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MORNING REPORTMINGGU, 27 MARET 2016IGD RSU UKI - JAKARTA
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TIM JAGADOKTER JAGA : DR. JUBIL SIMBOLON
Debora Bra!a"a Ta!ra#
A$! %ra#e&'a N()ra*a
+ra"#!#a S!"(ra&
G*re"a
Mar!a Gore&&!
N!"$'aa
Jo*
+ra"#!#
Na&a
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DAFTAR PASIEN IGD
NO NAMAPASIEN
UMUR
JAM DIAGNOSA
1 N". Re&"o &* 11.00IB
3KR 4 5(/"(# Laera&( Re)!o Ge"(S!"!#&ra $a" Re)!o
B!b!r
$S
2 T". A)(") 8 &* 2.0IB 3KR 4 5(/"(# Laera&(
Re)!o%ar!e&o!!&a/ $S
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NN. RETNO - TRAUMA
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MEKANISME TRAUMA
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PRIMARY SURVEY
Airway : CLEAR
Look : er)eraa" $!"$!")$a$a #!e&r!# a"a" 9
!r!,re&ra#! -, e"))("aa" o&o&
"aa# &aba*a" - Listen : #(ara "aa#
&aba*a" -
Feel : &era#a *eb(#a" "aa#$ar! *!$("), &raea
$! &e")a*
BREATHING : CLEA
I : er)eraa" $!"$!") $a$#!e&r!#, RR ;
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Cir!"a#i$% : Ta%&a Sy$' (-)
Ara/ *a")a&, TD ?)
%(/#e 9 ;
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SECONDARY SURVEY
A • %a#!e" &!$a a$a r!a'a& a/er)! ba! aa"a" a(("
oba&
M • %a#!e" #e$a") &!$a e")o"#(#! oba& F oba&a"
&er&e"&(
%
• %a#!e" be/( er"a* e")a/a! e/(*a" #eer&! !"!
#ebe/("'a• R!a'a& ee/aaa" $!#a")a/
L • %a#!e" &era*!r aa" ((/
E
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HEAD TOTOE
PEMERIKSAAN HASIL TEMUAN
K+a"a Ma&a Te/!")a ?!$(")
Te"))oroa"
Noroe*a/! Tra(a -
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STATUS LOKALIS
Ter$aa& #eb(a* /(a robe $!Re)!o %ar!e&o!!&a/L
: L(a &erb(a 4 9, / 9 0, , $ 90, $a#ar /(a
ar!")a", bo"e e;o#e -,er$ara*a" 4, /(a
o&or 4, #!" /o## 4, o/or*a")e -F : S(*( $!")!", "'er!
&ea"4, re!&a#! -,#e"#!b!/!&a# ba!,(/#a#! 4M : ROM
&!$a &erba&a#,+a/#e oee"& : -
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DIAGNOSIS
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PENATALAKSANAAN
NON MEDIKAMENTOSA MEDIKAMENTOSA
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TN. AGUNG 23TH - TRAUMA
%a#!e" $a&a") e IGD RSU UKI $e")a" e/(*a" er!* a$a baea/a
be/aa") #e&e/a* &erbe"&(r $e")a" !a $! &ea&
eraSMRS. %er!* $!#er&a! $e")a" e/(ar"'a $ara* $! &ea&
&ra(e")a( er!* $!ra#aa" #eer&! ber$e"'(&. Dara* 'a")
ber*e"&! #ea"a") era/a"a" e R(a* Sa!&. Aa/"'a a
ber$!r! $! &ea& era"'a e($!a" &!ba F &!ba a$a !a
'a") be#! a&(* $! a&a# ea/a a#!e". Se&e/a* ea/a a#!e"
&erbe/a")#(") &era&(* "a(" ea/a a#!* $aa& $!)eraa".
%("&a* $!#a")a/. Se&e/a* &erbe"&(r, /(a /a")#(")
$!ber#!*be&a$!"e $a" $!&(&( a##a $a" a#!e" #e)era $!baa
e RS.
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MEKANISME TRAUMA
%a#!e" #e$a")ber$!r! $! &ea&era
%!a be#! a&(*e")*a"&aea/a a#!e"
%a#!e" a&(*#ab!/ee)a")ea/a. %!")#C-, M("&a* C
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PRIMARY SURVEY
Airway : CLEAR
Look : er)eraa" $!"$!")$a$a #!e&r!# a"a" 9
!r!,re&ra#! -, e"))("aa" o&o&
"aa# &aba*a" - Listen : #(ara "aa#
&aba*a" -
Feel : &era#a *eb(#a" "aa#$ar! *!$("), &raea
$! &e")a*
BREATHING : CLEA
I : er)eraa" $!"$!") $a$#!e&r!#, RR 2;
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SECONDARY SURVEY
A • %a#!e" &!$a a$a r!a'a& a/er)! ba! aa"a" a(("
oba&
M • %a#!e" #e$a") &!$a e")o"#(#! oba& F oba&a"
&er&e"&(
%
• %a#!e" be/( er"a* e")a/a! e/(*a" #eer&! !"!
#ebe/("'a• R!a'a& ee/aaa" $!#a")a/
L• %a#!e" &era*!r aa" ((/ 1.00 $e")a" "a#! $a" /a(
a(
E • Kea/a a#!e" &erbe"&(r !a be#! H1 a SMRS
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STATUS LOKALIS
Ter$aa& #eb(a* /(a robe $!Re)!o %ar!e&o!!&a/L
: L(a &erb(a 4 9, / 9 0, , $ 90, $a#ar /(a
ar!")a", bo"e e;o#e -,er$ara*a" 4, /(a
o&or 4, #!" /o## 4, o/or*a")e -F : S(*( $!")!", "'er!
&ea"4, re!&a#! -,#e"#!b!/!&a# ba!,(/#a#! 4M : ROM
&!$a &erba&a#,+a/#e oee"& : -
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DIAGNOSIS
3KR 4 5(/"(# Laera&(
Re)!o %ar!e&o!!&a/
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TERIMA KASIH
