Name of the Procedure:

Cast Supplies, Long Arm Cast, Pediatric (0-10 Years), Fiberglass

Summary

This procedure involves applying a long arm cast made of fiberglass for pediatric patients aged between 0-10 years. The cast covers the arm from the hand to above the elbow and is used to immobilize fractures or injuries in the arm to ensure proper healing.

Purpose

The long arm cast is primarily used to stabilize and protect a broken or injured arm. It helps in proper bone alignment during the healing process and prevents further injury. The main goals are to alleviate pain, reduce swelling, and ensure that the bones heal correctly.

Indications

• Fractures or breaks in the arm bones (radius, ulna, humerus)
• Severe sprains or strains
• Post-surgical immobilization
• Other injuries requiring arm stabilization

Preparation

• No fasting required.
• The healthcare provider may recommend baseline X-rays to assess the injury.
• Administration of pain relief or anti-inflammatory medication as needed.
• Ensure the child is calm and reassured about the procedure.

Procedure Description

1. The healthcare provider explains the process to the child and the parents.
2. The injured arm is positioned properly, and a soft cotton or synthetic padding is applied to protect the skin.
3. Fiberglass casting material is moistened and wrapped around the padding to form the cast.
4. The cast is molded to the correct shape and allowed to harden.
5. The provider ensures that the cast is not too tight and checks for proper circulation.

Tools and Equipment:

• Padding material
• Fiberglass casting tape
• Scissors for trimming the tape
• Water for moistening the fiberglass

Anesthesia or Sedation:

• Typically, no anesthesia or sedation is required for applying the cast. Pain relief may be administered if necessary.

Duration

The procedure usually takes about 20-30 minutes.

Setting

The procedure is performed in a hospital, outpatient clinic, or an urgent care center.

Personnel

• Orthopedic technician or healthcare provider skilled in casting
• Nurse or medical assistant for support and monitoring

Risks and Complications

• Skin irritation or pressure sores under the cast
• Circulation issues if the cast is too tight
• Discomfort or itching
• Potential for re-injury if the cast is damaged or removed improperly

Benefits

• Proper immobilization of the injured arm to promote healing
• Reduced pain and swelling
• Prevention of further injury

Expected benefits can typically be observed immediately, with pain reduction noticeable soon after application.

Recovery

• Keep the cast dry and clean.
• Elevate the arm to reduce swelling.
• Regular monitoring by healthcare provider.
• Follow-up appointments may be necessary to check the cast and the healing process.
• Expected recovery time varies depending on the injury but usually ranges from 4-8 weeks.

Alternatives

• Splints or braces for less severe injuries.
• Soft casts or removable splints.
• Pros: Greater flexibility, easier hygiene.
• Cons: Potentially less immobilization and protection.

Patient Experience

• The child may feel some initial discomfort during and shortly after the application.
• Itching under the cast is common but should not be addressed by inserting objects into the cast.
• Pain management using over-the-counter pain relievers if necessary.
• Comfort measures include keeping the cast elevated and using padding for better support.

By following the above overview, patients and caregivers can gain a clear understanding of the procedure and its associated care.