Tujuan - Find the life threatening factor - Consist of : Resuscitation and Stabilization Jenis Shock => distributif, obstruktif,

cardiogenik, hipovolemik Triage => Sorting patient * Primary Survey Selalu A-B-C-D berurutan tapi harus simultan => Selesai dalam 2 menit <= prognosis baik Jika > 6 menit => prognosis buruk Pre hospital In hospital -> transpor -> persiapkan alat + standard precautions

Vital stabil => secondary survey Resuscitation ------------- Ventilate and Oxygenation proses bernafas dan beri oksigen - Stop the bleeding dengan menekan sumber perdarahan - Vigorous shock - Protect from cold temperature -AirwayPola pernafasan => torako-abdominal -> dewasa abdominal-torakal -> bayi abnormal jk sternokleido mastoidnya ikut bergerak => masalah di ventilate Respiration rate Rest -> 12-14x/menit Flail chest => fraktur costa multipel di bagian depan dada dada masuk ke dalam Pneumotoraks (Tension) Lakukan "DEKOMPRESI" ICR-2 = midline klavikula, abokat 14 = beri infus set Posisi Shock -> biasanya pasien koma - Posisi telentang - Kaki diangkat lalu beri double iv line, jika vena kolaps pasang di v. jugularis bisa awal diberi crystal apa? Perfusi - Kesadaran <<< , GFR <<< - pucat, dingin, basah - capillary refill time lambat jk > 2 second Disability - pupil (isokor+anisokor) - kesadaran => awake verbal pain unresponsive

Spine -> posisi in line