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Questions and Answers

What is the primary purpose of applying splints to burned extremities?

  • To promote wound healing
  • To immobilize the affected body parts
  • To enhance cosmetic appearance
  • To provide support and maintain joint position (correct)

    • What characteristic of splints prevents the development of contracture?

  • Firm but padded over bony prominence (correct)
  • Easy to shape
  • Non-absorbant material
  • Light in weight

    • In which phase of burn treatment is splinting required only when tendon or joint damage is suspected?

  • Wound healing phase
  • Rehabilitation phase
  • Acute phase (correct)
  • Reconstruction phase

    • What is the advantage of thermoplastic material in splinting?

    <p>It can be remodeled multiple times (D)</p> Signup and view all the answers

    What is the significance of splinting techniques in burn treatment?

    <p>Preserving functional outcomes (B)</p> Signup and view all the answers

    What is a crucial consideration when using splints in the wound healing phase?

    <p>All of the above (D)</p> Signup and view all the answers

    What is a potential consequence of improper splint placement?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the primary goal of treatment in severe burn cases?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the primary goal of splinting in the C-rehabilitation phase?

    <p>To prevent deformity and maintain natural body contours (D)</p> Signup and view all the answers

    What is the purpose of maintaining sustained stretch to scar tissue?

    <p>To manage the ongoing process of scar development and contracture (A)</p> Signup and view all the answers

    When should splints be revised?

    <p>When there is a change in ROM (A)</p> Signup and view all the answers

    What is the purpose of special attention for moisten dressing to exposed tendons?

    <p>To prevent drying of the tendon (C)</p> Signup and view all the answers

    What is the goal of early splinting in the protection of anatomical structures?

    <p>To eliminate or reduce external forces (D)</p> Signup and view all the answers

    What is the purpose of splinting in the preservation of skin graft integrity?

    <p>To prohibit motion of the joints near the grafted area (B)</p> Signup and view all the answers

    What is the purpose of combining sustained stretch and pressure in the C-rehabilitation phase?

    <p>To manage the ongoing process of scar development and contracture (C)</p> Signup and view all the answers

    What is the purpose of padding splints?

    <p>To prevent more rupture of the tendons (C)</p> Signup and view all the answers

    What can be the result of splinting with inadequate contour and loose fitting?

    <p>Pressure necrosis or nerve compression (B)</p> Signup and view all the answers

    What can happen if dressings or straps are too tight?

    <p>Restricted vascular flow and encouraged edema (A)</p> Signup and view all the answers

    Why should a splint avoid direct contact with a bony prominence?

    <p>To prevent pressure necrosis or nerve compression (A)</p> Signup and view all the answers

    Why should a splint protecting an exposed joint or tendon be removed?

    <p>For wound care only (B)</p> Signup and view all the answers

    What is the purpose of daily checking and re-evaluation?

    <p>To avoid splinting problems (B)</p> Signup and view all the answers

    Why should a splint be cleansed with an antibacterial agent?

    <p>To prevent wound contamination (C)</p> Signup and view all the answers

    During which stage of tissue healing are static splints useful?

    <p>Early inflammatory stage (A)</p> Signup and view all the answers

    What type of splinting may be indicated during the proliferative stage of tissue healing?

    <p>Both dynamic and serial static splints (B)</p> Signup and view all the answers

    What is the primary objective of using a soft cervical collar in neck splinting?

    <p>To prevent lateral flexion and maintain a neutral position (B)</p> Signup and view all the answers

    What is a disadvantage of using a molded neck splint?

    <p>It can cause skin breakdown in bony areas (B)</p> Signup and view all the answers

    What is a benefit of using a halo neck splint?

    <p>It allows for frequent care of new skin grafts (D)</p> Signup and view all the answers

    What is the anticipated deformity in the anterior neck region?

    <p>Flexion with possible lateral flexion (A)</p> Signup and view all the answers

    What is a secondary problem associated with deformity in the anterior neck region?

    <p>Distortion of facial units (C)</p> Signup and view all the answers

    What is a characteristic of a molded neck splint?

    <p>It is a total contact rigid neck support (C)</p> Signup and view all the answers

    What is a disadvantage of using a halo neck splint?

