Vilbar, Zyrah Luke E.

MLS-2D
Activity 2-3 11/06/21

Bandaging
In the Origins of Modern Bandaging, physicians taught to students to apply the same procedures,
they used in their medical clinics, including cotton muslin bandages made into triangles or strips, and
gauze roller bandages. Because gauze was not stretchable at the time, trainees had to acquire
strategies for making it fit to the limb as they wrapped it. However, even as medical bandages and
dressings got more complex, first-aid schools continued to teach students conventional bandaging
techniques, because lay people were unlikely to have hospital-quality equipment and could have to
improvise with whatever cloth was available.
To hold dressings in place, they describe 3 kinds of bandages:
 Triangular - which can be folded into a narrow or broad “cravat”
 Roller or pleated gauze - gauze of the time was sterilized and came in sealed packages. It was
not elastic.
 Four-tail – a thick, sterile dressing with 4 long tails of non-stretchy gauze to secure the
dressing anywhere on the body or limb.
Reference: https://www.wemjournal.org/article/S1080-6032(03)70522-5/fulltext#secd18063975e218

Wound Dressing
Skin injury presents an important challenge since wound healing is a complicated and sophisticated
process. Acute wounds have the potential to progress from acute to chronic wounds, necessitating a
detailed awareness of outside interventions to return these wounds to the healing cascade.
There are four basic principles involved in choosing an optimal dressing. If a wound proves to be dry
or desiccated, it will need hydration. If a wound produces excessive exudates, the fluid needs to be
absorbed. If a wound has necrotic tissue or evident debris, it will need debridement. Lastly, if a wound
is infected, it needs to be treated with the appropriate antibacterial agent. Other considerations when
selecting a dressing include: protecting the periwound skin, forming an effective bacterial barrier,
conforming to wound shape, causing minimal pain during application and removal, being free of toxic
or irritant extractables, not releasing particles or nonbiodegradable fibers into the wound, and
maintaining the wound at an optimal temperature and pH.
Reference: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4121107/