kartu-luka

KARTU LUKA
Data Korban

Nama

Umur

Jenis Kelamin

Alamat
Penilaian Dini

Kesan Umum

Respon
:
:
:
:
....................................................
....................................................
....................................................
....................................................
: Kasus Trauma / Kasus Medis*
: Awas / Suara / Nyeri Tekan / Tidak
Respon*
: ....................................................
: ....................................................
: ....................................................

Air Way

Breathing

Circulation
Pemeriksaan Fisik

Perubahan Bentuk : ....................................................

Luka Terbuka
: ....................................................

Nyeri Tekan
: ....................................................

Bengkak
: ....................................................
Penanganan

Tindakan
:
..............................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
Pemeriksaan Tanda Vital
 Nafas : ............ kali per menit
 Nadi : ............ kali per menit
 Suhu : Dingin/Hangat / Panas*...........oC
 Kondisi Kulit : Lembab / Kering /
Berkeringat*
 Warna Kulit : Biru / Pucat / Merah /
Kuning / Biru Kehitaman*
 Tekanan Darah : ............ mmHg