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
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