Tatalaksana Fraktur Pelvis

Initial Assesment

Stabilisasi (pelvic Tatalaksana awal (cek CRT)

binder / sheet)

FAST Tatalaksana lanjutan

(+) Hemodinamik (-) Hemodinamik

normal abnormal
PSAG (pelvic
CT Scan massive bleeding)
Kateterisasi
Hemodinamic stable
Operating room -diberikan > 2 unit RBC
(laparotomi) -resusitasi
-hipotensi (SBP <90 mmHg)
Pelvic external -tamponade, pneumothorax
fixation Hemodinamic unstable

Angiografi (lateral
illiac arteries)

ICU (resusitasi dan

monitoring)
Yes
No Recurrent / ongoing
Advanced Trauma Life Support Student Course Manual. Edisi 10. American College of bleeding
Sugeons
 Tatalaksana Fraktur Ekstremitas

Pulsasi nadi (-) Initial Assesment

awal
Tatalaksana
Ischemic Fracture? Pembidaian
Wound? Debridement

Rhabdomyolisis
Fraktur Fraktur
Terbuka Tertutup
Interstitial Hipovolemik,
edema, Cell ARDS, ARF, DIC,
swelling Cardiac arrest, -Reposisi operatif / terbuka
MOF (pemasangan plate and -Reposisi tertutup / non operatif

lanjutan
Tatalaksana
screw jika fraktur femur dan (dengan tarikan dan perabaan )
Compartmenet prosthesis jika fraktur -Jika reposisi tertutup tidak
syndrome collum femur) berhasil lakukan reposisi terbuka
Crush syndrome
-Traction -Traction
-Resusitasi -Resusitasi
-Antibiotik dan Tetanus -Antibiotik dan Tetanus
profilaksis IV profilaksis IV
Amputasi -X-Ray AP -X-Ray AP
(jika Fasciotomy -CT Scan -CT Scan
nekrosis) -Rehabilitasi -Rehabilitasi

Advanced Trauma Life Support Student Course Manual. Edisi 10. American College of Sugeons