TEXTBOOK

READING :
TRAUMA
DR AFWAN FAJRI
PRESEPTOR : DR. BENNI RAYMOND, SPBP RE

3 AUGUST, 2023

PPDS BEDAH
JULI 2023
 Initial Evaluation And Rescucitation
of The Injured patient

General Principle of Management

Table of
Content Treatment of Spesific Injuries

Surgical Intensive Care Management

 01

INITIAL EVALUATION AND

RESUSCITATION OF
THE INJURED PATIENT
 Airway
Management
With Cervical

Primary
Spine
Protection A
B
Breathing and

Survey Ventilation

C
Circulation with
"Golden hour" Concept :
haemorrhage
Prioritized interventionts are
control

D
necessary to prevent death and
Disability
disability

Exposure E
 Primary
Survey
"Golden hour" Concept :
Prioritized interventionts are
necessary to prevent death and
disability
 Allergies

A
Secondary
M
Medications
Survey
Once the immediate threats to life
have been addressed, a thorough
Past Illnesses or
Pregnancy P
L
history is obtained, and the patient
is examined in a systematic fashion Last Meal

Events Related to
the Injury
E
 02

General Principle Of
Management
 General Principle Of management

Operative Approaches
Transfusion Prophylactic Damage Control
and Exporsure
Practice Measures Surgery
 All injured patients undergoing an operation should receive
preoperative antibiotics. The type of antibiotic is determined
by the anticipated source of contamination in the abdomen or
other operative region; additional doses should be administered
during the procedure based on blood loss and the half-life
of the antibiotic. Extended postoperative antibiotic therapy is
administered only for contaminated open fractures. Tetanus
prophylaxis is administered to all patients according to published
guidelines.
Cervical Exposure
Thoracic Incisions
Emergent Abdominal
exploration
Vascular Injuries
 03

Treatment of Spesific Injuriest

In general, outcome after pelvic vascular injuries is related to
• The technical success of the vascular reconstruction and
2. Associated soft tissue and nerve injuries
 04

SURGICAL INTENSIVE CARE

MANAGEMENT
 PPDS BEDAH JULI 2023

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