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Pelatihan ATLS
Pelatihan ATLS
• 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
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
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