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DataTriaseIGD.html
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DataTriaseIGD.html
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<html>
<head><link href="file2.css" rel="stylesheet" type="text/css" /><table width='1400px' border='0' align='center' cellpadding='3px' cellspacing='0' class='tbl_form'><tr class='isi2'><td valign='top' align='center'><font size='4' face='Tahoma'>RS SIMRS KHANZA</font><br>GUWOSARI, Pajangan, Bantul<br>Hp: 08562675039, 085296559963, E-mail : khanzasoftmedia@gmail.com<br><br><font size='2' face='Tahoma'>DATA TRIASE IGD<br><br></font></td></tr></table>
</head>
<body>
<table width="1400px" border="0" align="center" cellpadding="1px" cellspacing="0" class="tbl_form">
<tr class="isi">
<td valign="middle" bgcolor="#FFFAF8" align="center" width="12%">
<b>Pasien</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center" width="12%">
<b>Kunjungan</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center" width="18%">
<b>Kedatangan</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center" width="13%">
<b>Keluhan/Anamnesis Singkat</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center" width="10%">
<b>Tanda Vital</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center" width="21%">
<b>Pemeriksaan</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center" width="14%">
<b>Keputusan</b>
</td>
</tr>
<tr class="isi">
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="34%" valign="top">
No.Rawat
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
2019/08/27/000002
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
No.R.M.
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
222305
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Nama Pasien
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
Aulia Indah Sari
</td>
</tr>
</table>
</td>
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="34%" valign="top">
Tgl.Kunjungan
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
2019-08-28 10:12:25.0
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Cara Masuk
</td>
<td valign="top">
:
</td>
<td width="65%" valign="top">
Kursi Roda
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Transportasi
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
-
</td>
</tr>
</table>
</td>
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="31%" valign="top">
Alasan Kedatangan
</td>
<td valign="top">
: 
</td>
<td width="68%" valign="top">
Datang Sendiri
</td>
</tr>
<tr class="isi2">
<td width="31%" valign="top">
Keterangan
</td>
<td valign="top">
: 
</td>
<td width="68%" valign="top">
</td>
</tr>
<tr class="isi2">
<td width="31%" valign="top">
Macam Kasus
</td>
<td valign="top">
: 
</td>
<td width="68%" valign="top">
Trauma Kecelakaan Kerja
</td>
</tr>
</table>
</td>
<td valign="top">
Keluhan Utama : Nyeri dada<br>Kebutuhan Khusus : Airborne
</td>
<td valign="top">
Suhu (C) : -, Respirasi(/menit) : -, Tensi : -, Nadi(/menit) : -,
Saturasi O²(%) : -, Nyeri : -
</td>
<td valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi5">
<td width="40%" valign="top">
JALAN NAFAS
</td>
<td valign="top">
: 
</td>
<td width="59%" valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi5">
<td border="0" valign="middle" width="100%">
Sumbatan Total
</td>
</tr>
</table>
</td>
</tr>
<tr class="isi5">
<td width="40%" valign="top">
PERNAFASAN DEWASA
</td>
<td valign="top">
: 
</td>
<td width="59%" valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi5">
<td border="0" valign="middle" width="100%">
Henti Nafas
</td>
</tr>
<tr class="isi5">
<td border="0" valign="middle" width="100%">
Frekuensi Nafas 10x/menit
</td>
</tr>
</table>
</td>
</tr>
<tr class="isi5">
<td width="40%" valign="top">
PERNAFASAN ANAK
</td>
<td valign="top">
: 
</td>
<td width="59%" valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi5">
<td border="0" valign="middle" width="100%">
Henti Nafas
</td>
</tr>
<tr class="isi5">
<td border="0" valign="middle" width="100%">
Retraksi berat, sianosis
</td>
</tr>
</table>
</td>
</tr>
<tr class="isi5">
<td width="40%" valign="top">
SKOR NYERI
</td>
<td valign="top">
: 
</td>
<td width="59%" valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi5">
<td border="0" valign="middle" width="100%">
Nyeri Jantung VAS 10
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="34%" valign="top">
Keputusan
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
Zona Merah Ruang Resusitasi
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Tanggal & Jam
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
2019-08-28 10:12:25.0
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Catatan
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
-
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Nama Petugas
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
015 ANANG HERMANSYAH
</td>
</tr>
</table>
</td>
</tr>
<tr class="isi">
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="34%" valign="top">
No.Rawat
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
2019/09/16/000001
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
No.R.M.
