Ews and Code Blue DR Zak

Code Blue
and
Ews
rsud dr. R. Soedarsono
kota Pasuruan
dr. Moh. Zakky Kurniawan SpJP FIHA
Former dr. Brigade Siaga

Bencana Kemenkes RI 2002-
2005
dr. Spesialis jantung dan

Pembuluh Darah RSUD dr. R.
Soedarsono Kota Pasuruan
Instruktur BTCLS-PPGD
yayasan EMT 118 Surabaya
HASIL BELAJAR
Mampu memahami konsep dan penatalaksanaan code blue
dan EWS
J J
INDIKATOR KEBERHASILAN
1 2 3 4
POINT ONE POINT TWO POIN THREE POINT FOUR
memahami klinis memahami konsep memahami memahami EWS dan
cardiac arrest vs cardiac arrest team
heart attack
konsep dan penatalaksanaaann
vs MET team tatalaksana code ya
Blue
cardiacarrest
1 Hilangnya perfusi aliran
darah secara tiba-tiba dan
tidak terduga yang
disebabkan oleh berhentinya
aktivitas mekanik jantung.
2 Dapat disebabkan gangguan pada

kardiovaskuler, metabolik, infeksi,
neurologik, inflamasi dan trauma.
5 H’s dan 5 T’s  Hypovolemia;

Hypoxemia; Hydrogen ion (acidosis);
Hypo – or Hyperkalemia;
3 Hypothermia; Tension pneumothorax;
Tamponade; Toxins; and Thrombosis
(both pulmonary and cardiac)
Hasil akhir dari semua gangguan tadi adalah

4 Ventrikel Takikardia (VT); Ventrikel Fibrilasi (VF); Pulseless Electrical Activity (PEA); Asystole
 Aritmia Letal
cardiac arrest team vs medical emergency team
Pada umumnya Cardiac Arrest Team akan

merespon “Code Blue” setelah adanya
orang awam/Nakes mengenali tanda2
Cardiac Arrest kemudian “call for help”
• Kebanyakan percaya bahwa dengan

adanya Cardiac Arrest Team akan
memperbaiki keselamatan pasien, namun
pada kenyataannya MENGECEWAKAN.
• Berdasar Study di eropa dan AS

kehadiran Cardiac Arrest Team ternyata
sama dengan tidak adanya team, sehingga
tatalaksana selanjutnya di RS
menggantinya dengan MET team (AHA
2015)
EWS = Early Warning Score
System
.
Respiration rate
Saturasi
Suplementasi O2
Temperature
Tekanan Darah (BP)
Nadi (Heart Rate)
Kesadaran (A.V.P.U)
Scoring EWS
total skor EWS menentukan respons
kuning = skor 1-4 risiko

ringan
orange = skor 3-4 risiko

sedang
merah = skor 7 atau lebih

risiko tinggi
Biru = henti nafas henti

jantung
medical emergency team
fokus pada kondisi emergency terkait situasi Code
Blue dan EWS berat (merah):
MEDICAL EMERGENCY TEAM
Bergerak saat kegawatan (respon time

max 10 menit untuk kegawatan medis)
Terdiri dari leader (dokter) dan perawat

terlatih
Kemampuan melakukan Advance life

support
Dilengkapi dengan standar peralatan

emergency
EVALUASI
1. Sebutkan beda cardiac arrest
dan heart Attack
2. Perbedaan cardiac arrest

team dan medical emergency
team?
3. Sebutkan sistem skoring EWS

dan kapan MET harus bergerak
Kesimpulan
Pengenalan sedini mungkin kondisi
kegawatan penderita mutlak
 dibutuhkan kemampuan serta
kompetensi Nakes dan tenaga
medis ahli di RS
Kemampuan stratifikasi kondisi

 EWS dan CODE BLUE akan
menurunkan mortalitas dan
morbiditas
Kehadiran dan peningkatan

kemampuan Tim medical
 emergency sangat diperlukan di
RS
Terima kasih
Always Smile.....be greatfull... cause in SMILE you can see Miracle in Life
Everyday
TWO PONT AND IMAGE
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Mr. Macho Mr. Keren

