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With the numbers available, while the mean number of simulated touches without the safety strip present was independent of experience mean, 9. Twenty-five healthcare personnel were inexperienced. Does experience or education matter. Casts with a safety strip between the cotton padding layers had a lower starting mean pressure than casts without a safety strip. Published online Feb 4.

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Five to six trials were conducted at each designated temperature for each of two conditions, with and without the safety strip. Five to six trials were conducted for each condition at each temperature tested. Temperatures were recorded, using thermocouples, for three designated temperatures. Ten casts in each of three groups were assessed. We thought it was important that any physical barrier potentially added to the cast construct would not inhibit spreading of the cast when the case was split. Each participant in the inexperienced group removed two casts, one with and one without the safety strip. Finally, the number of inexperienced participants removing casts with the safety strip placed on top of the cotton padding versus placed between the cotton padding varied, raising concern for limitations of the study design.

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Temperatures under the padding are less than the threshold for irreversible epidermal injury solid red line. Pressure Measurement With the numbers available, the safety strip did not affect the pressure beneath the cast after splitting the cast. One study showed that blade-to-skin contact is common during removal of casts independent of experience level, suggesting that training and education may not be enough to reduce the incidence of these events [ 9 ]. Force measurements were recorded for all casts after initial cast application, univalving, bivalving, and after cast removal Fig. Epidemiology and prevention of cast saw injuries. For each cast, the average pressure was calculated during each period of interest for approximately 30 seconds.

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Description: The application process of the cast may raise concern for bias as poor cast application, such as inadequate padding or excessive thickness of the casting tape, can increase risk of cast saw injury. Pressure data were collected from between the padding layers, in casts with and without the safety strip present, after application, univalving and bivalving each cast. January 18, at 7. Owing to time constraints of the study period, the full number of subjects was not obtained. T1 is the temperature recorded at the center of the blade, T2 is the temperature recorded at the safety strip-cast saw interface, and T3 is the temperature recorded at the padding-block interface. B There was no difference in the percent change in cast pressure after univalving or bivalving. Although the safety strips did not eliminate blade-to-skin contact, our experimental study showed that these safety strips might provide a simple and effective tool to reduce potentially injurious cast saw injuries by decreasing touches, lessening heat transfer while not inhibiting splitting of the cast. We found that a safety strip incorporated in the cast construct resulted in fewer simulated blade-to-skin touches by the oscillating cast saw, lessened heat transfer, and did not inhibit the release of pressure that occurs when casts were univalved or bivalved. In addition, the presence of an added layer in the cast construct raises concern that this may result in uneven pressure to the underlying skin or potentially cause wrinkling of the padding, putting the patient at risk for pressure sores. Temperatures were recorded, using thermocouples, for three designated temperatures.
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