February 17, 1934


Author Affiliations

From the orthopedic service of Dr. George Wagoner at the Bryn Mawr Hospital, Bryn Mawr, Pa.

JAMA. 1934;102(7):533. doi:10.1001/jama.1934.62750070002009b

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The adequate handling of children to prevent soiling of body casts presents a difficult problem even in orthopedic institutions where the nursing personnel is especially trained to care for such patients. In general hospitals one depends on a regimen of watchful waiting to cope with such a situation, often without success. It taxes the patience of the surgeon who applies a satisfactory body cast only to find it so soiled in a few days that a new one is required. In order to obviate such altogether too frequent occurrences, a simple and inexpensive means was sought.

Various methods for accomplishing this purpose are already in vogue, the most common of which is shellacking the part around the perineal region or covering it with oiled silk. Neither of these is entirely satisfactory from the standpoint of time and expense involved. It has been found that cellophane affords the easiest and most

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