Casting acute fractures. Part 2--Generic preparation and application of plaster slabs.
BACKGROUND: Slabs are ideal initial splints for the emergency treatment of many fractures. Construction of a broader slab of appropriate thickness with appropriate supportive elastic bandages produces a stronger, safer and more comfortable cast. OBJECTIVE: This article will introduce and demonstrate new materials and concepts that may be applied to slab construction in a generic fashion. It will form the basis for applying specific slabs demonstrated later in the series. DISCUSSION: The primary care physician is expected to apply slabs. Often his training has been minimal. The techniques shown are those used by full time casting technicians. These trade secrets are easily reproducible. Mastery will reduce material and labour costs for the general practitioner. The patient will have a stronger, more comfortable cast and fewer unplanned return visits.