INITIAL ASSESMENT

PENILAIAN AWALPASIEN
GAWAT DARURAT

RESUME

CODE BLUE RSUD dr.M.Soewandhie

 AIRWAY + CERVIKAL SPINECONTROL
 BREATHING +TENSION
PNEUMOTHORAK
 CIRCULATION + STOPBLEEDING
 DISABILITY + CEGAH TIKMENINGKAT
 EXPOSSURE + CEGAHHIPOTERMI

 FOLLEYCATHETER
 GASTRICTUBE
 HAERTMONITOR
 IMAGING
CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
 INITIALASSESMENT
PASIENTRAUMA

3A

AMANKAN AMANKAN
LINGKUNGAN PASIEN
AMANKAN
DIRI   PEGANGKEPALA
INFORMCONCENT IN LINE KEPALADAN
TNDAKAN RESUSITASI LEHER KEPALA

CODE BLUE RSUD dr.M.Soewandhie

 INITIALASSESMENT
PASIENTRAUMA

CEKKESADARAN
AVPU

AWAKE/ RESPON TO RESPON UNRESPONSIBLE

ALERT VERBAL TO PAIN TIDAKADA
RESPON
BUKAJALAN
ADA RESPON NAFAS
ADA RESPON ADA RESPON CEK BREATHING
LANGSUNGCEK LANGSUNGCEK LANGSUNGCEK PASIEN TIDAK
AIRWAY AIRWAY AIRWAY BERNAFAS
RJP 30:2

CODE BLUE RSUD dr.M.Soewandhie

PRIMARY SURVEY

 REEVALUASI A B CD E F G HI
 RIWAYAT A M P L E

CODE BLUE RSUD dr.M.Soewandhie

 INITIALASSESMENT
PASIENTRAUMA

AIRWAY
CHOKING/
TERSEDAK
SNORING CROWING/
GURGLING TANPAALAT:HEAD STRIDOR TANPA ALAT 
TILL,CHINLIFT,JAW BACK BLOW, HEMELICH
TANPAALAT: MANUVER (ABDOMINAL
THRUST INTUBASI RSI THRUST/CHESTTHRUST)
FINGERSWEAP DENGAN ALAT: DENGAN ALAT
DENGAN ALAT: OROPHARINGEAL (RAPIDSEQUENCE NEEDLE
INTUBATION) CRICOTIROIDOTOMI
SUCTIONING NASOPHARINGEAL
SURGICAL
CRICOTIROIDOTOMI
TRAKHEOSTOMI.

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
 CERVIKAL SPINECONTROL

PASANG COLLAR BRACE/NECKCOLLAR

PASANG HEAD BLOCK/BANTAL PASIR/BANTALINFUS

CODE BLUE RSUD

CODE BLUE RSUD dr.M.Soewandhie
CODE BLUE RSUD dr.M.Soewandhie
 GUNAKAN ALAT DENGAN
KONSENTRASI TERBESAR
BREATHING YANG ANDA PUNYA (JACSON
REES, NON REBREATHING
MASK)

TENSION PNEUMOTHORAK
 LAKUKAN NEEDLE THORAKO
SINTESIS DI ICS 2 DI ATAS COSTA 3
GARIS MIDKLAVIKULA
(NEEDLE14,16)
CODE BLUE RSUD dr.M.Soewandhie
 (JACSON REES
BREATHING NONREBREATHING MASK)

_ CT SCANKEPALA

OPEN Massive FLAIL

TENSION
PNEUMOTHORAK
PNEUMOTHORAK
Hematothorak CHEST
CODE BLUE RSUD
 TRAUMA KAPITIS, HEMATOM MATA KANAN
PERDARAHAN TELINGGA
KESADARAN MENURUN
CODE BLUE RSUD dr.M.Soewandhie
OKSIGEN 60% TANPA BIDAI LEHER DAN BANTAL PASIR
CODE BLUE RSUD
CODE BLUE RSUD
CODE BLUE RSUD
 CIRCULATION

CEK
AMBIL
SAMPEL TANDA
DARAH TANDA
SYOK

LAKUKAN
(SPLINTING)
BIDAI : POSISI
MENCEGAH SYOK 450
SYOK STOPBLEEDING
NEUROGENIK

LAKUKAN PASANG
(BANDAGING) IV LINE
BEBAT DOUBLE
TEKAN BERI
CAIRAN
KRISTALOID
20 -40
CC/KGBB
CODE BLUE RSUD
CODE BLUE RSUD dr.M.Soewandhie
 INITIALASSESMENT
PASIENTRAUMA

CEK
GCS

TINDAKAN DISABILITY / POSISIKAN

A-B-C KESADARAN(+) SLIGHT HEAD
SUPORT CEGAH TIK UP 20O - 30 0
MENINGKAT

REFLEK
CAHAYA
LATERALISASI

CODE BLUE RSUD

CODE BLUE RSUD dr.M.Soewandhie
 INITIALASSESMENT
PASIENTRAUMA

EXPOSSURE + CEGAHHIPOTERMIA

THERMOREGULASI (PASANG SELIMUT)  temp.rektal

EVALUASI HEAD TO TOE

LAKUKAN LOG ROLL BILA PX SUDAH

STABIL

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD
 INITIALASSESMENT
PASIENTRAUMA

FOLLEY GASTRIC
CATHETER TUBE
HEART MONITOR IMAGING

INDIKASI INDIKASI - EKG 12LEAD -CERVIKAL (LATERAL)

- PHOTOTHORAK(AP)
KONTRA - PHOTO PELVIS(AP)
KONTRA - SPO2 MINIMAL 95 % _ CT SCAN KEPALA
INDIKASI
INDIKASI

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD
CODE BLUE RSUD dr.M.Soewandhie
 CF Costa Posterior
10,11
Hematothorax S
CODE BLUE RSUD dr.M.Soewandhie
(EDH)
EPIDURAL
CODE BLUE RSUD dr.M.Soewandhie
HEMATOM
 INITIALASSESMENT
PASIENTRAUMA

RE-EVALUASI
ABCDEFGHI DARI HEAD
TOTOE

SECONDARY
SURVEY

MOI :MECHANISM
OF INJURY/
BIOMEKANIKA RIWAYATAMPLE
TRAUMA

CODE BLUE RSUD dr.M.Soewandhie

 KONSUL

B1
BREATH
B2 BLEED

B3 BRAIN

B4BLADDER

B5 BOWEL

B6 BONE
CODE BLUE RSUD dr.M.Soewandhie