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kegawatan pediatri

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  • Assessment of Children in EmergenciesCommittee on Pediatric Resuscitation, The Indonesian Society of Pediatrician

  • PAT ABCDE

  • The PATAppearanceWork of BreathingCirculation to Skin

  • Appearance (Tickles =TICLS)TonusInteractivenessConsolabilityLook/GazeSpeech/CryAppearance

  • Work of BreathingsWork of BreathingsAbnormal airway soundsAbnormal positioningRetractionsNasal flaring

  • Applying The PAT for WOB

  • Seesaw Respiration

  • Respiratory EffortRetractionThe Sniffing PositionThe Tripod Position

  • PallorMottlingCyanosisCirculation to SkinCirculation to Skin

  • Respiratory distressNNNCardiopulmonary failure/ShockNNPrimary CNS dysfunction/ metabolic abnormality NNNNN

  • The ABCDEsAirwayBreathingCirculationDisabilityExposure

  • Jalan Napas (Airway)BebasDapat dipertahankanPerlu intubasiTersumbat

  • Pernapasan (Breathing)Frekuensi (sesuai usia)Upaya napasKeluar/masuk udaraWarna kulit (sianosis)

  • Breathing AssessmentRateEffort / mechanicsAir entrySkin color

  • Respiratory Rate by Age

    Age(years)Respiratory rate(breaths per minute)1230-4020-3015-2012-16

  • Sirkulasi (Circulation)Frekuensi nadiPerfusiKualitas nadiPerfusi kulitKesadaranTekanan darah

  • Frekuensi Nadi Sesuai Usia

    Usia (tahun)Frekuensi Nadi1260-100

  • Central & Distal Pulses

  • Skin PerfusionExtremity temperatureCapillary refillColorPinkMottledPaleBlue

  • Skin Perfusion Examination

  • Minimal Systolic Blood Pressure by Age

    AgeFifth percentile mmHgSystolic BP0 1 Mo60> 1 mo 1 yr70> 1 yr70 + (2 x age in years)

  • DisabilityKesadaran AVPUFungsi batang otakMotorikKejangGerakan asimetrisFlasiditas/spastisitasPostur

  • Level of ConsciousnessA = AwakeV = Responsive to voiceP = Responsive to painU = Unresponsive

  • Menilai Fungsi Batang Otak

    CNS LevelPupilOculo-cephalicPola NapasPostureThalamusSmall, reactiveVariableCheyne-StokesNormalMidbrainMid position, fixedAbsentHyperventilationDecorticatePonsPin point, fixedAbsentRythmic pausesDecorticate or flacidMedullaSmall reactivePresentIrregularFlacid

  • Motor ActivitySymmetrical movementsSeizuresPosturingFlaccidity

  • ExposureRuamHematomaIkterusdll

  • Stable Respiratory dysfunction Potential respiratory failure Probable respiratory failure Shock Compensated Decompensated Cardiopulmonary failureClassification of Physiologic status

  • TERIMAKASIH

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