Bandages

By:
Andrada, Ramo Jose E.
Naknorasing, Pimthanwa
 Classification According
to Purpose
1. Wound covering - applied to the wound until complete
healing and to avoid further contamination
2. Support and immobilization of a part – applied to wounds
like fractures of extremities.
3. Special Therapeutic Agent – it has been incorporated because
of its curative properties
4. Pressure – Best method of controlling bleeding
5. Compression Therapy – make use of compression bandages
 Materials Used in Bandaging

• 1. Gauze

• 2. Muslin

• 3. Flannel

• 4. Elastic

• 5. Elastic adhesives
 Methods of Bandages
Triangular Bandage
• Uses as open or unfolded triangular bandage
o Head – to keep dressing in place of the scalp or forehead when
wound is extensive.
o Hand or foot – useful in extensive injuries as in burns.
o Chest or back – to hold dressing in extensive wounds, burns or
to hold compresses on the breast.
o Shoulder or hip bandage
o Face bandage
o Arm sling
 Methods of Bandages
Triangular Bandage
• Folded as a cravat
o Head or Ear - especially to control hemorrhage of the scalp
or forehead.
o Eye - to hold dressing
o Neck bandage
o Arm or forearm, Thigh or leg
o Elbow or knee bandage
o Pressure bandage for the palm
o Ankle - to support sprain
 Methods of Bandages
Four Tailed Bandage
Uses:
• For wounds of the chin and
lower jaw, but not for fracture
of the jaw
• For wounds of the nose,
likewise for head
• To hold dressing in the
perineum
 Roller or Pleated Gauze
Bandage
Uses:

• To hold padding in place

• To make compresses
• To bandage injuries of fingers,
toes, limbs, wrists, foot and
ankle
 Methods of Applying
Roller Bandage
1. Circular
• simple circular turns are taken about the part.
2. Spiral
• each turn covers about 1/2 of the preceding one.
 3. Spiral Reverse
• done by fixing the bandage
with the thumb and reversed
so that the inner surface
becomes the outer one upon
each turn.
• applied if the extremities or
limb increases in size from
below upwards.
4. Oblique Bandage
• Applied with oblique turns
• a bandage in which successive turns proceed obliquely up or
down a limb
Oblique Bandage
5. Recurrent
• The turns recur successively
to the same point, carefully
fixed to prevent
displacements of the
recurrent loops
• Used over the hand,
amputation stump, end of the
finger or fist
 Recurrent Bandage of the Head
• Used to retain scalp dressings
Steps:
(a) Anchor bandage with several turns ending up
behind head. At this
point bend back bandage, with assistant or patient
holding bend in place
with two fingers.
(b) Continue bandage over top of head to front of
forehead. Bend back
bandage at this point and hold it there with free
hand. Carry bandage
back to point held by assistant at rear of head.
(c) Continue procedure, until entire head is
covered, turns alternating to
the left and right of the center line, each turn
overlying the outer half
of the preceding turn.
(d) Terminate with several circular turns around
head, covering the ends
of the turns at the forehead and back of head. Tie
on uninjured side.
6. Figure of 8
• Applied in the form of a number of open loops, interdigitating in the figure of 8 form

FIGURE-OF-EIGHT OF HAND
• Used to retain dressings on-back of hand or in palm.
Steps:
(a) Anchor bandage on hand; carry diagonally across back of hand to
thumb; then across palm to back of hand.
(b) Carry diagonally across back of hand to bottom of primary turn and
across palm.
(c) Follow with several turns, each one overlying about two-thirds of preceding turn of back
of hand. After sufficient turns, terminate with circular turns around wrist.
FIGURE-OF-EIGHT OF FOREARM
• Used to retain dressings and for covering splints on forearm. This may start as a
continuation of figure of eight of hand, or with primary circular turns of wrist.
Steps:
a. Carry spirally around upward around the forearm.
b. Apply circular turn just below the elbow.
c. Then carry spirally downward forearm forming X with upward turn
d. Repeat procedure, each turn overlapping one-half or two thirds of preceding turn.
When forearm is covered, terminate below elbow
 Figure of 8 of Foot with Heel Exposed
• Used to retain dressings on
foot.
Steps:
(a) Anchor just above ankle;
bring bandage diagonally across
instep to base of large toe, with
turn around base of toes.
(b) Continue diagonally across
instep to point of beginning.
(c) Repeat procedure, leaving
heel exposed, with turns
ascending until arch and instep
are covered. Terminate at starting
point.
 Figure of 8 to Support the Clavicle
• Used to hold shoulders
back in fracture of
collarbone.
Steps:
• Lay end of bandage across
shoulder blades
• Carry under armpit, over
shoulder, across over back,
under opposite armpit, over
shoulder
• Repeat until shoulders are
drawn back securely
• Tie over one shoulder blade
Special Types Of Bandages
Head Bandage
Special Types Of Bandages
Finger Bandage
• The fingertips may be covered
by making several back and
front turn, then held in place by
subsequent circular turns.
Velpeau Bandage
 Stiff, Fixed or Immovable
Bandages
o Better support and protection
o Hardening substance is incorporated in the fabric itself (e.g.:
starch, plaster of Paris or gypsum, dextrin, silicate of soda)
o When these substance are applied, the bondy prominence
should be protected with pads