Name of the Procedure:

Cast Supplies, Long Arm Splint, Pediatric (0-10 Years), Plaster (Q4019)

Summary

A long arm splint is a type of orthopedic cast used for children aged 0 to 10 years. It supports and immobilizes the arm from the elbow to the fingers, typically made of plaster, to allow proper healing of fractures, sprains, or post-surgical recovery.

Purpose

Long arm splints are used primarily to stabilize and immobilize fractures, sprains, or dislocations in the arm. It helps ensure proper alignment and healing of bones and tissues while preventing further injury. The primary goal is to provide support and enhance the healing process.

Indications

• Arm fractures (e.g., humeral shaft, distal radius)
• Severe sprains or strains
• Post-operative immobilization
• Dislocations requiring immobilization

Patient criteria include a pediatric age range of 0-10 years, with injuries needing substantial immobilization.

Preparation

• No specific fasting or medication adjustments required.
• Diagnostic imaging (e.g., X-ray) to assess the injury's nature and extent.
• Informing the child and parents about the procedure to alleviate anxiety.

Procedure Description

1. Initial Assessment: Examine the injured arm and review diagnostic images.
2. Padding Application: Apply a soft padding layer to protect the skin.
3. Plaster Application: Wrap plaster strips around the padding, shaping and molding them to the arm's contour.
4. Setting: Allow the plaster to harden, which usually takes 10-15 minutes.
5. Final Adjustments: Ensure the splint is comfortable and properly aligned.

Tools include plaster strips, padding material, and surgical gloves. Anesthesia or sedation is typically unnecessary, but pain management may be provided as needed.

Duration

The procedure usually takes about 30-45 minutes, including assessment, application, and setting time.

Setting

This procedure is commonly performed in outpatient clinics, emergency rooms, or hospital settings.

Personnel

• Orthopedic specialist or physician
• Nurse or medical assistant

Risks and Complications

• Skin irritation or sores under the cast
• Swelling or numbness due to tight application
• Infection if the cast gets wet or damaged
• Delayed healing if the cast is disturbed or removed prematurely

Benefits

• Effective immobilization promoting faster and correct healing
• Pain reduction due to stabilized bones or tissues
• Non-invasive with minimal risk when properly cared for

Recovery

• Keep the splint dry and clean.
• Regular follow-up visits to monitor healing progress.
• Limit physical activity to avoid disturbing the cast.
• Typically, splints are worn for 4-6 weeks, depending on the injury's severity.

Alternatives

• Fiberglass casts: Lighter and more durable but may cost more.
• Removable braces: Offer more flexibility but may not provide as much stability.
• Surgery: In severe cases where splints or casts are insufficient.

Patient Experience

Children may feel discomfort during the initial application. Once the plaster hardens, discomfort should be minimal. Medication may be provided for pain management. The restricted movement can be frustrating for children, so parental support and reassurance are vital.