SENIOR DESIGNER SENIOR DESIGNER
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TEXT AND
IMAGE
Everyone here works directly with our clients,
so if a client has a question that relates to the
design they’ll speak to the designer that worked
on it. It’s fun, as it should be.
5 POINT AND ICON
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    
IDEA RESEARCH PLAN IMPLEMENT MEASURE

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KESIMPULAN
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PROCESS
  
01 IDEA 02 PLANING 02 DESIGN
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“ Change will not come if we wait for some other
person or some other time. We are the ones
we’ve been waiting for. We are the change that we
seek - Barack Obama
PRO PRESENTATION
Beautiful Powerpoint Template
Mr. Ganteng
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nunc, a auctor lacus massa id odio.
TRAINER
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WRITER
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BLOGGER
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Mr. Ganteng
Founder and CEO
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laoreet, diam metus semper nunc,
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Mr. Cool
Senior Designer
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BRANDING 45%
MULTIMEDIA 66%
ANIMATION 25%
WRITING 97%
FLASH 57%
TABLE CONTENT
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1 POINT ONE 4 POINT FOUR 7 POINT SEVEN

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2 POINT TWO 5 POINT FIVE 8 POINT EIGHT

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3 POIN THREE 6 POINT SIX 9 POINT NINE

Consectetur Praesent sodales Keep in touch!
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TEKS AND IMAGE
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TEKS AND IMAGE
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TEKS AND IMAGE
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TEKS AND IMAGE
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TEKS AND IMAGE
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TEKS AND
IMAGE
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TEKS AND
IMAGE
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TEXT AND IMAGE
Everyone here works directly with our clients, so if a client has a
question that relates to the design they’ll speak to the designer
that worked on it. It’s fun, as it should be.
TEKS AND
IMAGE
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TEKS AND
IMAGE
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TEKS AND
IMAGE
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amet
TEKS AND
IMAGE
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amet
TEKS AND MOCKUP IMAGE
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SCREEN MOCKUP
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TEKS AND MOCKUP IMAGE
LORUM IPSUM
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leo magna
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leo magna
LORUM IPSUM
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TWO PONT AND IMAGE
Mr. Macho Mr. Keren

SENIOR DESIGNER SENIOR DESIGNER
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THREE PONT AND
IMAGE
Point One Point Two Point Two

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eget purus. Nunc tempor eget purus. Nunc tempor eget purus. Nunc tempor
luctus interdum. luctus interdum. luctus interdum.
THREE PONT AND IMAGE
Services 1 Services 2 Services 3

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adipiscing elit consectetuer adipiscing elit consectetuer adipiscing elit
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turpis egestas. Proin pharetra nonummy pede. Mauris et orci.
THREE PONT AND IMAGE
Point One Point Two Point Three

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eget purus. Nunc tempor eget purus. Nunc tempor eget purus. Nunc tempor
luctus interdum. luctus interdum. luctus interdum.
FOUR PONT AND IMAGE
Mr. Keren Mrs. Cantik Mr. Cool Mr. Ganteng

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SAMPLE VIDEO LAYOUT
Project Name
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magna, sit amet consequat risus. Etiam
faucibus tortor a ipsum vehicula sed
hendrerit ero. Exubafjeif gigihaya.
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luctus lorem.a
Concept: Modern, Clean, Simple
Date: September 03, 2015
Cost: $17,000
Clients: Primadona Sdn. Bhd.
Services: Drawing
Coloring
Designing
3D Rendering
Connectivity
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Presentation
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Media
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Promotion
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5 POINT AND ICON
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    
IDEA RESEARCH PLAN IMPLEMENT MEASURE

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4 POINT AND ICON
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   
LORUM IPSUM LORUM IPSUM LOTUM IPSUM LORUM IPSUM
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amet Nullam eu tempor amet Nullam eu tempor amet Nullam eu tempor amet Nullam eu tempor
purus. purus. purus. purus.
3 POINT AND ICON
  
LORUM IPSUM LORUM IPSUM LORUM IPSUM
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tempor purus. tempor purus. tempor purus.
Point one
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4 POINT ICON Point two

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adipiscing elit. Donec mauris lorem, Point Three
vestibulum ac rutrum id, suscipit in dui.  consectetuer adipiscing elit.
Donec vitae dapibus tellus. Maecenas porttitor congue massa
Point Four
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PROCESS
  
01 IDEA 02 PLANING 02 DESIGN
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PROCESS
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quis tempus odio Lorem
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2010 2014 2018

    
2012 2016
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PROCESS
1 2 3 4 5
    
Consectetur Consectetur Consectetur Consectetur Consectetur

Praesent sodales Praesent sodales Praesent sodales Praesent sodales Praesent
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PROCESS
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tortor a ipsum vehicula sed suscipit.
    
