DOUBLE GAUZE PLASTER RINGS HOW TO
DOUBLE GAUZE PLASTER RINGS FULL
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To strengthen the slab, at the elbow joint level, another slab of 5 layers is made and applied starting on the medial aspect at the top end of the first slab crossing around the point of the elbow and going upwards on the lateral aspect to the top end.

Overlap the cut edges and smooth out the bend without 'dog ears'

Make slits (about 5 cm) across the slab at the inner and outer aspects of the elbow joint crease.

The slab is applied along the posterior aspect of the arm, elbow and the forearm down to the knuckles.

A layer of dry gauze bandage is applied from the hand up to the middle of the arm.

A layer of soft cotton roll is applied around the elbow.

The patient's forearm is held in mid prone position with the elbow in 90° flexed position.

A slab equal to the above length is prepared dry as described above, in 6 - 8 layers using a 15 cms POP roll.

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The fingers should be free to move fully at the metacarpo-phalangeal jointsĮxtends from the middle of the upper arm to the point just proximal to the knuckles in the dorsum of the hand.The forearm is held with the elbow in a 90° flexed and the wrist in the position of function of 25° dorsiflexion.Apply 10cm diam wet bandage around the forearm, starting from the distal end to fix the slab.Take a roll of 10 cms broad gauze bandage, soak it well in water and squeeze out the excess water.Apply the slab on the dorsal aspect of the forearm and the dorsilateral aspect of the wrist and rub it smooth so that the lower end of the radius is gently gripped by the slab.Take it out of the water and gently squeeze out the excess water.Hold the folded plaster slab in the folded position and immerse it in water for about 5 seconds (until bubbles stop).Apply a layer of dry gauze bandage around the forearm to just below the elbow.6 - 8 layers of 15cm PoP unrolled to the appropriate length.Measure the above distance with a gauze bandage strip and place it on the smooth table top.The plaster slab extends from a point about 5 cm below the top of the olecranon to the level just proximal to the knuckles in the dorsum of the hand and the distal crease in the palmar aspect. In the leg, split behind the knee first but in front of the malleolus In the arm, split the palmer side, then the back of the forearm.If splitting ('bivalving') a cast, avoid bony areas and split the flexor surface first:.

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All full casts must be split (if

DOUBLE GAUZE PLASTER RINGS HOW TO

Of crutches (particularly how to ascend / descend stairs)

Where used, patients must be given instructions on the safe use.

All patients should be issues with verbal and written POP instructions.

All upper limb injuries should be treated with a triangular or high arm (hand injuries) sling.

All patients with first plasters post-injury must have circulation check the next day.

Slabs should be dipped, squeezed, (concertinaed) when out of water, smoothed then applied with no wrinkles.

When wetting bandages, hold them vertically in the water till bubbles stop, (about 2 seconds), then squeeze very gently.Do not use stockinette that is tight, when applied - Apply padding firmly but do not pull tightly.Use stockinette, padding and plaster appropriate to size of patient ( 10-15cm for arms, 15cm for legs, 20cm for below elbow and knee slabs.).Remove any rings from fingers or affected limbs.The only exceptions are a scaphoid cast.All acute injuries (Futura splint or mobilisation) in each case. Please consider if POP is the best option (e.g. Immobilization is used to : splint, provide analgesia and to prevent further injury. All patients placed in POP (including backslabs) should be given verbal and written advice about plaster care. On adding water it solidifies by an exothermic reaction into hydrated calcium sulphate. Plaster of Paris is hemihydrated calcium sulphate. Background Below Elbow Backslab Above Elbow Backslab Above Knee Backslab Below Knee Backslab

Double gauze plaster rings