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Life suport & life saving Equipment
- 1. LIFE SUPORT & LIFE SAVING BELAJAR BERSAMA HAMRIN
- 2. Garis-Garis Besar Mata Kuliah Konsep konsep dasar peralatan Lifesupport dan Lifesaving. Patient Monitor : Dasar teori dan Fungsi, Blok diagram fungsional, pengoperasian pemeliharaan, trouble shooting dan pengujian EKG, SpO2, NIBP, IBP dan temperatur. Bedside-Central monitor Dasar teori dan fungsii, pengoperasian, pemeliharaan, troubleshooting dan pengujian alat. Infussion Pump : Dasar teori dan fungsii, pengoperasian, pemeliharaan, troubleshooting dan pengujian Infussion Pump. Syringe Pump : Dasar teori dan fungsii, pengoperasian, pemeliharaan, troubleshooting dan pengujian Syrnge pump. Ventilator: Dasar teori dan fungsi, pengoperasian, pemeliharaan, troubleshooting dan pengujian ventilator. Bubble CPAP: Dasar teori dan fungsii, pengoperasian, pemeliharaan, troubleshooting dan pengujian ventilator. Defibrillator Monitor : Dasar teori dan fungsi, cara pengoperasian, pemeliharaan dan troubleshooting dan pengujian defibrillator. Baby Incubator: Dasar teori dan fungsi, cara pengoperasian, pemeliharaan dan troubleshooting.
- 3. Konsep Dasar Peralatan Life Support dan Life Saving merupakan alat alat yang dapat mendukung hidup manusia yang mengalami kegagalan pada fungsi organ vitalnya misal jantung, paru-paru. Life support refers to the treatments and techniques performed in an emergency in order to support life after the failure of one or more vital organs. Healthcare providers and emergency medical tecnicians are generally certified to perform basic and advanced life support procedures; however, basic life support is sometimes provided at the scene of an emergency by family members or bystanders before emergency services arrive
- 4. Patient Monitor A typical high end patient monitor system has 5 basic subsystems: ECG, pulse oximetry, blood pressure, body temperature and respiration. Typically the most critical components in each system are the sensor circuits. Each module uses a different sensor and signal conditioning circuit. For example, the ECG uses electrodes to measure the electric pulse from the heart. The pulse oximetry (SpO2) uses a light-emitting diode and light sensor to measure oxygen content. Blood pressure is typically measured using a piezo-resistive pressure transducer.
- 5. Oksimetri Oksimeter adalah alat yang sangat diperlukan oleh klinisi yang melakukan tindakan/ intervensi bedah untuk mengetahui saturasi oksigen dalam darah. Komponen oksimeter ini biasanya diintegrasikan dalam peralatan monitor yang tampil dan menjadi panduan dokter ahli bedah dan anestesi di ruang operasi untuk memantau kondisi pasien. Oksimetri termasuk alat kategori non invasiv Fungsinya mengamati titik jenuh oksigen di pembuluh darah arteri.
- 6. Oksimetri menggunakan light emitting diode berwarna merah dan infra red yang tidak nampak,alat ini menampilkan frekuensi denyut jantung dan saturasi oksigen,parameter yang menjadi andalan dan sangat berguna untuk mengetahui kondisi pasien saat pemeriksaan dan atau intervensi/pembedahan.
- 7. Welch Allyn速 1500 Patient Monitor
- 14. NIBP Test setup
- 17. Blok diagram of A Patient Monitor
- 18. BLOOD PRESSURE In blood pressure biometric modules, the most critical function is the pressure sensor circuit. Here precision amplifiers are used to detect very small signals from the transducer and amplify them to a level suitable for ADC processing. This is typically followed by an active filter to limited unwanted noise at higher frequencies. Amplifiers with low noise, low drift and high gain are necessary to minimize measurement errors and ensure accurate readings.
- 20. ELEKTROCARDIOGRAF (ECG /EKG) Merupakan instrumen medik untuk mengukur dan merekam biopotensial yang ditimbulkan oleh aktivitas listrik otot jantung
- 22. Kerja Jantung
- 23. ECG
- 24. ECG 3 CHANNELS
- 31. Durasi Polaritas Magnitude Heart Rate : bpm (beat per minute) RR 60 BPM DATA ECG YANG PENTING :
- 34. Pola Grafik EKG Gelombang P: depolarisasi atrium Gelombang Q: depolarisasi di berkas his Gelombang R: depolarisasi menyebar dr bgn dalam ke bgn luar dasar ventrikel Segmen PR: waktu yg dibutuhkan oleh impuls dari SA node ke AV node; terjadi perlambatan AV node Gelombang S: depolarisasi menyebar naik dr bgn dasar ventrikel Kompleks QRS: depolarisasi ventrikel Segmen ST: waktu sejak akhir depolarisasi ventrikel sebelum terjadi repolarisasi (fase plateau); saat tjd kontraksi & pengosongan ventrikel Gelombang T: repolarisasi atrium Interval TP: waktu saat terjadinya relaksasi & pengisian ventrikel
- 35. SPESIFIKASI ECG Impedansi input : > 5 MW Response frekuensi : + 0,5 dB -3 dB (0,14 Hz 25 Hz hingga 100 Hz) AMPLITUDA GELOMBANG ECG
- 36. BLOK DIAGRAM ECG
- 37. BLOK DIAGRAM ECG
- 38. Troubleshooting ECG No Fault Possible Cause Solution 1 ECG traces have artifacts or base line drift Improper grounding Try with battery power only. If the recording improves than problem is with grounding. Check the grounding. Power the machine from another outlet with proper electrical ground 2 ECG traces have artifacts in one or more traces but no on all traces Improper electrode connection with patient or problem with the ECG cable Check the patient cable continuity with continuity tester . Replace cable if found faulty Check the electrode expiration date. Check patient skin preparation . Check limb electrodes end chest electrode for damage replace if necessary. 3 Paper feed not advancing Incorrect paper loading Use instructions to reload paper
- 39. 4 Printing not clear or not uniform Printing head problem Adjust the printing head temperature or position. Clean the printing head with head cleaner. If no improvement , replace the printing head. Check the paper roller and replace if not smooth 5 The machine shuts down after a few minutes while on battery power Problem with battery or charging circuit Recharge the unit overnight If there is no improvement then replace the battery If still no improvement refer to technician