CONCEPT DRAF DESIGN CODE PUBLISH
Subtitle Example Subtitle Example Subtitle Example Subtitle Example Subtitle Example
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vulputate placerat vulputate placerat vulputate placerat vulputate placerat vulputate placerat
FIVE STEP DIAGRAM
Business Strategy Business Strategy
    
Business Strategy Business Strategy Business Strategy
BUSINESS STRATEGY
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WHY CHOOSE US?
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eros. Nullam eu tempor purus. Nunc a leo magna, Nullam eu
tempor.
42,000
Collections
amet, consectetur
adipiscing elit.
40,000
Collections
consectetur adipiscing elit. 18,000
Praesent sodales Collections
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KEY PERFORMANCE
TITLE EXAMPLE HERE TITLE EXAMPLE HERE

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faucibus.

KEY PERFORMANCE
IDEAS TEAM WORK


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CREATIVITY MANAGEMENT
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280k 180k 260k 180k 280k
Collections Collections Collections Collections Collections
1976 2002 2009 2014 2017
1991 2006 2012 2015 2020
280k
Collections
160k
Collections
260k
Collections
280k
Collections
160k
Collections
4 STEPS TO SUCCESS
2 4
1 3
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dictas equidem dictas equidem dictas equidem dictas equidem
appellantur appellantur appellantur appellantur
DIAGRAM 4 STEPS
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amet, nec an dictas
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nec an dictas equidem
equidem appellantur, ut appellantur, ut has commune
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accommodare. Mea ludus solet idpro.
illum, ludus solet idpro.
 
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
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DIAGRAM 4 STEPS

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has commune accommodare. Mea appellantur, ut has commune
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commune accommodare. Mea nec an dictas equidem
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
DIAGRAM CYLE
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Stage One Stage Four

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nec massa enim liquam viverra
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at
Stage Two Stage Five

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Stage Three Stage Six

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at
DIAGRAM SEGITIGA
LORUM IPSUM
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tempor purus.
LORUM IPSUM
tempor purus.
LORUM IPSUM
tempor purus.
LORUM IPSUM
tempor purus.
WHY CHOOSE US?
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eu tempor purus. Nunc a leo magna, Nullam eu tempor.
Ecommerce WHY US
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magna, sit amet consequat risus. Duis
quis purus adipiscing mi scelerisque.
Nullam eu
tempor purus.
Nunc a leo
magna, sit amet
consequat risus.
Unlimited Stock Etiam faucibus
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tortor a ipsum
vehicula
PROJECT

Mobile Aliquam euismod
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magna, sit amet consequat risus. Duis luctus lorem
quis purus adipiscing mi scelerisque. fermentum quis. Duis
quis purus adipiscing
mi scelerisque dictum
quis vel eros. Nullam
Profit

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Nunc a leo magna.
EMAIL MARKETING
Aweber SendLand
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porta et, luctus eget purus. porta et, luctus eget purus.
Nunc tempor luctus interdum. Nunc tempor luctus interdum.
Duis libero leo,dignissim. Duis libero leo,dignissim.
GetReponse MailChimp
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porta et, luctus eget purus. porta et, luctus eget purus.
Nunc tempor luctus interdum. Nunc tempor luctus interdum.
Duis libero leo,dignissim. Duis libero leo,dignissim.
SALES PERFORMANCE
NORTH AMERICA
79%
EUROPE
COUNTRIES
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elit. SOUTH
SOUTH AMERICA
AFRICA
AUSTRALIA
KEY PERFORMANCE
STEP ONE
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STEP FIVE
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STEP TWO
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STEP FOUR
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STEP THREE adipiscing elit.
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ECOMMERCE WEBSITE
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Shoping Cart Sales Report
 
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purus. Nunc a leo purus. Nunc a leo
magna, consequat risus. magna, consequat risus.
Cloud Server Speed Optimized
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
100% Responsive SEO Ready
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KEY PERFORMANCE
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risus. Etiam faucibus tortor a ipsum
vehicula sed suscipit.
  
