BANDAGING

A LITTLE HISTORY

A history of bandaging is associated with the ancient Egypt where the mummification was developed. This process led to advances in knowledge of anatomy and to good bandaging skills.

BANDAGE CONSTRUCTION

Cotton bandage

Bandage containing viscose and nylon

A knitted bandage containing viscose and nylon.

Bandage: Holds dressing in place over a wound Creates pressure that control bleeding Help keeps the edges of the wound closed Secures a splint to an injured part of the body Provides support for an injured part of the body Properly applied bandages: Promote healing Prevent severe complications Help victim stay comfortable

“Bandages should be properly applied and well secured.” Two most common mistakes in bandaging •Bandaging too loosely •Bandaging too tightly SIGNS THAT A BANDAGE IS TOO TIGHT:  The skin around the bandage becomes pale or bluish in color (cyanotic)  The victim complains of pain, usually only a few minutes after you apply the bandage.  The skin beyond the bandage (distal) is cold  The skin beyond the bandage (distal) is tingling or numb  The victim cannot move his or her fingers or toes.

TRIANGULAR BANDAGES
Made from unbleached cotton cloth approximately 40 inches square; square is folded diagonally, then cut along the fold. A triangular bandage is easy to apply and can be handled so the part over the dressing won’t be soiled. When applied correctly, a triangular bandage can be used on most parts of the body and does not slip off. Can be used fully opened or folded into a cravat;

COMMONLY USE TO: Support fractures and dislocations Apply splints Form slings Make improvised tourniquets In an EMERGENCY you can make a triangular bandage from: Clean handkerchief Cotton towel Clean piece of shirt
If a regular bandage is too short, tie a second bandage to one end.

CRAVAT BANDAGES Folded, a triangular bandage can be a cravat To make a cravat, make a 1- inch fold along the base of the triangular bandage To make a wide cravat, bring the point to the center of the folded base, then place the point underneath the fold. To make medium cravat, make a wide cravat, then fold lengthwise along the line midway between the base and the new top of the bandage To make narrow cravat, make a medium cravat, then repeat the lengthwise fold one more time.

ROLLER BANDAGES  The most popular and easy to use bandage is a self adhering (non- elastic), form fitting roller bandage. Comes in variety of widths and length ranging from ½ inch to 12 inches wide and as long as 10 yards.

APPLYING ROLLER BANDAGE OVER A DRESSING: • Place the end of the roller bandage on the dressing, then wrap it around the body part in a circular fashion • Criscross the bandage over itself as you circle until the complete wound area is covered. Do not cover the fingers & toes 1. Fasten the bandage in place with tape

PRINCIPLES OF BANDAGING Bleeding is controlled Always wash your hands before bandaging a wound Bandages are not placed directly against the wound Wounds are bandaged snugly, but not too tightly Bandages are not too loose; The bandage covers all edges of the dressing Tips of the fingers and toes are left exposed A small bandage on arm or leg is covered with a larger bandage The body part is bandage in a position in which it is to remain Ask the victims how the bandage feels Never use a circular bandage around the neck

SPLINTING A device use to immobilize and support (prevent movement of) a fracture, dislocation or severe sprains. Can be soft, rigid, commercially manufactured or improvised from virtually any object that can provide stability. Help control bleeding. Help control pain. To prevent further damage to tissues from the movement of bone ends Any victim with suspected facture, dislocation or severe pain should be splinted before being moved.

GENERAL RULES IN SPLINTING

Do not splint if it cause more pain for the victim assess the pulse and sensation below the injury. Splint an injury in the position you found it. Remove or cut away all clothing around the injury site Cover all wounds including open fractures, with sterile dressing before applying a splint, •If there is severe deformity or the distal extremity is cyanotic or lacks pulses, aligned the injured limb with gentle traction.

Never intentionally replace protruding bone ends. •Apply the splint before trying to move the victim •When in doubt, splint the injury. •If the victim shows sign of shock, align the victim n the normal anatomical position and arrange for immediate transport without taking the time to apply a splint.

FOUR GENERAL TYPES OF SPLINT 1. RIGID SPLINTS Commercially manufactured splints made of wood, aluminum, wire, plastic, cardboard or compressed wood fibers 2. TRACTION SPLINTS Gently pull in the direction opposite the injury, alleviating pain, reducing blood loss and minimizing further injury. 3. PNEUMATIC (AIR) SPLINTS Should only be used on fractures where there is no deformity, but immobilization is needed 4. IMPROVISED SPLINTS

An improvised splint must be:
•Light in weight, but firm and rigid •Long enough to extend past the joints and prevent movement on either side of the fracture •As wide as the thickest part of the fractured limb Padded well so the inner surfaces are not in contact with the skin

HAZARDS IN IMPROPER SPLINTING Compress the nerves, tissues and blood vessels under the splint Delay a transport of the victim who has a life- threatening injury Reduce distal circulation Aggravate the bone or joint injury Cause or aggravate damage to the tissues

SPLINTING A JOINT Stabilize the joint manually If the distal extremity is cyanotic (bluish) or lacks pulses, align the joint with gentle traction Immobilize the site of the injury with a splint.

Immobilize the bones both above And below the injured joint After applying the splint, reassess pulse and sensation every few Minutes throughout care.

Thank You….

Sign up to vote on this title
UsefulNot useful