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  • History Taking On Musculoskeletal Trauma: Faculty of Medicine and Health Science

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    This document outlines the key aspects to consider when taking a history for musculoskeletal trauma: 1) Chief complaints and symptoms, 2) Mechanism of injury, 3) Environment of the injury, 4) Patient's pre-injury status and predisposing factors, and 5) Observations and care received prior to hospitalization. It provides detailed guidance on questioning patients about each of these aspects, including diagrams to illustrate mechanisms of injury from various incidents. References are also included that provide more information on trauma evaluation.

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    This document outlines the key aspects to consider when taking a history for musculoskeletal trauma: 1) Chief complaints and symptoms, 2) Mechanism of injury, 3) Environment of the injury, 4) Patient's pre-injury status and predisposing factors, and 5) Observations and care received prior to hospitalization. It provides detailed guidance on questioning patients about each of these aspects, including diagrams to illustrate mechanisms of injury from various incidents. References are also included that provide more information on trauma evaluation.

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    Download as PPTX, PDF, TXT or read online from Scribd
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    7 views11 pages

    History Taking On Musculoskeletal Trauma: Faculty of Medicine and Health Science

    Uploaded by

    mol3y
    This document outlines the key aspects to consider when taking a history for musculoskeletal trauma: 1) Chief complaints and symptoms, 2) Mechanism of injury, 3) Environment of the injury, 4) Patient's pre-injury status and predisposing factors, and 5) Observations and care received prior to hospitalization. It provides detailed guidance on questioning patients about each of these aspects, including diagrams to illustrate mechanisms of injury from various incidents. References are also included that provide more information on trauma evaluation.

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    of 11

    FACULTY OF MEDICINE AND

    HEALTH SCIENCE
    UNIVERSITAS MUHAMMADIYAH YOGYAKARTA

    STASE KOMPREHENSIF

    History Taking on
    Musculoskeletal Trauma
    Wonosobo, 18/6/2015

    KEY ASPECTS :
    1. Chief complaint & Symptoms
    2. Mechanism of Injury (MOI)
    3. Environment
    4. Pre-injury Status & predisposing
    factors
    5. Prehospital observation and care

    1. Chief complaint & Symptoms


    Pain
    Pain

    Swelling
    Swelling

    Deformity
    Deformity

    Stiffness
    Stiffness
    Chief
    Chief
    Complaint
    Complaint
    Weakness
    Weakness

    Instability
    Instability
    Loss
    Loss of
    of
    function
    function
    Change
    Change in
    in
    Sensibility
    Sensibility

    1. 5 W + 1 H
    2. Dimensi RPS
    3. OPQRST :
    . Onset
    . Provocation/palliati
    on
    . Quality of Pain
    . Region & Radiation
    . Severity
    . Time

    2. Mechanism of Injury

    Jenis
    Jenis KLL
    KLL

    Kecepatan
    Kecepatan
    kendaraan
    kendaraan
    Direction
    Direction of
    of
    impact
    impact

    Kendaraan
    Kendaraan
    bermotor
    bermotor

    Posisi
    Posisi pasien
    pasien
    pre
    pre &
    &
    postcrash
    postcrash
    Kerusakan
    Kerusakan
    luar
    luar &
    & dalam
    dalam
    kendaraan
    kendaraan
    Penggunaan
    Penggunaan
    alat
    alat
    pengaman
    pengaman
    Riwayat
    Riwayat
    jatuh/terlemp
    jatuh/terlemp
    ar
    ar
    Riwayat
    Riwayat
    terhimpit
    terhimpit
    objek
    objek
    Terjadi
    Terjadi
    ledakan?
    ledakan?

    American College of Surgeon. (2012). Advanced


    Trauma Life Support ATLS Student Course Manual
    9th Edition. Chicago: American College of Surgeon.
    P 243

    2. Mechanism of Injury

    Jenis
    Jenis KLL
    KLL

    Kecepatan
    Kecepatan
    kendaraan
    kendaraan
    Direction
    Direction of
    of
    impact
    impact

    Kendaraan
    Kendaraan
    bermotor
    bermotor

    Posisi
    Posisi pasien
    pasien
    pre
    pre &
    &
    postcrash
    postcrash
    Kerusakan
    Kerusakan
    luar
    luar &
    & dalam
    dalam
    kendaraan
    kendaraan
    Penggunaan
    Penggunaan
    alat
    alat
    pengaman
    pengaman
    Riwayat
    Riwayat
    jatuh/terlemp
    jatuh/terlemp
    ar
    ar
    Riwayat
    Riwayat
    terhimpit
    terhimpit
    objek
    objek
    Terjadi
    Terjadi
    ledakan?
    ledakan?

    Thompson, Jon. 2010. Netter's Concise Orthopaedic


    Anatomy 2nd edition.Philadepphia : Elsevier. P 48. p
    434

    2. Mechanism of Injury
    Senjata/alat penyebab
    Trauma
    tembus

    Distance from assailant


    Jumlah
    tembakan/tusukan
    Lingkungan kejadian
    Trauma termal

    Substansi
    penyebab
    Lama terpapar

    Perkiraan tinggi
    jatuh
    Jatuh

    Posisi tubuh saat mendarat


    Permukaan/tempat mendarat

    American College of Surgeon. (2012). Advanced Trauma Life Support


    ATLS Student Course Manual 9th Edition. Chicago: American College of
    Surgeon. P 15

    3. Environment

    Kondisi lingkungan
    terkontaminasi

    Lingkungan &
    keadaan tempat
    kejadian

    Paparan Suhu ekstrem

    Paparan pecahan kaca/gas/zat


    toksik lain

    Sumber kontaminasi

    4. Pre-injury Status &


    predisposing factors
    Allergies

    Pre-injury
    Status &
    predispos
    ing
    factors

    Medications currently
    used

    Past illnesses/Pregnancy

    Last Meal

    Mencakup
    Kemampuan
    Fisik & tingkat
    aktivitas
    Penggunaan
    obat & alkohol
    Masalah
    emosional &
    sakit lain
    Trauma
    muskuloskeletal
    sebelumnya

    Events/Environment related to injury

    5. Prehospital Observation & Care

    1. Waktu kejadian
    2. Posisi pasien saat
    ditemukan
    3. Perdarahan & perkiraan
    jumlah perdarahan
    4. Ujung tulang/fraktur
    yang terpapar
    lingkungan
    5. Ada/tidaknya fungsi
    sensorik & motorik di

    6. Jarak waktu sejak


    kejadian-penangananevakuasi
    7. Perubahan perfusi,
    fungsi, status
    neurologis selama
    transfer ke RS
    8. Reduksi
    fraktur/dislokasi di TKP
    9. Balut luka & bidai yang

    KEY ASPECTS :
    1. Chief Complaint & Symptoms
    2. Mechanism of Injury (MOI)
    3. Environment
    4. Pre-injury Status & predisposing factors
    5. Prehospital observation and care

    References
    American College of Surgeon. (2012). Advanced Trauma Life
    Support ATLS Student Course Manual 9th Edition.
    Chicago: American College of Surgeon.
    Solomon, Louis, et al. (2010). Apleys System of Orthopaedics
    and Fractures 9th edition. London : Hodder Arnold

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