Casting for Emergency Medicine Providers: Below Knee Backslab

Agenda link HERE

Course Title: Casting for Emergency Medicine Providers: Below Knee Backslab

Course Duration: 3-4 hours

I. Introduction (10–15 mins)

•  Welcome and Course Overview
•  Review of Class Objectives
•  Importance of proper backslab technique in acute injury management

II. Clinical Indications and Injury Assessment (20 mins)

Lecture

• Common injuries requiring backslabs (e.g., ankle fractures, Achilles tendon rupture, severe sprains)
• When to choose a backslab vs. full cast
• Goals of temporary immobilization

III. Anatomy and Positioning (20 mins)

Demonstration

• Key anatomical landmarks: malleoli, heel, tibial crest
• Importance of the ankle at 90° dorsiflexion
• How to achieve proper positioning
• Patient positioning for comfort and access

IV. Backslab Application Technique (30–40 mins)

Hands-On Practice

• Applying padding with attention to pressure areas
• Cutting and wetting the slab
• Molding techniques
• Avoiding common pitfalls: pressure points, short slabs, poor molding

V. Aftercare and Patient Instructions (15 mins)

Discussion

• Instructions on leg elevation, mobility aids (e.g., crutches)
• Warning signs of complications (e.g., swelling, numbness, discoloration)

VI. Q&A and Review (10–15 mins)

• Recap key steps and safety tips

Objectives:
1. Understand the indications for a below-knee backslab.
2. Identify common injuries requiring temporary immobilization.
3. Distinguish between injuries needing backslabs vs. full casts.
4. Pinpoint key anatomical landmarks.
5. Experience characteristics of different casting materials.
6. Correctly position the leg.
7. Apply slab with appropriate length, coverage, and molding.
8. Know how to avoid pressure points and ensure proper padding.
9. Provide clear instructions for elevation, mobility, and signs of complications

**As Per CPD Medicine policy, a $50 administrative fee will be withheld to cover transaction and administrative costs.**