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as i ang revat nerlogi RSCM then 2005 ria dit Bedah Sara RSCM tau 200, jah pase Yaunn apis ang oper 19 rangi orang, wat 1! ca) ‘Prd aden peta iduniahan menu aa sig, dengan dans undangundeg ema emda abs pagan ‘ag peagendaemoarnob Dipak sebayal sag eh TOjetorang mendes Tvs kai bert Gaga nga Kenan seep ‘borg manjemen tap sida yang beaaian eience ‘usdimadene yang te an erp pu pat ee scar dani Teaph mengiga emai dan fin yg ‘si pt pt evan era, otra ears ‘shebang sper Indonesia, maka bbeep pny pele terpapeeliinbrasispenderi can ldonsipe disk en mendspaen gubaran maajmen mala den eins yan apt itrphan dan yng geal Geng aera oes tena Mrosjemen rum apts seni pa day bala ‘Manseen too opti aus tetas), lange leh Jean pny sara (euoop) ‘anseren peri ang’ oleh kel blah saat Teil tuna lapis yang teu bedesskan evidence based edie, ak nurs daha, Mansjemen tau lapis dapat mecjanab tian beutinn etaran ata ip yang be ete teins cede on pd eodeianya (pater ota) yang mayetas teas ruc an ‘Sh dn mash beckesempan uk mengenangin airy 1, KONSENSUS KESERAGAMAN DIAGNOSIS SINONIM: uma apis = cee hapl =heod nr = tule = Troma Brin ry DEFINISt “eta Kia ma mani ede Hepa aa Janging staan if ngsung yng menyebbanpaggu fags scl yt gingguan fi, Kop, fangs pike bal ‘emporr maapn einen LAstraast ‘iss rau lapis bedasadan 2 Lokal 2, Le itis 22. Les kein vse ok 23, Les ak 25. Kens do severe Rose Nasa Peargann Traum Rp oo Tc Sal “ons Raa Povegunan Tra ap dos Toma Sal 9 23.2. enstoms inane 12421. Hematana estar heat epi) 2322, Henaasa nbéval 2323, _ hemor arpa 2323.1 Herons baraliad 2323.2. Heron increta 2323.3 Hemtama inzcerebelar 5, Dent esas bran KG {jem ian nk pedo in rt an 1 sahara CT San erp perineal psd nis eam ap bet 1, Minima (Simple ead niu) (15, Tiakadapenurunan Kesar, kde amneiapasca ‘uma (APD) Tide dfs elo 2, Trauma pit ingan Ml Had ry SKG 15-15, CT Sean somal, pingian < 30 men, ak ala es pera eva aah skit 48 jan, ames pea tuna (APT) liam 5, “hapten / Morte Head ny ‘KG 9-12 dan Gm > 8 jm ana SKQ> 12 aan tapi ade Jes) oper nrc att noel CT Se, pings >90 soe 24am, APT 1-24 jam 4 Trane laps bet Severe Head are SKO'<9 yang mene daa jr sesesh rau, ingen > 24 jum, APT> Tha PELAPORAN DIAGNOSIS BERDASARKAN INTERNATIONAL CLASSIFICATION DISEASES (CD) 1X (hpi 1) SKALA KOMA GLASGOW i SK ag devss sums komponen a+ Vl + Mok [seishminm es4=3 hom dn imi! 4 $060 18 hemp mesa ‘Noma Sor pla ra Skala Koma Glasgow owes Naot Poagann ans Rp da Tra Spal [ses Ns Pongaon Ta api dn Tama ind [ Same (Timea [i [aenanaiaesy [e_[Paeteroaene —— [2 [ematanonnen est noo a on psi yng er ob poem ICU ke ‘nied engeen ry SK et epi ne ema bean bes at ‘skis. am pi gi mena so SK 115 sam ap etieg puna sar SKC 9-2 Shr SRO one PEMBAGIAN TRAUMA KAPITIS RINGAN DALAM "TRAUMAOLAH RAGA 8 ove yang sf adnan nis ik mange bein, “tort ii pt dai, de aT akon er ‘eens dep nub toSKO msi ah OT de isin 7 ~ Pies eg cle al ura ana aki ta, do tm C eed rkonponee maa =— ee | Sapa — a rar —| ne a | sromon J > [See [ewe [eos TE [eseuwetie norm nom PENEGARKAN DIAGNOSIS ee Dignan ern cetrmnon —[Rgetit [nates ~ ane ap dng top ean Kemi engin neat + Peasant hires + AnneseTumatte erog smeopae) 2 Has pomeieats