TRANSPORTASI
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Transcript of TRANSPORTASI
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TRANSPORTASI
• Dr.Lucky Kumaat SpAn RSUP Prof.Dr.Kandou/FK UNSRAT
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Langkah-langkah transportasi
• Pastikan tidak ada cedera yang belum ditangani– Pastikan airway bebas– Pastikan tidak ada pneumothorax– Pastikan infus lancar, ada cukup cairan
• Immobilisasi pasien agar tidak bergeser– Pastikan posisi kepala benar thd gravitasi– Usahakan posisi pasien selalu datar
• Komunikasikan data pasien ke RS penerima
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Cara mengangkat begini merusak tulang belakang yang cedera
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Pertahankan posisi korban tetap datarselama diangkut
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Sampaikan data- fungsi vital- Rx yang sudah diberikan
RS penerima dapatmenyiapkan fasilitasdan terapi lanjutan
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Jenis transportasi
• Darat– jarak & lama– permukaan rata / kasar – kemiringan dan arah trayek
• Udara– ketinggian = tekanan udara, tekanan O2
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8Pertahankan posisi korban tetap datar
selama diangkut
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Atap tinggiagar dapat bekerjadi dalamnya
Head-clearance tinggiPetugas dapat memberipertolongan lanjutanseraya ambulans jalan
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Airway, Intubation, SuctionNeck Collar, sandbags
Oxygen, Ambu-bag, Ventilator BP, infusion, bandages
Drugs (vasopressor)EKG & DC shock
Stretcher, splint
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Monitoring selama jalan SUKAR dikerjakan-Auscultasi kacau akibat suara ribut-Tensimeter hanya palpasi atau elektronik-Dalam helikopter gangguan listrik banyak, monitor ECG tidak jalan
Diagnosis shockmungkin hanya dari
gangguan perfusi
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Kalau ada ragu, kerjakan!“In doubt, do”Kerjakan sebelum jalan !Jalan nafas intubasi tracheaPneumotoraks drain thorax
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Lakukan sebelum berangkat
• Airway meragukan– Pasang jalan nafas– Intubasi Trachea
• Pernafasan meragukan– Beri oksigen– Beri nafas buatan
• Thorax meragukan– Pasang thorax drain
• Sirkulasi meragukan– Pasang 2 infus– bawa pompa infus
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Lakukan sebelum berangkat
• Airway meragukan– Pasang jalan nafas– Intubasi Trachea
• Pernafasan meragukan– Beri oksigen– Beri nafas buatan
• Thorax meragukan– Pasang thorax drain
• Sirkulasi meragukan– Pasang 2 infus– bawa pompa infus
• Hati-hati ETT – tertekuk, terjepit,
tersumbat, tercabut• Hati-hati konektor
– Terlepas
• Siapkan O2 yg cukup– 1 m3 = 1-2 jam saja
• Botol water-seal harus > 50 cm dibawah pasien– Siap klem pipa
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G-force
Jangan berjalan cepat, max 60 kpjJangan rem mendadak, belok mendadak
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Jalan menurunGravitasi ke kepalaAliran darah ke kepalaTekanan Intra Kranial naik
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Jalan mendakigravitasi ke kakiAliran darah ke otak
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Bawa cadangan Oksigen, Cairan … perjalanan bisa tertundaJalan jangan terlalu cepatBila jalan menurun atau mendaki panjang, sesuaikan letak kepala
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Perubahan tekanan = risiko >>- udara dalam botol infus- udara dalam pneumothorax- letak botol WSD
Terbang ketinggian > 3000 mtanpa kabin bertekanan
|risiko hipoksia
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Kabin bertekanan padapesawat komersial =
tekanan udara pada tinggi 3000m= risiko hipoksia