The challenge here, ignoring the inherent face validity, is the balance between improved patient experience, for which there is good evidence, and potential negative outcomes. A Cochrane review six years ago highlighted their potential benefit however only slowly are children’s emergency departments using this approach to improve the patient experience and reduce costs. In this short review the evidence for using splints rather than casts is presented. Paediatric Emergency Medicine is no exception. In all aspects of medicine translating evidence into practice is a slow process. Archives de pediatrie: organe officiel de la Societe francaise de pediatrie, 15(12), 1749-1755. Comparative study of functional bracing and plaster cast treatment of stable lateral malleolar fractures. A randomized, controlled trial of a removable brace versus casting in children with low-risk ankle fractures. Journal of Pediatric Orthopaedics B, 19(1), 77-81. Does degree of immobilization influence refracture rate in the forearm buckle fracture?. Journal of Hand Surgery (British and European Volume), 28(1), 50-53. Minimally displaced Colles’ fractures: a prospective randomized trial of treatment with a wrist splint or a plaster cast.
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