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Circular Gips (Casting)

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Circular Plastering

Techniques
(Casting)

Principles of Casting
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A good cast
Fits well
Does not cause constriction
Smooth inside
Light Weight
One whole fully laminated

Indications
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Kelainan bawaan lahir (Congenital


Deformity)
Fractures
Cidera pada jaringan lunak ( Soft
Tissue)

Tehnik Pemasangan Gips


Circuler Lengan Bawah

Balutan gips lengan bawah


(Long arm plaster)
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Imobilisasi fraktur dengan cara


balutan gips mengikuti kontur
jaringan lunak
Imobilisasi daerah fraktur tercapai
dengan mengunci sendi siku dan
pergelangan tangan
Menggunakan balutan gips (POP
bandag)

Assess the Patient


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What is the pathology or injury ?


Why is the cast being applied ?
Is there an underlying condition ?
Look at the skin is there a wound or
redness anywhere ?
Which bony areas will need extra
padding ?
Where are the blood vessels or nerves
that are close to the surface ?
Is swelling expected ?
Is the cast to be weight bearing ?

Care the Patient


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Give reassurance, explanation and


request permission from the patient
to proceed.
Maintain privacy while removing
relevant clothing
Remove and store safely any
relevant rings or jewellery.
Make the patient as comfortable as
possible in the circumstances

Tehnik
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Reduksi fraktur
Pertahankan hasil reposisi sambil
memasang stockinette
Memasang balutan padding
Memasang balutan gips yang sudah
direndam dalam air

Bahan yang diperlukan


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Padding:
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Q

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Stockinette
velban bandage / sofban

Elastis bandage
POP (Plaster of Paris/ Gips)
Sarung tangan latex (non sterile)
Scissors
Bucket + warm water

Tehnik membalut gips


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Stockkinette dan padding terpasang


Gips direndam dalam air sampai
gelembung udara keluar
Peras secukupnya. Jangan sampai
kering!
Mulai membalut dengan jarak setengah
lebar gips.
Perhatikan daerah tonjolan tulang
Ratakan dengan bag rata telapak tangan
Batas distal : palmar MCP crease

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