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    Surgery Department: Emergency Case Reports

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    Mohamad Zulfikar
    This emergency case report summarizes a case of a 5-year-old boy admitted to the emergency room with electrical burn injuries covering 16% of his body. He was injured 3 days prior while playing near a high voltage relay station. On examination, he had burns on his forearms, hands, lower back, thighs, and perineum ranging from Grade IIa to IIb. Lab results and ECG were normal. He was given IV fluids, medications, and wound care, and the plastic surgery team recommended conservative treatment. His prognosis was good and he was being monitored for vital signs and wound healing.

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    Surgery Department: Emergency Case Reports

    Uploaded by

    Mohamad Zulfikar
    15 views10 pages
    This emergency case report summarizes a case of a 5-year-old boy admitted to the emergency room with electrical burn injuries covering 16% of his body. He was injured 3 days prior while playing near a high voltage relay station. On examination, he had burns on his forearms, hands, lower back, thighs, and perineum ranging from Grade IIa to IIb. Lab results and ECG were normal. He was given IV fluids, medications, and wound care, and the plastic surgery team recommended conservative treatment. His prognosis was good and he was being monitored for vital signs and wound healing.

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    electric wound.pptx

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    This emergency case report summarizes a case of a 5-year-old boy admitted to the emergency room with electrical burn injuries covering 16% of his body. He was injured 3 days prior while playing near a high voltage relay station. On examination, he had burns on his forearms, hands, lower back, thighs, and perineum ranging from Grade IIa to IIb. Lab results and ECG were normal. He was given IV fluids, medications, and wound care, and the plastic surgery team recommended conservative treatment. His prognosis was good and he was being monitored for vital signs and wound healing.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    15 views10 pages

    Surgery Department: Emergency Case Reports

    Uploaded by

    Mohamad Zulfikar
    This emergency case report summarizes a case of a 5-year-old boy admitted to the emergency room with electrical burn injuries covering 16% of his body. He was injured 3 days prior while playing near a high voltage relay station. On examination, he had burns on his forearms, hands, lower back, thighs, and perineum ranging from Grade IIa to IIb. Lab results and ECG were normal. He was given IV fluids, medications, and wound care, and the plastic surgery team recommended conservative treatment. His prognosis was good and he was being monitored for vital signs and wound healing.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 10

    EMERGENCY CASE REPORTS

    Saturday, October 2nd , 2010


    SURGERY DEPARTMENT

    EMERGENCY ROOM
    WAHIDIN SUDIROHUSODO
    GENERAL HOSPITAL
    MAKASSAR
    Saturday, October 2nd 2010

    Ambulation : 2 Patient

    Hospitalized : 10 patients

    Observation : 2 patient
    Operated : 5 patient
    Death : - patient

    Total : 12 patients
    No. 1
    Name : Ch. A Sex : Male
    Age : 5 years old No. Reg : 44 31 06

    Chief complaint : Electrical burn injury


    History taking : Suffered since 3 days before admitted to the hospital
    due to electrical shock. History loss of consciousness
    (-) , vomiting (-). Prior medical care at Angkatan Laut
    Hospital
    Mechanism of : He was playing near relay station of high electrical
    injury strained, suddenly he entered to the relay station and
    touched something. Next mechanism was unclear
    Injury sustain : Fore hand, hand, lumbal, thigh, perineum
    Ssymptom & sign : Pain, wound
    Examination : Physical examination, laboratory examination
    PHYSICAL EXAMINATION
    Primary Survey
    A: Clear

    B: RR : 18 x/minutes, spontaneous, symmetric, thoraco


    abdominal type

    C: BP : 110/70 mmHg, HR : 80 x/minute, regular, adequate

    D: GCS 15 (E4M6V5), pupil equal 2,5 / 2,5 mm , LR +/+

    E: T (ax) : 36,8 oC
    Secondary Survey

    Right antebrachii region :


    I : Seen burn wound grade IIa IIb 3 %
    P : Tenderness (+)

    Left antebrachii and palmar region :


    I : Seen burn wound grade IIa IIb 1 %,
    seen lacerated wound has been stitched
    size 3 cm, seen lacerated wound has been
    stitched size 3 cm at palmar region
    P : Tenderness (+)
    Secondary Survey

    Right lumbal region :


    I : Seen burn wound grade IIa IIb 6 %
    P : Tenderness (+)

    Left femur and perineum region :


    I : Seen burn wound grade IIa IIb 6 %,
    P : Tenderness (+)
    Laboratory Result
    WBC : 9,6 x 103 / L Na : 136

    RBC : 5,11 x 106 / L Kalium : 4,4

    HGB : 13,2 g/dL n klorida : 108

    HCT : 38,6 %

    PLT : 326 x103/ L

    CT / BT : 700 / 200

    Blood Sugar : 123 mg/dl

    Ureum : 15 mg/dl

    Creatinin : 0,4 mg/dl

    GOT / GPT : 46/ 39 /L


    Urinalisa
    Warna : kuning Sedimen leukosit : 0 1

    Ph : 7,0 Sedimen eritrosit : 0 - 1

    Bj : 1,01 Sedimen epitel :2

    Protein : -

    Glukose : -

    Bilirubin : -

    Urobilinogen : -

    Blood : -

    Leukosit : -
    ECG
    WORKING DIAGNOSIS : Electrical burn injury grade IIa IIb 16 %

    MANAGEMENT : IVFD
    Medicaments
    wound care
    Report to senior plastic surgeon
    advice : conservative
    PROGNOSIS : good
    FOLLOW UP : Vital sign wound healing

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