Inisial Asesmen Pada TraumaDr. Ismail Bastomi, SpOT, FICSPPGD DOKTER/GELSRSUP. Dr. M. Hoesin Palembang

Standard Precautions

• Cap • Gown• Gloves• Mask• Shoe covers• Goggles /

face shields

UNIVERSAL PRECAUTION

Mechanisms of Injury

AIRWAY A

BREATHING B

SIRKULASI C

BALUT TEKAN

BALUT TEKAN

DISABILITY D

• Periksa : • 1. Kesadaran dg cara:

– AVPU– GCS

• 2. Lateralisasi– Pupil isocor/tidak

Traumatic Head Injury

ALL-NET Pediatric Critical Care Textbook Source: LifeART EM Pro (1998) Lippincott Williams & Wilkins. www.med.ub.es/All-Net/english/neuropage/trauma/head-8htm

Epidural and Subdural Hematoma

ALL-NET Pediatric Critical Care Textbook - Source: LifeART EM Pro (1998) Lippincott Williams & Wilkins. www.med.ub.es/All-Net/english/neuropage/trauma/head-8htm

Subarachnoid Hemorrhage

Rogers (1996) Textbook of Pediatric Intensive Care pp. 829

Management of Traumatic Head Injury

• Maximize oxygenation and ventilation

• Support circulation / maximize cerebral

perfusion pressure

• Decrease intracranial pressure

• Decrease cerebral metabolic rate

Monitoring

• Serial neurologic examinations

• Circulation / Respiration• Intracranial Pressure• Radiologic Studies • Laboratory Studies

EXPOSURE E

• Buka seluruh pakaian pasien trauma (telanjangi)

• Untuk melihat adanya cedera lain di tubuh pasien trauma

• Hindari hypothermia dengan cara menyelimuti pasien

GRACIAS

MERCI

THANKS