luka dan fraktur ppgd bg 2
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frakturTRANSCRIPT
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04/20/23 PPGD 1
Luka dan Fraktur
Dr. Bambang Gunawan
Bagian Bedah Orthopaedi & Traumatologi
FKUI-RSUPNCM Jakarta
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04/20/23 PPGD 2
Diskontinuitas jaringan Kulit, subkutis, fascia, otot, tulang Neurovaskular, tendon, ligament
Luka
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04/20/23 PPGD 3
Masalah masalah akibat luka
Perdarahan Vitalitas Penurunan fungsi
Infeksi Kecacatan
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04/20/23 PPGD 4
Perdarahan
Anatomi, letak pembuluh darah Humerus , femur Arteri : carotis, axillaris, cubiti, radialis, femoralis,
poplitea, dorsalis pedis dan tibialis posterior
Menghentikan perdarahan Balut tekan Torniquet
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Waspada ~ “ Life before Limb “ Shock ~ ATLS P3K yang tidak tepat :
Tourniquet Klem arteri
Kematian jaringan
Perdarahan
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Amputasi traumatik
~ replantasi : Puntung ~ balut
tekan Bagian yang
teramputasi : Kassa + saline Plastik Termos ( air ) es
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Luka
Laseratum Skisum Sklopektorum Punctum
Avulsi kulit Kontaminasi
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Amputasi
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04/20/23 PPGD 9
Perawatan luka
Pencucian luka Irigasi ( ~> debris )
Dalam ~ keluar Saline, Peroksida
Eksisi jaringan pada luka Luar ke dalam Eksisi jaringan nonvital
Kulit, otot, neurovaskular & tulang
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04/20/23 PPGD 10
Perawatan luka
Penutupan luka Luka
Bersih vs Kotor Rapih vs Compang camping
Debridement ulang Skin graft
Kulit & jaringan lunak Neurovaskular Tendon Tulang
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04/20/23 PPGD 11
Luka dan fraktur
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Luka
Skingrafting Skingrafting
Ruptur tendon Ruptur tendon
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04/20/23 PPGD 13
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FrakturFraktur
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04/20/23 PPGD 15
Fraktur
Trauma Diskontinuitas jaringan tulang Kerusakan jaringan lunak
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Fraktur
Diagnosis fraktur
Riwayat trauma Pemeriksaan fisik Pemeriksaan
penunjang
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Penanganan fraktur
4 R Recognition ~
diagnosis Reduction /
reposition Retention / fixation /
imobilization Rehabilitation
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Fraktur
Pertolongan pertama
“Life before limb” Life saving ~ ATLS Limb saving
Realignment BIDAI Neurovaskular !
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04/20/23 PPGD 19
Fraktur
IGD Life saving
ABCD Perdarahan Cidera lain
Limb saving Reevaluasi
Neurovaskular Imobilisasi fraktur
Pemeriksaan penunjang
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Fraktur
Tertutup
Reposisi Imobilisasi
Operasi elektif
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Fraktur
Terbuka
Perdarahan Debridement Reposisi terbuka Fiksasi
Interna eksterna
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Kecacatan
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04/20/23 PPGD 23
Luka dan fraktur
Trauma ~ cidera lain.
Penanganan awal penting untuk life saving, mencegah komplikasi, memungkinkan proses penyembuhan yang baik dan terhindar dari kecacatan.
Penanganan definitif yang baik harus diikuti dengan perawatan serta follow up yang baik pula.
Pengetahuan tentang anatomi, fisiologi serta patologi mutlak diperlukan agar dapat menangani penderita secara baik.
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Terima Kasih Terima Kasih
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Fraktur
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Luka
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Perdarahan
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Vitalitas
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Penurunan fungsi
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Infeksi
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Kecacatan
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Fraktur terbuka
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Bidai
Lurus, kuat, pipih + bantalan Stabil Aman
Immobilisasi Mencakup 2 sendi 3 dimensi
Alignment / posisi anatomi Kondisi syaraf dan vaskular