Operasi Emergency

Hari Minggu ini Minggu lalu

Jumat, 11- 05 - 2018 1 upper
Sabtu, 12- 05 – 2018 1 upper 2 upper
1 lower

Minggu, 13 - 05 – 2018 1 lower 2 lower

2 upper
Senin, 14- 05 – 2018 1 lower 4 upper
1 lower
Selasa, 15- 05 – 2018 1 upper

Rabu, 16- 05 – 2018

Kamis, 17 - 05 – 2018
JUMLAH 3 upper 8 upper
3 lower 3 lower
 Sabtu, 12 - 05 – 2018
Nama Diagnosis Tindakan DPJP

Syok hemoragic grade III rapid response due to

open fracture at right femur middle third
comminutive displaced
Analgetic, antibiotic, tetanus
Open fracture at right humerus middle third
prophylactic
comminutive displaced without neurological
Mr. Rona 24 Fluid resuscitation
deficit Gustilo Anderson grade III A
y.o. 14483 Plan to : SPINE
Open fracture right femur middle third
Umum Damage control Orthopaedic with : (AK)
segmental displaced Gustilo Anderson grade III
20.06 OREF for fracture femur and tibia
A
OREF for open fracture humerus
Closed fracture at right tibia middle third
ORIF with IMW for fibula fracture
comminutive displaced Tscherne grade I
Closed fracture at right fibula middle third
segmental displaced Tscherne grade I

Analgetic, antibiotic
Right diabetic foot Wagner type III with severe
Mr. Ujang Blood sugar regulator
sepsis and suspected DIC
60 y.o. Albumin transfusion SPINE
Diabetes Mellitus type II
14429 BPJS Plan to : (AK
Hypoalbuminemia
13.31 Incision drainage for diabetic foot
Hypertension stage I
abscess
 Sabtu, 12 - 05 – 2018
PASIEN KELUAR
RUANG IDENTITAS TINDAKAN MASUK OK INDUKSI INSISI SELESAI OP
DATANG OK

OREF for fracture

Mr. Rona
femur and tibia
24 y.o.
OREF for open fracture
303 14483 03.00 03.10 03.20 03.30 11.45 11.50
humerus
Umum
ORIF with IMW for
20.06
fibula fracture

Mr. Ujang
60 y.o.
Incision drainage for
302 14429 09.30 09.45 10.10 10.45 11.45 11.50
diabetic foot abscess
BPJS
13.31
 Minggu, 13 - 05– 2018
Nama Diagnosis Tindakan DPJP

Open fracture at left lateral tibia plateau

Mr. Yayat
chipping Analgetic, antibiotic
Supriatna
Lacerated wound at left knee joint anterolateral Plan to :
45 y.o. Spine
aspect with: Debridement
14408 (AK)
Partial rupture of patellar tendon Repair tendon
Umum
Total rupture at left iliotibial band tendon Immobilization with kocher splint
08.02
Lacerated wound at left heal lateral aspect

Boy Alvin Closed fracture of the left radius middle third

Analgetic, antibiotic Spine
10 y.o. transverse displaced Tscherne grade 0
Plan to : (AK)
14454 BPJS Open fracture of the left ulna distal third
CRIF intramedullary wire
15.18 transverse displaced Gustilo Anderson grade I

Asep
tsupriatna Traumatic amputation at level middle phalang Pediatri
55 y.o. right index finger Debridement and repair stump c
000168594 Lacerated wound at right middle finger (YY)
7
 Minggu, 13 - 05– 2018
PASIEN MASUK SELESAI KELUAR
RUANG IDENTITAS TINDAKAN INDUKSI INSISI
DATANG OK OP OK

Analgetic, antibiotic
Mr. Yayat
Plan to :
Supriatna
Debridement
45 y.o.
302 Repair tendon 13.00 13.10 13.30 13.55 16.50 17.00
14408
Immobilization
Umum
with kocher
08.02
splint

