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Catalog
AAOE Casting, Splinting and Soft Goods Program
Casting - Long Arm Cast
Casting - Long Arm Cast
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Video Transcription
Place stockinette on the arm from the tips of the fingers to the top of the shoulder. For the thumb hole, you can cut the hole prior to applying the stockinette, or once it is already on. Also make sure to position the arm at 90 degrees, unless otherwise instructed by the physician. I'm going to go back and make sure we don't have any wrinkles. Cut a slit in the crease of the elbow of the stockinette to avoid skin breakdown and to decrease bulkiness of the stockinette. Place one inch stockinette over the thumb. Start wrapping padding at the wrist and wrap down towards the web space of the hand, making approximately three turns around the hand, with one coming around the back of the thumb for the bumper. Wrap the rest of the padding up the arm using 50-50 coverage. Wrap additional padding around the elbow and then continue wrapping up the arm. Make three turns around the top of the cast for the bumper and wrapping back down to ensure adequate padding. And then one more layer just to cover everything good. Place additional padding over the elbow for the bony prominence. Like that. Start wrapping fiberglass at the same place you wrapped the cast padding, starting at the wrist and wrapping toward the web space of the hand. For wrapping through the hand, you can either use the cut and fold technique or you can use the twist technique. Then do a fan fold, making sure to get the center of the thumb right at the fan fold. Wrap that in. And then you go up the arm. Then wrap up the arm. For this first layer, we're just going to do the short arm section, so that you don't have to worry about keeping their arm at 90 degrees while you're doing your trimming. So a slit here. Fold the stockinette over, making sure you get a nice, smooth fold. Slit there. You really want to fold this back because if you pull it, it will wrinkle up in the hand. So you want to be sure you get a nice, smooth fold there. A little nick right here. That gives you a good padded edge. You want to take your one inch and cut down the inner side. And then just fold that back over the thumb. Mold while the fiberglass hardens, making sure it's molded well in the palm. Place arm in a 90 degree position and continue wrapping fiberglass up the arm from where you left off. Roll to about 3 quarters of an inch from your padding. Start right where you left off and move up the arm. Roll again to about three quarters or a half inch from the top of your padding. I cut a nick here and one there. Same thing, fold that, make sure you don't pull it so it doesn't wrinkle. Fold the stockinette over. Wrap the colored roll down the arm. You can use a fan fold with the colored roll over the elbow to make the cast stronger. You can do a fan fold with your colored roll just to make it a little stronger at the elbow. Thanks for watching! And just finish up the color like so. Finish up by molding the cast. Place the mold in the palm of the hand with the thumb in neutral position and pointing up towards the patient's chin. When you're done applying the cast, check the edges to make sure you can see the palm or crease, so the patient has good flexion of the hand. To remove the cast, cut along the top and bottom of the cast, following the lines shown with the marker.
Video Summary
This video provides instructions on how to apply a cast to the arm. It starts with placing stockinette on the arm and creating a thumb hole. Padding is then wrapped around the hand and arm to provide cushioning. Fiberglass is applied over the padding using different wrapping techniques. The stockinette is folded back and extra padding is added over the elbow. The fiberglass is molded and wrapped up the arm. The process is repeated for a colored roll of fiberglass to strengthen the cast. The video concludes with instructions on how to mold the cast and how to remove it.
Keywords
apply cast
arm casting
stockinette
fiberglass wrapping
cast molding
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