Subtitle Example Subtitle Example Subtitle Example
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risus vulputate risus vulputate risus vulputate
placerat in at ligula placerat in at ligula placerat in at ligula
magna nec lacus magna nec lacus magna nec lacus
porttitor hendrerit. porttitor hendrerit. porttitor hendrerit.
KEY PERFORMANCE
    
WELL DISPLAY MARKETING MANAGEMENT RESPONSIVE SECURITY
Mauris quam dolor, Mauris quam dolor, Mauris quam dolor, Mauris quam dolor, Mauris quam dolor,
cursus at porta et, luctus cursus at porta et, luctus cursus at porta et, luctus cursus at porta et, luctus cursus at porta et, luctus
eget purus. Nunc tempor eget purus. Nunc tempor eget purus. Nunc tempor eget purus. Nunc tempor eget purus. Nunc tempor
luctus interdum. luctus interdum. luctus interdum. luctus interdum. luctus interdum.
KEY PERFORMANCE
SAMPLE TEXT SAMPLE TEXT SAMPLE TEXT SAMPLE TEXT
   
view more view more view more view more
PROJECT TIMELINE
Duis quis purus adipiscing mi scelerisque dictum quis vel eros.
   
1 2 3 4
Lorem Ipsum Lorem Ipsum Lorem Ipsum Lorem Ipsum
Nullam eu tempor Nullam eu tempor Nullam eu tempor Nullam eu tempor

purus. Nunc a leo purus. Nunc a leo purus. Nunc a leo purus. Nunc a leo
magna, sit amet magna, sit amet magna, sit amet magna, sit amet
consequat risus. consequat risus. consequat risus. consequat risus.
Etiam faucibus Etiam faucibus Etiam faucibus Etiam faucibus
tortor. tortor. tortor. tortor.
BUSINESS SILHOUETTE
Duis quis purus adipiscing mi scelerisque dictum quis vel eros. Nullam
eu tempor purus. Nunc a leo magna, sit amet consequat risus. Etiam
faucibus tortor a ipsum
Lorem Ipsum
Nullam eu tempor Lorem Ipsum
purus. Nunc a leo Nullam eu tempor
magna, sit amet Lorem Ipsum
purus. Nunc a leo Lorem Ipsum
consequat risus. Nullam eu tempor
magna, sit amet Nullam eu tempor
Etiam faucibus purus. Nunc a leo
consequat risus. purus. Nunc a leo
tortor. magna, sit amet
Etiam faucibus magna, sit amet
consequat risus.
tortor. consequat risus.
Etiam faucibus
tortor. Etiam faucibus
tortor.
EARNING 12
20%
quis tempus odio
6
45%
quis tempus odio 7
89%
consectetur adipiscing elit. Praesent 3
quis tempus odio
5
PIE CHART
Set ut perspicitis unde omnis
iste natus emor site
voluptatem accusantium
doloremque laudentium, totam
rem aperium, eaqua ipsa quea
ab ill inventore veritatis et
quasi architecto beatae vitae
dicta sunt explicabo
1st Qtr 2nd Qtr

DOUBLE COLUM CHART
Sales Promotion
90 80
80 70
70 60
60
50
50
40
40
30
30
20 20
10 10
0 0
Themes Graphics Script Skets Themes Graphics Script Skets
2013 2014 2015 2013 2014 2015
About Sales About Marketing

Lorem ipsum dolor sit amet, consectetur adipiscing Lorem ipsum dolor sit amet, consectetur adipiscing
elit. Nulla feugiatbibendum porttitor. elit. Nulla feugiatbibendum porttitor.
COLUM CHART
70
60
30
10
2012 2013 2014 2015

