by Muhammad Alfian

EN at IGD RSUD ULIN Banjarmasin

proses evaluasi secara cepat untuk
memprioritaskan pasien gawat
darurat untuk diberikan
penanganan segera
 Persiapan penderita
 Triage
 SURVEY PRIMER (ABCDE)
 Resusitasi
 Pemeriksaan penunjang untuk survey primer
 Survey sekunder (Head to Toe & anamnesis)
 Pemeriksaan penunjang untuk survey
sekunder
 Pengawasan dan evaluasi ulang
 Terapi definitif
 Tahap Pra RS
(Do Not Further Harm)
As soon as possible, koordinasi dengan rumah
sakit tujuan (TKP, jumlah korban, kondisi
korban, kelengkapan yg diperlukan, dll)

 TahapRS
Penanganan secara lebih komprehensif
berdasarkan hasil pemeriksaan penunjang di
RS
A •AIRWAY
B •BREATHING
C •CIRCULATION
D •DISABILITY
E •EXPOSURE
AIRWAY BREATHING CIRCULATION
• Voice • Respiratory rate • Skin color, sweating
• Breath sounds (12–20x/min) • Capillary refill
• Chest wall time(2s)
movements • Palpate pulse rate
• Chest percussion (60–100x/min)
• Lung auscultation • Heart auscultation
• Pulse oximetry • Blood pressure
(97%–100% (systolic 100–140
mmHg)
• Electrocardiography
• monitoring
DISABILITY EXPOSURE
• Level of consciousness : • Expose skin
AVPU • Temperature
• Alert
• Voice responsive
• Pain responsive
• Unresponsive

• Limb movements
• Pupillary light reflexes
• Blood glucose
Airway Breathing Circulation Disability Exposure
Head tilt - Seat Stop Treat Airway, Treat
chin lift comfortably bleeding Breathing, and suspected
Circulation cause
Oxygen Rescue breaths Elevate legs Problems

Suction Inhaled Intravenous Recovery

medications access position

Bag-mask Infuse saline Glucose for

ventilation hypoglycemia

Decompress
tension
Pneumothorax
 Pertolongan cepat untuk mengembalikan
fungsi jantung dan paru.

 Pemasangan NGT, DC, Rontgen, EKG

 Headto Toe (DCAP-BTLS)

 Anamnesis (SAMPLE)

 CT-Scan, Endoscopy, USG