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-26-08-2010-

Notes Kuliah Perdana Anasthesiology


dr. Hari Bagianto

Anaesthesia Episode
Artificial Trauma
Inform Consent (Patient Right) Pre-Medication (alleviate Distress) Introduction (Artificial Coma) Intubation (Artificial Apnoe) Relaxation (Artificial Paralyze) Maintenance/Bleeding (Haemodynamic Stability) The end of Anaesthesia

Recovery of all the System (Back to normal)

Anaesthesiology Fields
Emergency and Critical Care Medicine Anaesthesiology Pain Management

Phylosophy
To alleviate Pain and Distress Artificial/Iatrogenic Trauma Critical Condition Life Support To preserve life

To preserve Life Support


Normal

Accident/illness
Diagnostic/Initial Treatment Defeinitive Therapy/Operation Recovery Intensive Care

Field ED O.R R-R

ICU

Ward

GAMBAR

GAMBAR

GAMBAR

GAMBAR

The Surgical Pain

Effect of PO-pain
........................................................ reduced cough, atelectasis, sputum () and hypoxaemia. increased myocardial oxygen (..) and ischaemia ..-decreased gastric emptying, reduced gut motility and constipation

GAMBAR

Providing Postoperative Pain Relief

GAMBAR

GAMBAR

GAMBAR

GAMBAR

MANAJEMEN BENCANA
Manajemen bencana memiliki permasalahan kompleks karena: 1. Terdapat variasi dari jenis ancaman yang terjadi 2. Keadaan geografi dan luasnya daerah bencana 3. Adanya keanekaragaman budaya/adat istiadat setempat 4. Distribusi populasi yang tidak merata

Disaster Plan
School Districts Police Agencies Bussiness and Industry

Fire Agencies
Cities Water/Sewer districts

Utility Companies

Regional Disaster Plan

Volunter groups non profit

Country Government
Other local state federal government agencies

MEMBUAT PERENCANAAN PENANGANAN BENCANA (DISASTER PLAN)


1. Deskripsikan masalah korban 2. Analisis besar/jenis resiko yang terjadi saat bencana terjadi 3. Identifikasi sumber daya 4. Pembentukan tim penanganan bencana (sistem komando atau koordinasi) 5. Sistem komunikasi 6. Dukungan fasilitas/logistik 7. Pelatihan dan pembinaan kemampuan petugas

TINDAKAN PENANGANAN BENCANA


PRA BENCANA Prevention ............. .......... Preparation... ..

BENCANA/ KORBAN MASAL

TINDAKAN/ OPERASIONAL Evakuasi

JUMLAH KORBAN YG DAPAT DISELAMATKAN

PERMASALAHAN: 1. 2. 3. 4. Jumlah korban Kondisi korban Keadaan Geografi Kemudahan mendapat fasilitas 5. SDM

TERGANTUNG 1. 2. 3. 4. 5. Organisasi Fasilitas Komunikasi Data/Documen Manajemen

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