaan secara sistematis dari kepala, leher, dada, abdomen, pelvis dan ekstremitas dengan melihat, mendengar, meraba untuk menemukan kasus life threatening

    September 19, 2012

    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 Intervensi lanjut: balut & bidai September 19, 2012

    16

    September 19, 2012

    17

    Critical Interventions and Transport Decision


    1. Initial assessment
    Penurunan kesadaran Respirasi abnormal Sirkulasi abnormal syok, perdarahan tidak terkontrol Abnormal chest exam flail chest, etc Tender/distended abdomen Pelvic instability Bilateral femur fractures

    2. Rapid trauma survey

    3. High risk group

    September 19, 2012

    18

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

    September 19, 2012

    19

    Wassalamualaikum

    September 19, 2012

    20

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