Kul Perdana Anasthesiology dr.HariB.pptx

7/30/2019 Kul Perdana Anasthesiology dr.HariB.pptx

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Notes Kuliah Perdana

Anasthesiology

dr. Hari Bagianto

-26-08-2010-


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Anaesthesia Episode

Artificial Trauma

Inform Consent (Patient Right)

Pre-Medication (alleviate Distress)

Introduction (Artificial Coma)Intubation (Artificial Apnoe)

Relaxation (Artificial Paralyze)

Maintenance/Bleeding (Haemodynamic Stability)

The end of Anaesthesia

Recovery of all the System

(Back to normal)


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Anaesthesiology Fields

Emergency and Critical Care Medicine

Anaesthesiology Pain Management


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Phylosophy

To alleviate Pain and Distress

Artificial/Iatrogenic Trauma

Critical Condition

Life Support

To preserve life


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To preserve Life SupportNormal

Accident/illness

Diagnostic/Initial Treatment

Defeinitive Therapy/Operation

Recovery

Intensive Care

Ward

Field

R-R

ICU

ED

O.R


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GAMBAR


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GAMBAR


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GAMBAR


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GAMBAR


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The Surgical Pain


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Effect of PO-pain

........................................................

reduced cough, atelectasis, sputum() and hypoxaemia.

increased myocardial oxygen (..)

and ischaemia

..-decreased gastric emptying,

reduced gut motility and constipation


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GAMBAR


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Providing Postoperative Pain Relief


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GAMBAR


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GAMBAR


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GAMBAR


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GAMBAR


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MANAJEMEN BENCANA

Manajemen bencana memiliki permasalahan

kompleks karena:

1. Terdapat variasi dari jenis ancaman yang terjadi2. Keadaan geografi dan luasnya daerah bencana

3. Adanya keanekaragaman budaya/adat istiadat

setempat

4. Distribusi populasi yang tidak merata


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Disaster Plan

Regional

Disaster PlanCities

Water/Sewer districts

Volunter groups

non profitOther local state federal

government agencies

School Districts

Utility CompaniesFire Agencies

Bussiness and

IndustryPolice Agencies

Country

Government


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MEMBUAT PERENCANAAN

PENANGANAN BENCANA (DISASTER PLAN)

1. Deskripsikan masalah korban

2. Analisis besar/jenis resiko yang terjadi saat bencana

terjadi

3. Identifikasi sumber daya

4. Pembentukan tim penanganan bencana (sistem

komando atau koordinasi)

5. Sistem komunikasi6. Dukungan fasilitas/logistik

7. Pelatihan dan pembinaan kemampuan petugas


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TINDAKAN PENANGANAN BENCANA

PRA BENCANA

Prevention ............. .......... Preparation... ..


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BENCANA/

KORBAN MASALJUMLAH KORBAN

YG DAPAT DISELAMATKAN

TINDAKAN/

OPERASIONAL

Evakuasi

PERMASALAHAN:

1. Jumlah korban

2. Kondisi korban

3. Keadaan Geografi

4. Kemudahan

mendapat

fasilitas

5. SDM

TERGANTUNG

1. Organisasi

2. Fasilitas

3. Komunikasi

4. Data/Documen

5. Manajemen

?

Documents

Kul Perdana Anasthesiology dr.HariB.pptx