Splinting: Difference between revisions

Revision as of 20:54, 15 March 2023

Stockinette ^[1]
- Cloth sleeve
- Base layer for splint/cast
- Protects skin
Cast padding (eg Webril)
- Used with plaster of Paris
- 2-3 layers with padding of bony points as needed
- Wrapping circumferentially with 50% overlap will automatically create 2 layers
Plaster of Paris
- 6-10 layers for upper extremity splints, 12-15 for lower extremity splints
- Takes 20 minutes to cure, sooner if warmer water is used
- Watch for exothermic reaction
Elastic bandage
- Outer layer to hold splint in place
- Excessive tightness can lead to pain, less room for swelling
Fiberglass
- Pre-wrapped material
- Use cool or room temperature water
- Not as pliable as plaster of Paris
- Trim or cover cut edges to prevent injury

Try to avoid large crinkles/folds with padding, can cause skin damage and breakdown
Apply splint firmly but not too tight
- Allow room for anticipated swelling
- Tight splint can lead to compartment syndrome
Mold splint material with palms rather than fingers to prevent ridges, may be uncomfortable for patient

↑ Principles of Casting and Splinting http://www.aafp.org/afp/2009/0101/p16.html Accessed April 4, 2017

Authors:

@@ Line 69: / Line 69: @@
 ==Splinting Overview by Area==
-*Upper extremity
+===Upper extremity===
 **[[Splinting: Humerus|Humerus]]
 **[[Splinting: Forearm|Forearm]]
 **[[Splinting: Carpal|Carpals]]
 **[[Splinting: Hand|Hand]]
-*Torso
+===Torso===
 **[[Splinting: Chest|Chest]]
 **[[Splinting: Spine|Spine]]
 **[[Splinting: Pelvis|Pelvis]]
-*Lower extremity
+===Lower extremity===
 **[[Splinting: Femur|Femur]]
 **[[Splinting: Distal leg|Distal leg]]
 **[[Splinting: Foot|Foot]]
-*Other
+===Pediatric===
 **[[Splinting: Pediatric|Pediatric]]
-**[[Fractures]] (main)
 ==Complications==