OUTLINE PERKULIAHAN BLOK EMERGENCY MEDICINE TAHUN 2022

Specific Learning Departemen / Kode

Pokok Bahasan Sub Pokok Bahasan
Objectives Narasumber Tahapan

EMERGENCY MEDICINE – 1
Pendahuluan Pengenalan Blok Emergency Medicine
Mahasiswa akan memperoleh IT-MEU EM-F
gambaran umum mengenai
blok Emergency Medicine
melalui pemutaran film dan
ceramah

Lingkup Bahasan – 1: Initial assessment and management of emergency cases

1. PRIMARY 1.1. Preparation: 1. Identify the correct Anestesiologi & EM1-K1
SURVEY - Prehospital phase sequence of priorities in Reanimasi
ASSESSMENT - Inhospital phase assessing the multiply 1. dr. Soejat Harto,
1.2. Triage decision scheme injured patient SpAn, KAP
1.3. Primary Survey: 2. Apply the principles 2. dr. Qadri Fauzi
A – Airway maintenance outlined in primary and Tanjung, SpAn,
B – Breathing & ventilation secondary evaluation KAKV
C – Circulation with Haemorrhage surveys to the
control assessment of the
D – Disability: Neurologic status multiply injured patient
E – Exposure/ Environmental control 3. Apply guidelines and
1.4.Rescucitation techniques in the initial
1.5. Adjuncts to Primary Survey and rescucitative and
Rescucitation: definitive care phases of
- ECG monitoring treatment
- Urinary and gastric chateters 4. Identify how the patient’s
- Monitoring medical history
- X-ray and diagnostic studies 5. Anticipate the pitfalls
(Chest, pelvis, C-spine, abdominal associated with the the
USG) initial assessment and
1.6. Consider need for patient transfer management of injury
contribute to the
2. SECONDARY 2.1. TOTAL PATIENT EVALUATION: identification of injuries Anestesiologi & EM1-K2
SURVEY Physical Examination and History Reanimasi
ASSESSMENT 1. Head and skull 1. dr. Cut Meliza
2. Maxillofacial Zainumi,
3. Neck M.Ked(An), SpAn
4. Chest 2. Dr. dr. Tasrif
5. Abdomen Hamdi, M.Ked(An),
6. Perineum/ rectum/ vagina SpAn, KMN
7. Musculoskeletal
8. Complete neurologic examination
2.2. REEVALUATION
2.3. ADJUNCTS TO SECONDARY
SURVEY
2.4. DEFINITIVE CARE
2.5. TRANSFER

