title: Using softcast to treat torus fractures in a paediatric emergency department.
abstract: Wrist torus fractures in children are a frequent reason for Emergency Department (ED) visits. Torus fractures traditionally were treated with a backslab cast in the Children's ED and then referred to the Fracture Clinic. Guidelines were developed in order to standardise the care for children who attended the ED with a torus fracture. All patients who were seen & treated by the Advanced Nurse Practitioner (ANP) over a one year period with a diagnosis of a torus fracture were treated with immobilisation in a softcast. 119 patients met the criteria for inclusion. There were no adverse events recorded and no patient required subsequent visits to the Fracture Clinic. There was a cost savings of €18,596 as compared with the normal referral pathway to the Fracture Clinic.
authors.forename: O
authors.initials: O
authors.lastname: Callender
authors.forename: S
authors.initials: S
authors.lastname: Koe
mesh_terms: D002370:Casts, Surgical / Q000191:economics; D002648:Child; D002985:Clinical Protocols; D017046:Cost Savings; D004636:Emergency Service, Hospital / Q000191:economics; D004867:Equipment Design; D017721:Hospital Costs; D006801:Humans; D011885:Radius Fractures / Q000191:economics / Q000628:therapy*; D012017:Referral and Consultation / Q000191:economics