CIRRUCULUM CIRRUCU LUM VIT VITAE Nama Tempat dan Tanggal Lahir Jenis Kelamin Status Perkawinan Agama Alamat Rumah Telp./Faks. Alamat e-mail
Tahun Lulus 1977 19811984 19841986 1986 2003 2010
Jenjang
: : : : : : : :
DR. Dr. H. M. Rizal Chaidir, SpOT(K)., M.Kes(MMR)., MH.Kes Bandung, 10 Juli 1950 Laki-laki Menikah Islam Jl. Wira Angun Angun 44 Bandung 022-84469482
[email protected]
RIWAYAT PENDIDIKAN PERGURUAN TINGGI Perguruan Tinggi
S1 Training Bedah Umum – Orthopaedi Training Orthopaedi Fellow Ilmu Bedah Tangan dan Bedah Mikro S2 S2
Jurusan/Bidang Studi
FK UNPAD FK UNPAD
Kedokteran Ilmu Bedah
National Orthopaedic Hospital Philippines Chinese Hongkong University
Orthopaedi Bedah Tangan dan Bedah Mikro
Universitas Gajah Mada Universitas Islam Bandung
Magister Manajemen Rumah Sakit Magister Hukum Kesehatan
PENGALAMAN PENGALAM AN JABATAN JABATAN Jabatan
Institusi
Tahun ... s.d. ...
Asisten Luar Biasa Bagian Ilmu Faal FK UNPAD UNPAD
UNPAD UNPAD
1972 – 1975
Perwira wajib Militer ABRI,
TNI – AU
1977 – 1981
Kepala Urusan Kesehatan Pangkalan Udara Singkawang II dan
TNI – AU
1978 – 1981
FK UNPAD/RSUP Dr.Hasan Dr.Hasan
1988 – Sekarang
Supadio, Kalimantan Barat Staff Departemen/SMF Departeme n/SMF Orthopaedi Orthop aedi & Traumatologi
Sadikin Sekretaris Sekretar is Bagian Bedah Orthopaedi Orthop aedi RSUP Dr.Hasan Sadikin Sadiki n
FK UNPAD/RSUP Dr.Hasan Dr.Hasan
1992 – 2002
Sadikin Ketua Ketua Progra Program m Studi Studi Orthop Orthopaed aedii & Trauma raumatol tologi ogi FK
FK UNPAD/RSUP Dr.Hasan
2001 – 2005
UNPAD/RSUP UNPAD/RSUP Dr.Hasan Dr.Hasan Sadikin
Sadikin
Ketua Komite Etik & Hukum RSUP Dr.Hasan Dr.Hasan Sadikin
RSUP Dr.Hasan Dr.Hasan Sadikin
2004 – 2006
Direktur Medik & Keperawatan Keperawatan RSUP Dr. Dr. Hasan Sadikin
Depkes
2006 – 2009
Direktur Utama RSUP Dr.Hasan Dr.Hasan Sadikin
Depkes
2009 – 2010
Kepala Divisi Hand and Microsurgery FK UNPAD / RSUP
FK UNPAD/RSUP Dr.Hasan
2010 - 2015
Dr.Hasan Sadikin
Sadikin
Wakil Direktur Rumah Sakit Pendidikan UNPAD/RSUP Dr.Hasan Dr.Hasan
UNPAD UNPAD
2011 - 2013
FIRST AID PRINCIPLE IN MUSCULOSKELETAL TRAUMA M. Rizal Chaidir Abdul Kadir Hadar
DEPARTMENT OF ORTHOPAEDIC DAN TRAUMATOLOGY FACULTY OF MEDICINE PADJADJARAN UNIVERSITY HASAN SADIKIN HOSPITAL BANDUNG
CURRICULUM VITAE Nama : Dr. dr. Mohammad Rizal Chaidir SpOT(K)., Mkes (MMR)., MHKes., FICS Tempat Tanggal Lahir
: Bandung, 10 Juli 1950
Pendidikan : 1. 2. 3. 4. 5. 6. 7. 8.
