Week Four A

A 2 year old girl came in with a back slab POP of her arm following a green stick fracture to her distal radius. Being a two year old her Mum wanted her to have a more durable cast that could get wet. We decided to put in place a fiber glass cast that would be more durable for the next two weeks she would need to be wearing it.

I was very excited about seeing an arm cast being done as i have only ever seen ankle/leg ones done so this was a new experience in its self, let alone on a child. i was expecting the child to not want to keep still or co-operate with us putting the cast on. however i was lucky you could say that she was a very shy little girl who just sat on her Mums lap and let us hold her harm and wrist in place.

i just kept the child occupied while my supervisor did the application of the cast and i noticed how fiddly it was with a little arm with small areas to wrap around. it is important to ensure that there is enough padding around the thumb and fingers to decrease chance of rubbing especially as it is hard to communicate with the patient.
i want to look into fiber glass cast care vs. POP care.