Tips Pasang GIPS: Fraktur Jempol dan Scaphoid

Summary

This video demonstrates how to apply a cast for thumb and scaphoid fractures. The procedure includes creating a custom template, padding the area, and applying plaster, with special attention to ensuring the thumb can still move. The guide also highlights the importance of neurovascular checks and securing the cast with bandages. Additionally, Alomedica, a medical app for students, is introduced, offering up-to-date resources and real case studies for aspiring doctors. This instructional content is ideal for medical professionals looking to refine their fracture treatment techniques.

Takeaways

• 😀 The tutorial demonstrates how to apply a cast for thumb and scaphoid fractures, focusing on proper positioning and technique.
• 😀 For scaphoid fractures, the cast should allow for thumb movement at the tip, while stabilizing the fracture site.
• 😀 For thumb fractures, the cast should extend higher, but the thumb nail must remain visible to avoid restricting circulation.
• 😀 A small triangular template is used as an additional layer to reinforce the cast, providing better support for thumb and scaphoid fractures.
• 😀 Padding must be carefully applied to ensure a snug fit around the thumb, leaving space for movement but still covering all fracture areas.
• 😀 The thickness of the plaster cast should be about 4-5 layers to provide enough support for the fractured area.
• 😀 The cast surface should be smoothed to ensure patient comfort and avoid any rough edges that might cause irritation.
• 😀 Once the cast is applied, secure it with a crepe bandage and reinforce it with plaster strips for added stability.
• 😀 After the cast is set, always check the neurovascular status of the fingers to ensure proper circulation and movement.
• 😀 Alomedica is recommended as a useful resource for medical students and professionals, offering up-to-date medical articles, case studies, and webinars.

Q & A

What is the purpose of the demonstration in the video?

The demonstration focuses on how to apply a cast for different types of fractures, specifically a thumb fracture and scaphoid fracture.

What is the first step in preparing the cast for a thumb fracture?

The first step is to create a small triangular template with 4 to 5 layers of plaster, ensuring that the thumb can still move slightly, especially for a scaphoid fracture.

How does the procedure differ for a scaphoid fracture compared to other fractures?

For a scaphoid fracture, the cast is applied in a way that allows the thumb to move, while for a thumb fracture, the additional cast layer is applied higher, ensuring the nail is still visible.

What is the purpose of the triangular hole in the larger cast template?

The triangular hole in the larger cast template is designed to accommodate the thumb, ensuring the cast fits properly while providing stability to the fracture.

What role does padding play in the casting process?

Padding is applied first to protect the skin, and a hole is made for the thumb to pass through, ensuring that the thumb is properly supported and the cast will fit snugly.

How do you ensure that the hole in the padding fits properly for the thumb?

The hole is carefully sized and positioned to match the thumb, ensuring that it covers the gap around the thumb while leaving enough space for movement and comfort.

What should be done before applying the plaster?

Before applying the plaster, the padding is wetted to ensure it adheres properly and that the cast is smooth and comfortable for the patient.

What is the purpose of the crepe bandage in the casting process?

The crepe bandage is used to secure the cast in place, ensuring that the plaster stays in position while it hardens.

Why is it important to check the neurovascular status of the patient's fingers after applying the cast?

Checking the neurovascular status ensures that the cast is not too tight and that there is proper blood circulation and nerve function in the fingers.

What additional resources are mentioned for medical students and doctors in the video?

The video mentions Alomedica, an app that provides up-to-date health articles, medical cases, webinars, and a forum for students and doctors to discuss various topics in medicine.