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  • Pre Hospital Trauma

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    Winti Easterton
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    This document discusses general trauma assessment and management for pre-hospital settings. It outlines the steps for primary and secondary surveys, including assessing the airway, breathing, circulation and determining the priority for patient transport. Critical interventions like controlling bleeding and stabilizing the spine are emphasized. Various equipment used in trauma care and transport are also highlighted, such as cervical collars, backboards and scoop stretchers.

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    This document discusses general trauma assessment and management for pre-hospital settings. It outlines the steps for primary and secondary surveys, including assessing the airway, breathing, circulation and determining the priority for patient transport. Critical interventions like controlling bleeding and stabilizing the spine are emphasized. Various equipment used in trauma care and transport are also highlighted, such as cervical collars, backboards and scoop stretchers.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    12 views20 pages

    Pre Hospital Trauma

    Uploaded by

    Winti Easterton
    This document discusses general trauma assessment and management for pre-hospital settings. It outlines the steps for primary and secondary surveys, including assessing the airway, breathing, circulation and determining the priority for patient transport. Critical interventions like controlling bleeding and stabilizing the spine are emphasized. Various equipment used in trauma care and transport are also highlighted, such as cervical collars, backboards and scoop stretchers.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    of 20

    Assalamualaikum

    Pre Hospital Trauma


    Keperawatan Gawat Darurat I

    May 20, 2014 2

    May 20, 2014 3
    May 20, 2014 4
    General Trauma Assessment
    1. Scene size up
    2. Initial assessment/ primary survey
    3. Rapid trauma survey or focus
    assessment/ secondary survey
    May 20, 2014 5
    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
    May 20, 2014 6
    Alat yang diperlukan
    Proteksi penolong
    Long back board/scoop stretcher
    Cervical collar
    OPT, suction
    Oksigen

    Cervical collar

    May 20, 2014 7
    Oropharyngeal tube

    May 20, 2014 8
    Airway Equipment

    May 20, 2014 9
    Dressing and Bandages

    May 20, 2014 10
    Long Back Board

    May 20, 2014 11
    Scoop stretcher

    May 20, 2014 12
    May 20, 2014 13
    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
    May 20, 2014 14
    May 20, 2014 15
    Rapid Trauma Survey
    Pemeriksaan secara sistematis dari
    kepala, leher, dada, abdomen, pelvis dan
    ekstremitas dengan melihat, mendengar,
    meraba untuk menemukan kasus life
    threatening
    May 20, 2014 16
    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

    May 20, 2014 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

    May 20, 2014 18
    May 20, 2014 19
    Transport
    Jenis transportasi?
    Transfer ke trauma centre berdasar
    prioritas pasien!
    May 20, 2014 20

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