    <p>It is contraindicated for deep burns over the forehead (C)</p> Signup and view all the answers

    What is an advantage of using a soft cervical collar?

    <p>It is commercially available (A)</p> Signup and view all the answers

    What is the primary advantage of the Watusi collar in preventing hypertrophic scars?

    <p>It applies good contact pressure on the scar tissue. (A)</p> Signup and view all the answers

    What is a disadvantage of using the Philadelphia collar?

    <p>It causes pressure points on the clavicle. (C)</p> Signup and view all the answers

    What is the purpose of the semi-rigid oxygen mask in the ear region?

    <p>To maintain the ear in an anti-deformity position. (B)</p> Signup and view all the answers

    What is the consequence of improper splint placement in the mouth region?

    <p>All of the above. (D)</p> Signup and view all the answers

    What is the function of the ear donuts in the ear region?

    <p>To maintain the ear in an anti-deformity position. (B)</p> Signup and view all the answers

    What is the advantage of using thermoplastic material in the Watusi collar?

    <p>It can be easily molded. (B)</p> Signup and view all the answers

    What is the purpose of the microstomia prevention splint in the mouth region?

    <p>To prevent microstomia. (D)</p> Signup and view all the answers

    What is a potential problem associated with the use of the Watusi collar?

    <p>Allergies to certain materials. (D)</p> Signup and view all the answers

    Study Notes

    Splinting Techniques for Burn Patients

    Definition and Aims of Splints

    • A splint is an external device to maintain joints in optimal length.
    • Aims of applying splints:
    • Support burned extremities
    • Maintain joint position
    • Correct and prevent deformities

    Characteristics of Splints

    • Non-toxic
    • Light in weight
    • Made from non-absorbent material
    • Padded over bony prominence
    • Easy to shape
    • Firm enough
    • Fabricated from non-expensive material

    Significance of Splinting Techniques

    • The treatment of severe burn cases focuses on patient survival, end cosmetic appearance, and functional outcomes.
    • Splinting techniques play an important role in preserving functional outcomes in combination with different treatments available.

    Uses of Splints in Burn Treatment

    • Acute phase:
    • Immobilize and provide support to affected body parts
    • Prevent tendon damage and joint disruption
    • Wound healing phase:
    • Prevent development of contracture and disruption of newly grafted skin
    • Avoid interfering with healing due to improper fit or placement
    • Rehabilitation phase:
    • Reduce contracture non-surgically and prevent deformity
    • Maintain natural body contours
    • Reconstructive phase:
    • Restore function and cosmetics
    • Apply splints following the release of contractures or reconstructive procedures

    Indications for Splinting

    • Protection of anatomical structures
    • Stabilize joints to eliminate or reduce external forces
    • Maintain joint position and prevent tendon rupture
    • Preservation of skin graft integrity
    • Prevent motion of joints underneath or near the grafted area
    • Restoration of function
    • Maintain gained range of motion (ROM) through exercises and splinting

    Requirements for All Splints

    • Proper fit
    • Secure application
    • Avoidance of pressure over bony prominences
    • Periodic removal
    • Daily checking and re-evaluation
    • Cleansing with each re-application

    Types of Splints

    • Static splints: useful in the early inflammatory stage of tissue healing
    • Dynamic splints: may be indicated during the proliferative stage of tissue healing
    • Serial static splints: often superior in the stage of scar maturation

    Regional Splints

    • Anterior neck region:
    • Anticipated deformity: flexion with possible lateral flexion
    • Secondary problems: disturbance in mastication, distortion of facial units, difficult or hazardous intubation
    • Splints: soft cervical collar, molded neck splint, halo-neck splint, Watusi collar, Philadelphia collar
    • Ear region:
    • Anticipated deformity: folding of helix
    • Secondary problems: auricular chondritis, pressure on damaged ears
    • Splints: semi-rigid oxygen mask, ear donuts
    • Mouth region:
    • Anticipated deformity: microstomia, ectropion of upper and lower lips
    • Secondary problems: decreased horizontal and vertical excursion, difficulty in mastication, altered speech
    • Splints: microstomia prevention splint, external traction hook, orthodontic pressure appliance

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