Circumferential plaster cast for definitive immobilization after swelling subsides.
Indications
- • Stable fracture after swelling resolved (usually > 48h post-injury)
Contraindications
- ⚠ Ongoing swelling
- ⚠ Open wound needing inspection
Equipment
- • POP rolls
- • Padding
- • Water
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/5)
Tap to complete
Check swelling reduced, distal pulse.
Immediate complications
- ⚠ Tight cast
Delayed complications
- • Compartment syndrome
- • Pressure sores
- • Joint stiffness
Recognition
- • Increasing pain
- • Numbness
Initial management
- • Bivalve or remove
Prevention
- • Cast after swelling reduces
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
