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Adam was put into sleep before Eve was created from his rib.
Definition
An - esthesia = no pain Re - Animate = Rescusitation
Philosophy
To alleviate Pain and Distress
Artificial / IatrogenicTrauma Critical Condition Life Support To preserve life
Anaesthesia Episode
Artificial Trauma
Inform Consent (patient Right) Pre-medication (alleviate Distress) Induction (Artificial Coma) Intubation (Artificial Apnoe) Relaxation (Artificial Paralyze) Maintenance/Bleeding (Haemodynamic Stability) The End of Anesthesia
Anaesthesiology Fields
During surgery, there is trauma to tissue which produces a barrage of nociceptive input After surgery, there is an inflammatory response which also generating of noxious input
2.
Redrawn with permission from Kehlet H, Dahl JB. The value of "multimodal" or "balanced analgesia" in postoperative pain treatment. Anesth Analg 1993;77:1049.
Respiratory - reduced cough, atelectasis, sputum retention and hypoxaemia Cardiovascular - increased myocardial oxygen consumption and ischaemia Gastrointestinal - decreased gastric emptying, reduced gut motility and constipation
Genitourinary - urinary retention Neuroendocrine - hyperglycaemia, protein catabolism and sodium retention Musculoskeletal - reduced mobility Psychological - anxiety and fatigue
THANK YOU
Disaster plan
Disaster plan
Disaster plan
Disaster plan
(Paramedic) (BLS) Layman Police Fire Brigade Security Guard Civil Defense Scouts Red Cross 118 Emergency Ambulance Service
HOPE Emergency Nurse (BTLS, BCLS, BNLS, BPLS) Emergency Physician (ATLS, ACLS, ANLS, APLS) Trauma Surgeon (ATLS, BSS, DSTC, Peri OP CC)
DISASTER MANAGEMENT
E.D.
I.C.U
Ward
Rehabilitation DISASTER Access Emergency Telephone Number 110,113,118 Public Health Center
Pre-Hospital Phase
Hospital Phase
History in Indonesia
October 1997
Emergency Medicine Specialist Team from Singapore International Foundation starting to help development
August 1998
Build Emergency Dept System at Saiful Anwar Hospital Malang Trauma Registry
February 2000
15th July 2003
38
Emergency Specialist
39