Doktor, Program Pasca Sarjana S-3 FK-UNPAD : Lulus Tahun 2014. Magister Hukum Kesehatan, Universitas Islam Bandung : Lulus Tahun 2010 Magister Manajemen Rumah Sakit, Universitas Gadjah Mada : Lulus Tahun 2004 Fellowship Ilmu Bedah Tangan / Ilmu Bedah Mikro Chinese Hongkong University, Lulus Tahun 1986. Residensi Training Orthopaedi pada National Orthopaedic Hospital, Filipina, 19841986 Residensi Training Bedah Umum pada Bagian Bedah FK-UNPAD/RSUP Dr. Hasan Sadikin, 1981-1984. Sekolah Perwira Wajib Militer (SEPAWAMIL ABRI) Surakarta, Lulus Tahun 1977 Kedokteran Umum, FK-UNPAD, Lulus Tahun 1977.
CURRICULUM VITAE
Riwayat Pekerjaan : 1.
Direktur Utama RS Melinda 2 2014 – sekarang
2.
Wakil Direktur Rumah Sakit Pendidikan UNPAD – RSHS : 2010-2013
3.
Direktur Utama RSUP Dr. Hasan Sadikin, Bandung : Periode 2009 – 2010
4.
Direktur Medik dan Keperawatan RSUP Dr. Hasan Sadikin, Bandung : Periode 2006 – 2009
Riwayat Organisasi : 1.
Ketua Dewan Etik Profesi PABOI 2012-2016
2.
Ketua Majelis Kehormatan dan Etika Rumah Sakit (MAKERSI) Jawa Barat 2011 – 2013
3.
Ketua Majelis Kehormatan dan Etik Kedokteran (MKEK) IDI cabang Bandung
4.
Sekretaris Jenderal Asosiasi Rumah Sakit Vertikal Indonesia (ARVI) 2009 – 2010
5.
Wakil Ketua Persatuan Rumah Sakit Indonesia (PERSI) Jawa Barat 2008 –2010
6.
Anggota MKEK Ikatatan Dokter Indonesia (IDI) Wil Jawa Barat Jawa Barat . 2007 - 2010
7.
Ketua MPPK Ikatatan Dokter Indonesia (IDI) Wil Jawa Barat . 2004-2007.
8.
Ketua Ikatan Dokter Indonesia (IDI) Wil. Jawa Barat . 2001-2004
MUSCULOSKELETAL SYSTEM
•
•
Also known Locomotor system, gives human ability to move using muscular and skeletal systems.
Musculoskeletal system provides : •
Form
•
Support
•
Stability
•
Movement
BONE JOINTS MUSCLE TENDON LIGAMENT
BONE The skeletal system (Bone) serves many important functions : -
Shape and form for the body,
-
Support and protection,
-
Allows bodily movement,
-
Produces blood for the body,
-
Store Minerals
5 general classifications of bones : Long bones, short bones, flat bones, irregular bones, and sesamoid bones.
