Bandaging Notes

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BANDAGING & SPLINTING Bandaging

Bandaging is the process of covering the wound or an injured part

USES OF BANDAGING
To prevent contamination of wound by holding dressing in position
To provide support to the part that is injured, sprained or dislocated joint
To provide rest of the part that is injured
To prevent and controlled hemorrhage
To restrict movement/immobilized a fracture or the dislocation
To correct deformity
To maintain pressure e.g. elastic bandages applied to the improved venous return

TYPES OF BANDAGES

Triangular Bandage.
Roller Bandage.
Special Bandage. ".g. T#
a. elastic Bandage
b. Band Aid

MATERIALS COMMONLY USED FOR BANDAGES:


Cotton
Cotton Gauze
Jute
Wool
Special materials like crape bandage, elastic bandage

TRIANGULAR BANDAGE

The triangular bandage is used for temporary or permanent bandaging of wounds, the
immobilization of fractures and dislocations, and a sling for the support of an injured part
of the body. It is a valuable in emergency bandaging since it is quickly and easily
applied, stays on well, and can be improvised from a piece of shirt, an old sheet, a large
handkerchief, or any other pliable materials of suitable size.

HEAD BANDAGE
Fold the base at least 2-3
Place folded face aligned with eyebrows
Pull back and cross-over at the back tackling apex beneath
Pull both ends in front/secure with square knot at the center of the folded base/tuck
ends
Pull down apex (tuck down neatly)
EAR CHEEK JAW BANDAGE
Used to hold dressings on the chin, cheeks, and scalp and as temporary support to
immobilize the fracture of dislocated jaw
After making a bandage into a cravat of a proper width, place it under a chin and carry
ends upward with one end longer than the other.
Bring longer and over top of head. Cross both ends on side of head. (end should now
be equal of end)
Pass end around head in opposite directions and tie with square knot on the other side
of head on primary turn of cravat.

EYE BANDAGE
The Cravat bandage of the eye is used to hold the dressing over the eye. Two cravats
are required.
Lay center of first cravat over top of head with the front and falling over injured eye,
Bring second cravat around head, over eyes, and over loose ends of first cravat. Tie in
front
Bring ends of first cravat back over top of head, tying there and pulling second cravat up
and away from uninjured eye.
FACE BANDAGE/BACK OF THE HEAD
To cover up the wound into from the face
Fold the base of the triangular bandage into 2-3 diameter and put the center into the
chain with the guide of 3 fingers
Both ends pass around the head and tie with square knot
Pull up the apex and tuck neatly

SHOULDER ARMPIT BANDAGE


It is used when there is an injured or dislocation all over at the shoulder
Start at the armpit
Cross over at injured shoulder
Tie at the opposite armpit

CHEST OR BACK BANDAGE


This bandage id used to hold the dressings or burns or wounds of the chest or backs
Drop apex of the triangle bandage over shoulder on injured side. Bring bandage down
over the chest (or back) to cover dressing, so that middle of base of bandage is directly
below injury. Turn up a cuff at base
Carry ends around and tie in a square knot, leaving one end longer than the other.
Bring apex down and tie to long end of first knot.
ELBOW CRAVAT
The cravat of the elbow is used to hold dressings around the elbow.
Bend arm at elbow and place center of cravat at point of elbow (olecranon).

PALM BANDAGE
This bandage is used to hold dressing on the palm of the hand.
Lay center of cravat over center of palm of hand with ends hanging down each side
Bring the thumb end across back of hand, over palm, and
through hollowbetween thumb and palm.
c. Bring the other end across back of hand, toward base of
thumb, and obliquelyacross palm to base of little finger.
d. Cross both ends at back of hand.
e. Continue procedure, ends crossing first at back of hand
and then over palm.
f. Tie in square knot at wrist
HAND BANDAGE
This bandage is used to hold dressing of the hand
Place the hand of the middle of the tiangular bandage without the wrist of the base
Place the apex over the fingers and tuck any excess materials into the pleats on each
side of the hand
Cross the end on the top of the hand, take them around the wrist and tie them with the
square knot

KNEE CRAVAT
The cravat of the knee is used to hold dressings around the knee.
Place center of cravat over kneecap and let ends hang down each side of knee.
Cross ends underneath and continue several overlapping
descending turns down calf, and several overlapping ascending turns up thigh.
Bring ends together and tie under knee

LEG CRAVAT
The cravat of the leg is used to hold dressings on the leg.
a. Place center of cravat over dressing.
b. Begin ascending turns with upper end, and descending
turns with lower end, with each turn covering two-thirds of
preceding turn until dressing is covered.
Terminate by tying both ends in square knot.

SHOE ON

This cravat is used to hold or immobilize the ancle or injured part


Fold the triangular bandage into narrow cravat and put the center under the shoe and
pull it up
Cross both ends into the ancle and rounds all over into it
Tie the ends with square knot

SHOE OFF
This cravat is used to hold or immobilize the ancle or injured part
Fold the triangular bandage into narrow cravat
Put the center of the cravat top of the foot and cross under the foot
Cross both ends into the ancle and rounds
Tie the ends with square knot
SPLINTING

To support and immobilize (something, such as a broken bone) with a splint

Principles of splinting

Do what you feel is right and listen to your patient


Always splint in the position the fracture presents itself
If the patient is in the too much pain, do not move the patient, call 911 and wait for the
emergency personnel
Document for initial information
Support the limb above and below the joint
Do not wrap the injured limb too tightly
Consistently monitor the pulses, motor functions and sensory function
Remove all the jewelry
Suspected femur fracture, call 911 immediately patient needs to be transported
immediately because of the possibility od severe vascular injury and the loss of
substantial amounts of bloods

Thank you!

MDRRMO-DUMINGAG

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