Trauma Kapitis - Spinal

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      RAUMA KEPALA

    Ambulans Gawat Darurat 118

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    Pendahuluan

    • Sering Terjadi :

    - 50 trauma

    - 50  !ada multi trauma

    • Cega" terjadin#a

    $erusa$an %ta$ se$under

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    Anatomi

    1 'ulit 'e!ala

    ( )as$ularisasi bai$ 

      - Lu$a $e*il + ,erdara"an ((

      - Lu$a dalam +

    ,erdara"an relati $urang

    Ambulans Gawat Darurat 118

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    Anatomi

    . Tulang Teng$%ra$ 

    ( 'al/aria ( Basis

    ati + "ati bila !ata" terbu$a

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    Lapisan Pelindung Otak

    ( Duramater

    ( Ara*"n%id

    ( ,ia ater

    2ta$ 

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    Ambulans Gawat Darurat 118

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    Ambulans Gawat Darurat 118

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    Ambulans Gawat Darurat 118

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      ekanan Intra Kranial

     Dalam $eadaan $%nstan

     ,erdara"an 100 ** da!at

    men#ebab$an $ematian

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    Kerusakan Otak akibat cedera

      

    'erusa$an %ta$ ,rimer

     'erusa$an %ta$

    Se$under

    Ambulans Gawat Darurat 118

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    'erusa$an 2ta$ Se$under

      3dema %ta$ 

      4s$emia %ta$ 

     4nar$ %ta$ 

    Ambulans Gawat Darurat 118

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     ang da!at men#ebab$an 'erusa$an

    2ta$ Se$under :  #!%/%lemia  "#!%$sia   is$emia

     #!er$arbia  /as%dilatasi   T4'

      i!%$sia

      is$emia Ambulans Gawat Darurat 118 BT&CLS

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    Tanda Lateralisasi :

     ,u!il

     %t%ri$ 

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    Glasgo !oma "cale # G!" $%

     'isaran : 6 - 15

     '%ma : GCS 8 atau $urang

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    Glasgo !oma "cale # G!" $ %

     3#e 7ilai  es!%ns ,asien

    9   Bu$a mata s!%ntan 6   Bu$a mata ter"ada!

    suara

    .   Bu$a mata ter"ada! n#eri

    1   Tida$ ada res!%n Ambulans Gawat Darurat 118

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      Glasgo !oma "cale #G!" $ %

      %t%ri$    engi$uti !erinta" 5  el%$alisir n#eri 9  enjau" dari rangsang

    n#eri

    6  ;le$si abn%rmal

    tensi abn%rmal

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     Glasgo !oma "cale # G!" $ %

     )erbal 5  Ber%rientasi bai$  9  Berbi*ara bingung 6  Berbi*ara $a*au @ $ata-

    $ata

    tida$ jelas .   Suara merinti" @

    mengerang

    1  Tida$ ada res!%n Ambulans Gawat Darurat 118

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    PERIK"A PUPIL MATA

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    Pupil

    Mata

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    PERIK"A LATERALI"A"I

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    &enis rauma Kepala

     ;ra$tur   Terbu$a

      

      Tertutu!  ;ra$tur   Linier

      

      4m!resi     7%n im!resi

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    Ambulans Gawat Darurat 118

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    &enis Perdarahan pada rauma Kepala

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    &enis Perdarahan rauma Kepala

    1 3$stra $ranial

    . 4ntra $ranial

    ( 3!idural

    ( Subdural   ( 4ntra-Serebral

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    Kelainan 'i((us

    1 C%mm%ti% Cerebri . Dius A>%nal 4njur# < DA4 =

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      ingkat Kelainan akibat

    cedera

    1 ingan 

     GCS 16- 15

    . Sedang 

     GCS  +1.

    6  Berat  GCS 8 Ambulans Gawat Darurat 118

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    Penanganan !edera Kepala

    Selalu A + B + C dulu untu$

    meng"indari $erusa$an %ta$ se$under

    1 Airwa#

     Selalu agresi! ji$a $%ma la$u$an

    intubasi Ambulans Gawat Darurat 118

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    Penanganan !edera Kepala

    . Breat"ing

    Selalu agresi! *ega" "#!%$sia atau "#!er$arbia

    6 Cir*ulati%n

    Selalu agresi! *ega" dan $el%la s#%$ 

    9 Disabilit#

    Selalu nilai GCS

    Ambulans Gawat Darurat 118

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    )

    Ambulans Gawat Darurat 118

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    !edera "pinal *

    +ertebra

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     Anterio

    Posterior 

    Ser/i$al

     T%ra$al

    Lumbal

    Sa$ral

     ,

    -.

      /

    Ambulans Gawat Darurat 118

    Anatomi

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    Anatomi

    Anteri%r

    ,%steri%

    r

    S37TAL ST372S4S

    Ambulans Gawat Darurat 118

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    !edera

    "pinal

    %t%ri$ 

    Sens%ri$ 

    2t%n%mi

    Ambulans Gawat Darurat 118

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    7er/i Craniales us Bra*"ialis

    C5-T"1 us Lumb%sa*ralis L.-S1

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    ,le>us Bra*"ialis C5-T"1

    ,le>us Lumb%sa*ralis L.-S1

    "usunan "0ara( ke Ekstremitas

    ,le>us Bra*"ialis C5-T"1

    Ambulans Gawat Darurat 118

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    "ensorik tubuh

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    "usunan "0ara( Otonom

    Perna(asan Reguler

    7er/i 4nter*%stales

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    "usunan "0ara( Otonom

    +esica Urinaria

    Cerebrum

    )Frinari

    a Sn$t er

    S#ara $e )esi*a Frinaria

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    !edera "pinal * +ertebra

     M   at!h terd!d!k" kaca mobil Bulls Eye"

    motor ditabrak dari belakang

     I

      #rakt!r $ertebra

     "  %yeri" t!ngkai kesem!tan" lemah"l!mp!h"   Syok %e!rogenik encing" 'ab" (reksi

    )). Pasti *edera +ertebra

     T  Perlak!kan seperti *edera +etebra

      sampai di b!ktikan *edera Spinal

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    %t%ri$ :

    Sens%ri$ :

    2t%n%m :

    Tetra!aresis

     An-estesi seluruh tubuh (termasuk leher)

    ,ernaasan : a!nuetensi% Frinae 7eur%geni* s"%*$ H

    !edera "pinal

    le1el

     !-

    Ambulans Gawat Darurat 118 BT&CLS

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    !edera "pinal

    le1el

    %t%ri$ :

    Sens%ri$ :

    2t%n%m :