Lingkup Bahasan – 2: Airway and ventilatory management

4. AIRWAY 4.1. Problem recognition 1. Identify the clinical settings Anestesiologi & EM1-K3
4.2. Objective signs – Airway in which airway Reanimasi
obstruction comprimise is like to occur 1. Dr. dr. Tasrif
2. Recognizes the signs and Hamdi, M.Ked(An),
5. VENTILATION 5.1. Problem recognition symptoms of acute airway SpAn, KMN
5.2. Objective signs – Inadequate obstruction 2. dr. Bastian Lubis,
Ventilation M.Ked(An), SpAn,
6. MANAGEMENT 6.1. Airway maintenance technique 1. Describe the techniques to KIC
6.2. Definitive Airway establish and maintain a
6.3. Airway decision scheme patent airway and confirrm
6.4. Oxygenation the adequacy of ventilation
 6.5. Crycothyroidotomy and oxygenation
2. Describe manual methods
to establish an airway:
triple airway maneuver:
3. Describe mechanic
methods to establish an
airway
● Needle cricothyrotomy
● Needle thoracocentesis
● Needle thoracocentesis
● Chest drain
7. AIRWAY 7.1. Pengaruh tekanan tinggi udara 1. Keadaan pada tempat Fisiologi EM1-K4
PROBLEMS DUE lingkungan (Hiperbarik) pada tinggi (High Altitude) 1. Dr. dr. Dedi
TO berbagai sistem tubuh 2. Hubungan tempat tinggi Ardinata, M.Kes,
ENVIRONMENT 7.2. Pengaruh tekanan rendah udara (High Altitude) terhadap AIFM
lingkungan (Hipobarik) pada pernapasan 2. dr. Selly Azmeila,
berbagai sistem tubuh 3. Mekanisme terjadinya M.Ked(Oph), SpM
7.3. Masalah Fisiologi pada ketinggian mountain sicknes akut
(High Altitude) 4. Proses Aklimatisasi dan
7.4. Efek Tekanan Parsial Gas tinggi manfaatnya
pada Tubuh (N2, O2 & Co2) 5. Mekanisme terjadinya
mountain sicknes kronik
6. Kedalaman dari
permukaan laut terhadap
tekanan parsial gas dalam
tubuh
7. Pengaruh tekanan udara
yang tinggi (hiperbarik)
terhadap sistem
pernapasan
8. Narkosis Nitrogen pada
penyelaman
9. Mekanisme terjadinya
penyakit dekompresi dan
pencegahannya
10. Keracunan O2 akut pada
penyelaman
11. Keracunan CO2 akut
pada penyelaman
12. Manfaat Terapi O2
Hiperbarik
Lingkup Bahasan – 3: Cardio Pulmonary Resuscitation
8.1. Basic life support 1. Primary survey Anestesiologi & EM1-K5
2. Resuscitation Reanimasi
3. Adjuncts to primary 1.dr. Cut Meliza
survey and resuscitation Zainumi, M.
4. Secondary survey Ked(An), SpAn
5. Adjuncts to secondary 2. Dr. dr. Wulan
survey Fadinie, M.
6. Continued Ked(An), SpAn
postresuscitation
monitoring and
reevalution
8. CPR OF ADULT 7. Definitive care
a. Advanced life support 1. Primary sur vey Kardiologi EM1-K6
2. Resuscitation 1. dr. T. Bob Haykal,
3. Adjuncts to primary survey SpJP
and resuscitation 2. dr. Yuke Sarastri,
4. Secondary survey SpJP
5. Adjuncts to secondary
survey
6. Continued
postresuscitation
monitoring and reevalution
7. Definitive care
9. CPR OF 6.2. Basic life support 1. Primary survey IKA EM1-K7
 2. Resuscitation 1. Prof. dr. H. Munar
3. Adjuncts to primary survey Lubis, SpA(K)
and resuscitation 2. dr. Badai Buana
4. Secondary survey Nst M.Ked(Ped),
5. Adjuncts to secondary SpA(K)
survey
6. Continued
postresuscitation
monitoring and reevalution
7. Definitive care
CHILDREN a. Advanced life support 1. Primary sur vey IKA EM1-K8
AND NEONATUS 2. Resuscitation 1. Dr. dr. Ririe
3. Adjuncts to primary survey Fahcrina Malisie,
and resuscitation M.Ked(Ped),
5. Secondary survey SpA(K)
6. Adjuncts to secondary 2. dr. Badai Buana
survey Nst M.Ked(Ped),
7. Continued SpA(K)
postresuscitation
monitoring and
reevalution
8. Definitive care
Lingkup Bahasan – 4: Shock
10.1. PRIOR KNOWLEDGE: 1. Define shock and apply Anestesiologi & EM1-K9
