Pre Hospital Trauma for Paramedics Team.ppt

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balimedicalservice

pre hospital management

Health & Medicine

March 6, 2024 4
General Trauma Assessment
1. Scene size up
2. Initial assessment/ primary survey
3. Rapid trauma survey or focus
assessment/ secondary survey

March 6, 2024 5
Scene size up
• Universal precaution?
• Lihat keadaan sekitar
– Prioritas utama: keselamatan penolong 
lingkungan yang aman untuk bekerja
• Initial triage. Berapa jumlah korban?
• Mekanisme cedera?
• Rapid extrication?
• Aktifkan EMS

March 6, 2024 6
Alat yang diperlukan
• Proteksi penolong
• Long back board/scoop stretcher
• Cervical collar
• OPT, suction
• Oksigen

March 6, 2024 13
Primary survey
• Gambaran umum korban
• Tentukan respon pasien  tingkat
kesadaran  AVPU
• Kaji airway, breathing & circulation 
lakukan tindakan jika terdapat gangguan
– bebaskan airway, stabilkan spine, support
pernafasan dan kontrol perdarahan mayor
• Tentukan prioritas  keputusan transfer
ke trauma centre

March 6, 2024 15
Rapid Trauma Survey
• Pemeriksaan secara sistematis dari
kepala, leher, dada, abdomen, pelvis dan
ekstremitas dengan melihat, mendengar,
meraba untuk menemukan kasus life
threatening

March 6, 2024 16
Secondary survey
• SAMPLE (Symptoms, Allergies, Medications,
Past medical history, Last oral intake, Events
preceding the incident)
• Vital sign
• Deformities, Contusion, Abrasion, Penetration,
Burn, Laceration, Swelling (DCAP-BLS)
• Tenderness, Instability, Crepitation (TIC)
• Pulse, Movement, Sensation (PMS)
• LOC  AVPU
• Pulse oxymetry
• Intervensi lanjut: balut & bidai

$Critical Interventions and Transport Decision 1. Initial assessment – Penurunan kesadaran – Respirasi abnormal – Sirkulasi abnormal  syok, perdarahan tidak terkontrol 2. Rapid trauma survey – Abnormal chest exam  flail chest, etc – Tender/distended abdomen – Pelvic instability – Bilateral femur fractures 3. High risk group March 6, 2024 18$

March 6, 2024 19
Transport
• Jenis transportasi?
• Transfer ke trauma centre berdasar
prioritas pasien!

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