Professional Documents
Culture Documents
BTLS PENGKAJIAN KELAS MALEO Gadar
BTLS PENGKAJIAN KELAS MALEO Gadar
Overview
Langkah pengkajian BTLS
• BTLS Primary Survey
• BTLS Secondary Survey
• BTLS Ongoing Exam
•Scene Size-up
L S
P R I
•Initial Assessment
M A
R Y
Focused Exam
-2
Scene Size Up
Standard precaution
Scene safety
Mekanisme injuri
Initial Assessment
B
T
L
S
P
R I
M
A
R
Y
S
U
R
V
E
Y
Secondary On-Going
Survey Exam
BTLS PRIMARY SURVEY
Keadaan umum korban:
1. usia, jenis kelamin
2. Tampilan umum korban
3. Posisi tubu dan lingkungan korban
4. Aktvitas korban
5. major injuries or bleeding
Noted: triage pasien secara cepat sangat
diperlukan
BTLS Primary Survey
Kurang dari 2 menit
•Initial Assessment and Rapid Trauma Survey
Apakah perlu intervensi yg di delegasikan
???
Survey akan dihentikan bila:
1.Lingkungan membayakan
2.Adanya sumbatan jalan napas
3.Henti jantung
Assess Mental Status
• Take C-Spine control
• A – Alert and immediately responsive
• V – Responsive to verbal stimuli
• P – Responsive to painful stimuli
• U – Unresponsive
Assess Airway
• Open if necessary using jaw-thrust maneuver
• Consider oro- or naso-pharyngeal airway
• Note unusual sounds and correct cause
– Snoring – oro-/naso-pharyngeal airway
– Gurgling – suction
– Stridor – consider intubation
– Silence
Correcting silence
• Attempt ventilation
• Reposition
• Heimlich
• Visualize and remove
• Intubate
Assess Breathing
Abrasions Punctures/Penetrations
Burns Tenderness
Lacerations Swelling
Rapid Trauma Survey
Head
Neck
Chest
Abdomen
Pelvis
Extremities
Posterior
Head: DCAP-BTLS + Crepitation
Mid-clavicular Mid-axillary
Abdomen: DCAP-BTLS + Firmness and Distention
Posterior: DCAP-BTLS
TERIMAKASIH