Boy Alvin Analgetic, antibiotic

10 y.o. Plan to :
304 14454 CRIF 13.00 13.20 13.30 14.30 18.10 18.20
BPJS intramedullary
15.18 wire

Asep
tsupriatna
Debridement and
303 55 y.o. 05.45 06.00 06.15 06.50 08.50 09.00
repair stump
00016859
47
 Selasa, 08 – 05 – 2018

Nama Diagnosis Tindakan DPJP

Tn. Imam Analgetic, antibiotic, tetanus prophylaxis

Zaenuri Multiple lacerated wound and skin avulsion at Performed: Recon
43thn right leg medial aspect Debridement and exploration (DM)
14644 17.24 Primary suture
 Selasa, 08 – 05 – 2018
PASIEN MASUK SELESAI KELUAR
RUANG IDENTITAS TINDAKAN INDUKSI INSISI
DATANG OK OP OK

Tn. Imam Debridement

Zaenuri
and exploration
304 43thn 08.00 08.20 08.30 09.15 12.00 12.15
14644 17.24 Primary suture
MCR 11 mei 2018
 Name/Age/
No Working Diagnose Management
Medrec

Analgetic, antibiotic, tetanus prophylaxis

Plan to:
Debridement
Repair nail bed and nail trephination for
middle finger
Primary suture for right ring finger at
- Open tuft fracture at right middle finger transverse
operating theatre
displaced Swanson Szabo type 2 with nail plate and nail
1 Sobirin/ 53 tahun/ But the patient refused due to financial problem
bed injury
Performed:
- Lacerated wound at right ring finger ulnar aspect
Debridement
Repair nail bedand nail trephination for
middle finger
Primary suture for right ring finger at
emergency ward

Analgetic, antibiotic, tetanus prophylaxis

2 Wawan/26 tahun/
- Open fracture at shaft of distal phalang left little finger Plan to:
comminutive displaced Swanson Szabo type II Debridement-
- Open fracture at head of middle phalang left middle ORIF with K wire and screwing for middle
finger transverse displaced Swanson Szabo type II finger. ORIF with K-Wire for little finger
- Open fracture at medial condyle of head of proximal Primary suture for ring finger
phalang left middle finger transverse displaced Swanson Nail trephination for subungual hematomas
Szabo type II But patient refused due to financial problem
- Subungual hematoma at middle, ring and left little finger Performed:-
- Multiple lacerated wound at left ring finger palmal Debridement,
aspect Primary suture,
Nail trephanation
Immobilization with aluminium splint
- Open Lisfranc injury of right foot isolated type
- Open fracture at base of 2nd metatarsal right foot
comminutive displaced Gustilo Anderson 3B
Analgetic, antibiotic, tetanus prophylaxis
- Open fracure at base of 3rd metatarsal right foot
Plan to:
comminutive displaced Gustilo Anderson 3B
Debridement
- Open fracture at base of 4th metatarsal right foot
Wound exploration
oblique displaced Gustilo Anderson 3B
ORIF K-Wire
No Name/Age/ Jam Masuk Jam Waktu Radiologi Waktu operasi TINDAKAN Keterangan
Medrec datang IGD decision (OK/RANAP/PP/B
(acc LPL)
triase Bedah Permin Pemeri Expertise Konsul Naik
DPJP)
taan ksaan Anestesi Operas

1 Sobirin/53 tahun 12:10 12;25 13:45 12:45 12:55 13:15 - - 14:00 PP

2 Wawan/26 tahun 21:10 21:20 22:40 21:45 21:50 22:05 - - 00:10 PP

Ari Hasan/ 20
3 03:05 03:20 04:30 03:40 03:45 04:05 - - 09:00 PP
tahun
MCR 12 mei 2018
 Name/Age/
No Working Diagnose Management
Medrec

