Night Shift Report March 19 th 2015 Asisten: dr. Hendy / dr. Jubil Ko-Asisten: Lilik Handayani (Chief) Devira Fitrisia Maria Tarry Mirani Stephanie Dian Tanjung Noviana Delima Hana Ayunda Dewayanti Raga Manduaru Hendra Manurung
Sep 24, 2015
Emergency Unit Night Shift Report
Night Shift ReportMarch 19th 2015Asisten: dr. Hendy / dr. JubilKo-Asisten:Lilik Handayani (Chief)Devira FitrisiaMaria Tarry MiraniStephanie Dian TanjungNoviana DelimaHana Ayunda DewayantiRaga ManduaruHendra Manurung
1Trauma: 1
Non-Trauma: 3Hospitalize: 1
Non-Hospitalize: 321. Mrs. D. ( 44 years old)No. MR 04-45-06-00Mechanism of trauma : terserempet motorInjury organ : regio maleolus medialSigns and symptoms : nyeriTreatment pre hospital : as. mefenamatVINKA3PRIMARY SURVEY
Airway : CLEARLook: pergerakan dinding dada simetris kanan = kiriListen: tidak ditemukan suara nafas tambahanFeel: terasa udara hangat dari hidungBreathing : CLEARIns: pergerakan dinding dada simetris, RR 20x/menit, hematoma () Pal : vocal fremitus simetrisPer : sonor simetris kanan = kiriAus : BND vesikuler, rh -/-, wh -/-
4Circulation : tidak ada tanda syokAkral hangat, D 130/80 mmHgPulse = 73 x/menitTemp = 36,10CCRT