Mins Nerslgi 3. Foto hepa poles, oi AP. ster, ges 4 Fotolia ts india rma fei. "Rosen Natl Ponngaan Ta api dT a) Ten Narn! Pesaran Fava Rapids Pana? ar asl opera iperian emus anya fa + inpest eta era 5. OT Sean Oak: uk elit Klsian yang mung ti anbarnkootsio Ganbern edema ok + Gambare pednaan pede). + Hematoma epidural + emtoma erat + Pert barked + Hemme inraeeea _PEMERIKSAAN KLINIS UMUM DAN NEUROLOGIS + Paulas Keedeen beralan sale koma Glsgow (xo) SS ns vil eset ete, Rees Esky praia Ba! hom se 9 = ~ Tadao Ago © Eheim haa Sale Sn * Gagan foal rraloghe Frings moti: eral etn + Reflls eden, reels pili, + Pemeran fang ag ote Ulsan ea skank ek pp + Petes komen 2 alls pheromen 1 Monitor pola pemafatn: © chee stole: a Remi © cenralnarogenic perenne dt reseselon- pone © epnuticreathes hyo ale beck ed meta cogs + Panay HEMATOMA EPIDURAL = ‘elraan yng ern dre a c= eae Henat masif, abet pecbnyy ameings al “nd Dagon Ki Laid teal = Kecdarn an enaen {ot ipa acl ies Poalaioler Babin kota Fran demon « HEMATOMA EPIDURAL DI FOSSA POSTERION (ej da Tada Kis: Lis ine il jie Fur tulsa ebigan escent (Gtnggunn serbsan,baang oak don prin Penang Dagnst (CT Scan ouk: arbre pees perdu) lang ngs an, ya dea tengo dana bone {5 os Nal Pagan Dama apt dn Tro sh "so anal Pagan Ta Rap dn Tosa ad [HEMATOMA SUBDURAL Pe sho. ying toc 6 astra dinate ~ aan, abst roocaya "rdgng en” enema) I) eis | aime ered 0a | 2 Sone ne Laed Sit ~Bep ming | 3 Konic) IervlLucd > 3 balan |, Henstomn Sob Akt || Geta denne is: |) wesuroousmmastmemaL. | Atc perabanperelii ,dtaan tama pecs {etme oe a tiple, || a —— |] mn eee | ES earner ee oreo | = ! Cass Cain anda lo con ior mela bug hires | +“ pedaraan bate pst ecm Pzeoon | mie \@ ysis, a fe PS ame xan oe meth tinge /torten as Natal Pengo ue Reps an PaaS {Gavel masid evans ano Penning diagno + Memastka cxtanserebrosinalseees et... dengue halo Searing oakreslus tinggi de tan’ om te *) high solution and thin section) \HFFUSE AXONAL EVIURY (DAD. ‘Geile in ade KT “= ae Tana pce ume api (riod dena agg Panning Disgrostie> CSE oak FE EADY carnal, tidak ada nds adanya pearson, ‘dem, Koto VC slg seh 24 jm- Genoa) PERDARAHAN SUBARAKIINOID TRAUMATIKA, (ej dancers Klnis Kava Nossa © Biss apt prggun Aeon Penang digress (CT Sank: perderaan (perdes) rang subsea "es Nana Pongoen Tama Fp dW Sead TT ai 5H, KONSENSUS MANAJEMEN DI UNIT GAWAT DARURAT [PENANGGULANGAN TRAUMA KAPITIS AKUT Pecan merges ssa engin bern uma apts ngs, ora) Berd tan 1. Survel Primer, gusenya wk mentabian Roni pain, ‘lip ata data A Aimy (san ras, Bebuslan jaan mais degen memerin uit dan uengelavan dish, gg yang poh, mana, 4, Ble eval nbs vaca kmh dey ata ‘lang lee) Be Breathing (pect), Patan perso de, ‘satan fekue, pla nafts dan peat dad ts Pru din keen pengenbangan dads Kaun den ki (ime. Bis adn guagguan peat, ca pened ‘alah tap gngnun pada vena! (oak ie tng al) at peri (tt pes ta arp) Bil pri, Serkan Olsigen seo deogankebunban deen ‘age sensi 02> 92% © = Chelation ee) PetahaanTeansn Dish Stolk > 90 mani Ps sl inkavena. Bes ai itaven dip, NaCl (96st Ringer Hina can hte lapse rasopesor dann ont be spss bedoh sar errands ee ee 1 Rese vo Praga rans Kap don a Sil (tit ins opera pendrta ona kept) D = Disein (sits utak