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B/ATLS

BASIC / ADVANCED TRAUMA LIFE SUPPORT


• PRIMARY SURVEY
AB CDE

• SECONDARY SURVEY
ATLS - ANAMNESIS
- PEMERIKSAAN FISIK
MAIN COMPONENT

• TERTIARY SURVEY
FAST, DPL
PRIMARY SURVEY
• AMANKAN DIRI
• AMANKAN KORBAN
• AMANKAN SITUASI
• PERIKSA KESADARAN
• PANGGIL BANTUAN
• CEK A-B-C (kasus trauma)  ATLS
C-A-B (kasus henti jantung)  ACLS
OXYGEN
PATHWAY
O2

• AIRWAY
(Nose-Mouth-Pharynx-Larynx-Trachea)

• BREATHING
– VENTILATION (pengembangan Paru)
– DIFUSION : O2 Consentration

• CIRCULATION : (transport ke jaringan)

Vegetative State
• DISABILITIES (BRAIN)
Mempertahankan Keadaan Sadar & motorik  kesempatan hidup besar
JARINGAN

• EXPOSURE
(Cedera mengancam jiwa)
AIRWAY
Assessment
•CEK TULANG BELAKANG
•LOOK – LISTEN – FEEL
Treatment
• PASANG CERVICAL COLLAR
• HEAD TILT CHIN LIFT / JAW THRUST
• SUARA TAMBAHAN :
– SNORING :
– GARGLING :
– STRIDOR :
• AIRWAY DEFINITIF :
BREATHING
Assessment
•LOOK – LISTEN – FEEL
•RR
•PULSE OXYMETRI (SpO2)
•PF THORAX SEDERHANA

Treatment
•BREATHING SUPPORT (VENTILASI) :
Mouth to mouth, Ventilasi tekanan positif (Bagging)
•TX TRAUMA THORAX :
•OKSIGENASI
TRAUMA THORAX
• TENSION PNEUMOTHORAX
Tx : Make it OPEN Pn  Needle Thoracostomy
• OPEN/SIMPLE PNEUMOTHORAX
Tx : Plester 3 sisi
• HEMOTHORAX
Tx : Thoracosintesis/WSD
• FLAIL CHEST
Tx : Bantalan + Analgetik
• Jantung : TAMPONADE JANTUNG  (Trias Beck)
Tx : Pericardiosintesis (Panduan EKG)
CIRCULATION
Assessment
•CEK NADI KAROTIS 5-10 detik
•TEKANAN DARAH
•AKRAL & CRT
Treatment
•RJP
•PASANG IV LINE
RJP
• Tempat : Sternum bagian bawah
• Kompresi:Bantuan nafas = 30:2
• Syarat RJP :
– Kecepatan 100-120x/menit
– Kedalaman 5-6 cm
– Recoil sempurna
– Minimal interupsi
– Hindari hiperventilasi
KOMPRESI KHUSUS

1 orang Penolong 2 orang Penolong


•DEWASA : 30:2 30:2
•BAYI: 30:2 15:2
KAPAN BERHENTI RJP ?
• Penolong kelelahan
• Response of Spontaneous Circulation (ROSC)
• RJP 20 menit
DISABILITY
Assessment
•GCS
•REFLEKS PUPIL

Treatment
-
EXPOSURE
Assessment
•BUKA SEMUA PAKAIAN
•CARI SUMBER PERDARAHAN

Treatment
•CEGAH HIPOTERMI (SELIMUTI)
•HENTIKAN PERDARAHAN
SECONDARY
SURVEY
ANAMNESIS
Riwayat Penyakit Sekarang
•MM – echanism of Injury
•I I – njury
•S S – ymptomp/ Sign
•T T – Treatment
Riwayat Penyakit Dahulu
•AA – llergy
•MM – edication
•P P – ast Illness
•L L – ast Meal
•E E – Environtment/ Event
PEMERIKSAAN FISIK
• HEAD TO TOE
THANK YOU

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