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Casting and Splinting
Terms in this set (17)
What used to be used to splint injured forearms before plaster?
An immobilization device that completely encases the circumference of an extremity
Rigid material that encases only part of an extremity circumference, must be secured with a self adherent and elastic wrap such as ACE or Coban
What is the main advantage of a splint?
Allows for soft tissue swelling during an acute phase of an injury
Types of Splints
Can be initially used to immobilize the lower leg, lower arm, or upper arm
Easier to mold
Snug and form fitting to an area
Absorbs underlining wound drainage
Easily washes off
Not as durable
Stressed = Cracks
Hardens in 10-15 mins but takes 6-8 hours to fully dry
Popular due to strength and flexibility
Fully water resistant
Begins to harden in 3-4 mins but fully hardens in 1-2 hours
Gloves and apron must be used
Treat simple acute nondisplaced fractures
Immobilize a dislocation after reduction
Treat soft tissue injuries
Treat congenital deformities
Manage chronic foot and ankle ulcers
An Acute phase of injury -- 3-4 days when acute swelling is expected
Cover or conceal known skin or soft tissue infection
Cover or conceal an open wound
CI of Casts
Compartment Syndrome -- most serious
Joint stiffness and muscle atrophy can begin soon after the process
What position should the arm be in for a short arm cast?
Flex elbow to 90 degrees and forearm maintained in neutral pronation- supination (with thumb pointing upward) wrist should be ina slight extension
What position should the leg be in for a short leg cast?
Maintain ankle at 90 degrees of flexion
Patient lying prone with knee flexed at 90
How much excess of stockinette do you need on each end of cast?
How many layers of are needed for non weight bearing plaster?
How many layers are needed for fiberglass?
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