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Splinting and Casting Fundamentals

Assess extremity injuries and select and apply an appropriate splint with correct positioning and molding.

What this track covers

This track covers immobilization decision-making for fractures, sprains, and soft tissue injuries: when to splint versus cast, how to choose materials and width, and how to position and mold a splint to protect the reduction while allowing for swelling. It also covers the patient instructions that reduce complications after discharge.

What you will practice

  • Match injury patterns to the correct splint type and joint position
  • Choose between plaster and fiberglass and size padding correctly
  • Apply and mold a splint without creating pressure points
  • Recognize signs of compartment syndrome and neurovascular compromise
  • Give clear post-splinting instructions on elevation, warning signs, and follow-up

Simulator scenario

A patient presents after a fall onto an outstretched hand with wrist pain and swelling, and the clinician must assess, choose immobilization, and counsel on follow-up.

Board question topics

  • Indications for splinting versus casting
  • Positioning for common upper extremity splints
  • Recognizing neurovascular compromise after immobilization
  • Patient education and follow-up timing

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