1 Mr. Ujang 60 y.o. 14429 BPJS 13.31
Mr. Yayat Supriatna 45 y.o. 14408
2 Debridement
Umum 08.02
3 Boy Alvin 10 y.o. 14454 BPJS 15.18
4 Mr. Rona 24 y.o. 14483 Umum 20.06
Right diabetic foot Wagner type III with severe sepsis Analgetic, antibiotic
and suspected DIC Blood sugar regulator
Diabetes Mellitus type II Albumin transfusion
Hypoalbuminemia Plan to :
Hypertension stage I Incision drainage for diabetic foot abscess
Open fracture at left lateral tibia plateau chipping
Analgetic, antibiotic
Lacerated wound at left knee joint anterolateral aspect
Plan to :
with:
Partial rupture of patellar tendon
Repair tendon
Total rupture at left iliotibial band tendon
Immobilization with kocher splint
Lacerated wound at left heal lateral aspect
Closed fracture of the left radius middle third
Analgetic, antibiotic
transverse displaced Tscherne grade 0
Plan to :
Open fracture of the left ulna distal third transverse
CRIF intramedullary wire
displaced Gustilo Anderson grade I
Syok hemoragic grade III rapid response due to open
fracture at right femur middle third comminutive
displaced
Analgetic, antibiotic, tetanus prophylactic
Open fracture at right humerus middle third
Fluid resuscitation
comminutive displaced without neurological deficit
Plan to :
Gustilo Anderson grade III A
Damage control Orthopaedic with :
Open fracture right femur middle third segmental
OREF for fracture femur and tibia
displaced Gustilo Anderson grade III A
OREF for open fracture humerus
Closed fracture at right tibia middle third
ORIF with IMW for fibula fracture
comminutive displaced Tscherne grade I
Closed fracture at right fibula middle third segmental
displaced Tscherne grade I

Analgetic, antibiotic, tetanus prophylactic

Plan to :
Mr. Adeansyah 30 y.o. 14505 umum Suspect open fracture at distal phalang of left index Debridement
5
23.32 finger with nail bed and nail plate injury Suturing
Protection Alone
 Jam Waktu Radiologi Waktu operasi Ket.
Name/Age/ Jam Masuk decision
Konsul Naik TINDAK (OK/RANA
No Medrec datang IGD (acc Permintaa Pemeri Expert Anestesi Operasi AN P/PP/BLPL
triase Bedah DPJP) n ksaan ise )

Mr. Yayat
Supriatna 45 y.o. RANAP
1 08.02 08.20 09.00 08.25 08.30 09.20 10.20 13.20 13.30
14408 Umum Kana A
08.02

Mr. Ujang 60 y.o.

RANAP
2 14429 BPJS 13.31 13.50 14.20 13.55 14.00 15.20 18.00 07.00 07.30
(Kana B)
13.31

Boy Alvin 10 y.o.

3 14454 BPJS 15.18 15.35 16.15 15.40 15.45 16.55 17.30 13.20 14.00 RANAP
15.18

Mr. Rona 24 y.o.

4 14483 Umum 20.22 20.30 20.40 21.05 21.30 21.45 22.00 02.10 03.00 ICU
20.06

Mr. Adeansyah
5 30 y.o. 14505 23.52 00.10 00.15 01.20 02.00 02.15 04.00 PP
umum 23.32
MCR 13 mei 2018
 Name/Age/
No Working Diagnose Management
Medrec

Analgetic, antibiotic
1 An. Haikal/10th/1685929 Lacerated wound at left leg anterior aspect
Debridement + Primary suture

Traumatic amputation at level middle

2. Tn. Asep/ 55 thn/ 1685947 phalang right index finger Debridement and repair stump
Lacerated wound at right middle finger
 Jam Waktu Radiologi Waktu operasi
Name/Age/ Jam Masuk Ket.
decision TINDAKA
No Medrec datang IGD (OK/RANA
(acc DPJP) Perminta Pemeri Exper Konsul Naik N
triase Bedah P/PP/BLPL)
an ksaan tise Anestesi Operasi

