Application of below knee back slab V. Kubaitis

Describe types of displacement of fracture

Describe types of displacement of fracture

What is the main principal to make plaster of Paris?

What is the main principal to make plaster of Paris?

What is the main principal to make plaster of Paris? Immobilise two adjacent joints Use appropriate amount and type of padding Properly pad bony prominences and high-pressure areas Properly position the extremity before, during, and after application of materials Avoid tension and wrinkles on padding Avoid excessive moulding and indentations

How are you parking your car?

How are you parking your car?

What is the difference between Macro-organism and micro-organism?

Complications of plasters

Complications DVT CRPS Compartment, Mal-union, Allergy pressure sore OA

How to diagnose DVT ?

DVT Wells score Clinical feature Points Patient score Active cancer (treatment ongoing, within 6 months, or palliative) 1 Paralysis, paresis or recent plaster immobilisation of the lower extremities Recently bedridden for 3 days or more or major surgery within 12 weeks requiring general or regional anaesthesia Localised tenderness along the distribution of the deep venous system Entire leg swollen Calf swelling at least 3 cm larger than asymptomatic side Pitting oedema confined to the symptomatic leg Collateral superficial veins (non-varicose) Previously documented DVT An alternative diagnosis is at least as likely as DVT −2 Clinical probability simplified score DVT likely 2 points or more DVT unlikely 1 point or less

General Principals of plaster making

General Principals of plaster making Gloves Help How to test innervation? Sir Charnley opinion, Entanox, haematoma block, Midasolam, Plaster in a sink and tubes Cotton No fingerprints Mending time Drying time Strict elevation and Ice x-ray (confirmation for lawyer)

General Principals of plaster making

Ask for help from the friends

Put on your gloves and apron

The wound has to be covered by dressings

Felt strips – extra-padding or donuts over bony prominences

The limb has to be appropriately positioned

Stockinette

Cast padding cotton wool

Make right number of layers: 8-10 layers in an adult 10.53 Make right number of layers: 8-10 layers in an adult 6 layers in a child

Hold plaster of Paris in a worm water at least 2 seconds

Consolidate the layers

Squeeze out gently and drain the excess of water

Try to keep your room in order

Apply reinforcement if needed

Pull down stockinet to make the smooth end of the cast

General Principals of plaster making

General Principals of plaster making

General Principals of plaster making

Please describe bad cast

Cast quality evaluation: Clean / dirty / smell Stable / broken Makes comfort / painful Light / heavy Itchy Sweaty Cast Comfort Index

What is a difference between Sarmiento cast, splint and brace?