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Streamlining management of distal forearm buckle fractures in a pediatric emergency department


Distal forearm buckle fractures are common, inherently stable pediatric fractures. Immobilization, achieved with a removable splint is better tolerated, cheaper, and more efficient than cast treatment without increasing rates of re-fracture. Our children's hospital emergency department (ED) had no standardized protocol for the management of these fractures, resulting in varied immobilization methods, orthopedic consultations in the ED, and long lengths of stay.

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