PENILAIAN AWALPASIEN

GAWATDARURAT

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

INFORMCONCENTTNDAKAN RESUSITASI

AMANKAN PASIEN

PEGANGKEPALA

IN LINE KEPALADAN LEHERKEPALA

CODE BLUE RSUD dr.M.Soewandhie

INITIALASSESMENT

PASIENTRAUMA

CEKKESADARAN

AVPU

AWAKE/ALERT

ADA RESPON LANGSUNGCEK

AIRWAY

RESPON TO VERBAL

ADA RESPON LANGSUNGCEK

AIRWAY

RESPONTOPAIN

ADA RESPON LANGSUNGCEK

AIRWAY

UNRESPONSIBLE

TIDAKADARESPON

BUKAJALAN

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 HI

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

INTUBASIRSI

(RAPIDSEQUENCE 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 2DIATASCOSTA3 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

OPENPNEUMOTHORAK

TENSIONPNEUMOTHORAK

MassiveHematothorak

FLAILCHEST

CODE BLUE RSUD dr.M.Soewandhie

TRAUMA KAPITIS, HEMATOM MATA KANAN PERDARAHAN TELINGGA KESADARAN MENURUN

OKSIGEN 60% TANPA BIDAI LEHER DAN BANTAL PASIRCODE 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 450

STOPBLEEDING

PASANGIV LINEDOUBLE

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

POSISIKANSLIGHTHEAD

UP 20O - 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 SUDAHSTABIL

CODE BLUE RSUD dr.M.Soewandhie

CODE BLUE RSUD dr.M.Soewandhie

INITIALASSESMENT

PASIENTRAUMA

FOLLEY

CATHETER

INDIKASI

KONTRA

INDIKASI

GASTRIC TUBE

INDIKASI

KONTRA

INDIKASI

HEARTMONITOR

- 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 CostaPosterior

10,11

HematothoraxS

CODE BLUE RSUD dr.M.Soewandhie

(EDH)

EPIDURAL

HEMATOMCODE BLUE RSUD dr.M.Soewandhie

INITIALASSESMENT

PASIENTRAUMA

SECONDARY SURVEY

RE-EVALUASI ABCDEFGHI DARIHEAD

TOTOE

RIWAYATAMPLE

MOI :MECHANISM OF INJURY/

BIOMEKANIKA TRAUMA

CODE BLUE RSUD dr.M.Soewandhie

KONSUL

B 1 BREATH

B2BLEED

B3 BRAIN

B4BLADDER

B5BOWEL

B6BONE

CODE BLUE RSUD dr.M.Soewandhie