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
231011
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Nama Pasien
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
lilik
</td>
</tr>
</table>
</td>
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="34%" valign="top">
Tgl.Kunjungan
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
2019-09-16 10:07:49.0
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Cara Masuk
</td>
<td valign="top">
:
</td>
<td width="65%" valign="top">
Jalan
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Transportasi
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
AGD
</td>
</tr>
</table>
</td>
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="31%" valign="top">
Alasan Kedatangan
</td>
<td valign="top">
: 
</td>
<td width="68%" valign="top">
Polisi
</td>
</tr>
<tr class="isi2">
<td width="31%" valign="top">
Keterangan
</td>
<td valign="top">
: 
</td>
<td width="68%" valign="top">
-
</td>
</tr>
<tr class="isi2">
<td width="31%" valign="top">
Macam Kasus
</td>
<td valign="top">
: 
</td>
<td width="68%" valign="top">
Trauma Kecelakaan Lalu Lintas
</td>
</tr>
</table>
</td>
<td valign="top">
Keluhan Utama : Sakit Hati<br>Kebutuhan Khusus : Airborne
</td>
<td valign="top">
Suhu (C) : 38, Respirasi(/menit) : -, Tensi : -, Nadi(/menit) : -,
Saturasi O²(%) : -, Nyeri : -
</td>
<td valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi6">
<td width="40%" valign="top">
JALAN NAFAS
</td>
<td valign="top">
: 
</td>
<td width="59%" valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi6">
<td border="0" valign="middle" width="100%">
Sumbatan Parsial
</td>
</tr>
</table>
</td>
</tr>
<tr class="isi6">
<td width="40%" valign="top">
SIRKULASI DEWASA
</td>
<td valign="top">
: 
</td>
<td width="59%" valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi6">
<td border="0" valign="middle" width="100%">
Nadi perifer tidak teraba
</td>
</tr>
<tr class="isi6">
<td border="0" valign="middle" width="100%">
CRT > 2 detik
</td>
</tr>
<tr class="isi6">
<td border="0" valign="middle" width="100%">
Akral Dingin
</td>
</tr>
<tr class="isi6">
<td border="0" valign="middle" width="100%">
Pucat
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="34%" valign="top">
Keputusan
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
Zona Merah Ruang Kritis
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Tanggal & Jam
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
2019-09-16 00:00:00.0
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Catatan
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
-
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Nama Petugas
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
015 ANANG HERMANSYAH
</td>
</tr>
</table>
</td>
</tr>
<tr class="isi">
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="34%" valign="top">
No.Rawat
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
2019/09/16/000004
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
No.R.M.
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
0100100
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Nama Pasien
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
MARYANA OLPAH
</td>
</tr>
</table>
</td>
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="34%" valign="top">
Tgl.Kunjungan
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
2019-09-16 15:44:30.0
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Cara Masuk
</td>
<td valign="top">
:
</td>
<td width="65%" valign="top">
Jalan
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Transportasi
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
-
</td>
</tr>
</table>
</td>
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="31%" valign="top">
Alasan Kedatangan
</td>
<td valign="top">
: 
</td>
<td width="68%" valign="top">
Datang Sendiri
</td>
</tr>
<tr class="isi2">
<td width="31%" valign="top">
Keterangan
</td>
<td valign="top">
: 
</td>
<td width="68%" valign="top">
-
</td>
</tr>
<tr class="isi2">
<td width="31%" valign="top">
Macam Kasus
</td>
<td valign="top">
: 
</td>
<td width="68%" valign="top">
Trauma Kecelakaan Kerja
</td>
</tr>
</table>
</td>
<td valign="top">
Keluhan Utama : -<br>Kebutuhan Khusus : -
</td>
<td valign="top">
Suhu (C) : -, Respirasi(/menit) : -, Tensi : -, Nadi(/menit) : -,
Saturasi O²(%) : -, Nyeri : -
</td>
<td valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi6">
<td width="40%" valign="top">
JALAN NAFAS
</td>
<td valign="top">
: 
</td>
<td width="59%" valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi6">
<td border="0" valign="middle" width="100%">
Sumbatan Parsial
</td>
</tr>
</table>
</td>
</tr>
<tr class="isi6">
<td width="40%" valign="top">
PERNAFASAN DEWASA
</td>
<td valign="top">
: 
</td>
<td width="59%" valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi6">
<td border="0" valign="middle" width="100%">
