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Information for patients from Accident and Emergency (A&E) and the
Minor Injury Units (MIU)
You have been placed into a type of cast called a back slab. This leaflet outlines/explains how you
are to look after your back slab.
Keep it dry
• Your back slab will remain wet for 24/48 hours.
• Your back slab must be kept dry!
• Do not use carrier bags, bin bags, or cling film to cover your back slab. They leak and cause
your skin to perspire (sweat) under the cast, causing your skin to breakdown.
• Cast covers may be purchased online or you can buy them in large supermarkets and large
pharmacies (speak to a member of staff for further information). If you do not get a cover,
simply keep your cast out of the water and cover it with a large towel.
• For lower limb injuries, it is safer to strip wash and cover the back slab with a large towel.
How can I help prevent blood clots and deep vein thrombosis (DVT)?
If you have your leg in a fixed position you should be assessed for your risk of blood clots in the
legs (deep vein thrombosis or DVT) and lungs (pulmonary embolism or PE). Ask for a copy of the
Reducing the risk of a blood clot for patients with plaster casts leaflet if you have not been
given one.
If you experience increased pain, swelling, or any other changes in either of your legs, go
immediately to your nearest accident and emergency (A&E) department (see contact numbers at
end of this leaflet).
If you experience any pains in your chest, shortness of breath, or any other chest problems
call 999 for an ambulance.
Your back slab should not itch if you keep it cool and dry. If it does itch, use one or all of the
following:
• use the cold setting on a hair dryer
• a hot water bottle with cold water in it
• a fan.
What not to do
• Do not use ice, as it melts it can cause your back slab to become wet.
• Do not wear rings on the fingers/toes of the affected limb due to the potential of swelling.
• Remove/do not wear nail varnish on the nails of the affected limb so you can keep an eye on
your circulation through the colour of your nail beds.
• Do not adjust/remove your back slab as you risk further injury or making your existing injury
worse.
• Do not drive while you have a back slab in situ – it is illegal and if caught you face an instant
ban.
• A&E, Queen Elizabeth the Queen Mother Hospital, Margate Telephone 01843 235030
If you need to discuss your back slab after this initial appointment, then please contact the
plaster room at:
• Queen Elizabeth the Queen Mother Hospital (QEQM), Margate Telephone: 01843 234316
If you would like this information in another language, audio, Braille, Easy
Read, or large print please ask a member of staff.
Further patient leaflets are available via the East Kent Hospitals web site www.ekhuft.nhs.uk/
patientinformation