Name of the Procedure:

Cast Supplies, Short Arm Splint, Pediatric (0-10 years), Plaster
Also known as: Pediatric Short Arm Splint, Plaster Cast for Kids

Summary

A short arm splint made of plaster is a type of cast used to immobilize a child's arm from below the elbow to the hand. It is typically applied to young children (ages 0-10) to ensure proper healing of arm injuries or conditions.

Purpose

The procedure aims to immobilize the affected part of the arm to allow proper healing. It is commonly used to treat fractures, sprains, or other arm injuries in children. The goal is to stabilize the arm, alleviate pain, and prevent further injury during the healing process.

Indications

This procedure is indicated for:

• Arm fractures (e.g., radius or ulna fractures)
• Severe sprains or ligament injuries
• Post-surgical immobilization
• Certain congenital or developmental conditions affecting the arm

Preparation

• The child should wear loose, comfortable clothing that can easily accommodate the splint.
• Any underlying wounds or lacerations should be cleaned and dressed before applying the splint.
• X-rays or other imaging tests may be conducted to assess the injury and plan the cast's application.

Procedure Description

1. Initial Examination: The healthcare provider assesses the injury and conducts necessary imaging tests.
2. Padding Application: A soft cotton or synthetic padding is applied to protect the skin and provide comfort.
3. Plaster Application: Plaster bandages are dipped in water and wrapped around the padded area, starting from the wrist and moving toward the hand. The plaster is molded to ensure a snug fit.
4. Setting: The plaster sets and hardens within a few minutes, forming a rigid splint.
5. Final Checks: The healthcare provider ensures proper alignment and comfort, making any necessary adjustments.

Duration

The entire procedure usually takes about 15-30 minutes, including preparation and plaster setting time.

Setting

The procedure is typically performed in an outpatient clinic, emergency room, or hospital setting.

Personnel

• Orthopedic Surgeon or Physician
• Nurse or Medical Assistant

Risks and Complications

• Skin irritation or sores under the cast
• Allergic reactions to casting materials
• Joint stiffness after cast removal
• Incorrect alignment of the fracture if not properly set

Benefits

The primary benefit is the stabilization of the injured arm, which promotes proper healing and reduces pain. Children typically start feeling relief within a day or two after the cast is applied.

Recovery

• Maintain the cast as instructed and avoid getting it wet.
• Keep the arm elevated above heart level to reduce swelling during the first 48 hours.
• Follow-up appointments for cast checks and eventual removal, typically within 4-6 weeks.
• Physical therapy may be recommended post-cast removal to restore full function and strength.

Alternatives

• Fiberglass casts: Lighter and more durable, but more expensive.
• Removable splints or braces: Allow more flexibility but may not provide the same level of immobilization.
• Functional bracing: For less severe injuries that do not require complete immobilization.

Patient Experience

• The child may initially feel discomfort from the splint's weight and stiffness.
• Mild pain or itching under the cast can occur; avoid inserting objects inside to scratch.
• Pain management with over-the-counter pain relievers like acetaminophen or ibuprofen, as advised by the healthcare provider.
• Encourage gentle movements of fingers to prevent stiffness.

Parents should monitor the child closely for any signs of complications, and contact their healthcare provider if concerns arise.