HAEMOSTASIS

KOAS OBGYN BEKASI

UKI - TRISAKTI
H Help. Ask for help
Tolong. Meminta bantuan

A Assess (vital sign, blood loss) and resuscitate

Ases (tanda vital, kehilangan darah) dan resusitasi

E Establish aetiology, ensure availability of blood,

acbolic (oxytocin, ergometrine, or syntometrine bolus Managemen Awal
IV/IM)
Tentukan etiologi, pastikan ketersediaan darah dan
akbolik (oksitosin, ergometrin, sintometrin bolus IV/IM)

M Massage uterus
Masase uterus

O Oxytocin infusion, ergometrine bolus IV/IM,

prostaglandine per rectal
Tatalaksana Medis
Infus oksitosin, ergometrin bolus IV/IM, prostaglandin
per-rektal
S Shift to the theatre. Exclude retain products and trauma,
bimanual compression, abdominal aorta compression
Bergeser ke teater. Eksklusikan produk tertahan dan
trauma, kompresi bimanual, dan kompresi aorta Manajemen non Pembedahan
abdominal Konservatif

T Tamponade balloon and uterine packing

Tampon balon dan tampon bulat uterus

A Apply compression uterus, B-Lynch technique or

modified, Lasso-Budiman technique
Lakukan kompresi uterus, teknik B-Lynch atau yang
termodifikasi, teknik Lasso-Budiman

S Systemic pelvic devascularization : uterine, ovarian,

quadriple, internal iliaca Manajemen Pembedahan
Devaskularisasi pelvis sistemik : uterus, ovarium, Konservatif
kuadripel, iliaka internal

I Interventional radiologist, if appropriate, uterine artery

embolization
Intervensi radiologis, bila memungkinkan, embolisasi
arteri uterus

S Subtotal/Total hysterectomy
Histerektomi subtotal/total
Usaha akhir – Manajemen
Pembedahan non Konservatif