10.1.1. Basic cardiac physiology this definition to clinical Reanimasi
10.1.2. Blood loss pathophysiology practice 1. Dr. dr. Tasrif
2. Recognize the clinical Hamdi, M.Ked(An),
10.2. INITIAL PATIENT shock syndrome and SpAn, KMN
ASSESSMENT: correlate the patient’s 2. dr. Ahmad Yafiz
10.2.1. Recognition of shock acute clinical signs with Hasby, M.
10. INITIAL 10.2.2. Clinical differentiation of the degree of volume Ked(An), SpAn
PATIENT ethiology of shock: deficit
ASSESSMENT 10.2.2.1. Hemmorrhagic shock
10.2.2.2. Non hemorrhagic shock
a. Cardiogenic shock
b. Tension pneumothorax
c. Neurogenic shock
d. Septic shock
e. Anaphylactic shock

11. INITIAL 11.1. HEMORRHAGIC SHOCK IN THE 1. Apply the basic principles Anestesiologi & EM1-K10
MANAGEMENT INJURED PATIENT: of treatment of Reanimasi
OF 11.1.1. Definition of hemorrhage haemorrhagic shock to the 1. dr. Raka Jati
HEMORRHAGIC
11.1.2. Direct effects of hemorrhage patient’s clinical response Prasetya, M.
SHOCK
11.1.3. Fluid changes secondary to soft to therapy Ked(An), SpAn
tissue injury 2. dr. Bastian Lubis,
M. Ked(An), SpAn,
11.2. INITIAL MANAGEMENT OF KIC
HEMORRHAGIC SHOCK:
11.2.1. Physical examination:
1. Airway and breathing
2. Circulation – hemorrhage control
3. Disability – Neurologic
examination
4. Exposure – complete examination
5. Gastric dilatation –
decompression
6. Urinary catheter insertion
11.3. Vascular access lines
11.4. INITIAL FLUID THERAPY
 12.1. EVALUATION OF FLUID Anestesiologi & EM1-K11
RESUSCITATION AND ORGAN Reanimasi
PERFUSION 1. Dr. dr. Tasrif
12.1.1. General Hamdi, M.Ked(An),
12.1.2. Urinary output SpAn, KMN
12.1.3. Acid/ Base balance 2. Prof. dr.
Achsanuddin
THERAPEUTIC DECISIONS BASED Hanafie, SpAn,
ON RESPONSE TO INITIAL FLUID KIC, KAO
12. EVALUATION
RESUSCITATION:
OF FLUID
12.2.1.Rapid response
RESUSCITATI
12.2.2. Transient response
ON AND
12.2.3. Minimal or no response
ORGAN
PERFUSION
10.3. BLOOD REPLACEMENT
10.3.1. Packed red blood cells vs.
Whole blood therapy
10.3.2. Crossmatched, Type specific,
and Type O blood
10.3.3. Warming fluids – plasma and
crystalloid
10.3.4. Autotransfusion
10.3.5. Coagulopathy
10.3.6. Calcium administration
13.1. SPECIAL CONSIDERATIONS IN 1. Recognize special Kardiologi EM1-K12
THE DIAGNOSIS AND considerations in fluid 1. Prof. dr. Harris
TREATMENT OF SHOCK : management that are Hasan, SpPD,
13.1.1. Equating blood pressure with unique to the trauma
SpJP(K)
cardiac output patient
13.1.2. Age 2. Identify the similarities 2. dr. Cut Aryfa
13.1.3. Athletes and differences in the Andra, SpJP(K)
13. SPECIAL
CONSIDERATI 13.1.4. Pregnancy clinical presentation of
ONS IN THE 13.1.5. Medications patients with the various
DIAGNOSIS 13.1.6. Hypothermia etiologies of the shock
AND 13.1.7. Pace maker state
TREATMENT 3. Recognize the indications
OF SHOCK 13.2. REASSESSING PATIENT and potential
RESPONSE AND AVOIDING complications associated
COMPLICATIONS: with vascular access
13.2.1. Continued hemorrhage procedures
13.2.2. Fluid overload and CVP
monitoring
13.2.3. Recognition of other problems
14.1. INITIAL ASSESSMENT: Menjelaskan tanda awal shock IKA EM1-K13
14.1.1. Recognition of shock dan berbagai penyebabnya 1. Prof. dr. Chairul EM1-K14
14.1.2. Clinical differentiation of serta melakukan penanganan Yoel, SpA(K)
14. SHOCK IN
ethiology of shock segera dan evaluasi terhadap 2. Dr. dr. Rina Amalia
NEONATUS
14.2. INITIAL MANAGEMENT bayi dan anak C. Saragih,
AND
EVALUATION M.Ked(Ped), SpA
PEDIATRICS
3. Dr. dr. Gema Nazri
Yanni,
M.Ked(Ped), SpA

