Page 171 - Orthopedic Casts and Splints2

Performance Steps

3
Velpeau Cast

NOTE: The Velpeau cast extends from the iliac crests to below the axilla on the unaffected side
enclosing the shoulder and the upper arm of the affected side down to the distal palmar crease with
elbow flexed at a 45 degree angle. The neck, hands, wrists, fingers hip, unaffected shoulder have full
range of motion. (Refer to Figure 3-x)

CAUTION: During cast application a chemical response(exothermic reaction) will occur between the
water(H2O) and the plaster ( gypsum). This is a safe and common occurrence. The cast will initially
become warm and cool down within 2-5 minutes. However, if it doesn't cool down or there is an
increase of heat intensity during the cast application, the cast may need to be removed.

4. Inspect patient's injured torso.
a. Place examination gloves on hands.
CAUTION: Always practice Body Substance Isolation ( BSI ) prior to applying traction, splints or casts
to patients.
b. Place patient behind privacy curtain.
c. Give patient disposable paper shorts and gown. Female patient's will need to remove upper
undergarments.
CAUTION: The same gender chaperone should always be present to assist female patients in
removal of clothing.
d. Instruct patient to remove all clothing and put on shorts and gown.

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