mengeahi series én kone ‘aman dengan emeranan cepa ats uum dan euclog) (© ‘Teed: elanan dah, ah peat ss © Sialators Gisgow © Pup, ek dn etl aay (© enaciuun nel cea hemiparesis es acess o tke © set GPs sri a ‘te, tb Emon on 2 Survet Sender, mel peers a tina a.) sla on ain ea, = Labernorim . Drab, leuko, hang jt leks, combos, ‘wou, kev, pl cara eva, naling dara a, Ue: (2/0) Radice Foto polo kepals, pss A, ar tuagen (Tose Fo ineya sna intact FF =Manajemen Terai Sap nak peas pa pasen yang mempant = Slpkan uk nauk ang ron *Penengnen a ake + Penton emi obat bas seu kebshen aes Nason Pnagaan Toma ap dn ama (mala lentarpanausn kins medi/Obronaton Ghar, lanptran 2 pane san ap jms + iamsPanuon arpa pain ene SKO 13 Fetbatn Kuso bans bean mt menepah {isdn hits Miley, 1978;Chsat 193), Dia dui Traumatic Coma Date Bon (TCD) ‘menperttan baw hips pada pen dsngen ‘sum iranaserral bt kan meingaion sop ‘eatisn di 27% menjadl 50% (iin, 900), Twallsna isin yang ett pba can hla sagan xing een Sa kemanchinan stan menbshyatan pai, tera pa pcre ‘skh mesgslani banyak kiagen ean oso periatn. ies ttn on aggre + Thm as set | + Suhu> 35 deat Cetus + Prkoessafte> 20 et Crash ergo tepaiys ‘kanal dengan + Poss eps ingyen 3 deja Bis pers aga bran Manis 20% (hata eins. Doi anal | g/kg BD, bean lam wakes = 1 Jum ip cepa dagen ‘embron dengan dois 0 p/h BS decom jy stl jam a peer peraa dn 0.25 kg BB hip cept, ja etl 12 Jaman 28 ‘dpe pertinn + Beran tanga, dan Bis pee dapat eran sec jag. pend fetaan sings 16 onc istsPanpaas Tams pas tsa pa 4 As konpa + Klang profits OAE sears That wma mete dan ery ser pa assis gi + nfs la le bran art olan, su deine ini, ‘ae 0-14 Br = astern! = perdraas lambung Ic psen cng vou kai erg cederng meagan Kong. 5. Peer eran dn uri ada 6 Rooms, european (caine) nook sxe ings (TRAUMA KAPITIS RINGAN (KOMOSIO SERB 1. Distal? x24jem 2. Tide dengan poi eal igalan 3 dee 5. Obucola sings eper anlge, an ene, fn nn sean nen kebtsan ¥._KONSENSUS NEURORESTORASI DAN NEURORE- HABILITASL 1. re et alg epee sendeie & ne monaie © Grane © Gain ono © Komtont , eb hguan non & MSTone rosea ow Ges) (Garo Cape) ‘Rex Neal Pears Fo Rais dn Tro S17 NOISE rime Ste Bsn aria 1 laksan sia isi TOAG™ 1 2 Ginangme 2 ana penrunn na (30 dik ke ‘ris mabe Sts mental ner lengkp (ik Divs Nesrobetavat) 2% ‘Membus progam esters seu ako sero dengen et yang ddpatien 2. Menus change pomaing 4+ Mogi pases epost eats + KONSENSUS PENELITIAN MULTISENTER Penltian pei’ Lipa. 5 Survein dt rata apt bebsirai it 2 Obvisbatan nesroprtetn cla) "Kelas Neurebelvior + Post Touma Some QoL (Guay of Li, dngsa Glasgow Onicome Sexe (608) apie 5) ~ Skorng eran robust dengan ‘ SptenieInfannatory Response Stone (SIRS) danpinn 6) Revied Trauma cor (8) apis) ai BABIL ‘TRAUMA MEDULA SPINALIS 1. KONSENSUS Unt ‘ean Meds Spiatis CTS). * Al uma pads tg blaang yang meayebbias ‘el med sili sehingpa menimtuan gagauan apt menyebbian Lacs mene + Menpelankesann dant seurslogi yng meena ‘idan yg ep eat dn coma! ea mega, ong keactsn dn eatin Iosidesrauna edule pias diperkiaan 3040 per ss jpeg per un engage 000-1000) *Ansla moras pean 48% dal 24 peta, i ein rag 0% mening vt Kee, nl itbbiaa ecb sevilla jeagmenihcesdo tens 2 paling bss, dengan eel