Tuesday, January 8th 2019

SYL/WHY/VAN/DRA/WHS/BIB/RAF/KM/AFI/ESG
In Emergency installation we received 17 patients, consist of :
No Diagnosis Plan

1. Excoration wound (T14.0) Wound toilet

 1 patient Mefenamic acid 500 mg/ 8 hours orally
 Discharged

2. Laceration wound (T14.1) Wound toilet

 4 patients Suturing
Amoxicillin 500 mg/ 8 hours orally
Mefenamic acid 500 mg/ 8 hours orally
 Discharged
No Diagnosis Plan

3. Fingertip injury Allen Type II on Wound toilet

2nd finger on right hand Primary suturing + reconstruction
(S60.9)
ATS 1500 IU intramuscular
Nail Avulsion on 2nd finger on
Amoxicillin 500 mg/ 8 hours orally
right hand (S91.209A)
Mefenamic acid 500 mg/ 8 hours orally
 1 patients
 Discharged

4. Skin loss on left leg (L98.8) Wound toilet

Laceration wound on left leg cb Suturing
chain saw (T14.1) ATS 1500 IU intramuscular
 1 patients Amoxicillin 500 mg/ 8 hours orally
Mefenamic acid 500 mg/ 8 hours orally
Pro STSG
 Refused for further treatment
No Diagnosis Plan

5. Combustio mid-deep dermal 13 Oxygenation 3 lpm Nasal canule

% (2% on right elbow region, Rehydration :
2,5% on lower end right arm,
1% on right hand, 4,5% on 8 hours : 50 dpm
lower end right leg, 3% on 16 hours : 25 dpm
lower end left leg) caused by Wound toilet
electrical spark injury
(R87.616) Suturing
Laceration wound on occipital Wound dressing with dry and wet
region (T14.1) gauze
 1 patient Wound dressing with SSD ointment
Ketorolac 30 mg / 8 hours
Intravenous
Foley catheter application
Observation
 R2B
No Diagnosis Plan

6. Snake bite grade I on 3rd finger Wound toilet

of left foot (T53.0) Cross incision
 1 Patient Snake anti venom 1 vial
ATS 1500 IU Intramuscular
Mefenamic acid 500 mg / 8 hours orally
Observation
 ER

7. Communicating hydrocephalus, Oxygenation 3 lpm nasal canule

History of craniotomy for Head up 300
hematom evacuation cb SDH
Pro VP shunt elective
+ SAH (May 2018), History
of cranioplasty on temporo
parietal region (August 2018)
(G91.9)  R3A
 1 Patient
No Diagnosis Plan

8. Suspected fracture of the Oxygenation

Thoracal vertebra
Suspected fracture on left foot
 1 patient
In line position
Spalk application
Ketorolac 30 mg / 8 hours Intravenous
Metilprednisolone 125 mg / 8 hours
Observation
 Refused for further treatment

9. Crush injury on right foot cb a Wound toilet

gas cylinder explosion ATS 1500 IU intramuscular
(S87.81XA)
Ketorolac 30 mg / 8 hours Intravenous
 1 patient
Pro amputation below knee
 ER
No Diagnosis Plan

10. Fracture on left neck femoral Skin traction application

bone (Garden Type II) cb fall Paracetamol 750 mg/ 8 hours
2 hours before admission intravenous
(T72.8)
Pro bipolar hemiarthroplasty
 1 patient
 Geriatri I

11. Bleeding on double lumen Tranexamic acid 500 mg (extra)

(T82.838A) Pro Chest tube thoracotomy
CKD stage V on HD (N18.0)  MERAK II
Bilateral pleural effusion (J90.0)
 1 patient

12. Suspected Irreducible Scrotal Trendelenberg position

Hernia Observation
 1 patient Pro elective hernioplasty
 1 ER
No Diagnosis Plan

13. Meteorismus post colostomy BNO 2 position

closure (November 2018) cb Pro scibala evacuation
Anorectal malformations with
Pro elective anal dilatation
adequate rectoperineal fistule
(R14.0)  ER
 1 patient
14. Suspected malignancy of the Ketorolac 30 mg / 8 hours Intravenous
bilateral kidney T4N0M0 post Pro laparoscopic nefrectomy
cystostomi (2016) post DJ
PRC Transfusion
Stent application (Oktober
2018)  Parkit
Anemia (D64.9)
 1 patient
 Tuesday, January 8th 2019
SYL/WHY/VAN/DRA/WHS/BIB/RAF/KM/AFI/ESG