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