etermity trauma and soft tissue trauma

trauam ekstermitas dan jaringan lunak
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  ExtremityTrauma andSoft Tissue Trauma lndah Dwi PratiwiDept. Keperawatan Gawat Darurat FIKES - UMM2At4 Fractures Dislocations . Extremely painful injuries . May lead to amputation ) check PMS (Campbell & Chapter 20O8) Objectives. Prioritizeextremity trauma in the assessment and management of life-threatening injuries . Discuss the major complication and treatment of the following extrem ity injury: 1. Fractures 2. Disloc:tions 3. Amputations 4. Openwounds 5. Sprains and strains 5. lmpaied objects 7. Compartmentsyndrome . Estimate blood loss from pelvic and extremity fractures Fractures . Life-threatening hemorrhage . Dangers of contamination . Treatment??? (Campbell & Ch:pter 20081 Amputation . Possible massive hemorrhage . Treatment?? - Applied pressure - Secure the amputated part ,. . ..--.- -..-+ (Campbell & Chapter 2008)  Open wounds . Cover wounds with sterile dressings andbandage ' lrrigation with NS to clean debris . Stop bleeding ) pressure . lf there is a severe hemorrhage ) transportimmediately {Campbell & Chapter 2008} lmpaled Object DO NOT remove impaled object Assessment and Management Scene size-up and History . Pre hospital ) is it safe? . Mechanism of injury is important ) to identify potential severity of the injury . History ) could be obtained during primary Survey (Campbell & Chapter 2OO8) Compartment Syndrome . Trauma {crush injury closed fractured or compression) may cause bleeding and swelling in closed space . Early symptoms ) pain and paresthesia . Late symptoms ) 5 ps C.rqtbel&c'e*rm)  Mechanism of lnjury Mechanism of lnjury Management of Pelvic Fractures Management of Hip Dislocations Assessment . Primary Survey - Obvious pelvis fracture or large bone fracture * Find and control bleeding from the extremities . Secondary Survey - DCAP BTLS - Plrl.S Splinting. Purpose )to prevent motion in the broken boneends . When to splint ??? . Rules of splinting: - Adequately visualize the injured part - Check PMS at the distal ofthe fracture before and afrersplinting - Covers open wounds - Splint the joint above and below the injury - lc - : :;f :,C-::-:+ :a:. tr-:e-:-e:i,- {Campbdl & Clrapter 20O8j    Management of Lower leg fracture Management of clavicle fracture Summary . Note mechanism of injury . Remember priorities ) ABCs first . Visualize the injured part . Do not waste tim€ on minor splinting . Pelvic and femur fractures ) load-and_go . lf doubf splint possible fractures


Jul 22, 2017


Jul 22, 2017
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