INITIAL ASSESSMENT AND MANAGEMENT 1 13 Maes i Diri: APD Lingkungan + Pasien: Y Informasi: Umur, Jenis kelamin, biomekanik trauma Y Pasang Monitor: TTV, SpO2 ¥_Keadaan mengancam nyawa 02 )Cek Respon Respon (+) Respon (-) Cok Nadi & napas rai e (el (dali Nadi (+), napas (+) PRIMARY SURVEY C-SPINE CONTROL ee Za [_sadar_] Tidak Sadar Neck collar Dengarkan Heimlich Maneuver / Konsul: Definitive EVALUASI Reterens: trarican College of Surgeon. (2018), Advarced Trouma Life Support. Chcaga: American College of Surgeon. | ©2018 Pro Emergency llINITIAL ASSESSMENT AND L MANAGEMENT 2 (B) srearans | + VENTILATION CONTROL a Hitung SPO2 <95% Frek, Napas >20x/menit i SPO2 295 %? PS Tercapai Tidak tercapai }i Inspeksi: vena jugularis, posisi trakea, kesimetrisan, RR, jejas / luka ‘Auskultasi: suara paru, jantung Perkusi: ICS | VI Palpasi: costae, clavicula, sternum (perubahan bentuk) YC re (ele (el area Hemothorax | Tamponade red) Open thd FL edad * Distensi Vena * Sucking Chest — Redup / * DistensiVena + Paradoxical Jugularis Wound dullness Jugularis Breathing * Hipersonor + Suara jantung (-) * Syok hipotensif * Deviasi Trakhea + Hipersonor Needle Decompression 02 konsentrasi tinggi, analgetik Perikardiosintesis ©2018 Pro Emergenc Occlusive Dressing 3-sisi CHEST TUBE con (2018). Advanced Trouma life Support. Chicago: American Collegeof Surgeon ferensi: American College of SurgeGEEZ + Haemoragic CONTROL Kaji tanda-tanda Syok Stop Perdarahan * Pucat ' * Akral dingin i i i + Nadi cepat & lemah Tidak Efektif eeeene nce nen eneceeeee st INPUT * IV Cath 2 Jalur ukuran terbesar dling SOLLEL.CATHETER * Cross Match Target: 0,5 cc/KgBB/Jam > Dewasa * Guyur Kristaloid hangat (37-40°C) ee a ane Dewasa :1L, Anak : 20 ml/KgBB Aaecee dears Efektif ei Tidak Efektif PRC Konsul_}) vases © PoKY-Y TTAB Gcs __LATERALISASI: PUPIL Referens: American College of Surgeon. (2018). Advanced Trauma Life Support. Chicago: American College of Surgeon. ©2048 Pro Emergency7 : 4 ue) INITIAL ASSESSMENT AND 4 ae MANAGEMENT seine Kaji Luka Tersembunyi Stoseskar asin iS Cegah Hipotermia TAMBAHAN (ADJUNCT) ttoyy ye @ FOLLEY CATHETER 1 —— vl \ i, Wal ‘al ACR int i}. AK MK MIN G) nets i AGD, Elektrolit, Darah Lengkap, (Thorax, Pelvis) Kimia Darah, FAST, DPL, NAPZA, X-Ray | eleens:amerzan Coleg Surgeon, 08). vnc Touma - fe Suppor. Chicago: American College of Surgeon, ©2018 Pro Emergen,INITIAL ASSESSMENT AND 5 MANAGEMENT im Srey Uae | @EKIE= @ Famnonunaiens | S.A.M.P.LE | atau Head to Toe yi | K.O.M.PAK TAMBAHAN (ADJUNCT) © PLANO CRU LEY Yang belum di PRIMARY SURVEY RADIOLOGIS AVS r 4) asco | | © Pa s0i7 Ve ee | |