PENILAIAN AWALPASIEN GAWATDARURAT

PENILAIAN AWALPASIEN GAWAT DARURAT

INITIAL ASSESMENT

RESUME

CODE BLUE RSUD dr.M.Soewandhie

 AIRWAY + CERVIKAL SPINECONTROL

 BREATHING +TENSION PNEUMOTHORAK

 CIRCULATION + STOPBLEEDING

 DISABILITY + CEGAH TIKMENINGKAT

 EXPOSSURE + CEGAHHIPOTERMI

 FOLLEYCATHETER

 GASTRICTUBE

 HAERTMONITOR

 IMAGING

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD dr.M.Soewandhie

INITIALASSESMENT PASIENTRAUMA

3A

AMANKAN DIRI

AMANKAN LINGKUNGAN



INFORMCONCENT TNDAKAN RESUSITASI

AMANKAN PASIEN



PEGANGKEPALA IN LINE KEPALADAN LEHER KEPALA

CODE BLUE RSUD dr.M.Soewandhie

INITIALASSESMENT PASIENTRAUMA

CEKKESADARAN AVPU

AWAKE/

ALERT

ADA RESPON LANGSUNGCEK

AIRWAY

RESPON TO VERBAL

ADA RESPON LANGSUNGCEK

AIRWAY

RESPON TO PAIN

ADA RESPON LANGSUNGCEK

AIRWAY

UNRESPONSIBLE TIDAKADA

RESPON

BUKA JALAN NAFAS

CEK BREATHING PASIEN TIDAK BERNAFAS RJP 30:2

CODE BLUE RSUD dr.M.Soewandhie

PRIMARY SURVEY

 RE EVALUASI A B C D E F G H I

 RIWAYAT A M P L E

CODE BLUE RSUD dr.M.Soewandhie

INITIALASSESMENT PASIENTRAUMA

AIRWAY

GURGLING

TANPA ALAT:

FINGERSWEAP DENGAN ALAT:

SUCTIONING

SNORING

TANPA ALAT:HEAD TILL,CHINLIFT,JAW

THRUST DENGAN ALAT:

OROPHARINGEAL NASOPHARINGEAL

CROWING/

STRIDOR

INTUBASI RSI

(RAPID SEQUENCE INTUBATION)

CHOKING/

TERSEDAK

TANPA ALAT

BACK BLOW, HEMELICH MANUVER (ABDOMINAL THRUST/CHESTTHRUST) DENGAN ALAT

NEEDLE

CRICOTIROIDOTOMI SURGICAL

CRICOTIROIDOTOMI TRAKHEOSTOMI.

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD dr.M.Soewandhie

PASANG HEAD BLOCK/BANTAL PASIR/BANTALINFUS PASANG COLLAR BRACE/NECKCOLLAR

CERVIKAL SPINECONTROL

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD dr.M.Soewandhie

TENSION PNEUMOTHORAK

 LAKUKAN NEEDLE THORAKO

SINTESIS DI ICS 2 DI ATAS COSTA 3 GARIS MIDKLAVIKULA

(NEEDLE14,16)

BREATHING

GUNAKAN ALAT DENGAN KONSENTRASI TERBESAR YANG ANDA PUNYA (JACSON REES, NON REBREATHING MASK)

CODE BLUE RSUD dr.M.Soewandhie

(JACSON REES

NONREBREATHING MASK)

_ CT SCANKEPALA

BREATHING

OPEN

PNEUMOTHORAK

TENSION

PNEUMOTHORAK

Massive

Hematothorak

FLAIL CHEST

CODE BLUE RSUD dr.M.Soewandhie

TRAUMA KAPITIS, HEMATOM MATA KANAN PERDARAHAN TELINGGA

KESADARAN MENURUN

OKSIGEN 60% TANPA BIDAI LEHER DAN BANTAL PASIR

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD dr.M.Soewandhie

CIRCULATION

CEK TANDA TANDA

SYOK

POSISI SYOK 45

⁰

STOPBLEEDING

PASANG IV LINE DOUBLE

BERI CAIRAN

KRISTALOID

20 -40 CC/KGBB LAKUKAN

(BANDAGING)

BEBAT TEKAN

LAKUKAN (SPLINTING)

BIDAI : MENCEGAH

SYOK NEUROGENIK

AMBIL SAMPEL

DARAH

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD dr.M.Soewandhie

INITIALASSESMENT PASIENTRAUMA

DISABILITY / KESADARAN(+)

CEGAH TIK MENINGKAT

CEK GCS

POSISIKAN SLIGHT HEAD

UP 20^O - 30⁰

REFLEK CAHAYA LATERALISASI TINDAKAN

A-B-C SUPORT

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD dr.M.Soewandhie

INITIALASSESMENT PASIENTRAUMA

EXPOSSURE + CEGAHHIPOTERMIA

THERMOREGULASI (PASANG SELIMUT)  temp.rektal

EVALUASI HEAD TO TOE

LAKUKAN LOG ROLL BILA PX SUDAH STABIL

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD dr.M.Soewandhie

INITIALASSESMENT PASIENTRAUMA

FOLLEY CATHETER

INDIKASI KONTRA INDIKASI

GASTRIC TUBE INDIKASI

KONTRA INDIKASI

HEART MONITOR

- EKG 12LEAD

- SPO2 MINIMAL 95 %

IMAGING

-CERVIKAL (LATERAL) -PHOTOTHORAK(AP) -PHOTO PELVIS(AP) _ CT SCANKEPALA

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD dr.M.Soewandhie

CF Costa Posterior 10,11

Hematothorax S

CODE BLUE RSUD dr.M.Soewandhie

(EDH)

EPIDURAL

HEMATOM

CODE BLUE RSUD dr.M.Soewandhie

INITIALASSESMENT PASIENTRAUMA

SECONDARY SURVEY

RE-EVALUASI

ABCDEFGHI DARI HEAD TOTOE

RIWAYATAMPLE MOI :MECHANISM

OF INJURY/

BIOMEKANIKA TRAUMA

CODE BLUE RSUD dr.M.Soewandhie

KONSUL

B 1 BREATH B2 BLEED

B3 BRAIN B4 BLADDER B5 BOWEL

B6 BONE

CODE BLUE RSUD dr.M.Soewandhie