Anda di halaman 1dari 12

Tatalaksana pada Kasus Cedera

RSUP DR. KARIADI


SEMARANG
Superficial Injury (1)

 Abrasion
 wound toilet

 Blister (non-thermal) (bulla)


 Aspirasi dan debridemen

 Contusion (memar / lebam)


 Kompres dingin

 Injury from superficial foreign body (splinter)


without major open wound
 Ekstraksi corpal
 Insect bite (non-venomous) – gigitan serangga
 Kompres dingin
Open Wound

 Animal bite – gigitan binatang (Vulnus Morsum)


 Eksisi linier (kecuali untuk ular), antibiotik

 Cut ( vulnus incisivum)


 hecting

 Laceration ( vulnus laserasi)


 Wound toilet, hecting, ATS dan TT

 Puncture wound (vulnus iktum)


 Linier incision, ATS dan TT
Fracture (Closed)

 Immobilisasi dengan pemasangan bidai


 X-ray foto segmen yang terkait
 Tindakan definitif seperti :
 Konservatif : gips

 Operatif : ORIF dan OREF


Fracture (Open)

 Pemasangan bidai
 ATS dan TT
 Antibiotik empiric broadspectrum
 X-ray foto segmen terkait
 Debridement dan tindakan definitif (ORIF atau
OREF)
Dislocation, sprain, and strain
of cartilage, joint and ligament

 Avulsion : debridement, antibiotik, analgetik,


hecting / STSG
 Laceration (Robekan) : debridement, antibiotik,
hecting
 Traumatic
 Haemarthrosis : analgetik, aspirasi
 Rupture : analgetik, repair
 Subluxation : analgetik, reposisi
 Tear : analgetik, repair
Dislocation, sprain, and strain
of cartilage, joint and ligament

 Sprain dan Strain


 Tindakan pertama untuk sprain dan strain adalah RICE (Rest,
Ice, Compression, Elevation)
 Analgetik

 Splinting untuk immobilisasi


Injury to nerves and spinal cord

 Division of nerve
 Haematomyelia
 Paralysis (transient)
 Paraplegia
 Quadriplegia
Injury to blood vessel

 Analgetik
 Antibiotik
 Terapi definitif :
 Reanastomose pembuluh darah

 Amputasi
Injury to muscle, fascia, and tendon

 Analgetik
 Antibiotik
 Terapi definitif
 Repair

 amputasi
Injury to internal organs

 Blast injury
 Control pain, observation vital sign, definitive therapy

 Bruise
 Control pain, observation vital sign

 Concussions injuries
 Control pain, observation vital sign

 Crushing : control pain, observation vital sign, definitive therapy


 Laceration : control pain, observational vital sign, definitive therapy
if needed
 Traumatic
 Haematoma : control pain, observation vital sign
 Puncture : control pain, antibiotik, prophylaxis from tetanus, observation vital
sign, definitive therapy
 Rupture : control pain, antibiotik, observation vital sign, definitive therapy
 Tear : : control pain, antibiotik, observation vital sign, definitive therapy
TERIMA KASIH