Pharmacology 15.1 Management of drug withdrawal 15.1.1 Menjelaskan aspek Farmakologi EM1-K15
in emergency 15.2 Pharmacologic Therapy for farmakologi dari obat yang 1. dr.Siti Syarifah,
cases/ critical emergency cases digunakan pada : M.Biomed
illness ● Alcohol withdrawal 2. Prof. dr.Aznan
● Sedative withdrawal Lelo, PhD, Sp.FK
● Narcotic withdrawal
15. 2. Menjelaskan aspek
farmakologi dari obat yang
digunakan pada
emergency trolley:
● Adrenalin
● Dipenhydramine
● Kortikosteroid
 ● Obat anti convulsan
● Obat anti Crisis
Hypertension
(nitroprusside)
● Morphin/ Pethidine
● Sulfas Atropin
● Kalsium glukonas
● Furosemide
● Dextrosa 40%
● Atracurium
● Fentanyl
● MgSO4
15.3 LASA (Look A like, Sound
A Like) daftar obat diatas
15.2. Pharmacologic Therapy for 2. Menjelaskan farmakologi
emergency cases dari obat yang digunakan
pada emergency cases :
● Dopamine
● Dobutamin
● Adrenalin
● Digoxin
● amiodarone
● Obat anti convulsan
● Obat anti Crisis
Hypertension
● Morphin/ Pethidine

Lingkup Bahasan – 5: Head Trauma

16.1. PRIOR KNOWLEDGE: 1. Describe basic intracranial Bedah Saraf: EM1-K16
16.1.1. Anatomy (Scalp, Skull, anatomy and physiology 1. Dr. dr. Andre M.P.
Meninges, Brain, 2. Describe classification of Siahaan, MKed,
Cerebrospinal fluid, head injury SpBS
Tentorium) 2. dr. Steven
16.1.2. Physiology (intracranial Tandean, M.Ked,
16. HEAD
pressure, Monro-Kellie SpBS
TRAUMA
Doctrine, Cerebral perfusion
pressure, Cerebral blood flow)
16.2. CLASSIFICATION:
16.2.1. Mechanism of injury
16.2.2. Severity of injury (GCS Score)
16.2.3. Morphology of injury
17.1.Definition 1. Evaluate a patient with Bedah Saraf: EM1-K17
17.2.History mild head injury 1. Dr. dr. Rr Suzy
17. MANAGEMENT 17.3.General examination to exclude 2. Perform the necessary Indharty, M.Kes,
OF MILD HEAD
INJURY
systemic injuries stabilization procedures SpBS(K)
17.4.Limited neurologic examination 1. Determine the appropriate 2. Dr. dr. Andre M.P.
disposition of the patient Siahaan, MKed,
18.1.Definition 1. Evaluate a patient with SpBS
18. MANAGEMEN 18.2.Initial examination moderate head injury
T OF 18.3.After admission 2. Perform the necessary
MODERATE stabilization procedures
HEAD INJURY 3. Determine the appropriate
disposition of the patient
19.1. INITIAL MANAGEMENT OF 1. Evaluate a patient with
SEVERE HEAD INJURY – moderate head injury
PRIMARY SURVEY AND 2. Perform the necessary
19. MANAGEMENT RESUSCITATION: stabilization procedures
OF SEVERE 19.1.1 Airway and breathing 3. Determine the appropriate
HEAD INJURY 19.1.2. Circulation disposition of the patient
9.2. SECONDARY SURVEY
9.3. NEUROLOGIC EXAMINATIONS
9.4. DIAGNOSTICS PROCEDURES
20. MEDICAL 20.1. Intravenous Fluids
THERAPIES 20.2. Hyperventilation
FOR HEAD 20.3. Mannitol
INJURY 20.4. Furosemide
 20.5. Steroids
20.5. Barbiturates
20.6.Anticonvulsants
21. - Status Neurologi EM1-K18
Epileptikus 1. Prof. Dr. dr. Kiking
- Krisis Ritarwan MKT,
Myasthenia Sp.S(K)
Gravis 2. dr. Irina Keumala
- Acute Medulla Nasution, Sp.S
Compression