LINE CHART
6
LORUM OPSUM
5 Set ut perspicitis unde omnis
4
LORUM OPSUM
3
2
1 LORUM OPSUM
0 iste natus emor site
Category 1 Category 2 Category 3 Category 4
DONAT CHART
2015 2013
14,892 Sales 8,121 Sales
Real-time presentations with Real-time presentations with
dynamic slides. Create a presentation dynamic slides. Create a
once, and it updates everywhere presentation once, and it
instantaneously. create and review updates everywhere
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anywhere, at anytime
2014 2012
9,881 Sales 7,900 Sales
Real-time presentations
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with dynamic slides. Create
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MULTI DONAT CHART
50% 70% 25% 81%
2011 2013 2014 2015
Report of every activity Report of every activity Report of every activity Report of every activity
in this quarter. in this quarter. in this quarter. in this quarter.
TABEL RAVENUE RANKING
Rank Company Ravenue Set ut perspicitis unde

omnis iste natus emor
1 Lorum Opsum 000.000.000.000 site voluptatem
accusantium
2 Lorum Opsum 000.000.000.000
doloremque
3 Lorum Opsum 000.000.000.000 laudentium, totam
rem aperium, eaqua
4 Lorum Opsum 000.000.000.000 ipsa quea ab ill
inventore veritatis et
5 Lorum Opsum 000.000.000.000 quasi architecto
6 Lorum Opsum 000.000.000.000 beatae vitae dicta sunt
explicabo
7 Lorum Opsum 000.000.000.000
8 Lorum Opsum 000.000.000.000
9 Lorum Opsum 000.000.000.000
10 Lorum Opsum 000.000.000.000

TABEL JADWAL KEGIATAN
Mingg Set ut perspicitis unde omnis

Senin Selasa Rabu Kamis Jumat Sabtu iste natus emor site
u voluptatem accusantium.
29 30 31 1 2 3 4 Set ut perspicitis unde omnis

voluptatem accusantium.


26 27 28 1 2 3 4
TABEL DATA PENJUALAN
Januari Februari Maret

Set ut perspicitis unde
Semarang 200 400 450 omnis iste natus emor
site voluptatem
accusantium
doloremque
Jakarta 300 500 600 laudentium, totam rem
aperium, eaqua ipsa
quea ab ill inventore
veritatis et quasi
Surabaya 450 550 900 architecto beatae vitae
Medan 150 350 450

TABEL JADWAL PENGERJAAN PROYEK
AKTIVITAS WAKTU PELAKSANAAN
Kegiatan 1
Kegiatan 2
Kegiatan 3
Kegiatan 4
Kegiatan 5
BULAN 1 BULAN 2 BULAN 3 BULAN 4 BULAN 5 BULAN 6

TABEL PERBEDAAN
ITEM A PERBEDAAN ITEM B
Poin perbedaan 1
Poin perbedaan 2
Poin perbedaan 3
Poin perbedaan 4
Poin perbedaan 5
Poin perbedaan 6
TABEL INCOME STATEMENT
Revenue 000.000.000 Set ut perspicitis unde

COGS 000.000.000 omnis iste natus emor
site voluptatem
accusantium
Gros Profit 000.000.000 doloremque
laudentium, totam rem
Expences 000.000.000 aperium, eaqua ipsa
veritatis et quasi
Income Before 000.000.000 architecto beatae vitae
Tax 000.000.000
Tax
Net Income 000.000.000 0%

From Revenue
PRICE TABLES
Basic Plan Standard Plan Premium Plan
FREE $20 /month $60 /month
1 account 3 accounts Unlimited accounts
200 items 1,000 items 6,000 items
5gb storage 100gb storage 1tb storage
15,000 PV 100,000 PV Unlimited PV
At qui zril phaedrum vituperatoribus, clita scriptorem id mea. Adhuc laudem soluta vix in, usu in
prodesset philosophia. In oblique dolorem mei. Est commodo ullamcorper ne, idque decore
utroque per ex, at nam illum summo doctus.
PRICE TABLES
Basic Plan Standard Plan Premium Plan Business Plan
FREE $20 /month $60 /month Contact us

1 account 3 accounts Unlimited accounts Unlimited accounts
200 items 1,000 items 6,000 items Extra items
5gb storage 100gb storage 1tb storage Contact us
15,000 PV 100,000 PV Unlimited PV Contact us
At qui zril phaedrum vituperatoribus, clita scriptorem id mea. Adhuc laudem soluta vix in, usu in
prodesset philosophia. In oblique dolorem mei. Est commodo ullamcorper ne, idque decore
utroque per ex, at nam illum summo doctus.
PORTOFOLIOTEMPLATE
site voluptatem
accusantium
doloremque laudentium,
totam rem aperium,
eaqua ipsa quea ab ill
inventore veritatis et
quasi architecto beatae
vitae dicta sunt explicabo
PORTOFOLIOTEMPLATE

