APPLICATION OF VARIOUS BANDAGES OBJECTIVES • By the end of the lesson students will be able to; State the rules of bandaging Apply bandage using the various methods INTRODUCTION • The proper bandage properly applied can aid the recovery of a patient. • A carelessly or improperly applied bandage can cause discomfort to the patient: • In many instances it may expose the patient to danger of infection, it may even jeopardize the life of the patient. • It is essential therefore that all health care providers and first aiders become familiar with the various bandages and to be able to apply them properly. • NB; Technique of bandaging can be mastered only by constant practice WHAT IS A BANDAGE? • Bandage is any material that is used to hold the dressing in place and provides pressure to the wound. • Unlike dressings, bandages may not be sterile. USES OF BANDAGES Hold a dressing in place over a wound. To create pressure over a bleeding wound for control of haemorrhage. To secure a splint to an injured part of the body. To provide support to an injured part. Reduce swelling TYPES OF BANDAGES A. Roller bandage • 1. Open weave; allows ventilation and are used to secure dressings. • NB; this type cannot be used to exert pressure or support limbs e.g gauze bandage. • 2. Elasticated; mould to the shape of the body and are used to support soft tissue injuries and secure dressings. • 3. Crepe; provide firm support to injured parts. TYPES OF BANDAGES B. Triangular bandage/cravat C. Tube bandage D. Many tail bandage E. T bandage etc. PARTS OF A ROLLER BANDAGE • Head ; being the rolled up part. • Tail ; being the tip of the bandage RULES OF BANDAGING • 1. Apply the outer side of the tail of the bandage to the injured part. • 2. Bandage limbs from below upwards and from within outwards. • 3. Apply a bandage so that each layer covers two-thirds of the previous one. RULES OF BANDAGING • 4. Never bandage without having previously applied a pad of cotton wool. • Such a pad should be applied around a limb or a finger. The cotton wool prevents compression of the veins and still allows the bandaging to be firm. If there is a wound, gauze should be placed over it before the cotton wool is applied. RULES OF BANDAGING • 5. Stand in front of the hand or foot when bandaging a limb. RULES OF BANDAGING • 6. In dressing a limb or fixing a splint do not cover the tips of the fingers or toes; they are a useful guide to whether the bandage is too tight. • 7. Blueness of the nails and swelling or numbness of the fingers indicate the need to loosen the bandage. RULES OF BANDAGING • 8. Make all reverses or crossings in a line on the outer side of the limb. RULES OF BANDAGING • 9. When bandaging the elbow keep it at right angles and make sure that a large pad of cotton wool is placed round the joint to avoid constricting the blood vessels. • 10. When bandaging the knee keep it slightly bent. • 11. Complete the bandage with a safety-pin or a narrow strip of adhesive plaster. RULES OF BANDAGING 12. Use reef knots to tie bandages. Do not tie a knot over a bony area. 13. Regularly check the circulation to the extremity of a bandaged limb (every 10minutes) and loosen the bandage if necessary. RULES OF BANDAGING 14. Press one of the nails or the skin of the hand or foot until it is pale. If on releasing the pressure and the colour does not return or returns slowly, the bandage may be too tight. RULES OF BANDAGING 15. Loose tight bandages by unrolling just enough turns for warmth and colour to return to the extremities. (The casualty may feel a tingle sensation). Re apply the bandage as necessary. Choosing the correct size of bandage • Before applying a roller bandage, make sure that it is tightly rolled and of a suitable width. Different parts of the body require different widths of roller bandage. • The recommended sizes for adults are; • Finger 2.5cm (1inch) • Hand 5cm (2inches) • Arm 7.5cm – 10cm (3 – 4inches) • Leg 10cm – 15cm (4 – 6) inches. Choosing the correct size of bandage METHODS OF APPLICATION • There are five general methods of applying roller bandages: • 1.Circular turns • Simply encircle the part with each layer of bandage super imposed on the previous one. • It is the simplest. It can be used at the toe and head. METHODS OF APPLICATION 2. Spiral turns • Place the tail of the bandage below the injury. • Make two straight turns with the head of the bandage to hold it in place. • Make series of spiralling turns and make sure that each turn covers between half and two-thirds of the previous layer. METHODS OF APPLICATION • Spiral turns • Finish off with one straight turn and secure the end. • If the bandage is too short, apply another one in the same way to extend it. • Regularly check the circulation to the extremity of the injured METHODS OF APPLICATION • 3.Reverse spiral • 4.Figure-8 METHODS OF APPLICATION • Figure – of – eight turn • This can be used for the hand, wrist and ankle. • In bandaging the hand and wrist for example; • Fix the bandage with one or two turns around the palm of the hand. • Carry it diagonally across the front of the wrist and around the wrist. METHODS OF APPLICATION • Again carry it diagonally across the front of the wrist and back to the palm. • The procedure can be repeated as many times as is necessary to fix the dressing properly. • Complete by tying off. METHODS OF APPLICATION • 5.Recurrent fold • This is a series of back and forth turns called recurrent turns, held in place by circular and spiral turns. • It is secured by tying of (reef knot). • It is used to bandage fingers, toes, scalp or stumps of limbs. METHODS OF APPLICATION • 5.Recurrent fold METHODS OF APPLICATION • Arm sling • Triangular bandages are used for arm sling. • Place one end of the bandage over the uninjured shoulder and let the other end hang down in front of the chest to the side of the body. • Carry the point behind the elbow of the injured arm. METHODS OF APPLICATION • Arm sling • Carry the second end of the bandage up over the shoulder and tie the two ends using a reef knot (not over the injured part). • Bring the point of the bandage forward and pin it to the front of the sling. BANDAGE OF JAW RECURRENT BANDAGE OF HEAD WITH ONE BANDAGE FASTENING THE BANDAGE TRIANGLE OF FOREHEAD OR SCALP