Lingkup Bahasan – 6: Thoracic Trauma

22.1.Airway 1. Identify and initiate Bedah Thorax EM1-K19
22.2.Breathing, recognized: treatment of the injuries 1. dr. Marshal, SpB,
22.2.1. Tension pneumothorax during the primary survey SPBKTV
22. PRIMARY 22.2.2. Open penumothorax (“sucking 2. dr. Maulidya
SURVEY: LIFE chest wound”) Ayudika Dandasial,
THREATENING 22.2.3. Flail chest SpBKTV
INJURIES 22.2.4. Massive hemothorax
2.3. Circulation, recognized:
2.3.1. Massive hemothorax
2.3.2. Cardiac tamponade
23.1. Eight lethal injuries are 1. Identify and initiate Bedah Thorax EM1-K20
considered: treatment of the injuries 1. dr. Dody Prabisma,
23.1.1. Simple pneumothorax during the secondary SpB
23. SECONDARY
23.1.2. Hemothorax survey 2. dr. Muhammad Ali
SURVEY: LIFE
23.1.3. Pulmonary contusion Syahputra,
THREATENING
23.1.4. Tracheobronchial tree injuries SpBTKV
CHEST
23.1.5. Blunt cardiac injury
INJURIES
23.1.6. Traumatic aortic disruption
23.1.7. Traumatic diaphragmatic injury
23.1.8. Mediastinal traversing wounds
24.1.Thoracic needle decompression 1. Recognize the indications
24. MANAGEMEN 24.2.Chest tube insertion for, the complications of
T OF 24.3.Pericardiocentesis the thoracic needle
THORACIC decompression, chest tube
TRAUMA insertion, and
pericardiocentesis
25. Pulmonary 25.1. Batuk darah 1. Recognize problems due Pulmonologi EM1-K21
emergencies: 25.2. Gagal nafas to pulmonary emergencies 1. Dr. dr. Noni Novi
25.3. Kegawatdaruratan respirasi Soeroso, SpP(K)
(eksaserbasi) pada Asma dan 2. dr. Syamsul Bihar,
PPOK M.Ked(Paru), SpP
25.4. Sepsis dengan Syok dan gagal
nafas
25.5. Pneumothorax
25.6. Atelektasis
25.7. Emboli paru
25.8. Edema paru
25.9. Near drowning
25.10. Corpus Alienum
25.11. Efusi Pleura Masif
25.12. Aspirasi gas yang berbahaya/
racun/kebakaran
25.13. ARDS (Acute Respiratory
Distress Syndrome)
26. Cardiovascular 26.1.Cardiac arrest 1. Clinical features Kardiologi EM1-K22
emergencies 26.2.Cardiogenic pulmonary oedema i. Diagnosis and differentials 1. dr. Cut Aryfa
26.3.Acute Coronary Syndrome diagnosis Andra, SpJP(K)
ii. Emergency treatment
2. dr. Abdul Halim
Raynaldo, SpJP(K)
Lingkup Bahasan – 7: Abdominal Trauma
27.1.PRIOR KNOWLEDGE: 1. Describes the significance Bedah Digestive EM1-K23
27. INTRODUCTI
EXTERNAL ANATOMY OF THE of the anatomic regions of 1. dr. Budi Irwan,
ON
 ABDOMEN:
27.1.1. Anterior abdomen
27.1.2. Flank
27.1.3. Back
27.2. INTERNAL ANATOMY OF THE
ABDOMEN:
27.2.1. Peritoneal cavity
27.2.2. Pelvic cavity
27.2.3. Retroperitoneal space
the abdomen SpB-KBD
2. Recognize the difference 2. dr. Asrul, SpB-KBD
between blunt and
penetrating abdominal
injury patterns
1. Identify the signs
suggesting intraperitoneal,
retroperitoneal, and pelvic
injury

27.3. Mechanism of injury:

27.3.1. Blunt trauma
27.3.2. Penetrating trauma
28.1. History 1. Apply the diagnostics and Bedah Digestive EM1-K24
28.2. Physical examination: therapeutic procedures 1. dr. Budi Irwan,
28.2.1. Inspection specific to abdominal SpB-KBD
28.2.2. Auscultation trauma 2. dr. Syafruddin
28.2.3. Percussion Nasution, SpB-
28.2.4. Palpation KBD
28.2.5. Evaluation of penetrating
wounds
28.2.6. Local exploration of stab
wounds
28. INITIAL 28.2.7. Assessing pelvic stability
ASSESSMENT 28.2.8. Peniel, perineal, and rectal
examination
28.2.9. Vaginal examination
28.2.10.Gluteal examination

