Kepala Divisi Hand and Microsurgery FK UNPAD / RSUP FK UNPAD/RSUP Dr.Hasan 2010 - 2015
Dr.Hasan Sadikin Sadikin
Wakil Direktur Rumah Sakit Pendidikan UNPAD/RSUP Dr.Hasan
Dr.Hasan UNPAD
UNPAD 2011 - 2013
FIRST AID PRINCIPLE IN
MUSCULOSKELETAL TRAUMA
M. Rizal Chaidir
Abdul Kadir Hadar
Riwayat Pekerjaan :
Riwayat Organisasi :
• History :
Closed fracture Open fracture - Chief Complaint
- Mechanism of injury
Sign and symtomps : - Onset of symptoms
Deformity Crepitus • Focused Physical Assessment :
Tenderness False motion - Look
Guarding Exposed fragments - Feel
- Movement
Swelling Pain
Bruising Locked joint
BONE
X-Ray :
Principle (Rules of two) :
Two View,
•
Two joint,
•
Two limb,
•
Two injuries,
•
Two occasion
•
BONE
5P:
PAIN Compartment syndrome
PULSE
PALLOR TRUE EMERGENCY
PARASTHESIA CONSULT ORTHOPAEDIC
PARALYSIS
EARLY ASSESSMENT
• Immobilization
• For open fracture : Wound cleansing
Immobilization
BONE
Key Points Splinting
o Immobilize joint above and below injury
• Prevention of further injury
o Assess neurovascular status distal to injury
• Decrease pain prior to splint application and again right after
splint application
• Decrease swelling o If angulation at fracture site without
neurovascular compromise, immobilize as
• Stabilize fracture or dislocation presented
• Relieve impaired neurological o Minimize movement of extremity during
splinting
function or muscle spasms
o Secure splint to provide support and
• Reduce blood and fluid loss compression
into tissues o Reassess/monitor neurovascular status
every 5-10 minutes
JOINTS
3. Treat for shock; keep the victim warm and quiet and in the position
most comfortable.
4. Give Analgetid
Contusion
CONSULT TO
ORTHOPAEDIC
SURGEON
• Tendon injury
• Tendon rupture
Give Analgetic
Rupture Consult
to Orthopaedic
Surgeon
THANK
YOU