Industrial medicine and surgery . , the three remainingplaster bandages are applied from the toes well up to the base of thechest, completing the cast. It is well after putting on the atteles to FRACTURES 623 cover them with a thick layer of plaster bouillon taken from one of thebasins in which the atteles have been prepared, and after the lastplaster bandage is applied, the whole cast may be gone over with thissame material. The application of such a cast requires assistants inorder to achieve it quickly. Calot states that the entire applicationcan be done in five to six minutes, or eight at
Industrial medicine and surgery . , the three remainingplaster bandages are applied from the toes well up to the base of thechest, completing the cast. It is well after putting on the atteles to FRACTURES 623 cover them with a thick layer of plaster bouillon taken from one of thebasins in which the atteles have been prepared, and after the lastplaster bandage is applied, the whole cast may be gone over with thissame material. The application of such a cast requires assistants inorder to achieve it quickly. Calot states that the entire applicationcan be done in five to six minutes, or eight at the most. He advocatespractice in team work between the nurses and the doctor. Immedi-ately after the cast has been applied, it should be carefully moulded inthe region of the knee, ankle and the crest of the ilium. This pointis most important and has been brought out not only by Calot but byWhitman. Great care should be taken that the foot is at right anglesto the leg and slightly inverted. Such a cast can be readily split if it. Fig. 1G1. -Application of cast as described by Calot and used in the French warhospitals. appears to be too tight. If it is probable that such splitting will benecessary, a long piece of tin can be incorporated beneath the sheetwadding so that the knife will have a firm base to cut upon, and thereis no danger of injuring the patient (Fig. 161). Fractures of the Leg.—Fractures of both bones of the leg can betreated either by suspension and traction, or by plaster cast. Thecast in this case does not have to be as heavy as that described for thethigh fractures, but should extend from the toes well above the care should be taken that there is no anteriorposteriorbowing. After a fracture has become consolidated, if the callous isstill soft, the French are accustomed to apply a Delbet plaster appareilde marche. The French also use this method of treatment for simplefractures of the fibula and for Potts fracture after reduction. The 624 IND
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