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TRANSPORT OF PATIENTS
PRIMARY TRANSPORT
SECONDARY TRANSPORT
PRIMARY TRANSPORT
The management and transport of
a patient from an accident side to
the closest available adequate
medical facility.
SECONDARY TRANSPORT
When the patient needs to be
transferred to a second hospital
or has to be moved within the
same hospital to a different site
(e.g. from the Intensive Care Unit
to the Scanner Room)
Secondary
Location
Purpose
Initial stabilization,
evacuation
Stabilization, definitive
care
Vehicle
Ground, Helicopter
Ground, Helicopter,
Plane
Patient
Potentially unstable
Stabilized
Time factor
Organization
EMS prehospital
KEPUTUSAN MERUJUK
Keputusan Medik
Idealnya Dirujuk Ke RS Yang Lebih
Tinggi
Tahu Kemampuan RS Tujuan
Diusahakan Rujuk Ke RS Terdekat
Dilakukan Resusitasi Tanpa Menunggu
Keputusan Dari RS Rujukan
* DO
NO FURTHER
HARM *
Rumah sakit
+
Pasien
gawat
darurat
Transportasi
+
Puskesmas
Praktek
swasta
+
Ruang
resusitasi
Kamar
bedah
ICU
RUJUKAN TERPADU
RS. KLAS A / B
PERAN UTAMA
TERAPI DEFENITIF BERAT
PENGEMBANGAN SDM
RS. KLAS C
PERAN
RESUSITASI
STABILISASI
TERAPI DEFENITIF SEDANG
RS. KLAS C
RS. KLAS C
PENCEGAHAN
MULTI DISIPLIN
ANTARA LAIN
- HELM
- SABUK
PENGAMAN
MULTI PROFESI
MULTI SEKTOR
TUJUAN
MENCEGAH
MASYARAKAT
AMAN /
SEJAHTERA
(SAFE COMMUNITY)
KOMUNIKASI
- KEMATIAN
- KECACADAN
TRANSPORTASI
++
PASIEN
PRA RS
INTRA RS
INTRA RS
ANTAR RS
PENDANAAN
TIME SAVING IS LIFE SAVING
RESPONSE TIME DIUPAYAKAN SEPENDEK MUNGKIN
MERUJUK THE RIGHT PATIENT, TO THE RIGHT PLACE AT THE RIGHT TIME
Sampaikan data
- fungsi vital
- Tx yang sudah
diberikan
RS penerima dapat
menyiapkan fasilitas
dan terapi lanjutan
20
JENIS TRANSPORTASI
Darat
jarak & lama
permukaan rata / kasar
kemiringan dan arah trayek
Udara
ketinggian = tekanan udara, tekanan
O2
21
G-force
22
24
Atap tinggi
agar dapat bekerja
di dalamnya
Head-clearance tinggi
Petugas dapat memberi
pertolongan lanjutan
seraya ambulans jalan
25
26
Tanda
klinis
shock
Nafas cepat
Kulit dingin, pucat, basah,
sianosis
Capillary refill time > 2 detik
27
28
Jalan menurun
Gravitasi ke kepala
Aliran darah ke kepala
Tekanan Intra Kranial naik
30
Jalan mendaki
gravitasi ke kaki
Aliran darah ke otak
31
Air Medivac
Dalam helikopter
banyak gangguan suara
dan gelombang elektromagnetik
34
Standard Resuscitation
Drugs
Sulfas Atropine
Epinephrine
Dobutamin
Lidocaine
Sodium
Bicarbonat
Muscle Relaxant
Sedative
Dexamethasone
Careful Planning
Use of appropriately qualified Personnel
Selection of appropriate equipment
The available equipment and skill level of
the accompanying personnel must be
equal to the interventions or anticipated
for the patient
Personnel who
accompany the patient
A minimum of two people shall
accompany the patient
Physician
Emergency & Critical
Care Nurse
Tulonnngggggggg
Gue masih pengen
Hidup . . . . . .
Thank you
for your
your
Attention