sting CS di Ce, (5dan rian T2, 41 daa To, * Tata peeoba paca rel pn ad © Menig sl yng mash cup gu tein ds ‘ean ut © FliminsiLertanakba prose patogmesis sekinder © Mengptsel are yang rte © (Measinulas perumbuten —aison dan leeks, 6 Menaisinstanpenyembin desi custo sens Noa Poaganen Ta ap des Wasa TP ©. Stbiti veen= (© Nevroreorati dan oturshbliasl anak — smengemtlia fogs bah A SIAIMSOP + Pops erpntng pads: 8); Ll el servi ats props pb it Kaashan tus mel pais epi fa a 72 jam samp T a seh en, I Las hop ikem. Hi ©) Tent i hei en opi, rue amen eae . 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Tear a a a OT TART TC i "| ena ee |) HLXONSENSUS KESERAGAMAN DIAGNOSIS ewe | pecn onnana pee amass | | Peoepkas Digross Sa a a + Berdsrkan Gj en Tanda Kini (ASM oo) TTT etna” na Hn eng eal a “nein inal ‘nary aaclaoTnteraoral eal of Paraplegia SOP) ‘Teauma mei spn pina! oni) Aah ung stan ae Inge tehadp meal spinal yaog enya ‘erankan eda pica Matis enya dares ‘Skee verbal, | Wapenersnes 44 mana agri, smu inmamedsirncti, pa oa Cop we) "0 te . 8 sans 1 dena co ey Oude 1 conte (3 Corcntgrien 8 dmcrcoaoe ica (9 rear, (9 beso, 8 Chay tone Up, MY) Complete Cauca Equina Injury (Grade A) a 1 bps te a) | lah jury: gua Shee Ngee ke pers seria menybaban coder jerngan nk pi ak da hersakan pada med spinal. “WO ons Vail Png Tama ap dn Tr Hasson Naa Pagan a apis as ame poad A = \ | rat A lng ott fear (ow fxr), ott estesor tagin (wr exons, teeter (ewe xowor, ot eke jai ner Art ltl pale of mide ger) ser at Jat ner ctor le fig), ‘ot kor pace hip lors), cat teat lunt nee etenson), ot dolls engin ld (one driers) oat Pajngeesenor efi Un be extensor), et fetaor planar prplangan ak! (ane plese) ONSENSUS MANAIEMEN PRE HOSPITAL roduungmjionpenyentoan yng etna, ka pea a lls tr hosp + sabia meal me Peli dn ges geran in + penangann nobis vers degas Kleber (in vert Brace KONSENSUS MANAIEMEN DI DARURAT “Tian cance! meng pa: be Aaunnan Manag ala as ap pang a BREATHING) ‘Mangus angpoan pereafn, tla pv Ian UNIT Gawar ——__ owen Noa Pongo Tra Rp es ama ea 7 lah eden! ees ma pi seal es) en progam oo shige shee 3. c¢emeutanon Menton triads Nps, ikea ecg ac ten snaps fae -dibedakan antara DS) bole ipsa, sheen ng bh) anon ‘sion i (Nl 09 Rng Lae. fans pe deg Kodi! Aura 9.5 seuss poem, tad, ‘tori gt kr) Pte ses Scr nena ent or lon) lar doh vane dering AP 2 inp snubs gi 5 dant dt token Cains yng rin Kd NCO ‘ager stl nt: Ae) 4. Sejyn + snot ones depth Powers ut tates, Sine jen eon nga ies = eps ec 5: Pome Un Nels Russ Sila ted fat st da’ hn vette ——— 22 Rowena Nal Prngoen Fema Ras ds Pama Seika + pang aah an! lee, Jagan imnipas dan dsunplag iano eb aah al pai + Teal aan Sk orale) Ll: rs denges ketal Desi Newsies Berar el & ada Kl ssl eoga tings dan as est (6 PemesisanPesing 1 Latrstrum 1 Dark perf onan Using 2 ulna evs 2 Unmum resin > Asp (wai ga ah) Rade . + Foto Verb pss) APILATodenid dengan seni lta Lesh + CT Sean MR jt dengan fo Konvesonl smith Mengalan su bla alae dlalan fndskan ope 6 Pemerian sa EKG bil eps ami ats 1 Pebaan Kerthoseié Bis agnosis duegbian < 3 jam paca tua bron Madglpediolen 30 mpXgBB iv bos selma 1S ment, dtnggo sama 48 mei ek Aberin Meteo a rn wa i) enya | Rosman Natal Peano Puna