en abc management
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Kansas Airway Supplement 1
MANAGEMENT OF
AIRWAY, BREATHINGCIRCULATION
Ns. Mohammad Ali Hamid, S. Ke., M.Kes.
!ROGRAM STU"I S# KE!ERAWATANFAKULTAS ILMU KESEHATAN
UNI$ERSITAS MUHAMMA"IYAH %EMBER&'#(
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Kansas Airway Supplement
Kansas BEMS EMS Educator Task Force 2
ANATOMY OF AIRWAY
Pharynx
Cavum Nasi
Cavum Oris
Lidah
Larynx
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Kansas Airway Supplement
Kansas BEMS EMS Educator Task Force 3
U!!ER AIRWAY
♦ Nose a)d mo*+h
-ams, mois+e)s a)d/l+es ai 0
♦ !ha1)2
–
Ooha1)2 – Nasoha1)2
♦ Ei3lo+is
♦ Ta4hea
♦ Ci4oid 4a+ila3e
♦ La1)2 5oi4e 6o2 0
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Kansas Airway Supplement
Kansas BEMS EMS Educator Task Force 4
Lo-e Ai-a1
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Kansas Airway Supplement
Kansas BEMS EMS Educator Task Force 5
LOWER AIRWAY
♦ Fil+a+io)
♦ Ta)smissio) o7 ai
♦ Ta4hea
♦ Mai)s+eam 6o)4hi
♦ Bo)4hioles
♦ Temi)al 6o)4hioles
♦ L*)3s 8 – $is4eal le*a s*7a4e o7 l*)3s0
– !aie+al le*a i)+e)al 4hes+ -all0
– I)+ele*al sa4e o+e)+ial sa4e0
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Kansas Airway Supplement
Kansas BEMS EMS Educator Task Force
"is*+io) o7 Ai-a1
♦O6s+*4+io)
Total
Partial
Acut
Insidous
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Kansas Airway Supplement
Kansas BEMS EMS Educator Task Force !
OBSTRUCTION
♦ The si9e o7 o6s+*4+io) a:e4+s +hea5aila6le ai e24ha)3e
♦!e)1e6a6)1a ;em*)3;i)a) 8se;e+, 6e)da asi)3, daah, edemaha1)2 da) la1)2, 3i3i, lidah
<a+*h ;e 6ela;a)3.
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Kansas Airway Supplement
Kansas BEMS EMS Educator Task Force "
OBSTRUCTION
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Kansas Airway Supplement
Kansas BEMS EMS Educator Task Force #
AIRWAY : GejalaObstruksi
#. Sesa; – Me)3el*h sesa; os sada0
– Ta;i)ea
– Re+a;si
• s*as+e)al
• i)7as+e)al
• a)+a=i3a
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Kansas Airway Supplement
Kansas BEMS EMS Educator Task Force 1$
AIRWAY : GejalaObstruksi
&. !e)a7asa) 6e6*)1i 8♦G*3li)3 6*)1i ;*m*=;*m*0
Caia)
♦ S)oi)3 me)3oo;0
♦S+ido S*m6a+a) a)a+omis
%ida&
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Kansas Airway Supplement
Kansas BEMS EMS Educator Task Force 11
!e)a)3a)a) O6s+*;si
Caia) 3*3li)30 8
♦ S*4+io)
♦
Bila 6a)1a; => mii)3;a) ;eala +a*ma 8 ?lo3 oll@ 0
♦Bila +ida; +ea+asi 8
Ai-a1 de/)i+i7
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Kansas Airway Supplement
Kansas BEMS EMS Educator Task Force 12
!e)a)3a)a) O6s+*;si
♦ Lidah s)oi)3 0 8
Ma)*al 8 = Head +il+=4hi) li7+
trauma : head tilt (-)
- Jaw thrust
Jalan nafas
sementara :
- Oro / nasofaringeal
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Kansas Airway Supplement
Kansas BEMS EMS Educator Task Force 13
Head Til+ Chi) Li7+
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Kansas Airway Supplement
Kansas BEMS EMS Educator Task Force 14
%a- Th*s+
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Kansas Airway Supplement
Kansas BEMS EMS Educator Task Force 15
!e)a)3a)a) O6s+*;si
S*m6a+a) a)a+omis s+ido0 8
– Ta*ma 8 Edema lai)3 ada l*;a
6a;a, Fa;+* lai)3
– No) Ta*ma 8 Be)da asi)3, di7+ei
Diperlukan jalan nafas denitif
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Kansas Airway Supplement
Kansas BEMS EMS Educator Task Force 1
Ai-a1 de/)i+i7
♦Ai-a1 de/)i+i7 8 ia +*6e0 dalam +a;ea
♦ I)di;asi 8 #. !o+e;si Ai-a1 ?A@0
A)4ama) o6s+*;si
A)4ama) asiasi
&. !el* 5e)+ilasi ?B@0
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 1!
