Casting, Splinting, Taping Lab - PowerPoint PPT Presentation

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Casting, Splinting, Taping Lab

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... of stockinette Continue casting pearls Pad bony prominences Apply casting tape with roll-up in candy cane fashion Remember curing time Mold ... – PowerPoint PPT presentation

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Title: Casting, Splinting, Taping Lab


1
Casting, Splinting, Taping Lab
  • Edward Via Virginia College of Osteopathic
    Medicine
  • Block 9
  • Dr. Linda Frasca

2
Casts used to Treat
  • A variety of stable, acute fractures
  • Reduced dislocations
  • Injuries to the soft tissues
  • Congenital and acquired deformities
  • Stabilize and protect postoperative repairs

3
Splinting Benefits
  • Stability for soft tissue injuries
  • Pain relief
  • Easily removable for icing, etc.
  • Provides temporary support for patients
    needing surgery

4
Taping
  • Temporary measure
  • Restrict motion of joint that is taped
  • Compress soft tissue to prevent swelling
  • Support the involved anatomy
  • Secure dressing or bandage
  • Secure a splint already in place

5
Cast application Equipment
  • Stockinette (2, 3 ,4 inch widths)
  • Cast padding
  • Cast material plaster or fiberglass
  • Water source, gloves
  • Cast saw, spreader and scissors
  • Assistant (preferably a VCOM student as I hear
    they are the best!)

6
Splinting Equipment
  • Premade splint material (plaster or synthetic) or
    plaster cast material
  • Gloves
  • Water source
  • Scissors
  • Compression wrap (ace bandage)
  • Assistant (preferably a VCOM student)

7
Taping Equipment
  • Skin prep (benzoin)
  • Underwrap
  • Athletic Tape
  • Pressure pads or moleskin
  • Of course an assistant (you guessed it,
  • a VCOM student, yes the best)

8
Casting Pearls from Dr. Gunnar Brolinson
  • First, do no harm, be gentle
  • Immobilize in position of function
  • Skin clean and dry
  • Do not immobilize unnecessarily
  • Plenty of stockinette

9
Continue casting pearls
  • Pad bony prominences
  • Apply casting tape with roll-up
  • in candy cane fashion
  • Remember curing time
  • Mold appropriately
  • Take home instructions

10
Contraindications
  • Early (premature casting) Casting before maximal
    swelling has occurred can cause necrosis and
    possibly compartment syndrome
  • Open wound never place a cast over an open wound
    as potential for infection
  • Unstable fractures need surgical repair

11
Complications
  • Compartment syndrome pain out of proportion to
    the injury, paresthesias.
  • Pulselessness and pallor are not part of
  • the syndrome.
  • Initial treatment is to bivalve cast or
  • remove, may require surgery
  • Skin conditions
  • Nerve palsy
  • Joint stiffness

12
The Joke
A tightfisted businessman broke his hip. He
hired the most esteemed surgeon in town to put
him back together, which required lining up the
broken hip and putting in a screw to secure
it. The operation was successful, and the
surgeon charged the businessman a fee of 5000
for his services. The businessman was outraged
by the amount charged and sent the surgeon a
letter demanding an itemized bill. The
doctor complied, sending back the list
One screw 1 Knowing how to put it
in 4999 Total 5000
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