In Emergency Cases II

DR. Med. Dr. Untung Widodo, SpAn.KIC

Dept of Anesthesiology & Reanimation
Faculty of Medicine , Gadjah Mada University
Yogyakarta, 2016
I. Introduction
 The first step : should have DD (Differetial Diagnosis)
 Lab. Examination for specific cases of emergency
 Trauma : head, thorax, Abdomen, Pelvis extremity
 Non trauma :
- Shock
- Coma. Unconscious
- Seizure
- Respiratory failure
- Hearth failure
- etc.
IIa. Emergencies of Head Trauma
 Lab. For Head trauma :
Hb. Hmt, AT. PTT, aPTT, or CT & BT,
if the patient become unconscious : Blood Glucose,
BGA
Head x-ray, or CT-Scan
IIb. Traumatic neck (& Vertebrae)
trauma
 Hb, Hmt, AT, PTT, aPTT or CT & BT
 If the patient is unconscious : blood glucose & BGA
 X-ray or Scanning or MRI for Vertebrae (Cervical,
Thoracal, Lumbal-Sacral ), with views of frontal or
lateral , horizontal and vertical slices etc.
IIc. Thoracic Trauma
 Blunt or perforated trauma
 Hb, Hmt , (as needed Hb, Hmt serial), CT & BT, or
PTT , aPTT
if the patient become unconscious : blood glucose,
BGA
 Thorac x-ray or Scanning
(evaluations for: lung, hearth, costae, pleura, thoracic
space)
IId. Abdominal Trauma
 Blunt or perforated trauma
 Hb, Hmt, (as needed serial/periodic), PTT, aPTT,
Leucocyte (& Difftell), urine analysis
 USG Abd. Abd. X-ray (3-positions)
IIe. Pelvic Trauma
 Blunt or perforated trauma
 Hb, Hmt, (as needed serial/periodic), PTT, aPTT,
Leucocyte (& Difftell), urine analysis
 Pelvic X-ray , USG for lower Abdomen
III. Non traumatic Emergencies
a. SHOCK
Hb, Hmt, AT, Leucocyte, blood glucose, Blood Gas
analysis, etc.