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Questions and Answers

What should be done after the splint is applied?

Cut the stockinette close to the ends of the splint. (correct)

Leave the stockinette loose on top of the splint.

Wrap the stockinette tightly around the splint.

Fold the stockinette over the edges of the splint.

Why is the ends of the stockinette tucked under the ACE wrap?

To prevent the stockinette from slipping or moving. (correct)

To provide additional padding around the splint.

To ensure that the splint is visible for monitoring.

To create a tighter fit for the splint.

In which situation is this splint application technique typically used?

For adult patients with fractures.

In emergency situations requiring rapid application.

When the injury is non-weight-bearing.

For a child needing immobilization. (correct)

What is a key consideration when cutting the stockinette for splint application?

Cut close to the ends to avoid unnecessary bulk. Signup and view all the answers

How should the ACE wrap be applied after the stockinette is secured?

Secured to maintain the position of both the stockinette and splint. Signup and view all the answers

What is the first action to take when using gauze for an AO splint?

Hold one side of the gauze taut. Signup and view all the answers

Which action is performed after placing your hand into the loop of the gauze?

Spread your fingers and pull upward. Signup and view all the answers

What is the purpose of hooking each side of the gauze around the great toe and second finger?

To secure the splint in place. Signup and view all the answers

What should you do immediately before pulling the free end of the gauze taut?

Hook each side around the great toe and second finger. Signup and view all the answers

Why is it necessary to hold one side of the gauze taut during the procedure?

To maintain control while positioning the other hand. Signup and view all the answers

What is the first step in preparing a stockinette for application?

Cut one piece of the stockinette for the distal portion at the foot. Signup and view all the answers

Which action is taken immediately after cutting the stockinette?

Position the stockinette. Signup and view all the answers

What should be done last in the sequence of preparing a stockinette?

Wrap the extremity in cast padding. Signup and view all the answers

Which of the following describes an essential characteristic of the stockinette preparation process?

It must be completed in a specific order. Signup and view all the answers

In the preparation of a stockinette, what is the purpose of wrapping the extremity in cast padding?

To prevent skin irritation. Signup and view all the answers

What is the primary function of a hand-based thumb spica cast?

To allow limited wrist motion while immobilizing the thumb Signup and view all the answers

Which of the following describes the placement of a hand-based thumb spica cast?

It begins just distal to the wrist crease and covers the entire thumb Signup and view all the answers

What is the recommended width of the stockinette used for a hand-based thumb spica cast?

3 inches Signup and view all the answers

Which of the following statements about a hand-based thumb spica cast is incorrect?

It begins proximal to the wrist crease. Signup and view all the answers

In what scenarios would a hand-based thumb spica cast be preferred?

When the patient requires wrist motion while the thumb is immobilized. Signup and view all the answers

What is the primary purpose of spica casts in pediatric medicine?

To treat diaphyseal femoral fractures Signup and view all the answers

In which age group are spica casts particularly effective for treating diaphyseal femoral fractures?

Children younger than 6 years Signup and view all the answers

How many types of spica casts exist that are noted for treating the specified fractures?

Three types Signup and view all the answers

What is a characteristic feature of diaphyseal femoral fractures in the context of pediatric casts?

They occur in the middle section of the femur Signup and view all the answers

Which statement accurately reflects the efficacy of spica casts for the targeted demographic?

Spica casts have shown success in treating specific femoral fractures in children. Signup and view all the answers

What appearance should the plaster on postreduction radiographs ideally have?

A solid line with no onion-skinning Signup and view all the answers

Which of the following features is NOT indicative of correct plaster application on radiographs?

Onion-skinning appearance Signup and view all the answers

Which aspect should be observed for quality control in plaster application during postreduction assessment?

The plaster should form a continuous solid line Signup and view all the answers

What is a common misconception about the appearance of properly applied plaster on radiographs?

It must have a distinctly textured surface for stability Signup and view all the answers

What characteristic of plaster on postreduction radiographs is essential for effective treatment?

The plaster must show no signs of cracking Signup and view all the answers

What is the optimal positioning of the elbow when preparing for a specific procedure?