28.3. Insertion:
28.3.1. Gastric tube
28.3.2. Urinary catheter
28.4. Blood and urine sampling
28.5. Diagnostic peritoneal
Lavage
29. SPECIAL 29.1. X-ray Studies 1. Describes the diagnostics Radiologi EM1-K25
DIAGNOSTIC 29.2. Diagnostic ultrasound and discuss the utility and 1. dr. Henny M.
STUDIES in 29.3. Computed tomography limitations of the procedure Sipahutar, SpRad
BLUNT 2. dr. Armen H.
TRAUMA Rangkuti,
SpRad(K)
30. THE 30.1. Akut abdomen: 1. Definisi Bedah Digestive EM1-K26
DIGESTIVE 30.1.1. Peritonitis 2. Gejala klinis dan 1. Prof. dr. Bahctiar
SYSTEM 30.1.2. Ileus diagnosis Surya, SpB-KBD
EMERGENCIE 30.1.3. Apendisitis 3. Penatalaksanaan 2. dr. Adi Muradi,
S SpB-KBD
30.2. Perdarahan saluran cerna
31. TOXICOLOGY 31.1.Anticholinergic syndrome 1. Clinical features IPD EM1-K27
31.2.Physcho-pharmacologic agents 2. Diagnosis and 1. dr. Zuhrial Zubir,
31.3.Sedative hypnotic differentials diagnosis SpPD, K-AI
31.4.The alcohol 3. Emergency treatment 2. dr. Tambar
31.5.Drugs abuse 4. If standard treatment Kembaren, SpPD,
31.6.Analgesic fails KPTI
31.7.Xanthines 3. dr. Rahmad
30.8Cardiac medications Isnanta, SpPD, K-
30.9.Organophosphate KV
30.10.Toxic gases 4. dr. Wika Hanida
Lubis, M.Ked(PD),
SpPD, FINASIM ,
K-Psi
5. dr. Dairion Gatot,
M.Ked, SpPD,
KHOM
6. dr. Masrul Lubis,
SpPD, KGEH
Pharmacology 32.1. Pharmacology Therapy for drugs 1. Menjelaskan tatalaksana Farmakologi EM1-K28
Therapy for drugs or substance poisonings farmakologi pada 1. dr. Tri
or substance keracunan organofosfat Widyawati,M.Si,
poisonings 2. Menjelaskan tatalaksana Ph.D
farmakologi untuk 2. Dr. rer. med. dr. M.
keracunan parasetamol Ichwan, MSc
3. Menjelaskan tatalaksana
farmakologi untuk
keracunan obat-obat lain
(alcohol, sedative)

Lingkup Bahasan – 8: Musculoskeletal Trauma

32.1. Initial assessment 1. Outline Priorities in the Bedah Orthopedi EM1-K29
32.2. Spinal Precaution assessment of spine 1. dr. Otman Srg,
32. PRIMARY terauma to prevent
SpOT (K)
SURVEY AND 32.1.Imaging in Spine Trauma disabilities due to
EMERGENCY 32.1.1. Associated Injury neurological deficit 2. dr. Pranajaya D.K,
IN SPINAL 32.1.2. Initial Management SPOT (K)
INJURY 3. dr. Heru R,
SpOT(K)
4. dr. Benny, SpOT
33.1. HISTORY 1. Recognized and describe Bedah Orthopedi EM1-K30
33.1.1. Mechanism of injury the significance of 1. Prof. dr. Nazar M,
33.1.2. Environment musculoskeletal injuries in SpB, SpOT(K)
33.1.3. Preinjury status and the multiply injured patient 2. dr. Andriandi,
predisposing factors SpOT (K)
33. SECONDARY 33.1.4. Prehospital observations and 3. dr. R.P.
SURVEY care Yudhadibrata,
33.2. PHYSICAL EXAMINATION SpOT
33.2.1. Look and ask
33.2.2. Feel
33.2.3. Circulatory evaluation
X-rays
34.1. Major Pelvic Disruption with 1. Outline priorities in the Bedah Orthopedi EM1-K31
Hemorrhage: assessment of 1. dr. Chairiandi Srg,
34.1.1. Injury musculoskeletal trauma to SpOT(K)
34.1.2. Assessment identify life threatening 2. dr. Husnul F.A,
34. POTENTIALLY 34.1.3. Management injuries SpOT
LIFE- 34.2. Major Arterial Hemorrhage 3. dr. M. Hidayat Srg,
THREATENING 34.2.1. Injury SpOT
EXTREMITY 34.2.2. Assessment
INJURIES 34.2.3. Management
34.3. Crush Syndrome
34.3.1. Injury
34.3.2. Assessment
34.3.3. Management
35.1. Open Fractures and Joint Injuries 1. Outline priorities in the Bedah Orthopedi EM1-K32
35.1.1. Injury assessment of 1. dr. Aga S.P.
35.1.2. Assessment musculoskeletal trauma to Ketaren, SpOT
35.1.3. Management identify limb threatening 2. dr. Nino Nst, SpOT
35.2. Vascular Injuries, including injuries (K)
Traumatic Amputation
35.2.1. History and Assessment
36. LIMB 35.2.2. Management
THREATENING 35.3. Compartment Syndrome
INJURIES 35.3.1. Injury
35.3.2. Assessment
35.3.3. Management
35.4. Neurologic Injury Secondary to
Fracture Dislocation
35.4.1. Injury
35.4.2. Assessment
35.4.3. Management
37. OTHER 36.1. Contusions and Lacerations 1. Outline the proper Bedah Orthopedi EM1-K33
EXTREMITY 36.2. Joint Injuries: principles of initial 1. dr. Iman D.W,
 36.2.1. Injury management for SpOT
36.2.2. Assessment musculoskeletal injuries 2. dr. O.K. Ilham,
36.2.3. Management SpOT
36.3. Fractures: 3. dr. R.P.
36.3.1. Injury Yudhadibrata,
INJURIES
36.3.2. Assessment SpOT
36.3.3. Management
36.4. PRINCIPLES OF
IMMOBILIZATION
36.5. PAIN CONTROL

