Muhammad Chairul Fadhil

Mey Cahyani
Ratu Tria Nandya
Ida Farida

Pembimbing:
dr. Ivan Joalsen, Sp. BTKV
» Severe chest injury are responsible for 25% of all
trauma deaths and mortality.
» Trauma thoraks yang mengancam nyawa disebut
“Deadly Dozen”
» Deadly Dozen  6 jenis trauma thoraks yang
mengancam nyawa  primary survey
6 jenis trauma thoraks yang mengancam nyawa,
dibagi menjadi:
1. Airway obstruction
2. Tension Pneumothorax
3. Open Pneumothorax
4. Massive Hemothorax
5. Flail Chest
6. Cardiac Tamponade
 Airway Obstruction

» Penyebab paling sering  jatuhnya lidah ke belakang

» Gigi palsu, gigi, sekret, dan darah  obstruksi
» Fraktur bilateral mandibula  neck haematoma  deviasi faring
 kompresi mekanik dari trakea  obstruksi
» Trauma laryng (ex: fraktur thyroid atau cricoid)
» Tracheal injury

Tanda dan gejala :

• Penurunan RR <12x/menit.
• Cyanosis
• Retraksi Intercostal / sternal / subcostal
• Snoring / gurgling / hoarseness / stridor
• Agitation or obtundation
 Airway Obstruction

» Treatment
• Oksigen (high flow)
• Airway opening maneuvers
• Suction
• Oropharyngeal or nasopharyngeal airway
• Invasive airway management
» Endotracheal intubation
» Needle or surgical cricothyroidotomy

These should be done as part of the primary survey