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    Casting and Splinting in 10

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    dastroh
    This document discusses casting and splinting as techniques that are becoming less common due to time constraints faced by physicians. It notes several types of casts and splints and conditions they are used to treat, such as fractures, sprains, and joint dislocations. It provides guidance on properly applying casts and splints to avoid complications like tissue injury, contractures, or loss of reduction. Key differences between casts and splints are also summarized, such as casts providing more stability but being harder to remove.

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    Casting and Splinting in 10

    Uploaded by

    dastroh
    79 views13 pages
    This document discusses casting and splinting as techniques that are becoming less common due to time constraints faced by physicians. It notes several types of casts and splints and conditions they are used to treat, such as fractures, sprains, and joint dislocations. It provides guidance on properly applying casts and splints to avoid complications like tissue injury, contractures, or loss of reduction. Key differences between casts and splints are also summarized, such as casts providing more stability but being harder to remove.

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    Casting and Splinting

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    This document discusses casting and splinting as techniques that are becoming less common due to time constraints faced by physicians. It notes several types of casts and splints and conditions they are used to treat, such as fractures, sprains, and joint dislocations. It provides guidance on properly applying casts and splints to avoid complications like tissue injury, contractures, or loss of reduction. Key differences between casts and splints are also summarized, such as casts providing more stability but being harder to remove.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    79 views13 pages

    Casting and Splinting in 10

    Uploaded by

    dastroh
    This document discusses casting and splinting as techniques that are becoming less common due to time constraints faced by physicians. It notes several types of casts and splints and conditions they are used to treat, such as fractures, sprains, and joint dislocations. It provides guidance on properly applying casts and splints to avoid complications like tissue injury, contractures, or loss of reduction. Key differences between casts and splints are also summarized, such as casts providing more stability but being harder to remove.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 13

    JP Begly & Alex Stroh Roosevelt Offoha Jonathan Dattilo

    Alex Stroh, MS4

    Becoming a lost art


    Time crunch PAs and Techs Surgery is more popular option

    Not just anyone can cast/splint


    straight cast = bent bone

    Cast Splint Bivalving Windowing Wedging

    1. 2.

    http://catalog.nucleusinc.com/generateexhibit.php?ID=2242 Wheeless Textbook of Orthopaedics

    Fractures Sprains Severe soft-tissue injuries Reduced joint dislocations Deep laceration repairs across joints Tendon lacerations

    CAST

    SPLINT

    (Less) Exothermic Rxn Must bivalve

    Exothermic Rxn Naturally bivalved

    Safer for acute setting

    More stable/restricted Not water friendly Relatively strong


    More dynamic Not water friendly Relatively weak


    Colorful and kid friendly, until the saw comes out

    Make a mess and I hate to clean up

    Use appropriate amount and type of padding; bivalve Properly pad bony prominences

    Thermal injury, compartment syndrome, pressure ulcers

    Properly position the extremity before, during, and after application of materials Avoid tension and wrinkles on padding, plaster, and fiberglass Avoid excessive molding and indentations

    Loss of reduction, contracture, ischemia, neurapraxia Skin maceration

    FASTER

    Hot water Reuse of dipping water Use of fiberglass

    Molding 3-point immobilization


    2 points (proximal and distal

    to fracture) can reduce it 3rd point needed to HOLD the reduction

    Splints scissors! Casts saw and separator


    Oscillating saw will not cut tissue, but... Oscillating saw CAN BURN tissue

    Boyd AS, Benjamin HJ, Asplund CA. Principles of Casting and Splinting. Am Fam Physician. 2009 Jan 1;79(1):16-22. Bayne G, Turner RG. Closed Fracture Manipulation Improving Charnley's Three Point Fixation Technique. Ann R Coll Surg Engl. 2006 September; 88(5): 504.

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