Ada Nafas
</td>
</tr>
</table>
</td>
</tr>
<tr class="isi6">
<td width="40%" valign="top">
SIRKULASI DEWASA
</td>
<td valign="top">
: 
</td>
<td width="59%" valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi6">
<td border="0" valign="middle" width="100%">
Nadi perifer tidak teraba
</td>
</tr>
</table>
</td>
</tr>
<tr class="isi6">
<td width="40%" valign="top">
SKOR NYERI
</td>
<td valign="top">
: 
</td>
<td width="59%" valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi6">
<td border="0" valign="middle" width="100%">
Nyeri jantung VAS 7-9
</td>
</tr>
</table>
</td>
</tr>
<tr class="isi6">
<td width="40%" valign="top">
ASSESMENT TRIASE
</td>
<td valign="top">
: 
</td>
<td width="59%" valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi6">
<td border="0" valign="middle" width="100%">
Emergent/ Gawat Darurat
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="34%" valign="top">
Keputusan
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
Zona Merah Ruang Kritis
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Tanggal & Jam
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
2019-09-16 15:44:30.0
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Catatan
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
-
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Nama Petugas
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
15451544172 SITI NURROHMAH
</td>
</tr>
</table>
</td>
</tr>
<tr class="isi">
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="34%" valign="top">
No.Rawat
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
2019/09/25/000004
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
No.R.M.
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
222346
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Nama Pasien
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
LITA ARDITA RHAMADANI
</td>
</tr>
</table>
</td>
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="34%" valign="top">
Tgl.Kunjungan
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
2019-09-25 20:12:39.0
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Cara Masuk
</td>
<td valign="top">
:
</td>
<td width="65%" valign="top">
Jalan
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Transportasi
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
-
</td>
</tr>
</table>
</td>
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="31%" valign="top">
Alasan Kedatangan
</td>
<td valign="top">
: 
</td>
<td width="68%" valign="top">
Datang Sendiri
</td>
</tr>
<tr class="isi2">
<td width="31%" valign="top">
Keterangan
</td>
<td valign="top">
: 
</td>
<td width="68%" valign="top">
-
</td>
</tr>
<tr class="isi2">
<td width="31%" valign="top">
Macam Kasus
</td>
<td valign="top">
: 
</td>
<td width="68%" valign="top">
Trauma Kasus Unit Pelayanan Anak & Perempuan
</td>
</tr>
</table>
</td>
<td valign="top">
Keluhan Utama : -<br>Kebutuhan Khusus : -
</td>
<td valign="top">
Suhu (C) : -, Respirasi(/menit) : -, Tensi : -, Nadi(/menit) : -,
Saturasi O²(%) : -, Nyeri : -
</td>
<td valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi5">
<td width="40%" valign="top">
JALAN NAFAS
</td>
<td valign="top">
: 
</td>
<td width="59%" valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi5">
<td border="0" valign="middle" width="100%">
Sumbatan Total
</td>
</tr>
</table>
</td>
</tr>
<tr class="isi5">
<td width="40%" valign="top">
PERNAFASAN ANAK
</td>
<td valign="top">
: 
</td>
<td width="59%" valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi5">
<td border="0" valign="middle" width="100%">
Henti Nafas
</td>
</tr>
<tr class="isi5">
<td border="0" valign="middle" width="100%">
Retraksi berat, sianosis
</td>
</tr>
</table>
</td>
</tr>
<tr class="isi5">
<td width="40%" valign="top">
SIRKULASI ANAK
</td>
<td valign="top">
: 
</td>
<td width="59%" valign="top">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi5">
<td border="0" valign="middle" width="100%">
Pucat
</td>
</tr>
<tr class="isi5">
<td border="0" valign="middle" width="100%">
Akral Dingin
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="34%" valign="top">
Keputusan
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
Zona Merah Ruang Resusitasi
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Tanggal & Jam
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
2019-09-25 20:12:39.0
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Catatan
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
-
</td>
</tr>
<tr class="isi2">
<td width="34%" valign="top">
Nama Petugas
</td>
<td valign="top">
: 
</td>
<td width="65%" valign="top">
D0000001 dr. Dewi
</td>
</tr>
</table>
</td>
</tr>
<tr class="isi">
<td valign="top" cellpadding="0" cellspacing="0">
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
<tr class="isi2">
<td width="34%" valign="top">
No.Rawat
</td>
<td valign="top">
: 
</td>