Duty ReportTuesday, May 27th 2014Consultant On DutyDr. M. Iqbal Rivai,Sp.B (K)BD Dr. Roni Eka Sahputra, SpOT (K) Dr. H. Syaiful Saanin, Sp.BSDr. Yevri Zulfiqar,SpB,Sp.U

Resident On DutyJon Hadi, Marde, Rulli, Dauz, Bayu, Mahendra

Total Patients: patientPatients to Operating Surgery: 1 patientPatient to Hospitalized: patientControl to Policlinic: patientRefused to treatment: patient

TC: 34 patientRR: 10 patientCAA: 15 patientCP: 37 patientCW: 28 patient LB: 6 patient

1st PatientA female patient, 48 years old admitted to ER with : Chief Complaint:Pain at the right forearm for 1 hour before admission after traffic accident

Primary Survey :A : PatentB : Spontan, RR 20 x/minuteC : HR : 90 x/minute, BP: 130/90 mmHgD : GCS 15

Secondary Survey :Pain at the right forearm for 1 hour before admission after traffic accidentAt first patient was riding a motorcycle and suddenly she was hit by another motorcycle from the right side of her. Her forearm was hit directly by the handle bar of the motorcycle.Patient was still conscious after the accidentThere were no associated trauma

Physical ExaminationGA: Moderately IllnessConsciousness: GCS 15 Blood Pressure: 130/90 mmHgHeart Rate: 90 x/minuteRespiratory Rate: 20 x/minuteTemp.: 37,4 C

Eyes : Conjunctive was not anemic Thorax and abdomen were normal

Locally StateRight forearm RegionLook : Wound (-), deformity (+) angulation to the dorsal side, swelling (+)Feel: Tenderness (+), Crepitation (-)Move: Limited by painNVD : Sensoric and Motoric were goodPulsation a. radialis (+)Refilling capiler < 2

Clinical Picture

Working DiagnosedClosed fracture at the middle third of right forearm

Laboratory :Hb : 12,9 gr%Leucocyte : 8.700 / mm3

X-Ray

Diagnosed :Closed fracture at the middle third of right radius bone Closed fracture at the middle third of right ulnar bone

For this patient we performed:Reposition + Circular cast

X-Ray Control

Condition patient this morningPatient is in the ward Cast is goodNeurovascular distal is good