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Begin with the distal end and cut the stockinet around the upper end of the cast from one bivalved cut to another. The cast cutter consists of an oscillating blade that moves back and forth about a quarter of an inch. Remove dead skin or dirt with soap and water, rubbing alcohol, or after-cast lotion. This motion allows the practitioner to move the saw toward his or herself and gain better control. If the cast is too thick to cut completely through, continue to the end of the cast.

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In , a revolutionary tool was invented by Dr. The ancient Egyptians made splints out of bamboo padded with linen and invented crutches. The use of earplugs or headphones is valuable in reducing the noise exposure. Special blades that produce less friction, such as dicronite, titanium nitride, or Teflon, are recommended for synthetic materials. Then go back over the thick area again until you can cut through. Grip the cast cutter close to the blade end so the saw feels balanced in the hand.

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Never push or drag the blade, as this motion will increase friction and heat the blade, which can burn the patient. Since that time, the oscillating electric cast saw has been the tool of choice for cast removal. The oscillating blade also reduces the amount of dust generated compared with a circular blade. The following clinical protocol for cast removal will help you develop your skill level, whether this is your introduction to cast removal or merely a review.

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Description: This will provide easier cutting than cutting through the padding and stockinet along the bivalved split. Homer Stryker of Kalamazoo, Michigan. Have a coworker apply a cast on your non-dominant arm. Following patient discharge, check the area and collect all dust particles for disposal. Explain the operation of the cast cutter to the patient. Examine the limb for bruises or lesions. The cast cutter consists of an oscillating blade that moves back and forth about a quarter of an inch.
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