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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?

It can be remodeled multiple times Signup and view all the answers

What is the significance of splinting techniques in burn treatment?

Preserving functional outcomes Signup and view all the answers

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

All of the above Signup and view all the answers

What is a potential consequence of improper splint placement?

All of the above Signup and view all the answers

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

All of the above Signup and view all the answers

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

To prevent deformity and maintain natural body contours Signup and view all the answers

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

To manage the ongoing process of scar development and contracture Signup and view all the answers

When should splints be revised?

When there is a change in ROM Signup and view all the answers

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

To prevent drying of the tendon Signup and view all the answers

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

To eliminate or reduce external forces Signup and view all the answers

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

To prohibit motion of the joints near the grafted area Signup and view all the answers

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

To manage the ongoing process of scar development and contracture Signup and view all the answers

What is the purpose of padding splints?

To prevent more rupture of the tendons Signup and view all the answers

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

Pressure necrosis or nerve compression Signup and view all the answers

What can happen if dressings or straps are too tight?

Restricted vascular flow and encouraged edema Signup and view all the answers

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

To prevent pressure necrosis or nerve compression Signup and view all the answers

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

For wound care only Signup and view all the answers

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

To avoid splinting problems Signup and view all the answers

Why should a splint be cleansed with an antibacterial agent?

To prevent wound contamination Signup and view all the answers

During which stage of tissue healing are static splints useful?

Early inflammatory stage Signup and view all the answers

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

Both dynamic and serial static splints Signup and view all the answers

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

To prevent lateral flexion and maintain a neutral position Signup and view all the answers

What is a disadvantage of using a molded neck splint?

It can cause skin breakdown in bony areas Signup and view all the answers

What is a benefit of using a halo neck splint?

It allows for frequent care of new skin grafts Signup and view all the answers

What is the anticipated deformity in the anterior neck region?

Flexion with possible lateral flexion Signup and view all the answers

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

Distortion of facial units Signup and view all the answers

What is a characteristic of a molded neck splint?

It is a total contact rigid neck support Signup and view all the answers

What is a disadvantage of using a halo neck splint?

It is contraindicated for deep burns over the forehead Signup and view all the answers

What is an advantage of using a soft cervical collar?

It is commercially available Signup and view all the answers

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

It applies good contact pressure on the scar tissue. Signup and view all the answers

What is a disadvantage of using the Philadelphia collar?

It causes pressure points on the clavicle. Signup and view all the answers

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

To maintain the ear in an anti-deformity position. Signup and view all the answers

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

All of the above. Signup and view all the answers

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

To maintain the ear in an anti-deformity position. Signup and view all the answers

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

It can be easily molded. Signup and view all the answers

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

To prevent microstomia. Signup and view all the answers

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

Allergies to certain materials. 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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Untitled Quiz

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Questions and Answers

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

What characteristic of splints prevents the development of contracture?

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

What is the advantage of thermoplastic material in splinting?

What is the significance of splinting techniques in burn treatment?

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

What is a potential consequence of improper splint placement?

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

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

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

When should splints be revised?

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

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

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

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

What is the purpose of padding splints?

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

What can happen if dressings or straps are too tight?

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

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

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

Why should a splint be cleansed with an antibacterial agent?

During which stage of tissue healing are static splints useful?

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

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

What is a disadvantage of using a molded neck splint?

What is a benefit of using a halo neck splint?

What is the anticipated deformity in the anterior neck region?

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

What is a characteristic of a molded neck splint?

What is a disadvantage of using a halo neck splint?

What is an advantage of using a soft cervical collar?

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

What is a disadvantage of using the Philadelphia collar?

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

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

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

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

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

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

Study Notes

Splinting Techniques for Burn Patients

Definition and Aims of Splints

Characteristics of Splints

Significance of Splinting Techniques

Uses of Splints in Burn Treatment

Indications for Splinting

Requirements for All Splints

Types of Splints

Regional Splints

Studying That Suits You

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