site voluptatem
accusantium
doloremque
aperium, eaqua ipsa
veritatis et quasi
architecto beatae vitae
PORTOFOLIOTEMPLATE
site voluptatem
accusantium doloremque
aperium, eaqua ipsa quea
ab ill inventore veritatis et
quasi architecto beatae
vitae dicta sunt explicabo
“ Change will not come if we wait for some other
person or some other time. We are the ones
we’ve been waiting for. We are the change that we
seek - Barack Obama
“
Science without religion is
lame religion without
science is blind
Albert Einstein
thank you!
MAILING
MAILING ADDRESS
ADDRESS
My Company Name
PO Box 12345
Kawunganten Cilacap
Central Java 1254 Indonesia
CONTACT
CONTACTINFO
INFO
Phone: +1234 567 890
Fax: +1234 567 890
Email: youremail@myemail.com
Web: www.mywebsite.com
SOCIAL
SOCIALMEDIA
MEDIA
 Facebook.com/ronapakarpresentasi
 Twitter.com/RonaPresentasi
 Plus.google.com/Ronabinham
 Linked.in/ronabinham

Ews and Code Blue DR Zak

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Ews and Code Blue DR Zak

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Code Blue

Former dr. Brigade Siaga

dr. Spesialis jantung dan

2 Dapat disebabkan gangguan pada

5 H’s dan 5 T’s  Hypovolemia;

Hasil akhir dari semua gangguan tadi adalah

Pada umumnya Cardiac Arrest Team akan

• Kebanyakan percaya bahwa dengan

• Berdasar Study di eropa dan AS

kuning = skor 1-4 risiko

orange = skor 3-4 risiko

merah = skor 7 atau lebih

Biru = henti nafas henti

Bergerak saat kegawatan (respon time

Terdiri dari leader (dokter) dan perawat

Kemampuan melakukan Advance life

Dilengkapi dengan standar peralatan

2. Perbedaan cardiac arrest

3. Sebutkan sistem skoring EWS

Kemampuan stratifikasi kondisi

Kehadiran dan peningkatan

Mr. Macho Mr. Keren

IDEA RESEARCH PLAN IMPLEMENT MEASURE

1 POINT ONE 4 POINT FOUR 7 POINT SEVEN

2 POINT TWO 5 POINT FIVE 8 POINT EIGHT

3 POIN THREE 6 POINT SIX 9 POINT NINE

Mr. Macho Mr. Keren

Point One Point Two Point Two

Services 1 Services 2 Services 3

Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac

Point One Point Two Point Three

Mr. Keren Mrs. Cantik Mr. Cool Mr. Ganteng

Concept: Modern, Clean, Simple

Date: September 03, 2015

Clients: Primadona Sdn. Bhd.

IDEA RESEARCH PLAN IMPLEMENT MEASURE

4 POINT ICON Point two

2010 2014 2018

Consectetur Consectetur Consectetur Consectetur Consectetur

CONCEPT DRAF DESIGN CODE PUBLISH

Business Strategy Business Strategy

Lorem ipsum dolor sit Lorem ipsum dolor sit

Business Strategy Business Strategy

TITLE EXAMPLE HERE TITLE EXAMPLE HERE

IDEAS TEAM WORK

1976 2002 2009 2014 2017

1991 2006 2012 2015 2020

Lorem Ipsum Lorem Ipsum Lorem Ipsum Lorem Ipsum

Lorem Ipsum Dolor sit Lorem Ipsum Dolor sit

Stage One Stage Four

Stage Two Stage Five

Stage Three Stage Six

 Nullam eu tempor purus. Nunc a leo

Shoping Cart Sales Report

Cloud Server Speed Optimized

SAMPLE TEXT SAMPLE TEXT SAMPLE TEXT SAMPLE TEXT

Lorem Ipsum Lorem Ipsum Lorem Ipsum Lorem Ipsum

Nullam eu tempor Nullam eu tempor Nullam eu tempor Nullam eu tempor

1st Qtr 2nd Qtr

2013 2014 2015 2013 2014 2015

About Sales About Marketing

2012 2013 2014 2015

50% 70% 25% 81%