Bent to 90 degrees Signup and view all the answers

What is the recommended arm position when no reduction is required?

Arm placed on a bedside table at a comfortable level Signup and view all the answers

Which of the following actions should be taken when assisting a thin patient on a stretcher?

Have them turn slightly toward the contralateral side Signup and view all the answers

In which position should the elbow be placed when a patient is supine?

Resting on the stretcher Signup and view all the answers

At what angle should the elbow be bent for optimal positioning during splint application?

90 degrees Signup and view all the answers

What angle should the arm be at when managing the elbow in a clinical setting?

90 degrees Signup and view all the answers

Which of the following statements about arm positioning during splint application is false?

The elbow should ideally be straightened fully. Signup and view all the answers

What role does the bedside table play in the splint application process?

It allows the patient to adjust the height of their arm. Signup and view all the answers

What is the correct technique for positioning a thin patient on a stretcher?

Move their body to the contralateral side Signup and view all the answers

Which position is inappropriate for the arm when applying a splint?

Arm elevated and unsupported causing strain Signup and view all the answers

What is a crucial detail to ensure regarding the patient's position during the procedure?

There should be space between the posterior calf and the end of the bed. Signup and view all the answers

Why is it important for the patient to be seated upright during the procedure?

It facilitates better positioning of the leg for treatment. Signup and view all the answers

What could be a consequence of not positioning the patient correctly?

Improper application of the treatment could occur. Signup and view all the answers

What action should be avoided regarding the leg's position when the patient is seated?

Seating the patient too far back on the bed. Signup and view all the answers

What should be verified about the leg's clearance from the end of the bed?

It should have sufficient clearance for optimal treatment. Signup and view all the answers

What is the significance of adequately padding the hand before wrapping to the mid forearm?

It minimizes discomfort and prevents injury during the splint application. Signup and view all the answers

Which of the following is a primary characteristic to consider when creating cast padding cuffs?

Cuffs must allow for proper circulation while providing sufficient cushioning. Signup and view all the answers

Why might an improper application of padding before wrapping the extremity lead to complications?

Inadequate padding can lead to skin breakdown and puncture injuries. Signup and view all the answers

What is a potential consequence of not ensuring the stockinette is cut correctly during splint preparation?

The splint will have an improper fit and may slide out of place. Signup and view all the answers

Which factor is least likely to be affected by the method of wrapping used after casting the padding?

The necessity for subsequent follow-up appointments. Signup and view all the answers

Study Notes

Hand-based Thumb Spica Cast

The cast starts just below the wrist crease and covers the entire thumb.
Allows wrist motion.

Equipment

Uses 3 inches of stockinette
Tuck the ends of the stockinette under the ACE wrap after applying the splint.

AO Splint Technique (FOR CHILDREN)

This technique assists in applying a splint for children.
Spread fingers and pull upward.
Hook each side around the great toe and second finger.
Pull the free end taut.

AO Splint - Preparation

Position the stockinette.
Wrap the extremity in cast padding.

Spica Casts

All three types of spica casts have been proven successful in treating diaphyseal femoral fractures in children under 6 years old.

Plaster Application

Plaster should be one solid line with no onion-skinning appearance.
Use a bedside table to allow the patient to place his or her arm at a comfortable level if no reduction is required.
The elbow should be bent to 90 degrees with the arm upright.

Patient Positioning

For supine positioning, thin patients should shift their body all the way to the contralateral side of the stretcher.
Patient can rest their elbow on the stretcher.

Hand Padding

Continue wrapping proximally to the mid forearm once hand has been adequately padded.

Thumb Spica Splint

Create three cast padding cuffs.
Patient should be sitting upright with the leg freely off the end of the bed.
Make sure the patient is sitting far enough forward so there is sufficient room between the posterior calf and the end of the bed.

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Description

This quiz covers the techniques for applying thumb spica casts and AO splints, especially for children. It includes equipment details and preparation steps essential for effective splint application. Test your knowledge on the procedures and considerations for these important pediatric practices.