1. Indications Immobilization of non-displaced fracture Immobilization of “occult” or suspected fracture –Non-displaced Salter I fracture –Toddler’s fracture Immobilization of a displaced or unstable fracture prior to transfer to the ED –Fracture with obvious deformity –Suspected supracondylar fracture of elbow (the big swollen elbow)

3. Distal Forearm Fractures

4. Thumb fx 1 st Metacarpal fx Scaphoid fx Lunate fx

5. Fx of Proximal Phalanx of Ring & Little Finger Fx involving 4 th & 5 th MCP Joint 4 th & 5 th Metacarpal fx

6. Proximal Forearm fx Elbow fx Distal humerus fx

7. Ankle fx Ankle sprain Foot fx –Posterior short leg splint

8. Tibial fx Fibular fx Distal femur fx

9. Prefabricated splinting rolls and materials vs the “old fashioned” method –OCL™, OrthoGlass™ –Prefab materials still need application of cast padding to prevent pressure necrosis

10. Continued on Part II