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MULTIPLE TRAUMA
Definisi
• Multiple trauma terjadi ketika mengalami
cidera lebih dari satu secara simultan.
Contoh: fraktur, laserasi, kerusakan organ dalam
seperti ginjal, hepar, pankreas dll.
• Sering terjadi pada kasus kecelakaan mobil,
jatuh, crush injuri.
Penanganan secara umum
• Prinsip
Kenali Situasi Tempat Kejadian
1.Aman/ Tidak aman
2.Berbahaya
Identifikasi Kasus
1.Trauma ?
2.Non Trauma ?
3.Identifikasi Keadaan Pasien
PRINSIP PENANGANAN TERDIRI :
1. Survei Primer
• A –Airway (+C Spine Control )
• B –Breathing (+Ventilation )
• C –Circulation (+ Kontrol Perdarahan)
• D –Disability ( GCS, Tanda Lateralisasi)
• E –Exposure
HATI HATI–AIDS
Selalu pakai alat Proteksi
•Sarung tangan
•Kacamata
•Dll
Airway
1.Hanya 4 –6 Menit bila Obstruksi total
2.Selalu Pikirkan C –Spine Control Curiga fractur
servikal bila:
•Setiap trauma kapitis
•Setiap multi trauma
•Setiap ada luka(tumpul) diatas klavikula
•Biomekanik trauma mendukung
Bila curiga fraktur servikal:
•Fiksasi kepala secara manual
•Pasang Cervical Collar
•Bila perlu diikat(Head Stabilizer)
Airway
• OkstruksiParsial
• Cairan(gurgling) Suction
• Lidahjatuhkebelakang: Snoring
Hati-hati
Breathing
Perdarahan
Amputasi
Perawatan luka
fraktur
Tugas
Dibagi 6 Kelompok:
Membuat Makalah :
1. RJP pada Dewasa
2. RJP Pada Anak dan Bayi
3. Pengeluaran Benda Asing (Sumbatan Jalan
Nafas)
4. Penatalaksanaan Syok Hipovolemik
5. Penatalaksanaan Keracunan
6. Multiple trauma
Ketentuan
• Tugas di kumpulkan dlam bentuk hardcopy dan
softcopy
• Diketik dengan format word, jenis kertas A4, spasi 1,5,
Arial.
• Urutan: Judul, Kata Pengantar, Lembar Pengesahan,
Daftar isi, Materi, Penutup, Daftar Pustaka.
• Sumber pustaka: buku di perpustakaan dan jurnal
internet…jangan Blog.
• Dikumpulkan paling lambat tanggal 12 Oktober 2015.
• Bagi yang terlambat pengumpulan akan ada
pengurangan nilai sesuai dengan keterlambatan.

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MULTIPLE TRAUMA PENANGANAN

  • 2. Definisi • Multiple trauma terjadi ketika mengalami cidera lebih dari satu secara simultan. Contoh: fraktur, laserasi, kerusakan organ dalam seperti ginjal, hepar, pankreas dll. • Sering terjadi pada kasus kecelakaan mobil, jatuh, crush injuri.
  • 3. Penanganan secara umum • Prinsip Kenali Situasi Tempat Kejadian 1.Aman/ Tidak aman 2.Berbahaya Identifikasi Kasus 1.Trauma ? 2.Non Trauma ? 3.Identifikasi Keadaan Pasien
  • 4. PRINSIP PENANGANAN TERDIRI : 1. Survei Primer • A –Airway (+C Spine Control ) • B –Breathing (+Ventilation ) • C –Circulation (+ Kontrol Perdarahan) • D –Disability ( GCS, Tanda Lateralisasi) • E –Exposure
  • 5. HATI HATI–AIDS Selalu pakai alat Proteksi •Sarung tangan •Kacamata •Dll
  • 6. Airway 1.Hanya 4 –6 Menit bila Obstruksi total 2.Selalu Pikirkan C –Spine Control Curiga fractur servikal bila: •Setiap trauma kapitis •Setiap multi trauma •Setiap ada luka(tumpul) diatas klavikula •Biomekanik trauma mendukung
  • 7. Bila curiga fraktur servikal: •Fiksasi kepala secara manual •Pasang Cervical Collar •Bila perlu diikat(Head Stabilizer)
  • 8. Airway • OkstruksiParsial • Cairan(gurgling) Suction • Lidahjatuhkebelakang: Snoring
  • 9.
  • 10.
  • 11.
  • 12.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 31.
  • 33.
  • 34. Tugas Dibagi 6 Kelompok: Membuat Makalah : 1. RJP pada Dewasa 2. RJP Pada Anak dan Bayi 3. Pengeluaran Benda Asing (Sumbatan Jalan Nafas) 4. Penatalaksanaan Syok Hipovolemik 5. Penatalaksanaan Keracunan 6. Multiple trauma
  • 35. Ketentuan • Tugas di kumpulkan dlam bentuk hardcopy dan softcopy • Diketik dengan format word, jenis kertas A4, spasi 1,5, Arial. • Urutan: Judul, Kata Pengantar, Lembar Pengesahan, Daftar isi, Materi, Penutup, Daftar Pustaka. • Sumber pustaka: buku di perpustakaan dan jurnal internet…jangan Blog. • Dikumpulkan paling lambat tanggal 12 Oktober 2015. • Bagi yang terlambat pengumpulan akan ada pengurangan nilai sesuai dengan keterlambatan.