Tutor Pediatric Assessment Triangle

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TUTOR

Pediatric
Pediatric Assessment
Assessment
Triangle
Triangle (PAT)
(PAT)
Pembimbing: dr. Sianne Sandjoto, Sp.A
Penyusun:
Petra Julian Abigail (201906010120)

KEPANITERAAN KLINIK ILMU KESEHATAN ANAK


FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN
UNIVERSITAS KATOLIK ATMA JAYA - RS R. SYAMSUDIN, SH
PERIODE 28 MARET - 28 MEI 2022
1
TRIASE

01 Quick Look 03 Secondary Survey


PAT! Riwayat penyakit + PF

02 Primary Survey 04 Tertiary Survey


Metode ABCDE PP → laboratorium,
radiologi, dll

Latief A, Pudjiadi A, Prawira Y. Advanced Pediatric Resuscitation Course. Ikatan Dokter Anak Indonesia. 2019 2
Pediatric Assessment Triangle (PAT)

Menilai kegawatan anak &


3 komponen:

Latief A, Pudjiadi A, Prawira Y. Advanced Pediatric Resuscitation Course. Ikatan Dokter Anak Indonesia. 2019 3
Dieckmann RA, Brownstein D, Gausche-Hill M. The pediatric assessment triangle: a novel approach for the rapid evaluation of children. Pediatr Emerg Care. 2010 Apr;26(4):312–5
Penampilan
ventilasi & oksigenasi otak

T onus Gerak aktif? Menolak


L ook/ gaze
Fokus penglihatan ke
diperiksa? Tonus mata/ pandangan
otot? kosong?

I nteraksi
Sadar? Suara mempengaruhi?
Speech/ cry
Bicara? Tangisan kuat/
interaksi? lemah/ parau?

C onsolability
Bisa ditenangkan? agitasi?

Latief A, Pudjiadi A, Prawira Y. Advanced Pediatric Resuscitation Course. Ikatan Dokter Anak Indonesia. 2019 4
Dieckmann RA, Brownstein D, Gausche-Hill M. The pediatric assessment triangle: a novel approach for the rapid evaluation of children. Pediatr Emerg Care. 2010 Apr;26(4):312–5
USAHA mengatasi gangguan
Upaya Napas oksigenasi & ventilasi

snoring/ mengorok grunting

SUARA
NAPAS ABN

stridor wheezing/ mengi suara parau/ serak

Latief A, Pudjiadi A, Prawira Y. Advanced Pediatric Resuscitation Course. Ikatan Dokter Anak
Indonesia. 2019
Dieckmann RA, Brownstein D, Gausche-Hill M. The pediatric assessment triangle: a novel approach 5
for the rapid evaluation of children. Pediatr Emerg Care. 2010 Apr;26(4):312–5
Upaya Napas (2)

Sniffing position
POSISI
TUBUH ABN

Tripoding

Menolak berbaring
→ preferensi untuk duduk

Latief A, Pudjiadi A, Prawira Y. Advanced Pediatric Resuscitation Course. Ikatan Dokter Anak Indonesia. 2019
Dieckmann RA, Brownstein D, Gausche-Hill M. The pediatric assessment triangle: a novel approach for the rapid
evaluation of children. Pediatr Emerg Care. 2010 Apr;26(4):312–5 6
Upaya Napas (3)

Head-bobbing
RETRAKSI

Latief A, Pudjiadi A, Prawira Y. Advanced Pediatric Resuscitation


Course. Ikatan Dokter Anak Indonesia. 2019
Dieckmann RA, Brownstein D, Gausche-Hill M. The pediatric
assessment triangle: a novel approach for the rapid evaluation of
children. Pediatr Emerg Care. 2010 Apr;26(4):312–5
Heuer AJ Scanlan, Craig L, Wilkins, Robert,. Wilkins’ clinical
assessment in respiratory care. 8th ed. Elsevier; 2018 7
Upaya Napas (4)

Nasal-flaring/ napas cuping hidung


FLARING

Latief A, Pudjiadi A, Prawira Y. Advanced Pediatric Resuscitation Course. Ikatan Dokter Anak Indonesia. 2019
Dieckmann RA, Brownstein D, Gausche-Hill M. The pediatric assessment triangle: a novel approach for the rapid evaluation of children.
Pediatr Emerg Care. 2010 Apr;26(4):312–5 8
Curah jantung dan perfusi
Sirkulasi Kulit organ vital

Pucat Mottling

9
Curah jantung dan perfusi
Sirkulasi Kulit (2) organ vital

Sianosis

Latief A, Pudjiadi A, Prawira Y. Advanced Pediatric Resuscitation Course. Ikatan Dokter Anak Indonesia. 2019
Dieckmann RA, Brownstein D, Gausche-Hill M. The pediatric assessment triangle: a novel approach for the rapid
evaluation of children. Pediatr Emerg Care. 2010 Apr;26(4):312–5 10
Dieckmann RA, Brownstein D, Gausche-Hill M. The pediatric
assessment triangle: a novel approach for the rapid
evaluation of children. Pediatr Emerg Care. 2010
Apr;26(4):312–5 11
Dieckmann RA, Brownstein D,
Gausche-Hill M. The pediatric
assessment triangle: a novel
approach for the rapid
evaluation of children. Pediatr
Emerg Care. 2010
Apr;26(4):312–5
12
Daftar Pustaka

1. Latief A, Pudjiadi A, Prawira Y. Advanced Pediatric


Resuscitation Course. Ikatan Dokter Anak Indonesia.
2019.
2. Dieckmann RA, Brownstein D, Gausche-Hill M. The
pediatric assessment triangle: a novel approach for the
rapid evaluation of children. Pediatr Emerg Care. 2010
Apr;26(4):312–5.
3. Heuer AJ Scanlan, Craig L, Wilkins, Robert,. Wilkins’
clinical assessment in respiratory care. 8th ed. Elsevier;
2018.

13
Thank
You!
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infographics & images by Freepik
Please keep this slide for attribution

14

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