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Department of Surgery
Muhammadiyah Lamongan Hospital
H-27
PATIENT’S STATUS
Patient’s Identity
■ A : Clear, gargling (-), snoring (-), speak fluently (+), potensial obstruksi (-)
■ B : Spontan, RR 24 x/mnt, ves/ves, crackles -/-, Wh-/-, SaO2 98% without O2 nasal 4lpm
■ C : Extremity CDR, CRT < 2”, N 100 x/mnt, TD 150/ 80 mmHg
■ D : GCS 456, lateralisasi -, PBI 3mm/3mm, RC +/+
■ E : temp 37 C
Secondary Survey
■ Haemato thorak
■ Close Fr. Costae sternum
■ Close Fr. Cruris 1/3 distal
■ Open fr. Antebrachii
■ Dislocation hip joint
■ Tx:
– Reposisi dislokasi hip , Debridement , back slab, Pro
orif C/SpOT
– C/ Sp.BKonservatif , analgesik kuat
THANK YOU