Kp abe Fauna Spal 78 ean fois ts meen ety petnin lame 23 jam dengan dss 54 mpm * Bile 34 jam, idem, tanya its Mepedaiolon layjuen or4 js * Bin> 8m dak gta peers methylene \:KONSENSUS MANATEMENDIRUANG RAAT 1 Panera Une ‘anan D.senal tpi Ui st Se cap aoa ia corp a) * Bina gg ps Kondo ae dn ‘ace dann reas ba ae ts 2. Pemerikssan Neurofisiologi Klinik ~ $81 * 3. Medikamentosa . Ss 9. Laan penbeiae einen (nec ps “asa 2h pe 2) Ae pst rene in 2 Asia Mest etait ects ptr its } Mecegt ors ‘vet (BV dps sai “alts an Sie Ka ps Spe aoe satus opt ae 9 Match pos stir (fe rtd) dein eset an san ot Ct) 1 Sols ng eneten ML ugh i dias seam 1830 3, Teal bt is ina sep eich Infekt, wees 236 owen Naval Pengo Tana Rap on pie as Pasa Mapes srt yang rk dengan tm sl (isa euang) oper ‘Waa spensantare2am sunpl eng 3 ing, ‘Than opel (<2jon) eibberatoa menaruskan Yparbrian sewolgs, koma, dan lean shor * tric ay abun aa au peal Ad fas, ethan lng menehan med inl ‘untae scope pops menbur. | Pr, oa yng bi ‘Tae bala da ieavenebral yng nek ela minal ba Baga Besuh SuaDSpanl Onopedik bedasatan (AENSUS NEURORESTORASI DAN NEUROREHA- a1 PMamberan perenngn & pedidlan iopads pen din Aalurs orgs vrs nedla spain Mamatusalia keoanoion moblsas! & sear (tian Imani) cavitation ji percha | Menetah kore: aos, eis, esp, an Natal Pega Ws Rp os Waama Sal 5, Lue mis én fee, 4 Terapia enable cedere spinal servi Merpaan sit kept reba dar ange ering emp ‘uu enue Seiden brome balan fom bedi ‘acon 1" Panjebuban (Recon) 4. pervembban dpa tea ares nae nerplatie 1% Penyenbutan fing dns dengen FIM ( "Funtos Independece Mente”) a 18 ere, Retsil efi WHO: Reba ish satpro progr iam, data a yng uri ean uns mennk kul et inv yng mengalapnggsn scr opal lam ing ‘metal sl opi a stl ‘Reta’ eden medal ial mers say pls eset profes! yang test malin 9eng dims) ‘jain sng, oars tevcoes dan cttens lamas ‘laymen sel fe ua op a emma, eel es, sega peat dag ba tats, ina en len, palo, Taha mengedual nb, pelo i, lan wer, eke ssi, Teealing ese esta Retails dnsjudan supige pasen dist kembl lagna Konunisya dan apt erpean sess dengan fake yg bars WHENSUS PENELITIAN MULTISENTER. aden womb vera dl (O77) elaran pds prgponan Met Prison stain denis penggsan Mei! Pretioion dan awoprka in abla ASIA Stor Futon independence Msc (FB) “Reena Yaonal Pengo Wome Kas ds Pome al TB —___SaFInR oRruBEOR KONTRIGUTOR E [RBS Aaaned GSDHAON | aa 2, [ema ame 809 en 3 [Potion oapa | maw 1 ai at a0 i 1 [py oan 50 = 2 [Baad Dna ps en See oy 72 [aaron 80 = 1s tae i 16 crear amas i 15 Petey ann 5 16 [Dotan DZ 17, [Be Bini Baten SS Genk 1a eave Tai [rae | cake bardanartas brn lascaton Deter (CD) X ‘Sad pu Cole pris ahr agian ik pi aaa ap maa pin (1 eee bi) Apia a ap Lab eral ap, ek tak ra a Spee gato) fa a mug pte ae ra rtp an ple bk kop ag si ag ap de lng fra ean spo see eg prt! po pls "ea aos Tere =o Nl Prager Tama Kap dn Ta pnd 37 Frkir mule yg men tng tego nag =i rr pag hin ming gh ing ish ‘Aves oneNos Fra di ing eg dn log woth, tga ta si ete satis alr pa apt i jy ‘Chara pat Se eeicsete ae Sooo Sesion nooo See ae Seer oes aoe Seocen ec 2 a an qe Wy Ay Konsensus Nasional Penanganan Trauma Kapitis dan Trauma Spinal PERHIMPUNAN DOKTER SPESIALIS SARAF INDONESIA (PERDO p00 -