Splint Application (Volar / Ulnar)

Orthopedics · Emergency/Ortho · 10–20 min

Temporary rigid immobilization for distal upper limb injuries.

Indications

  • Distal radius/ulna fractures
  • Wrist injuries

Contraindications

  • Open fracture without wound care
  • Compartment syndrome risk

Equipment

  • Padding
  • Fibreglass or POP splint
  • Crepe bandage

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

1. Position

Wrist in slight extension.

2. Padding

3. Apply splint

4. Bandage & mould

5. Sling

Immediate complications

  • Neurovascular compromise
  • Skin damage

Delayed complications

  • Stiffness

Recognition

  • Pain, colour change

Initial management

  • Loosen

Prevention

  • Adequate padding

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.

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Clinical Decisions in Seconds