IMOBILISASI

Definition
 I-mobil-isasi : to limit range of motion in extremity (lock
the joint) the purpose to prevent complication.
Why Immobilized?
 Facilitate healing process
 Prevent soft tissue injury
 Reduce pain
 Make easy the transport patien
 Control bleeding
 Rest the injury extremity
 When to Immobilize?
 Fraktur
 Sprain
 severe soft-tissue trauma
 dislocation
 Arthritis, Tendinopathy, Tenosynovitis
 Repair joint laceration
 Tendon laceration
 When not to Immobilize?
 There is problem in primary survey A/B/C/D/E
 Block the transportation
 Immobilization Variations
 Splinting (Spalk)
 Casting (Plaster of Paris or Gips)
 Bandaging
 Traction
Splinting
DO FIXATION IN THE PART OF INJURIED BODY NON-SIRKUMFERENSIAL
SUPPORT(HARD OBJECT) USING ELASTIC BANDAGE.
Advantages of Splinting
 Easy and fast
 Facilitate healing process and acute inflamation
 Easy to take off for future examination
 Emergency

Disadvantages of Splinting
 The movement that can be happen in injury site
Types of Splint
 Hard splint
Contoh : wood, air splint,vaccum splint.
 Traction splint
Contoh : traction splint femur
Types of Splint (Cont...)
 Improved splint
Depends on condition, the object around the location.
Contoh : newspaper, magazine, hardboard etc.
 cloth
mitela (triangular cloth), and using the body of the patient to
imobiliaze the injury site
Contoh : Arm sling
Splinting Principles
 Do in the injury extremity
 Do splint on suspect fracture
 Do minimum pass 2 joint distal, and proximal
 Can defend the stabilization of joint
 Using soft object (pillow) to reduce the pain, and force to the bone
fracture
 Not too tight, not too loose
 Elevate if it can
BUDDY TAPING OR SELF SPLINT
BANDAGING
 Bandaging Function
 To close the injury site from contamination.
 Support injury organ
 Push and control bleeding
 To immobilize extremity
 Traction
PULL FOR RE ALIGNMENT FRACTURE FRAGMEN, PREVENT DEFORMITY, AND
DECREASING PAIN, AND INFLAMATION
 Traction Purpose
 Reducting fracture or dislocation
 Imobilize the join
 Prevent deformity
 Soft tissue correction
 Traction Type
 Fixed traction : using the other part of body as the
counter-traction
 Sliding traction : weight of the body as counter
traction, example fraktur pelvis
Traction Application
 Skin traction: apply adhessive strap. The power of traction transmitted to
the skin and fascia or bone
 Skeletal traksi : using K wire or Seinmann pin.