00:07
Hello, welcome to the Skills on
Point intro to Splinting Course.
00:11
In this video, we'll be showing
you how to do a short arm splint
with a 3M Scotch cast.
00:19
My name is Michael Karg.
00:20
I'm a physician assistant working
in orthopedic trauma as an
independent contractor for skills
on Point.
00:26
We're going to teach you some tips
and tricks today on how to
appropriately apply a splint using
this material.
00:34
One, the first thing when we're
talking about splinting, what we
want to do is have all of our
materials close by and ready.
00:40
As you see on the table here, I
have a bucket of water, lukewarm.
00:44
I have an ice wrap.
00:46
I have our splint material.
00:48
Always wear gloves with fiberglass
so you don't get it on your skin.
00:51
And last but not least, we have
some stockinette.
00:54
So we're prepared.
00:56
Everything's ready for the
patient.
00:58
We're almost ready to apply the
splint as we approach.
01:01
This patient has a distal radius
fracture.
01:04
What we want to do first is to
measure out our splint.
01:08
So I like to use Stockinette
because once we break this seal,
this splint material starts to
cure and harden.
01:16
So you don't want to open it too
early.
01:18
That's why we have everything
ready as well.
01:20
What I'm going to do for this
patient is measure out a short arm
splint. Got the appropriate
length.
01:30
I have my scissors ready.
01:36
I'm going to cut a thumb hole for
a short arm splint.
01:48
And this X is like a barrier
between a splint material and the
patient's skin.
01:55
What you want to be cognizant of
for distal radius fracture the
distal crease distal palmar crease
for a distal radius.
02:04
You want the patient to still be
able to move their fingers, still
be functional somewhat.
02:09
And then all the bony prominences
that we have, we have the radial
styloid, the ulnar styloid and
kind of the base of the
wrist. So we don't want to have
those bony promises exposed to hard
fiberglass. Now we're about ready.
02:23
Okay, don your gloves.
02:29
This stuff is really cool.
02:32
It's already comes pre-padded for
you.
02:37
This is this specific fiberglass
is 3x12.
02:41
Perfect for almost any forearm.
02:45
Thumb spike.
02:46
Distal radius fracture has padding
on both sides.
02:52
So you're protecting the patient's
skin along with this stockinette.
02:57
This is already starting to cure.
02:59
But to finish curing, we dunk it
in water.
03:02
Immerse it completely.
03:04
Lukewarm water.
03:13
Squeeze out the excess water and
then
you want to have a place to where
you can kind of smooth it out to
get out all the excess water.
03:26
From here on there.
03:27
I'm ready to apply the splint.
03:29
Always, when you're splinting a
patient, you want to have them in
the most anatomic neutral position
possible.
03:35
Depending on your fracture, you
don't want to have somebody with
their wrist flexed for two weeks
while you're trying to treat a
fracture because then it could
cause pain and discomfort.
03:43
So we have our splint.
03:47
Be cognizant.
03:48
You can see at this view that
she's able to still flex her
fingers. I'm a little bit short of
the stockinette padding that we
have a little bit long down here,
so we could always fold that over.
04:02
Ace wrap.
04:14
And there's my distal palmar
crease, so we're not covering that.
04:17
She's able to move her fingers,
not too tight with the ace
wrap. You don't want to cause any
compartment syndrome or anything
like that. And I got this fancy
ace wrap that
sticks upon itself. So no clips or
tape or anything necessary.
04:34
And if I'm trying to hold
something, I'm easy right here.
04:37
It's nice and easy.
04:38
As you see, there's good padding
around.
04:41
Like we talked about the thumb
radial styloid.
04:44
Nothing along the ulnar Styloid.
04:46
This is pretty much good to go
right here.
04:49
Kind of hold it. Tell the patient
it's going to get warm.
04:52
Watch for them to have any
complaints, any changes in
neurovascular status, radial
median ulnar nerve and watch them
for 5 or 10 minutes until it gets
hard and we're all done.
05:02
Short arm splint.