Professional Documents
Culture Documents
Rudi Haryono, Ns
Luka Bakar
Etiologi
Luka Bakar Suhu Tinggi (Thermal
Burn) ; Gas, Cairan, dan Bahan padat
(Solid)
Luka Bakar Bahan Kimia (Chemical
Burn)
Luka Bakar Sengatan Listrik
(Electrical Burn)
Luka Bakar Radiasi (Radiasi Injury)
Kedalaman
Bakar
Luka
2
3
Derajat 1 : epidermis
Derajat 2 : dermis
Derajat 3 : dermis + organ dibawahnya
LUKA BAKAR
BERAT
1. Lebih dari 10% pada penderita < 10
tahun atau > 50 tahun
2. Lebih dari 20% diluar usia tsb diatas
3. Mengenai wajah, mata, telinga,
tangan, kaki, genitalia, perineum,
persendian utama
4. Luka bakar derajat 3 > 5%
5.
6.
7.
8.
Surgical
Escharotomy
Excision of the Burn
Wound
Skin Grafts
Non
Surgical
Management of Infection
Management by Depth of
Burn
Management by Depth of
Burn
Superficial Thickness Burns
The care of a superficial-thickness burn is
simple, often requiring only the application of
a moisturizer on the wound. The goal is to
provide an environment that encourages
reepithelialization of the wound.
Partial-Thickness Burns
The goal of wound management of partial
thickness burns is to prepare them for
primary healing.
First, they should be cleansed.
It is generally felt that small, sturdy blisters
can be left intact, but large or fragile blisters
should be debrided. If there is a concern
about infection, then an antibacterial agent
may also be applied to the wound surface.
The most common antimicrobial agents
used on partial-thickness wounds are
ointments or creams.
Full-Thickness Burns
Debridement of full-thickness burn wounds
is accomplished in the operating room as
part of surgical excision and skin grafting.
The clinicians goal is therefore to prepare
the wound for surgical management by
controlling infection, rather than to promote
primary healing.