BREATHING
♦ A7+e es+a6lishi)3 a) ai-a1 1o* )e2+ s+esho*ld +o 6e assess 6ea+hi)3.
♦ Loo; 8 – Bea+hi)3 a++e) e3*la o ie3*la
– Ade*a+e e2a)sio), e+a4+io)s♦ Lis+e) 8
– Sho+)ess o7 6ea+h -he) sea;i)3 – U)eso)si5e la4e ea )e2+ +o a+ie)+
mo*+h – Is +hee a)1 mo5eme)+ o7 ai
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 1"
BREATHING
♦ Feel – Che4; +he 5ol*me o7 6ea+hi)3 61
la4i)3 1o* ea a)d 4hee; )e2+ +o +hea+ie)+Ds mo*+h
– A*s4*l+a+e
• S+e+hos4oe
–Mid 4la5i4*la a6o*+ +he se4o)d
i)+e4os+al sa4e a)d +he 7o*+h o/7+h a)+eio mida2illa1 li)e o )e2++o s+e)*m
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 1#
BREATHING
– Che4; 6o+h sides
• !ese)+ a)d e*al 6ila+eall1
• "imi)ished o a6se)+
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 2$
Ade*a+e Bea+hi)3
♦Nomal a+e – Ad*l+ #& &'mi)
– Child#( 'mi)
– I)7a)+ &( ('mi)
♦Rh1+hm – Re3*la
– Ie3*la
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 21
Ade*a+e Bea+hi)3
♦*ali+1 – Bea+h so*)ds ese)+ a)d e*al
– Ches+ e2a)sio) ade*a+e a)d e*al
–
E:o+ o7 6ea+hi)3 8 *se o7 a44esso1m*s4le edomi)a+el1 i) i)7a)+s a)d4hilde)
♦"e+h – Ade*a+e 4hes+ ise a)d 7all
– F*ll 6ea+h so*)ds head
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 22
I)ade*a+e Bea+hi)3
♦Ra+e
–O*+side +he )omal limi+s
•
Ta4h1)ea aid 6ea+hi)3 0> &'
• Bad1)ea slo- 6ea+hi)3 0 #&
♦Rh1+hm
– Ie3*la 6ea+hi)3 a++e)
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 23
I)ade*a+e Bea+hi)3
♦ *ali+1 – Bea+h so*)ds dimi)ished, )ois1 o a6se)+
– E24essi5e *se o7 a44esso1 m*s4le, e+a4+io)s
– Red*4e ai Jo- a+ )ose mo*+h
– I)ade*a+e 4hes+ e2a)sio)♦ "e+h
– Shallo- imaied de+h 0 6ea+hi)3
– A3o)al esia+io)s o44asio)al 3asi)3 esia+io)s
♦ S;i) Colo
♦ Re+a4+io)s
♦ ?Seesa-@ 6ea+hi)3 a6domi)al da) 4hes+ mo5e i)
oosi+e die4+io)s 0
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 24
BREATHING
♦ Resia+o1e:o+
♦ Re+a4+io)s
♦ Ra+e a)d a+e+e)ds
♦ Ai mo5eme)+loo;, lis+e), 7eels+e+hos4oe la+e0
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 25
$ENTILASI
♦ TAN!A ALAT – mo*+h +o mo*+h
– mo*+h +o )ose
♦ "GN ALAT – mo*+h +o mas;
– ia o;si3e)
– B$M
– 5e)+ila+o
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 2
$ENTILASI
♦Mo*+h=+o=mo*+h $e)+ila+io) – Ai -e 6ea+h 4o)+ai)s &# O213e)
– ( *sed 61 +he 6od1
– # is e2haled
– "a)3e o7 i)7e4+io*s disease
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 2!
