Airway Problem:

Chocking = Heimlick manuever
Gurgling = Suction
Stretor/Stridor/Wheezing = Nilai Jackson Criteria

Jackson Criteria for Airway obstruction:
I = Dispnue, Stridor inspirasi ringan, retraksi suprasternal
II = + retraksi supra dan infraklavikula, sianosis ringan, dan pasien tampak mulai gelisah.
III = + retraksi interkostal, epigastrium, dan sianosis lebih jelas.
IV = + wajah yang tampak tegang, dan terkadang gagal napas

Tatalaksana:
II-III = Trakeostomi
IV = Needle Cricotiroidotomi dilanjutkan dengan Surgical Cricotiroidotomi

Breathing Problem → Titrasi oksigen

Rhonki = Bronkodilator + NaCl 3%
Wheezing = Bronkodilator + Kortikosteroid
Rales basal =  Diuretik
Gagal napas = Intubasi

Rontgen thorax:
Efusi = Thoracocentesis
Tumor Paru = Bronkodilator

Paru kesan normal = Cek lab lengkap, EKG, CT

Circulation Problem

Cardiac Arrest (Adult / Pediatric)
ROSC
Bradiaritmia (Adult, Pediatric, Neonatus)
Takiaritmia (Adult, Pediatric)
Tamponade = Pericardiocentesis

Anafilaksis Berat

A: Oedem laring
Nebule Epinefrin 5 mg (murni) setiap 20 menit (max 3x)
Intubasi / Cricotiroidectomi

B: Wheezing
Nebul Salbutamol + Steroid

C: Hipotensi
Loading NS 20 cc/kgBB
IM Epinefrin 0.01 mg/kgBB (max 0.3 mg/dosis)
Syok? Drip Vasopressor

Adjuvan:
IV Difenhidramin 25-50 mg
IV Metilprednisolon 1-2 mg/kgBB (max dose 125 mg)

Rawat inap untuk monitoring reaksi bifasik dalam 72 jam

Disability

Penurunan kesadaran: GCS-PCS

Ensefalopati Metabolik:
GDS
Na-K
Ureum Creatinin
SGOT-SGPT-Bilirubin total
AGDA

Ensefalopati Hipoksik/iskemik:
Post cardiac arrest/Syok
ARDS

Ensefalopati infeksius/sistemik:
Ensefalopati sepsis (Cek DL)
Tifoid / Malaria / HIV

Ensefalopati Hiertensif:
Hipertensi emergensi

Ensefalopati drug-induced:
Valproat-induced encephalopathy

Ensefalopati traumatic/post-surgical:
Diffuse axonal injury
Post CABG

Ensefalitis = Trias ensefalitis
Syncope =  Cough, Ortostatik, Micturition (miksi)
CT Scan Brain = Sesuai temuan

Konvulsi / Konvulsi PEB

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