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Desmu

rgy

Desmurgy is a branch of surgery which is


related to dressings and bandages, techniques
of making

Bandages are an integral part of the First Aid

Dressings is necessary

Immobilizati
on of
fractures

If there are
wounds

In case of
bleeding

Fixation

Immobilization

Hemostatic

According to
the function

Antiseptic

Correction

Soft

Structurally
dressings
are

Firm

During the first-aid dressings are mainly used

Triangular bandage
Bandages with rubber adhesive
Emplastic

bandage

Terms of use:
Diapers should be a larger size than the wound
Place an diapers directly on the wound;
Diapers should be fixed after the bandages
If diapers are soaked with the blood of her from the
top to put the other diapers and should be fixed after
the bandages

There are the following types of bandages

Triangular bandage

Spiral wrap bandage

Circular bandage

Figure eight
wrap

Triangular
bandage

Used to secure dressings on head/scalp or as a


sling
At times used as covering for large body part
such as hand, foot or shoulder
Effectively used for fixation of fractures and
wound wrapping

Triangular
bandage

Place the hand in the middle of the triangular bandage


place the apex over the fingers and tuck any excess material into the pleats on each side of
the hand

cross the ends on top of th hand take them around the wrist and tie them with a square
knot

Similar techniques are for head, arm and foot wrappin

Circular bandage

Frquently used to hold dressings on body parts


seuch as arms, legs, chest or abdomen

Spiral bandage

Used to hold dressings in place on arm or leg or used to


provide support to a limb
Spiral wrap is started at bottom of limb and moves up
in direction of blood flow to the heart
Spiral motion is used to encircle the limb and the
bandage is overlapped about one-half its width on each
turn
At top of limb or stopping point, end with one or two
circular wraps around limb
Secure end with tape, pins or clips

Spiral bandage

Figure eight
wrap

Used to hold dressings in place on arm or leg or used to


provide support to a limb
Spiral wrap is started at bottom of limb and moves up in
direction of blood flow to the heart
Spiral motion is used to encircle the limb and the bandage is
overlapped about one-half its width on each turn
At top of limb or stopping point, end with one or two circular
wraps around limb
Secure end with tape, pins or clips

Figure eight
wrap

Form a figure eight


Carry bandage up over foot in diagonal direction
Wrap bandage around back of ankle
Come down over top of the foot
Circle under the instep
Repeat figure eight pattern while moving downward and
backward toward heel with each successive turn
Overlap previous turn by one-half to two-thirds width of
bandage
End by circling ankle with one or two circular turns
Secure in place with tape, clips or pins

Recurrent wrap to finger


o Used to hold dressing or splint on finger
o Fold bandage backward and forward over finger three to
four times to form a recurrent wrap
o Start at bottom of finger and use spiral wrap up and down
the finger to hold recurrent wraps in position
o Use a figure eight around the wrist to hold bandage in place
o End with one or two circular wraps around the wrist
Tie, tape or pin bandage at the wrist

Bandages on the scalp

This technique includes a combination of recurrent and circular turns. Hold the bandage as you
make each recurrent turn and then use the circular turns as a final anchor.

four- tailed bandage


four-tailed bandage - consisting of a strip of cloth split in
two on both ends; the central part is placed under the chin
to restrict motion of the mandible and the tails are tied
over the top of the head

And finally Check the circulation


Important to check circulation after bandage
applied to make sure bandage
is not too tight

Signs of poor or impaired circulation


1.
2.
3.
4.
5.

Swelling or edema
Pale or cyanotic color
Coldness to touch
Numbness or tingling
Poor or slow return to pink color after nailbeds are blanched

Loosen bandages immediately if any signs of


impaired circulation are noted

Thank you for your


attention!

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