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PADA EXTREMITAS
Diagnosis dan Penanganannya
PENDAHULUAN
TRAUMA EXTREMITAS
PASTI DISERTAI
TRAUMA VASKULER
RINGAN SAMPAI BERAT
LIFE THREATENING
LIMB THREATENING
PENDAHULUAN
MENGALIHKAN PERHATIAN
PRIMARY SURVEY
SECONDARY SURVEY
ETIOLOGI
LANGSUNG / DIRECT
TIDAK LANGSUNG / INDIRECT
KERUSAKAN ENDOTEL LOKAL
ETIOLOGI : DIRECT
TRAUMA TUMPUL
TRAUMA TAJAM
ETIOLOGI : INDIRECT
TRAUMA
KOMPRESSI
TRAUMA
TARIKAN
TIPE KERUSAKAN
KONTUSI
PERFORASI
LASERASI
TRANSEKSI
DIAGNOSIS
ANAMNESA
INSPEKSI
PALPASI
AUSKULTASI
DIAGNOSIS
MENGANCAM NYAWA
MENGANCAM EXTREMITAS
HARD SIGN
SOFT SIGN
HARD SIGN
PERDARAHAN YANG BERDENYUT
ADANYA ARTERIAL THRILL
BRUIT DEKAT ARTERI
ISCHEMIA DISTAL
HEMATOMA YANG MEMBESAR
SOFT SIGN
Anamnesa ada perdarahan banyak
Menurunnya pulsasi arteri
proximal
Adanya kelainan neurologis
LABORATORIS
DARAH LENGKAP
TROMBOSIT Count
BUN, S CREATININ
GOLONGAN DARAH
FAAL HEMOSTASIS
IMAGING
PLAIN X-RAY
ARTERIOGRAFI
DUPLEX DOPPLER
MANAGEMENT
LIFE TREATHENING
LIMB TREATHENING
HARD SIGN
SOFT SIGN
HEMORRAGE
MAJOR HEMMORHAGE
CRUSH SYNDROME
EXPLORASI
EVALUASI
MEDIKA MENTOSA
ANTIKOAGULAN PENTING UNTUK MENCEGAH
THROMBOSIS
ANTI PLATELET DRUG MEMPUNYAI MANFAAT
TERAPI BEDAH
LIGASI
REPAIR
REKONSTRUKSI
REPLACEMENT
MANGLED EXTREMITY
DERAJAT KERUSAKAN
ISCHEMIA
SYOK
UMUR PENDERITA
CRUSH INJURY
IVFD
COMPARTMENT
SYNDROME
TAMPAK TEGANG
ADA GEJALA 6 P
BUKA SEMUA BALUTAN / SPLINT
EVALUASI
FASCIOTOMY
RESUSCITATE
HARD SIGN
SOFT SIGN
OBSERVE
API<0.9
ARTERIOGRAFI
CLINICAL FOLLOW UP
SURGICAL EXPLORATION
ARTERIOGRAM
CLINICAL FOLLOW UP
Prolonged ischemia
Secondary haemorrhage
Fail reconstruction, recurrent ischemia
Vascular salvage of union functional limb
Venous thromboembolism
Iatrogenic complication
Imperfect anatomosis
Lateral repair without patch
Major venous ligation without repair
Inadequate excision of the damage vessel
Elevated compartment pressures
Infection
PENUTUP
Primary Survey
Secondary Survey
Hard Sign
Soft Sign
Multiple Trauma --- Team
TE R I MA KAS I H