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7/24/2019 CNA initial assestment basic.ppt
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CHAIRUL NURDIN AZALI
TBMFKUSU 11-08
INITIAL ASSESSTMENT
( BASIC PRIMARY SURVEY)
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Pendahuluan
Keselamatan jiwa sangat tergantungdari kemampuan penilaian individu
Penilaian yang baik dapat dilakukan
apabila?
Pendekatan yang terstruktur
Dapat memprioritaskan pertolongan
Mengetahui dan mengertiketersediaan dari personel danperaelatan
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Size-Up
Informasi
Keamanan
SituasiKejadian
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Size-Up on Approach
Safety, Scene, Situation
Bagaimanakan situasi yang terlihat
Ancaman
Berapa jumlah pasien !imana
!i"utuhkan tindakan cepat
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Initial Assessment #PrimarySur$ey%
Air&ay &ith '-Spine 'ontrol (A)A**APAS ++
'-collar
engem"alikan kepala ke posisi netral
ensta"ilisasi tanpa mentraksi,, ./
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Initial Assessment #PrimarySur$ey%
Air&ay &ith '-Spine 'ontrol
*oisy "reathing is o"structed"reathing
But all o"structed "reathing is not noisy
0argling
Snoring
'ra&ing
Bagaimana tindakan kita 1# 12
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Initial Assessment #PrimarySur$ey%
Air&ay &ith '-Spine 'ontrol
Antisipasi3curiga permasalahan jalannapas jika 1
ead trauma!ecreased le$el of consciousness
4acial trauma
*eck trauma
Upper thora5 trauma
Se$ere Burns to any of these areas
Atasi 6 (aga Bagaimana
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X
CHIN LIFT
HEAD TILTHEAD TILT jangan dilakkan !ada "#a$a
X
X
NEC% LIFT
X
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Ca#a !aling a$an & 'A THRUST
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A- airway
Sadar ajak bicara
jika suara jelas airway
bebas
Tidak ada nafas
berikan nafas buatan
berikan oksigen
Tak sadar bebaskan jalan
nafas (chin lift, head tilt)
Ada nafas?(lihat, dengar, rasa nafas)
Ada nafas
Korban sadar atau tidak?
Ada suara tam"ahanendengkur,"erkumur dll
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Initial Assessment #PrimarySur$ey%
Breathing Pernapasan Ke"utuhan.5ygen #.5ygen !emand%
Apakah ada pertukaran udaraApakah adekuat dan dengan irama3rate
yang "aik
Bagaimana Menilainya?
:) :9
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Initial Assessment #PrimarySur$ey%
Breathing
)ook
)isten
4eel
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Initial Assessment #PrimarySur$ey%
Breathing #Pernapasan%
Pem"erian oksigenasi secara cepat jika1
Decreased level of consciousness
Shock
Severe hemorrhage
Chest pain
Chest trauma
Dyspnea
Respiratory distress
Multi-system trauma
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Initial Assessment #PrimarySur$ey%
Breathing #Pernapasan%
(IKA KAU B78PIKI8 U*9UK 7B78IKA*.KSI07*, B78IKA*)A +++
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Initial Assessment #PrimarySur$ey%
Breathing #Pernapasan%
Pertim"angkan untuk pernapasan "antuan jika1
espirations !"#
espirations $#%espiratory e&ort in'reased ???
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Initial Assessment #PrimarySur$ey%
'irculation #Sirkulasi%
!enyut (antung
Perdarahan eksternal Perfusi
'aranya 1% 1:
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Initial Assessment #PrimarySur$ey%
'irculation #Sirkulasi%
Pulsasi 8adialis
A"sen radial ; systolic BP < =>
Pulsasi Karotis
A"sen carotid ; systolic BP < ?>
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Initial Assessment #PrimarySur$ey%
Survival rate
fr! "ar#ia"arre$t $e"%#ar&
t trau!a i$ ver&l'(
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Initial Assessment #PrimarySur$ey%
'irculation #Sirkulasi%
Perdarahan 7ksternal yang
mengancam9ekan langsung@@
9ourniuet se"agai usaha akhir
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Initial Assessment #PrimarySur$ey%
'irculation #Sirkulasi%
Perfusi
Cool, pale, moist skin = shock
Capillary rell > sec = shock
Restlessness, an!iety, com"ativeness = shock
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Initial Assessment #PrimarySur$ey%
!isa"ility #4ungsi '*S%
!erajat kesadaran ; Perfusi otak
Periksa Pupil
(he eyes are the window o* the +,-.
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Initial Assessment #PrimarySur$ey%
/0pose and /0amine
1ou 'an2t treat what you don2t 3nd4
5* you don2t look6 you won2t see4
emove 788 'lothing *rom 'riti'al patients7-7P
7void delaying resus'itation whiledisrobing patient
+over patient with blanket when 3nished
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TERIMA %ASIH
B#ja*ala+ Slal Ti$ %Ti$ Sa,ing i- Li. Sa,ing