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
