Lesson 1Check for clinic: look, touch, see bend, nerve and blood check for wrist hurtDis part go show you how to do proper clinic check for wrist injury, including look well, touch, see di bend, and check nerve and blood to guide x-ray, fix decision, and plan how to hold steady.
Inspection for swelling, deformity, and skin breaksPalpation of distal radius, ulna, and carpal bonesAssessing active and passive wrist and finger motionScreening for open fractures and skin compromiseFocused neurovascular exam before immobilizationLesson 2Materials list for wrist hold steady: stockinette size, padding layer, plaster or fiberglass roll, splint board, casting tape, water heat and mixDis part list and explain materials for hold wrist steady, including stockinette size, padding layer, plaster and fiberglass choice, splint board, casting tape, and safe water for mix and shape.
Selecting stockinette width and lengthChoosing padding thickness and overlapPlaster versus fiberglass: pros and consUse of splint boards and support surfacesWater temperature, mixing, and setting controlLesson 3Hold steady choice: when to use short arm cast, volar backslab, sugar-tong splint, and thumb spica kindDis part compare how to hold wrist fracture steady, show when to use each, good side and bad side of short arm cast, volar backslab, sugar-tong splint, and thumb spica for different hurt pattern.
Indications for short arm circumferential castsWhen to use a volar backslab for wrist injuriesSugar-tong splints for forearm rotation controlThumb spica variants for scaphoid involvementAdjusting choice for swelling and patient factorsLesson 4X-ray basic: when to do PA, side, slant view and know Colles, Smith, inside joint fractureDis part teach main wrist x-ray, when to do PA, side, slant view, how to position, and know Colles, Smith, inside joint fracture wey guide how to handle.
Indications for wrist radiographs after traumaPositioning for PA, lateral, and oblique viewsRadiographic signs of Colles fracturesRadiographic signs of Smith fracturesIdentifying intra-articular step-off and gapLesson 5Anatomy of bottom radius, bottom ulna, wrist joint, and common fracture patternDis part go over bottom radius, ulna, wrist joint anatomy, connect outside mark to common fracture pattern, shift way, joint part wey change how to fix and hold steady.
Bony anatomy of distal radius and distal ulnaRadiocarpal and distal radioulnar joint structuresMuscle and tendon forces affecting displacementExtra-articular versus intra-articular fracturesTypical Colles, Smith, and Barton fracture patternsLesson 6After hold steady talk: lift up, pain med, sign to come back, no do some ting, cast care and when to check againDis part show talk after hold steady, including lift up, pain med, cast care, no do too much, danger sign wey need quick check, and when to come back for check and x-ray.
Elevation techniques to reduce swellingAnalgesia planning and adjunct measuresCast care, hygiene, and skin protectionActivity restrictions and work or sport adviceWarning signs and follow-up schedulingLesson 7Nerve and blood safety check: start and after put on blood flow, move and feel test for median, ulnar, radial nerve areaDis part focus on nerve and blood safety check before and after hold steady, show blood flow, move, feel test for median, ulnar, radial nerve, and write down change wey need quick check.
Baseline capillary refill and pulse assessmentMedian, ulnar, and radial motor testing stepsLight touch and two-point discrimination mappingPost-application neurovascular reassessmentDocumenting findings and escalation triggersLesson 8Compartment syndrome and quick leg no blood know in bottom arm hurtDis part explain early know compartment syndrome and quick leg no blood in bottom arm hurt, stress repeat check, main danger sign, and quick action to stop bad tissue damage.
Pathophysiology in distal forearm traumaPain, paresthesia, pallor, pulselessness, paralysisComparing soft compartments and contralateral limbMonitoring after reduction and immobilizationUrgent escalation and fasciotomy indicationsLesson 9Step by step put on: position, padding way, slab or cast place, shape for straight, fold for work positionDis part guide full step for wrist hold steady, from patient position and padding to slab or cast place, shape for straight, fold to keep work position wey no too pain.
Patient and limb positioning for wrist immobilizationPadding techniques for bony prominences and skinSlab versus circumferential cast application stepsThree-point molding for fracture alignment controlCreasing cast for functional wrist and finger position