EMERGENCY MEDICINE – 2
Lingkup Bahasan – 9: Injuries due to Burns and Cold
37. IMMEDIATE 37.1.Airway 1. Estimate the burn size Bedah Plastik EM2-K1
LIFE-SAVING 37.2.Stop the Burning Process and determine the
MEASURES 37.3.Intravenous Lines presence of associated dr. Arya Tjipta
FOR BURN 37.4. ASSESSING THE BURN injuries Prananda, SpBP
INJURIES PATIENT: 2. Describe measures of
37.4.1. History initial stabilization and
37.4.2. Body Surface Area treatment of patients with
37.4.3. Depth of Burn burns Ilmu Kesehatan Anak: EM2-K2
37.5. STABILIZING THE BURN 3. Identify special problems 1. Dr. dr. Gema Nazri
PATIENT: and methods of treatment Yanni,
37.5.1. Airway of patients with burns M.Ked(Ped), SpA
37.5.2. Breathing 4. Specify criteria for the 2. dr. Aridamuriany
37.5.3. Circulating Blood Volume transfer of burn patients D. Lubis,
37.5.4. Physical Examination M.Ked(Ped),
37.5.5. Flow Sheet SpA(K)
37.5.6. Baseline Determinations for the
Major Burn Patient (Blood, X-
Rays)
37.5.7. Circumferential Extermity
Burns: Maintenance of
Peripheral Circulation
37.5.8. Gastric Tube Insertion
37.5.9. Narcotics, Analgesics, and
Sedatives
37.5.10.Wound Care
37.5.11.Antibiotics
37.6. SPECIAL BURN
REQUIREMENTS:
37.6.1. Chemical Burns
37.6.2. Electrical Burns
37.7. CRITERIA FOR TRANSFER
38. COLD INJURY: 38.1. PRIOR KNWLEDGE: 1. Describe measures of Fisiologi EM2-K3
LOCAL TISSUE 38.1.1. Mekanisme Pengaturan suhu initial stabilization and 1. Dr. dr. Dedi
tubuh treatment of patients Ardinata, M.Kes,
38.1.2. Respon terhadap suhu with cold injury AIFM
lingkungan yang panas (tinggi) 2. Identify special 2. dr. Selly Azmeila,
38.1.3. Adaptasi terhadap suhu problems and methods M.Ked(Oph), SpM
lingkungan yang panas (tinggi) of treatment of patients
38.1.4. Respon terhadap suhu with cold injury
lingkungan yang dingin
(rendah)
38.1.5. Adaptasi terhadap suhu
lingkungan yang dingin
(rendah)
38.2. Types
38.2.1. Frostnip
38.2.2. Frostbite
38.3.3. Nonfreezing Injury
38.3. Management of Frostbite and
Nonfreezing Cold Injuries
38.4. Local Wound Care of Frostbite
39. COLD INJURY: 39.1. Signs of Hypothermia Anestesiologi & EM2-K4
 SYSTEMIC 39.2. Management of Hypothermia: Reanimasi
HYPOTHERMI 39.2.1. Adhering to the ABCDEs of 1. dr. Cut Meliza
A resuscitation Zainumi, M.
39.2.2. Identifying the type and Ked(An), SpAn
extent of cold injury 2. Dr. dr. Tasrif
39.2.3. Measuring the patient’s core Hamdi, M.Ked(An),
temperature SpAn, KMN
39.2.4. Initiating a patient-care flow
sheet
39.2.5. Initiating rapid rewarming
techniques
39.2. 6. Determining the patient’s life
or death status after
rewarming
40. Survival” di 40.1.Kemampuan tubuh bertahan 1. Suhu & kelembaban di Fisiologi EM2-K5
Pegunungan (survival) terhadap lingkungan lingkungan pegunungan 1. Dr. dr. Dedi
tanpa alat bantu Pegunungan 2. Hypotermia Ardinata, M.Kes,
“Survival” di 40.2.Kemampuan tubuh bertahan 1. Suhu & konsentrasi air AIFM
Lautan tanpa (survival) terhadap lingkungan laut. 2. dr. Selly Azmeila,
alat bantu Laut 2. Efek meminum air laut M.Ked(Oph), SpM
“Survival” di 40.3.Kemampuan tubuh bertahan 3. Suhu & kelembaban di
Padang pasir (survival) terhadap lingkungan Padang pasir
tanpa alat bantu Padang Pasir 4. Heat Ilness
5. Syok Hipovolemik
6. Heat exhaustion, heat
stroke dan kematian
Lingkup Bahasan – 10: Pediatric Trauma
41. INTRODUCTION 41.1. Special considerations in 1. Identify the unique IKA EM2-K6
assessment and management of characteristics of the child
injured child: as a trauma patient: 1. dr. Yunnie
41.1.1. Size and Shape Trisnawati,
41.1.2. Skeleton M.Ked(Ped),
41.1.3. Surface Area SpA(K)
D. Psychologic Status 2. Dr. dr. Ririe
E. Long-term Effects Fachrina Malisie,
F. Equipment SpA(K)
42. PRIMARY 42.1. AIRWAY BREATHING 1. Primary management of
MANAGEMENT CIRCULATION AND SHOCK the critical injuries in
children based on the
42.2. CHEST TRAUMA ABDOMINAL anatomic an physiologic
TRAUMA HEAD TRAUMA differences as compared
MUSCULOSKELETAL TRAUMA with adults
2. Identify the injury patterns
42.3. THE BATTERED, ABUSED associated with the
CHILD abused child and the
elements that lead to the
suspicion of child abuse
Lingkup Bahasan – 11: Pediatric emergencies due to organ system
43. Cardiovascular 43.1.Supraventricular tachycardia 1. To understand the IKA EM2-K7
emergency (SVT) management of SVT 1. Dr. dr. Tina
43.2.Atrial fibrillasi/flutter 2. To understand the Christina L.
management of atrial TObing,
43.3.Congestive heart failure fibrilasi/flutter M.Ked(Ped),
(CHF) 1. To understand the SpA(K)
43.4.Heart Tamponade management of CHF 2. dr. Hafaz Abdillah,
43.5.Cyanotic spells 2. To understand the M.Ked(Ped),
management of Heart SpA(K)
tamponade
3. To understand the
management of cyanotic
spells
44. Respirology 44.1.Life Threatening Asthma ● To understand the IKA EM2-K8
emergency management of life 1. dr. Wisman,
44.2.Tension pneumothorax threatening asthmaticus M.Ked(Ped),
● To understand the SpA(K)
 management of tension 2. Dr. dr. Rini S
pneumothorax Daulay
M.Ked(Ped), SpA
45. Neurologic 45.1.Acute convulsion ● To understand the IKA EM2-K9
emergency management of Acute 1. dr. Yazid Dimyati,
45.2.Status convulsivus convulsion M.Ked(Ped),
● To understand the SpA(K)
management of Status 2. dr. Johannes
convulsivus Saing,
M.Ked(Ped),
SpA(K)
46. Metabolic 46.1.Hypoglycemia 1. To understand the IKA EM2-K10
emergency management of 1.dr. Aridamuriany D.
