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PERAPI JAKARTA

P re s e n t

The 6th Symposium and Workshop


Jakarta Burn Congress 2017
The 2nd Jakarta Wound Course 2017

changing paradigms
in burns and wounds:
revisiting pain management
H o t e l S h a n g r i - l a J a k a r ta , M a r c h 3 rd - 5 th 2 0 1 7 edita edita

accr
accr

tion
tion
faculties:
dr. Donna Savitry, SpBP-RE dr. Laksmi Achyati, SpBP-RE Dr. dr. Ni Made Swantari, SpBP-RE
dr. Irena Sakura Rini, MARS, SpBP-RE (K) dr. Huntal Napoleon, SpBP-RE dr. Vera Irawany, SpAn, KIC
dr. Nur Anindhawati, SpBP-RE dr. Linawati Makmur, SpBP-RE dr. Dwi Pantja Wibowo, SpAn, KIC, KMN
dr. Puri Ambar Lestari, SpBP-RE dr. Aditya Wardhana, SpBP-RE (K) dr. Ketut Ngurah Gunapriya, SpAn, KIC, FIPP
dr. Afriyanti Sandhi, SpBP-RE, MARS dr. Ayu Diah, SpBP-RE dr. YR Yosi Asmara, SpAn, FIPP, FIPM
dr. Aditya Herwandar, SpBP-RE dr. Brevita J. Bismedi, SpBP-RE dr. Dedi Susila, SpAn, KMN, FIPM

SCIENTIFIC: Important Date:


l Pathophysiology and Classification of Wound March 03rd, 2017: Symposium and Workshop Wound
l Clinical Assessment of Acute Wound
March 04th - 05th, 2017: Symposium and Workshop Burn
l Special Consideration (Skin Loss, Degloving, Skin Avulsion) ACCOMMODATION
l Diabetic Foot Management
March 05th, 2017: Workshop Pain FORM
l Pressure Ulcer Management

l Growth Factor Role in Wound Healing registration


l Varicose Ulcer and Peripheral Arterial Disease

l Cancer Wound Management PARTICIPANT DATA (Please Complete)


l Modern Dressing Application Title : Prof DR dr Specialist Others __________________
l Acute Wound Management Full Name : _______________________________________________________________
l Chronic Wound Management Institution : _______________________________________________________________
Address : _______________________________________________________________
l Immobilization and Splinting Practice
_______________________________________________________________
l Basic Wound Healing Theory
ZIP Code : _______________________________________________________________
l Clinical Wound Classification : Acute, Chronic and Burns Phone Number : _______________________________________________________________
l Burn Wound Analysis E-mail Address : _______________________________________________________________
l Initial Treatment of Burns : Dos and Donts Sponsor : _______________________________________________________________
Person In Charge : Mr. Ms. _________________________________________________
l Physiologic Changes in Burns
Phone Number : _______________________________________________________________
l Emergency Management in Burns (ABCDE - FATT)

l Burn Management (Burn Team and Burn Unit Management)


REGISTRATION FEE
accommodation
Please mark 5 on the hotel you choose
l Pathophysiology of Pain
HOTEL ROOM TYPE RATE
l Assessment of Pain
 SHANGRI-LA HOTEL, JAKARTA DELUXE IDR 1,800,000
l Pharmacological Aspect of Pain
CHECK IN DATE: CHECK OUT DATE: TOTAL NIGHT :
l Interventional Aspect
TOTAL ACCOMODATION PAYMENT :
l Laser Treatment for Burn Scar and Keloid Bank Account
** HOTEL RATE IS NETT PER NIGHT INCL %%F
l Enteral and Parenteral Nutritional Support for Burn Bank
*TERM & Name
CONDITION : Mandiri branch RS. Kanker Dharmais, Jakarta
l Pressure Garment Application in Burns : Preventing Scars; Acc Number : 117 - 000 - 655353 - 1
Hotel room rate is nett including 2 (two) breakfast
3OHDVHQRWHWKDWRFLDOFKHFNLQWLPHLVORFDOWLPHDQGFKHFNRXWWLPHLVORFDOWLPH
Acc Name
Approval : PERAPI
of early check-in and late check outJakarta
is at discretion of the hotel
Contracture and Reducing Pain No reservation will be made without full deposit of nights booking due to room availability
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l Role of Stem Cell Application in Burns and Wound Healing KRXUVSULRUWRDUULYDO$IWHUWKHGDWHJXDUDQWHHGSD\PHQWIRUQLJKWZLOOEHFKDQJHG

l Live Demo of Emergency of Burn Injury SECRETARIAT


1R6KRZZLOOEHDSSOLHGRQWKHUVWQLJKWIRUGHOD\HGRUSRVWSRQHVWD\LQJWKDWFDXVHWKHORVVRIQLJKWURRPGHSRVLWHPDGH
QWKHHYHQWRIPDWHULO]DWLRQWKHKRWHOZLOOFKDQJHIXOODPRXQWGXUDWLRQRIVWD\XSRQFKHFNRXWWKDWFDXVHORVVRIPHQWLRQHGGHSRVLWPDGH
5HIXQGPD\RQO\EHPDGHDIWHUWKHHYHQWE\EDQNWUDQVIHU2FLDOOHWWHUVKRXOGEHVXEPLWWHGWRVHFUHWDULDWPHQWLRQLQJLWVSD\HUV%DQN$FFRXQW
l Emergency Examination PERAPI JAKARTA
CANCELLATION AND REFUND
l Local and Systemic Response in Burn Injury (Perhimpunan
Cancellation shouldDokter Spesialis
be submitted Bedah
by letter beforePlastik
FebruaryRekonstruksi dan Estetik
15th, 2017. 50% refund Indonesia)
will be transfer after
l Special Consideration in Burn Injury
RS
theBina Estetika,ofLt.4
implementation - jl. Teuku
the program CikNo
is done. Ditiro No.41,
refund Menteng-Jakarta
will be allowed thereafter. Pusat 10320
Phone : 021-3160179 Fax : 021-3908086 | Email : perapisurgeon@gmail.com
(Electrical, Chemical, Pediatric Burns) BANK TRANSFER Signature
l Airway & Breathing Bank Name : Bank Mandiri Branch RS Kanker Dharmais Jakarta
Acc.GPD
PT. No INDONESIA
: 117 000 655 353 1
l Fluid Resuscitation Acc. Name V: No.
PERAPI Jakarta
JL.Kebalen 24A, Kebayoran Baru Jakarta Selatan 12180
l Burn Wound & Escharotomy Swift Code : BMRIIDJA
Phone : +62 21 725 4424 0811 1332 664 | 0811 1662 664 | Fax: +62 21 739 6261
l Special Consideration Email: erlin@gpdindonesia.com, jbwc2017@gmail.com
7+6)25072*(7+(5:7+7+(5(4867(3$<0(17$1'b25'2&80(17$7216+28/'%(b(0$/(')$;('72
The Congress Secretariat at GPD Indonesia Jl. Kebalen V No. 24A Kebayoran Baru, Jakarta Selatan 12180
Phone: +6221 725 4424, +6221 722 9339 | Mobile: +628111332664, +628111662664 | Fax: +6221 7396261
Email: erlin@gpdindonesia.com, jbwc2017@gmail.com

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