00:07
Hi there, welcome to Skills on
Point intro to splinting course.
00:11
In this video,
we'll be demonstrating to you
a Short Leg Splint
with a 3M Scotchcast.
00:17
My name is Michael Karg.
00:18
I'm a physician
assistant in orthopedic
surgery specializing in trauma.
00:23
What I'm going to
teach you here today
is to how to safely apply a
short leg posterior roll splint
using fiberglass
material scotchguard type.
00:32
What I like to do is to have
all my materials available
right at the table so we
don't not have to run around
while the patient's
getting her ankles splinted.
00:42
So we have our fiberglass material,
we have our scissors,
water basin,
ace wrap, stockinette.
00:51
When we get ready
to apply the splint,
I've kind of pre-cut a
stockinette to the patient's leg.
00:56
We're gonna go
ahead and put that on.
01:23
So now we're ready.
01:24
We want to have the
patient just relaxed.
01:26
We're eventually going to
want her ankle at neutral, so 90°.
01:30
If you don't do that,
then the patient's
in a splint for, you know,
10 to 14 days,
they can get an Achilles
tendon contracture
because their
ankles plantar flexed.
01:40
We want to focus
on this 90° angle.
01:43
Sometimes that can be
uncomfortable for the patient
as they have a broken ankle and
they don't really want to do that.
01:48
But try and focus on that,
very important.
01:52
Now we're ready for our splint.
01:53
We have everything ready to go,
our waters ready.
01:58
Just a quick little measurement.
02:03
So we can cut this
down a little bit here.
02:06
We don't need the full length.
02:20
Always cut a little
bit off the inside here,
so that we don't have any of
this against the patient's skin.
02:34
Now we're ready to dunk.
02:36
Immerse the splint
material in water.
02:40
Hold it in there for,
you know, 30 seconds or so.
02:45
Try and wring out
all the excess water.
02:50
Find yourself a flat surface.
02:54
I need a little more
room on this one.
03:00
Now we're ready.
03:01
Padded on both
sides ready to apply.
03:04
Have my ace wraps.
03:09
Kind of the bony
prominences we worry about
for a short leg splint
include the fibular head,
the perineal nerve
wraps posteriorly to it.
03:17
Definitely don't want any
pressure over that area.
03:20
We'll have both malleoli,
the lateral malleolus,
the medial malleolus.
03:25
We definitely don't
want any specific hard
fiberglass material
over those areas as well.
03:29
So now we're ready to apply.
03:32
I always like to
start distal first.
03:36
Because we can
always adjust proximal.
03:37
As we have the
splint applied now,
now we're ready to
apply the ace wrap
to protect and have some
compression for the splint.
03:50
You want it to be tight
but not overly tight.
03:55
You don't want
to cause what they
have called a
compartment syndrome.
04:00
But it's got to be snug
enough to where the
fiberglass material
conforms to the fracture.
04:25
I got my piece of tape ready.
04:32
Proximal fibular clear,
nothing around there,
medial malleoli,
lateral malleoli,
everything,
no pressure is noted.