Topics: Bandage, First aid, Dressing Pages: 6 (1859 words) Published: February 16, 2013
Bandaging Notes

A bandage is a material used to provide support either to a medical dressing or an injured part of the body. Bandages, ranging from cloth strips to specialized bandages used for a particular body part, are important components of your first aid kit. There are various bandaging techniques, each target at a particular area of the body or a particular ailment specifically for a relatively speedy recovery and to minimise injuries.

Reasons for Bandaging
Bandaging helps the dressing to stay firmly on the wound.
Bandaging is an effective technique to support a hurt joint. Bandage wrapping helps to reduce swelling.
In case of a wound, bandaging helps to stop bleeding.
Bandaging helps to restrict the movement of an injured body part.

Bandaging Techniques
The three most commonly used techniques of bandaging are spiral technique, ascending spica technique and diverging spica technique.

Spiral Bandaging
Spiral bandaging is the simplest of the roller bandaging techniques. While rolling the bandage, in this method, the turns are done in spiral method, wherein each turn covers the two-third part of the preceding turn. Spiral technique of bandaging is most often used on body parts with uniform circumference, such as leg or forearm.

Diverging Spica or Reverse Spiral Bandaging
Diverging spica technique is most often used on body parts with varying circumference. Although the turns are made in spiral direction in this technique, the bandage is reversed on itself so that it stays firm on body parts with varying perimeters. Once the bandage is secured, after a few spiral binds, the bandage is rolled with the thumb being placed over the lower border of the bandage on the outer side of the limb. Eventually the bandage is reversed downwards, and after passing it over the fixed thumb it is carried to the opposite side from under the limb, and rolled in reverse spiral technique above the preceding bandage wrap.

Ascending Spica or Figure Eight Bandaging
Ascending spica is considered to be the most useful technique of roller bandaging. In this method, the bandage is alternately passed upwards and downwards over and under the limb, roughly resembling the figure 8 with each double turn. This technique is most often used over the joints, in case of problems such as joint sprains.

1) Wash hands. (Wear gloves where necessary) Assist victim to assume comfortable position on bed or chair and support the body part to be bandaged. Always stand in front of the part/victim to be bandaged except when applying a bandage to the head, eye and ear. Be sure the bandage is rolled firm. Make sure the body part to be bandaged is clean and dry. Assess skin before applying bandage for any breakdown. Observe circulation by noting pulse, surface temperature, skin color and sensation of the body part to be wrapped.

2)Always start bandaging from inner to outer aspect and far to near end. When bandaging a joint, ensures flexibility of the joint. (except if immobilization of joint is required). Always start and end with two circular turns. Cover the area 2 inches above and 2 inches below the affected area (wound). Overlap turns and slightly stretch the bandage. Cover two third 2/3 of the previous turn. Where possible, leave fingertips or toe tips exposed for observation (adequacy of blood circulation). End the bandage on the outer side of the body. Do not end a bandage on wound or at the back of the body. Principles & Procedures for applying Bandages (contd..)

3) Types of Bandages Triangular Triangular bandages could be used on many parts of the body to support and immobilize. Crepe Bandage Type of woven gauze which has the quality of stretching. Gauze/Cotton Bandage Lightly woven, cotton material. Frequently used to retain dressings on wounds of fingers, hands, toes, feet, ears, eyes, head. Adhesive Bandage Use to retain dressing and also used where application of pressure to an area is needed.

4) Circular Spiral...
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