An.
1 Haikal/10th/16859 16.55 17.05 17.20 17.20 17.55 19.15 - - 19.30 PP
29

Tn. Asep/ 55 thn/

2. 22.18 22.28 23.30 22.45 22.55 23.30
1685947
MCR 14 mei 2018
 Name/Age/
No Working Diagnose Management
Medrec

Analgetic, antibiotic, and tetanus prophylaxis

Neurosurgery department:
Performed:
Conservative treatment
Plasticsurgery department:
Performed:
Debridement and suturing for
lacerated wound
Mild head injury
Plan to:
Closed maxillofacial fracture Le fort type II
ORIF plate and screw electively
Lacerated wound at labium oris
Orthopaedic and traumatology department:
Closed fracture at right scaphoid Herbert classification B4
1 Tn. Rohendi 32th 14636 16.14 Performed:
Suspected perilunate dislocation
Debridement and primary suture for
Lacerated wound at left elbow medial aspect
lacerated wound at left elbow and
Lacerated wound at left middle finger volar aspect
middle finger
Closed reduction and immobilization
with sugar tong splint and thumb
spica splint for right wrist joint
Plan to:
MRI and CT scan for right wrist joint
ORIF screwing for scaphoid fracture
electively

Analgetic, antibiotic, tetanus prophylaxis

Multiple lacerated wound and skin avulsion at right leg Performed:
2 Tn. Imam Zaenuri 43thn 14644 17.24 medial aspect Debridement and exploration
Primary suture
No Name/Age/ Jam Masuk Jam Waktu Radiologi Waktu operasi TINDAKAN Keterangan
Medrec datang IGD decision (OK/RANAP/PP/B
(acc LPL)
triase Bedah Permin Pemeri Expertise Konsul Naik
DPJP)
taan ksaan Anestesi Operas

Tn. Rohendi
1 32th 14636 16.14 16.18 17.30 16.30 16.35 16.55 - - 00.30 RANAP
16.14

Tn. Imam
2 Zaenuri 43thn 17.24 17.30 18.00 19.00 19.15 19.45 23.00 08.00 08.30 OK
14644 17.24
MCR 15 mei 2018
 Name/Age/
No Working Diagnose Management
Medrec

Analgetic, antibiotic, tetanus

prophylactic
Neurosurgery department :
Performed : conservative
treatment
Mild Head Injury Orthopaedic and Traumatology
Open fracture at based middle phalang of Department :
the right little finger comminutive Plan to :
displaced Swanson Szabo type I Futher investigation with
Closed right transradial styloid perilunate CT scan for right
fracture dislocation Mayfield type IV carpal dislocation
Closed fracture of the left distal end and left distal
radius Frykman type VII Tscherne grade I radius fracture
with DRUJ disruption Closed reduction and
1. Tn. Gerry/26th 1686564
Closed fracture of the left radius middle immobilization
third comminutive displaced Tscherne with sugar tong
grade I splint for right
Closed fracture of the left ulna middle carpal dislocation
third comminutive displaced Tscherne and left shaft
grade I radius ulna
Open fracture at right proximal tibia Debridement + ORIF P/S
Schatzker type VI Gustilo Anderson grade for tibial fracture
IIIA But patient refused due to financial
problem
Performed :
Debridement +
immobilization with
wood splint
 Jam Waktu Radiologi Waktu operasi Ket.
Name/Age/ Jam Masuk decision
Konsul Naik TINDAK (OK/RANA
No Medrec datang IGD (acc Permintaa Pemeri Expert Anestesi Operasi AN P/PP/BLPL
triase Bedah DPJP) n ksaan ise )

Tn.
1. Gerry/26th 17.55 18.15 18.40 18.20 19.15 19.30 - - 20.30 PP
1686564