1 / 41

Luka Bakar

Luka Bakar. Dr. Dewi Haryanti K, SpBP Sub Bagian Bedah Plastik RSUD dr. Moewardi/ FK UNS Ska. Tujuan :. Menjelaskan prosedur penatalaksanaan luka bakar thermis, kimia dan listrik. Overview :. Severity Klasifikasi Luka Bakar Emergency Medical Care Luka Bakar Kimia Luka Bakar Listrik

gray-maddox
Download Presentation

Luka Bakar

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Luka Bakar Dr. Dewi Haryanti K, SpBP Sub Bagian Bedah Plastik RSUD dr. Moewardi/ FK UNS Ska

  2. Tujuan: Menjelaskan prosedur penatalaksanaan luka bakar thermis, kimiadanlistrik

  3. Overview: • Severity • Klasifikasi Luka Bakar • Emergency Medical Care • Luka Bakar Kimia • Luka Bakar Listrik • Dressing and Bandaging • Trauma Inhalasi

  4. SeverityLuka Bakar Ditentukan oleh: - derajat kedalaman - luas - critical areas yang terkena - medical condition atau trauma - umur pasien

  5. Derajat Kedalaman (Grade) Luka Bakar:

  6. EPIDERMIS Gr I Gr IIA Gr IIB Gr III DERMIS

  7. Partial ThicknessBurns

  8. Full ThicknessBurns

  9. Luas Luka Bakar • Ditentukan olehpercentage(%) dari body area yang terbakar • Telapak tangan pasien + 1% • ‘rule of nines’ dari Wallace

  10. Rule of nines of Wallace • Membagi tubuh menjadi beberapa bagian • Digunakan untuk mengkalkulasi % permukaan tubuh yang terbakar

  11. Rule of Nines BODY PART ADULT CHILD • Head & Neck 9 18 • Arms 9 (2) 9 (2) • Front & Back 18 (2) 18 (2) • Legs 18 (2) 13.5 (2) • Genitalia 1 1

  12. Rule of Nines (Wallace)

  13. Lokasi Luka Bakar • Meliputicritical areas (wajah, upper airway, hands, genitalia) Pre existing medical conditions • DM • py. Cardiopulmonum, • gangguan psikiatrik, dll

  14. Umur Pasien • < 10 tahun • > 50 tahun

  15. Severity Luka Bakar, dibagi menjadi: • major burns • moderate burns • minor burns

  16. Dewasa * Tanpa resiko ggn fungsi atau kosmetik pada mata, telinga, wajah, tangan, kaki atau perineum

  17. Usia <10 th dan > 50th * Tanpa resiko ggn fungsi atau kosmetik pada mata, telinga, wajah, tangan, kaki atau perineum

  18. Emergency Medical Care • Pasien Dewasa • Stop the burning process &cegah cedera lbh lanjut • Bahan isolator • Monitor airway – beri O2 • Cegah kontaminasi lebih lanjut

  19. Luka Bakar • Indikasi MRS: • semua derajat III • Major Burns dan Moderate Burns • Indikasi poliklinis (rawat jalan): • Minor Burns (kec. Derajat III)

  20. Emergency Medical Care • Selimuti dengan bahan kering & ‘steril’ • No ointments, lotion, or antiseptic • Do not break blisters • Transport ASAP

  21. Emergency Medical Care • Pasien Pediatrik • Greater surface area in relationship to the total body size • Fluid and heat loss >> • Risk of shock, airway and hypothermia ↑ • Consider child abuse

  22. Pasien Pediatrik • Transport - “scoop and run”

  23. Luka Bakar Kimia • Disebabkan karena adanya kontak kulit dengan bahan toksik

  24. Luka Bakar Kimia • Disebabkan oleh alkali, asamdan campuran • Protect yourself from exposure or injury

  25. Luka Bakar KimiaEmergency Care • Stop the burning process • (1) Immediately flush with large amounts of water • (2) Do not contaminate uninjured areas • (3) Continue flushing while enroute to hospital

  26. (4) Cover with dry sterile dressing or clean sheet • (5) Special care of the eyes • Gently /continuously flush • For direct eye injury hold lids open and irrigate the eye

  27. Dry chemicals • Reaction with water can worsen burn • (1) “Brush - then flush” • (2) Remove victims clothing (shoes & socks)

  28. Luka Bakar Listrik • Scene Safety • Do not contact high voltage wires • Consider all wires live • Do not handle down lines • Do not come in contact with patient if the electrical source is live

  29. Emergency Medical Care • May be more serious than it seems • Entry wound is usually a small burn area • Look for an extensive exit wound • Possible tissue damage underneath (current spreads out as it travels through the body)

  30. Emergency Medical Care cont: • Possible Cardiac arrest • Possible Respiratory arrest • Splint possible fractures • Treat wounds with a dry, sterile dressing • Transport

  31. Electrical Burns • Treat any major complications first

  32. Electrical Injuries • Entry wound on head • Exit wound on foot Luka Masuk Luka Keluar

  33. Dressing and Bandaging • Stop bleeding • Protect wound from further damage • Prevent further contamination and infection

  34. Trauma Inhalasi • Chemical fumes • Obvious fumes in the air • Inhaled fumes

  35. Carbon Monoxide (CO) • Deadly poison

  36. Carbon Monoxide • Different than smoke inhalation • Odorless • Tasteless • Not an irritant

  37. Signs and symptoms • a. Dyspnea (difficulty in breathing) • b. Respiratory arrest • c. Cherry red skin

  38. CyanideSigns and Symptoms • Burnt almonds • Dyspnea (difficulty in breathing) • Respiratory arrest

  39. Treatment • a. 100% oxygen through a non-rebreathing mask • b. Be prepared to do basic life support • c. Transport

  40. Pemberian cairan pada Luka Bakar • Formula Baxter • Dewasa 4cc x % luas LB x kg BB =.....cc lar. RL diberikan : ½ bagian pada 8 jam I ½ bagian pada16 jam berikutnya diberikan lar. koloid 500-1000cc pd jam ke 18-24

  41. Pemberian cairan pada Luka Bakar • Formula (modifikasi) Baxter • Anak 2cc x % luas LB x kg BB=...cc lar. RL diberikan: ½ bagian pada 8 jam I ½ bagian pada 16 jam berikutnya larutan koloid 17:3 (sejak jam ke-0) Hari berikutnya diberikan cairan maintenance

More Related