1. Application of below knee back slab
V. Kubaitis

2. Describe types of displacement of fracture

3. Describe types of displacement of fracture

4. What is the main principal to make plaster of Paris?

5. What is the main principal to make plaster of Paris?

6. 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

7. How are you parking your car?

8. How are you parking your car?

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

11. Complications of plasters

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

13. How to diagnose DVT ?

14. 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

15. General Principals of plaster making

16. 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)

17. General Principals of plaster making

18. Ask for help from the friends

19. Put on your gloves and apron

21. The wound has to be covered by dressings

22. Felt strips – extra-padding or donuts over bony prominences

23. The limb has to be appropriately positioned

24. Stockinette

25. Cast padding cotton wool

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

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

28. Consolidate the layers

29. Squeeze out gently and drain the excess of water

30. Try to keep your room in order

31. Apply reinforcement if needed

32. Pull down stockinet to make the smooth end of the cast

33. General Principals of plaster making

34. General Principals of plaster making

36. General Principals of plaster making

37. Please describe bad cast

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

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