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Oxygen ------> O2 Cell

Basic
Cell
Mitochondria
What you thinking .?????
London bombing
Primary survey-Secondary
DEFINITIVE CARE
survey
RE-EVALUATION

Primary survey Secondary survey

A-B-C-D-E LOG ROLL Head to Toe examination

X-rays : Cervical
Thorax DEFINITIVE
Pelvis CARE
dll

Thorax :
1.Laryngeotracheal injury/Airway obstruction
2.Tension pneumothorax Thorax : 1.Tracheobronchial tree injury
3.Open pneumothorax 2.Simple pneumothorax
3.Pulmonary contusion
4.Flail cheast + pulmonary contusion 4.Hemothorax
5.Massive hemothorax 5.Blunt cardiac injury
6.Traumatic aortic disruption
6.Cardiac tamponade 7.Blunt esophegeal injury
8.Traumatic diaphragmatic injury
Primary survey-Secondary survey
RE-EVALUATION
DEFINITIVE CARE

Primary survey Secondary survey DEFINITIVE CARE

A-B-C-D-E LOG ROLL Head to Toe examination

X-rays Cervical
Thorax
Pelvis

Thorax :
1.Laryngeotracheal injury/Airway obstruction
2.Tension pneumothorax Thorax : 1.Tracheobronchial tree injury
3.Open pneumothorax 2.Simple pneumothorax
3.Pulmonary contusion
4.Flail cheast + pulmonary contusion 4.Hemothorax
5.Massive hemothorax 5.Blunt cardiac injury
6.Traumatic aortic disruption
6.Cardiac tamponade 7.Blunt esophegeal injury
8.Traumatic diaphragmatic injury
Real life
Team work Simultaneous
ESSENSI ATLS
Jakarta, 22 February 2014
Edited by Andanu
Lihat pasient Lihat A-B-C-D-E

A-B-C-D-E
ATLS Concept

Airway with c-spine protection


Breathing and ventilation
Circulation with hemorrhage control
Disability: Neuro status

Exposure / Environmental control


ATLS Concept

1. ABCDE approach to evaluation and


treatment
2. Treat greatest threat to life first
3. Definitive diagnosis not immediately
important
4. Time is of the essence
5. Do no further harm
Primary survey-Secondary survey
RE-EVALUATION
DEFINITIVE CARE

Primary survey Secondary survey DEFINITIVE CARE

A-B-C-D-E LOG ROLL Head to Toe examination

X-rays Cervical
Thorax
Pelvis

Thorax :
1.Laryngeotracheal injury/Airway obstruction
2.Tension pneumothorax Thorax : 1.Tracheobronchial tree injury
3.Open pneumothorax 2.Simple pneumothorax
3.Pulmonary contusion
4.Flail cheast + pulmonary contusion 4.Hemothorax
5.Massive hemothorax 5.Blunt cardiac injury
6.Traumatic aortic disruption
6.Cardiac tamponade 7.Blunt esophegeal injury
8.Traumatic diaphragmatic injury
Lihat pasient lihat A-B-C-D
The process that run
Imagine
Trauma room
Simulation patient

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