46.2.Electrolyte disturbances and acid- Hypoglycemia Lubis, M.Ked(Ped),
base imbalance 2. To understand the SpA(K)
management of Electrolyte 2.dr. Indah Nur
disturbances and acid-base Lestari,
imbalanc M.Ked(Ped),
Sp.A(K)
46.3.Uremic encephalopathy 3. To understand the IKA EM2-K11
management of Uremic 1. Dr. dr. Oke Rina
46.4.Crisis Hypertension encephalopathy Ramayanti,
4. ‘To understand the M.Ked(Ped),
management of crisis SpA(K)
hypertension 2. dr. Rosmayanti,
M.Ked(Ped),
SpA(K)
Lingkup Bahasan – 12: Emergencies due to organ system
47. Renal and 47.1.Urinary tract infections 1. Recognize clinical features Bedah Urologi EM2-K12
Genitourinary 47.2.Male genitale problems in emergency cases of
system 47.3.The dialysis patient renal and genitourinary dr. Yacobda H.
emergencies 47.4.Urologic stone disease system SIgumonrong, SpU
2. Describe the management
of the renal and
genitourinary emergency
cases
48. Endocrine 48.1.Coma Diabeticum 1. Recognize clinical features Div. Endocrine-IPD EM2-K13
emergencies: 48.2.Alcoholic Ketoacidosis in emergency cases of 1. Prof. Dr. dr.
48.3.Lactic acidosis endocrine Dharma Lindarto,
48.4.Thyroid crisis 2. Describe the management SpPD, K-EMD
of the 2. dr. M. Aron
endocrineemergency Pase,MKed ( PD ),
cases SpPD
3. dr. Melati Silvanni
Nst, M.Ked(PD),
SpPD
4. dr. Santi Syafril,
SpPD, K-EMD
49. Hematologic 49.1.Acquired bleeding disorders 1. Recognize clinical features Div . Hematologi dan EM2-
Emergencies 49.2.Hemophilia in emergency cases of Onkologi-IPD K14
49.3.Hemolytic anemia hematologic system 1. dr. Dairion Gatot,
M.Ked, SpPD,
KHOM
2. dr. Henny
Syahrini,
M.Ked(PD), SpPD
50. Opthalmologic 50.1.Trauma Okuli 1. Recognize clinical features Ilmu Kesehatan Mata EM2-K15
Emergencies 50.2.Hifema in emergency cases of 1. Prof. Dr. dr. Rodiah
50.3.Ulkus kornea opthalmologic system Rahmawati,
50.4.Glaukoma akut 2. Describe the management M.Ked(Oph),
50.5.Endophthalmitis of the opthalmologic SpM(K)
50.6.Ablasio Retina emergency cases 2.. T. Siti Harilza
Zubaidah,
M.Ked(Oph), SpM
51. ENT 50.1.Otolaryngologic emergencies 1. Recognize clinical features THT EM2-K16
Emergencies 50.2.Nasal emergencies in emergency cases of 1. dr. Ashri
 50.3.Maxillofacial trauma ENT system Yudhistira,
2. Describe the management M.Ked(ORL-HNS),
of the ENT emergency SpTHT-KL
cases 2. Dr. dr. Andrina
Y.M. Rambe,
M.Ked), SpTHT-
KL(K)
52. Skin Stevens - Johnson Syndrome/Toxic 1. Recognize clinical IKKK EM2-K17
emergencies Epidermal Necrolysis features in emergency 1. Prof. Dr. dr. Irma
cases of the skin D. Roesyanto,
2. Describe the management SpKK(K)
of the skin emergency 2. dr. Cut Putri
cases Hazlianda,
M.Ked(DV), SpDV
53. Psychiatric Agresif, gaduh gelisah, kekerasan, 1. Recognize clinical Psikiatri EM2-K18
Emergencies bunuh diri pada gangguan : features in emergency 1. dr. Vita Camelia,
- Skizofrenia cases of the psychiatric M.Ked(KJ), SpKJ)
- Psikosis masa nifas patient 2. Dr. dr. Mustafa M.
- Psikosis reaktif 2. Describe the Amin, M.Ked(KJ),
- Gangguan bipolar, episode kini management of SpKJ
manik, dengan gejala psikotik emergency cases of the
- Intoksikasi zat psikoaktif psychiatric patient
Lingkup Bahasan – 13: Transfer to Definitive Care
54. PATIENT 54.1. DETERMINING THE NEED FOR 54. Identify those injured Anestesiologi& EM2-K19
TRANSFER PATIENT TRANSFER: patients who may require Reanimasi
54.1.1. Interhospital transfer criteria transfer from a primary 1. dr. Soejat Harto,
care institution to a SpAn, KAP
54.2.TRANSFER RESPONSIBILITIES: fascility capable of 2. dr. Fadli Armi
54.2.1. Referring Doctor providingthe necessary Lubis, M. Ked(An),
54.2.2. Receiving Doctor level of trauma care SpAn
54.2. MODES OF 55. Initiate procedure to
TRANSPORTATION optimally prepare the
54.3. TRANSFER PROTOCOLS: trauma patient for safe
54.3.1. Referring Doctor transfer to a higher level
54.3.2. Information to Transferring trauma care fascility via
Personnel the appropriate mode of
54.3.3. Documentation transportation
54.3.4. Prior to Transfer
54.3.5. Management During Transport
54.4. TRANSFER DATA
Lingkup Bahasan – 14: Disaster Management
55. Sistem Pelayanan 1. Sumber daya manusia Anestesiologi& EM2-K20
Gawat Darurat 2. Sub sistem transportasi Reanimasi/ PPK (Pusat
Terpadu (SPGDT) 1. Instalasi Rawat Darurat (IRD) Penanggulang-an Krisis)
2. Sistem Rujukan Depkes
3. Sistem Manajemen Penjagaan 1. dr. Cut Meliza
Mutu Terpadu (SMPMT) Zainumi, M. Ked(An),
SpAn
2. Dr. dr. Tasrif
Hamdi, M.Ked(An),
SpAn, KMN
56. Sistem Pelayanan 1. Organisasi penanggulangan Anestesiologi& EM2-K21
Gawat Darurat bencana di Indonesia Reanimasi/ PPK (Pusat
Bencana 2. Fasilitas Penanggulang-an Krisis)
(SPGDB) 3. Komunikasi Depkes
4. Tata kerja POSKO 1. Dr. dr. Wulan
5. Alur pelayanan medis di Fadinie, M.
lapangan Ked(An), SpAn
6. Alur penanganan pasien di 2. dr. Raka Jati
Rumah Sakit Prasetya, M.
7. Triase Ked(An), SpAn
8. Disaster cycle
57. Standar 1. Standar Klasifikasi Instalasi Anestesiologi& EM2-K22
operasional Darurat Rumah Sakit di Reanimasi/ PPK (Pusat
Indonesia Penanggulang-an Krisis)
2. Petunjuk Pelaksanaan Depkes
Permintaan dan Pengiriman 1. dr. Qadri Fauzi
bantuan medik dari RS Tanjung, SpAn,
Rujukan pada saat bencana KAKV
1. Prosedur Tetap Pelayanan 2. Dr. dr. Tasrif
Gawat Darurat di tempat Hamdi,
umum M.Ked(An), SpAn,
2. Pedoman Pelaporan
KMN
Penilaian Awal/ Cepat