$ENTILASI
♦Mo*+h=+o=Mas; – Elimi)a+es die4+ 4o)+a4+ -i+h a+ie)+
– O)e=-a1 5al5e s1s+em
– Ca) o5ide ade*a+e o 3ea+e5ol*me +ha) B$M
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 2"
$ENTILASI
♦B$M – Co)sis+ o7 sel7=i)Ja+i)3 6a3, o)e -a1
5al5e, 7a4e mas;, i)+a;e o213e)ese5oi 5al5e a)d o213e) ese5oi
– B1 addi)3 o213e) a)d a ese5oi 4los+o #'' o213e) 4a) 6e deli5eed +o +ha+ie)+
–$ol*me o7 ao2ima+el1 #.'' ml
– !o5ides less 5ol*me +ha) mo*+h=+o=mas;
– A5aila6le i) i)7a)+,4hild a)d ad*l+ si9es
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 2#
CIRCULATION
♦ The 4adioesia+o1 s1s+em alsoi)4l*des +he l*)3s
♦ The 4adio5as4*la s1s+em is+i3h+l1 i)+e3a+ed -i+h +he e)als1s+em,esia+o1 s1s+em,
m*s4*la s1s+em a)d )e5o*ss1s+em
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 3$
CAR"IO$ASCULAR ANATOMY
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 31
Cadio5as4*la A)a+om1
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Cadio5as4*la A)a+om1
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Cadio5as4*la A)a+om1
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 34
CAR"IO$ASCULAR SYSTEM
♦ Ta)so+s o213e), 7*el +o 4ells♦Cells 3e+ e)e31 )eeded +o s+a1
ali5e 61 ea4+i)3 o213e) -i+h 7*el
*s*all1 3l*4ose0♦Remo5es 4a6o) dio2ide, -as+e
od*4+s 7o elimi)a+io) 7om 6od1
♦Cadio5as4*la s1s+em ma;es * 8+he hea+, +he 6lood a)d +he 6lood5essels
5ei)s, a+eies, a+eioles,5e)*les,4aillaies 0
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 35
SISTEM KON"UKSI KELISTRIKAN %ANTUNG
♦ SA )ode
♦ A$ )ode
♦
B*)dle o7 his♦ B*)dle 6a)4hes
♦ !*;i)<e )e+-o;
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 3
Cadio5as4*la S1s+em
♦ Ta)so+ o213e) 7*el +o 4ells
♦Remo5es 4a6o)dio2ide -as+eod*4+s 7o elimi)a+io) 7om 6od1
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Kansas Airway SupplementKansas BEMS EMS Educator Task Force 3!
♦
U)+*; meme+aha);a) e7*sidiel*;a) 8 – !*m 8 Hea+
– !ies 8 Blood $essels
– Fl*id 8 Blood
♦!e7*si a;a) me)3alami 3a)33*a)aa6ila ada ;e3a3ala) dai ;e+i3a
7a;+o dia+as.
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K Ai S l t
sa;ala)3;o)3
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