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Application Considerations Dangers & Complications Step-by-Step Application Instructions Cast Removal Summary Disclaimer

VOLUME 1: Short Arm CastVOLUME 1: Short Arm Cast

Application ConsiderationsApplication Considerations ( (Casting is “ART”)Casting is “ART”)

To achieve its function, the finished cast must “fit” like a glove and be the appropriate “dimensions” as determined by the injury.

The artist must understand what he or she is trying to create.

Every step has a purpose. The artist must understand and be able to control

the materials he or she is using.

Dangers & ComplicationsDangers & Complications

The unyielding nature of rigid casting materials leads to two potential serious dangers:

Pressure Constriction

Dangers & ComplicationsDangers & Complications

Pressure Special attention must be paid to bony

prominences and superficial peripheral nerves by applying extra padding to these areas.

Care must be taken when molding the cast to prevent the indention of the material and the creation of a pressure point.

Dangers & ComplicationsDangers & Complications

Constriction From Without – resulting from the improper

application of the casting material (wrapping too tight).

From Within – resulting from excessive swelling that occurs after cast application.

Dangers & ComplicationsDangers & Complications

Prevention – “RICE”

R – Rest

I – Ice

C – Compression

E – Elevation

Dangers & ComplicationsDangers & Complications

Warning Signs – 4 P’s

PainPallor (pulseless)Poikilothermia (cool)Paresthesia / Paralysis

Step-by-Step Step-by-Step Application InstructionsApplication Instructions

(Short Arm Cast)(Short Arm Cast)

Gather your supplies.

StockinetPadding

GlovesCasting Tape

Cut stockinet to assure “fit” and “dimensions.”

Functional End(Single Layer)

Comfort End(Double Layer)

Apply a double layer of stockinet to the thumb to fold back over the fiberglass before the final wrap.

Apply the padding so that the “dimensions” are established and the “fit” is retained.

Distal Palmar Crease

Two Fingers from the Crease of the Elbow

Begin wrapping spirally without exposing the roll to water.

Before passing through the web-space, cut the casting tape to avoid material build-up.

Wrap a second time around the hand and through the web-space, cutting as before.

Proceed wrapping up the arm, overlapping by one-half.

When you reach the proximal end of the cast, cut off the remaining roll

and place it on the foil pouch.

Roll back the stockinet distally, proximally,

and around the thumb.

Dip the remaining roll in water and begin wrapping from the proximal end covering the edge of the rolled back stockinet.

Complete one final pass through the web-spaceusing the cut technique and covering all edges of the rolled back stockinet.

Smooth and mold to finish the cast.

Cast RemovalCast Removal

Follow normal safety precautions for use of a power tool.

Always use a sharp blade for cutting efficiency. The blade should be kept perpendicular to cast

surface. The blade should penetrate straight down through

the casting material and then be brought out. This should be done repeatedly for the length of the cut.

SummarySummary

Understand the potential dangers and complications before you begin.

The “fit” and “dimensions” are established with the stockinet, padding and proper molding.

Understand how to control the materials you use so you stay in control of the process.

Everything you do should have a purpose. Practice – Practice – Practice.

DisclaimerDisclaimer

The information provided on this CD is general medical information and not medical advice.

The treating physician must use his or her professional judgment in selecting proper treatment and is responsible for the appropriate application of casts and splints.

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