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PENANGANAN PRAKTIS TRAUMA TORAK

PENANGANAN PRAKTIS TRAUMA TORAK. juli ismail BAGIAN BEDAH RSUP M.JAMIL Konsultan THORAC CARDIOVASCULAIR Course director ATLS. HISTORY ANGKA KEMATIAN TINGGI ORGAN PENTING UNTUK OKSIGENISASI TUBUH PROBLEM SOLVING SEDERHANA SYSTEM ATLS. Trimodal Death Distribution. ILUSTRASI KASUS.

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PENANGANAN PRAKTIS TRAUMA TORAK

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  1. PENANGANAN PRAKTIS TRAUMA TORAK juli ismail BAGIAN BEDAH RSUP M.JAMIL Konsultan THORAC CARDIOVASCULAIR Course director ATLS

  2. HISTORYANGKA KEMATIAN TINGGIORGAN PENTING UNTUK OKSIGENISASI TUBUHPROBLEM SOLVING SEDERHANA SYSTEM ATLS

  3. Trimodal Death Distribution

  4. ILUSTRASI KASUS LAKI 28 TAHUN SOPIR TRUK TERTUSUK BESI SETELAH TRUKNYA MENABRAK PANCANG BESI DARI TRUK DIDEPANNYA YANG BERISI BESI BANGUNAN . SADAR , NGOROK , NADI 120 X / MENIT , NAFAS 40 X/MENIT TEKANAN DARAH 80/60 MMHG.

  5. TRAUMA KEMATIAN CEPAT Trauma ORGAN central OTAK PEMBULUH DASAR BESAR JANTUNG

  6. TERANCAM KEMATIAN A B C D Ini harus bisa ditolong !!!!!

  7. GANGGUAN JALAN NAFAS ?? KORBAN GELISAH DAN TERIAK . TOLONG SAYA CEPAT, DADAKU SAKIIT … COMMENT ? DIAM , DADA TAK BERGERAK SUARA NAFAS NGOROK BERNAFAS DENGAN OTOT LEHER TEGANG

  8. FIKSASI LEHER • JAW THRUST • CERVICAL COLLAR

  9. LIHAT Pupil ? Test nafas ! Darah di mulut ? Penekanan trakhea ? Bersihkan Intubasi Crycothyroidotomi Reposisi sternum

  10. OKSIGEN 10 L / MENIT NON REBREATHING MASK MONITOR OXYMETRI / SAT OKSIGEN

  11. GANGGUAN PENGEMBANGAN PARU ?? • LIHAT • RABA • KETOK • DENGAR

  12. TRAUMA DADA ?SESAK / FREKWENSI NAFAS CEPAT • CARI • JEJAS • LUKA TEMBUS • BENTUK DINDING DADA TAK SIMETRIS • KREPITASI • PERKUSI HIPERSONOR ATAU REDUP • SUARA NAFAS HILANG /JAUH • BUNYI JANTUNG HILANG

  13. TUMPUL VENA LEHER LEBAR TRAKHEA TIDAK DITENGAH • DADA SIMETRIS. SUARA NAFAS HILANG HIPERSONOR TENSION PNEUMOTORAK PNEUMOTORAK NEEDLE TORAKOSENTESIS SELA IGA 2 WSD SELA IGA 5

  14. REDUP HEMOTORAK SUARA NAFAS HILANG WSD Infus 2 liter Siapkan darah tranfusi 1500 CC atau 3 CC / BB / JAM MASSIVE HEMOTORAK STOP BLEEDING ( TORAKOTOMI )

  15. DADA TAK SIMETRIS (FLAIL CHEST ) PNEUMO / HEMOTORAK ??? WSD OXYGEN BAGGING OR VENTILATOR KONTUSIO PARU EDEMA

  16. LUKA TEMBUS SUCKING WOUND TEST CAIRAN WSD & TUTUP LUKA PNEUMOTORAK HEMATO ? DARURAT Jahit tiga sisii

  17. LUKA TEMBUS DADA KIRI SUARA JANTUNG HILANG LIHAT !!! VENA LEHER LEBAR TAMPONADE JANTUNG PERICARDIOSENTESIS

  18. EMFISEMA SUBCUTAN

  19. TRAUMATIK ASPIKSIA

  20. QUESTION

  21. Summary • ABCDE-approach to trauma care • One, safe way • Do no further harm • Treat greatest threat to life first

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