Multiple Trauma
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MULTIPLE TRAUMA
Dr Adam Suyadi, SpB, MM
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Mengetahui macam-macam trauma multipel, gejala dan tanda-tandanya, membantu penanganan trauma multipel.
Tujuan Umum
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Tujuan Khusus 1. Mengerti pola gambaran multiple trauma
dan mekanismenya
2. Mengetahui anatomi
3. Mengetahui perbedaan trauma tumpul dan
trauma tajam
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TABRAKAN
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TRAUMA LALU LINTAS DENGAN LUKA GANDA
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Multiple Trauma
1.Trauma Kepala2.Trauma Torak3.Trauma Abdomen4.Trauma Pelvis5.Trauma Urogenital6.Trauma Ekstremitas
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Trauma Kepala
Epidural Hematoma Subdural Hematoma Intra Cranial Hematoma
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Glasgow Coma Scale
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Glasgow Coma scale
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Glasgow Coma Scale
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Trauma Thoraks
Hematothorak Pneumothorak Flail Chest Tamponade Cordis
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Pneumothorak
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Multiple trauma
25 % trauma abdomen Gejala dan tanda :
kadang lambat -------> diagnosis sulit
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I. Anatomi
Batas rongga Abdomen : Atas : Diafragma Bawah : Pelvis Depan : Dinding depan abdomen Lateral : Dinding lateral abdomen Belakang : Dinding belakang abdomen
serta tulang belakang
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II. Organ Abdomen
Solid Berongga
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Intra peritoneal Retro peritoneal Pelvical
III. Topografi Abdomen
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IV. Macam Trauma :
Trauma tumpul Trauma tajam
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Trauma tumpul
Mekanisme trauma Benturan langsung Ledakan Tabrakan mobil : steering, intrusi, terlempar, terguling,
aselerasi-deselerasi, shearing
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Trauma tajam
Macam-macam trauma tajam :
Tusukan senjata tajam Tembakan senapan :
laras panjang / pendek
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Gejala dan tanda Trauma Abdomen
Pecahnya organ solid : Gejala perdarahan secara umum Gejala adanya darah intra abdominal
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Tanda-tanda peritonitis :
a. Nyeri seluruh perut
b. Bising usus hilang
c. Nyeri lepas tekan
d. Defans muskuler
Pecahnya organ berongga/berlumen
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Penanganan Trauma
A ---> Airway B ---> Breathing C ---> Circulation D ---> Disability
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Keadaan Khusus
Viscera keluar : tutup dengan kasa steril
lembab (beri NaCl) atau Bogotta bag
Benda yang menancap jangan dicabut
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2. Ruptur Uretra :
- Perdarahan lewat muara Ostium Uretra Eksterna
- Hematoma scrotum dan atau
perineum “ Tidak Boleh
Dipasang Kateter ”
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Fraktur Penis
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