Plaster of Paris can be removed after soaking.
Soaking can either be done as a ‘pre-soak’ by the families, or in a bath in the clinic.
Try to start the pre-soak at least 1 hour before coming to clinic.
- Put a cloth (cotton tea towel or muslin) in water to soak o It helps to fold the cloth
- Put a dry towel under the leg in cast
- Fill a jug/small container with warm water
- Pour warm water very slowly onto the cast and rub all over
- This gets the softening process started without taking it too far
- The outside of the whole cast should be very damp
- Take the cloth out of the water, don’t squeeze and immediately wrap it around the
leg in cast.
- It needs to be really wet to work well
- Wrap clingfilm around the cloth and cast
- Keep it all in place by putting the leg into a bag and tie the bag around the top of the
Bathing in clinic
Fill a baby bath with warm water to cover the casts and allow the baby and casts to soak for 10-15 minutes with gentle squeezing of the casts to allow water to get between the layers
Removal of cast
Method 1: Use of the plaster knife – this is a safe method with care and time.
- Start at the top of the leg
- Cut at a 45 degree angle
- Where you can, put your own fingers between the baby and the knife
- Do not pull undercast padding away until all cast is cut
- Continue to wet cast as you cut through to facilitate softening of plaster
- Ease the cast material open as you go
- The last bit around the foot can be moved with gentle wiggling
Video available on request from firstname.lastname@example.org
Method 2: Unwinding the plaster.
- Leave a nubbin of plaster after each roll is finished to facilitate finding the end to
- If nubbin is not available, make small cut with plaster knife to fashion an end to start