BONE A fracture is a break in the continuity of a bone
•
Closed fracture
Across the room assessment
•
Initial Assessment - ABC s
•
History :
Open fracture
Sign and symtomps :
’
-
Chief Complaint
-
Mechanism of injury
-
Onset of symptoms
Focused Physical Assessment :
Deformity
Crepitus
Tenderness
False motion
-
Look
Guarding
Exposed fragments
-
Feel
Swelling
Pain
-
Movement
Bruising
Locked joint
•
BONE
X-Ray : Principle (Rules of two) : Two View,
•
Two joint,
•
Two limb,
•
Two injuries,
•
Two occasion
•
BONE 5P: PAIN PULSE PALLOR PARASTHESIA PARALYSIS
Compartment syndrome TRUE EMERGENCY CONSULT ORTHOPAEDIC
Traumatic amputation Put amputated in a seal bag put ice in outside bag TRUE EMERGENCY
OR
Put amputated in a moist gauze plastic bag put ice in outside bag
BONE First Aid Care For Fracture 1. Remove any clothes that cover the injured area. Cut clothing at the seams to avoid unnecessary movement of the injured area. 2. Cover any open wounds with sterile dressings to control bleeding and prevent infection. Gently wipe away dirt and debris, and irrigate the exposed bone end with normal saline or clean water. 3. Assess blood flow and nerve function. 4. If there is severe deformity or angulation, apply minimal traction pull to bring the limb into more normal alignment
a firm, steady
—
except for crushing injuries;
—
immobilize joints above and below the fracture. 5. Check distal pulses and capillary refill and sensation after the splint is in place to
make sure circulation is still adequate. 6. Give analgetic, Antibiotic if there is wound, and ATS/TT
BONE EARLY ASSESSMENT •
•
Immobilization For open fracture : Wound cleansing Immobilization
BONE Key Points Splinting •
Prevention of further injury
o
o •
Decrease pain
•
Decrease swelling
•
Stabilize fracture or dislocation
•
Relieve impaired neurological function or muscle spasms
o
o
o •
Reduce blood and fluid loss into tissues
o
Immobilize joint above and below injury Assess neurovascular status distal to injury prior to splint application and again right after splint application
If angulation at fracture site without neurovascular compromise, immobilize as presented Minimize movement of extremity during splinting Secure splint to provide support and compression
Reassess/monitor neurovascular status every 5-10 minutes
JOINTS
Connect individual bones and may allow bones to move against each other to cause movement. There are two divisions of joints, •
•
Diarthroses - extensive mobility between two or more articular heads False joints or synarthroses - immovable, that allow little or no movement and are predominantly fibrous.
Synovial joints lubricated by a solution called synovial fluid that is produced by the synovial membranes.
JOINTS Dislocation - An injury in which the joint comes apart and stays apart; the bone ends are no longer in contact with each
other Signs and symptoms include:
pain feeling of pressure over the involved joint
loss of motion in the joint
deformity
JOINTS First Aid Care 1. Immobilize all dislocations in the position found. Splint above and
below the dislocated joint with an appropriate splint that will keep the joint immobile. 2. Use the RICE method. 3. Treat for shock; keep the victim warm and quiet and in the position most comfortable. 4. Give Analgetid 5. Consult to Orthopaedic surgeon
MUSCLE There are three types of muscles : •
Cardiac Heart
•
Skeletal
•
Smooth Flow substance in hollow organ
Move body
Strain - An injury to a muscle that occurs when the muscle is stretched beyond its normal range of motion, causing the muscle to tear Cramp - Uncontrolled spasm of a muscle Contusion - A bruise to the tissue of a muscle
MUSCLE Strain
First Aid (RICE)
Contusion
CONSULT TO ORTHOPAEDIC SURGEON
Analgetic, Antibiotic (Wound)
TENDON
Is a tough, flexible band of fibrous connective tissue that connects muscles to bones. As muscles contract, tendons transmit the forces to the relatively rigid bones, pulling on them and causing movement. Tendons can stretch substantially, allowing them
to
function
as
springs
locomotion, thereby saving energy.
during
TENDON •
Tendon injury
•
Tendon rupture
Give Analgetic
Wound cleansing Cover wound (if any) immobilization Antibiotic, Analgetic Consult to Orthopaedic Surgeon
LIGAMENT
Is a small band of dense, white, fibrous elastic tissue connects between bone. Most ligaments limit dislocation, or prevent certain movements that may cause breaks. Since they are only elastic they increasingly
lengthen when under pressure. When this occurs the ligament may be susceptible to break resulting in an unstable joint.
LIGAMENT
An injury in which ligaments are stretched and partially or completely torn
Signs and symptoms include:
Pain
Swelling
Deformity
Discoloration of the skin
Inability to use the affected part normally
LIGAMENT First Aid (RICE)
Rupture Consult to Orthopaedic Surgeon
THANK YOU