TANDA LESS NON

PEMERIKSAAN EMERGENCY URGENT

RESUSITASI (P1) VITAL URGENT URGENT
(Examination) (P2) (P3)
(Vital Sign) (P4) (P5)

JALAN NAFAS Sumbatan Bebas TD Bebas Bebas Bebas

(Airway) (obstruction) (Patent) (BP).......... (Patent) (Patent) (Patent)
mmHg
PERNAFASAN Henti nafas Frek. Nafas Frek. Frek. Nafas
(Breathing) (breathing arrest) (RR)>32x/mnt Nafas (RR) (RR)
Frek. Nafas (RR ......x/mnt 24-32x/mnt
<10x/mnt) Wheezing
Sianosis Wheezing

Neonatus Neonatus Neonatus

Apneu/megap- Frek. Nafas Frek. Nafas Normal Normal
megap >80x/mnt atau >60x/mnt
Frek. Nafas <60 <40x/mnt
x/mnt Sianosis sentral, Sianosis sentral,
Sianosis sentral, menetap menghilang
menetap Dengan O2 Dengan O2
Dengan O2

SIRKULASI Henti jantung Nadi teraba lemah Frek. Nadi Frek. Nadi
(Circulation) (Cardiac Arrest) (Weakness pulse) (HR) (HR) 120-
Frek. Nadi (HR) .........x/mnt 150x/mnt
Nadi tidak <50x/mnt
teraba (Pulsene) Frek. Nadi (HR)
>150x/mnt

Neonatus Neonatus Neonatus

Frek. Nadi Frek. Nadi Frek. Nadi
<60x/mnt <100x/mnt (HR) >160x/mnt Normal Normal

TD Sist.
>160 mmHg
Pucat (pale) Pucat (pale)

Akral dingin Akral dingin TD Diast.

(Clammy) (Clammy) >100 mmHg
CRT < 2 detik
Neonatus Neonatus Neonatus
CRT > 3 detik CRT > 3 detik CRT > 3 dtk
KESADARAN GCS < 9 GCS 9-12 Suhu GCS > 13 GCS 15 GCS 15
(Disability) Neonatus Neonatus (tempt) ....... Neonatus Neonatus Neonatus
o o o o
< 36,5 C < 36,5 C < 37,5 C 36,5 C - 36,5oC -
atau < 36,5oC 37,5oC 37,5oC