Emergency Unit Night Shift Report
Night Shift ReportNovember 2nd 2014Asisstant:dr.Rico,
dr.BennyCo.asisstant:Ni Galuh WibhutisariCristina RonaulyMedianto
SinabutarErika agustianiGabriel HutabaratDumasari SeptianiDwi
ArumElysabeth MS
Trauma: 2
Non-Trauma: 2Hospitalize: 1
Non-Hospitalize: 31. Mr. B (20 Years Old)80.06.06.00Mechanism of
the Traumamotorcycle accidentInjury of target organDigiti IV Manus
sinistraSymptoms and signs Open FractureTreatment Pre Hospital
(Before UKIS ER)Patient came to RS. Harapan Bunda3PRIMARY
SURVEY
Airway : CLEARLook: no obstructionListen: no extra breath sound
(no gurgling, no snoring, no stridor, no horseness)Feel: there were
warm air from both nose and mouthBreathing : CLEARInspection: RR 20
x/min,bruise (-), chest wall
movement,trachealdeviation(-),Retraction of
intercostae(-),symmetrical. Pal : crepitation (-)Per : sonor right
= leftAus : Basic breath sound bronchial, rh -/-, wh -/-
4Circulation : No Sign Of ShockWarm extremities, CRT
