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APPLICATION OF

BANDAGES

   
BANDAGE

DEFINITION : A PIECE OF MATERIAL USED


TO COVER , SUPPORT, IMMOBILIZE OR
EXERT PRESSURE TO A PART OF THE
BODY.

   
USES OF BANDAGES

● AS A FIRST-AID MEASURE IN TREATMENT


OF INJURED PARTICULARLY TO CONTROL
BLEEDING
● TO IMMOBILIZE A PART OR RESTRICT ITS
MOVEMENT
● TO AFFORD SUPPORT
● TO HOLD SPLINTS SECURELY
● TO PREVENT OR REDUCE SWELLING
   
FOLLOWING CONSIDERATIONS
MUST BE KEPT IN MIND BEFORE
APPLYING BANDAGING
● TYPE AND PURPOSE
● COMFORT OF PATIENT
● MOST NATURAL POSITION OF THE
PART
● NEATNESS AND ECONOMY

   
ROLLER BANDAGES

● DEFINITION : A LENGTH OF MATERIAL


WIND INTO A COMPACT FIRM ROLL.
● SIZE
PART OF BODY LENGTH WIDTH
TOE OR FINGER 90-270 (cm) 0.75-1 (inch)
HEAD 540 2-4
ARM 540 2-2.5
LEG 540-810 2.5-3
TRUNK 540-810 4-6
   
TYPES OF ROLLER BANDAGES

● OPEN-WEAVE COTTON BANDAGE


● OPEN-MESH CONFORMING BANDAGE -
INCORPORATES NYLON, POLYESTER AND
VISCOSE
● COTTON-CREPE BANDAGE
● CREPE-KNIT BANDAGE - 60% NYLON AND
40% VISCOSE

   
BEFORE STARTING TO APPLY
BANDAGE
● PATIENT IN COMFORTABLE POSITION
● PART IN MOST NATURAL POSITION
● STAND INFRONT
● USE TIGHTLY ROLLED BANDAGE
● ONLY A SHORT LENGTH NOT MORE THAN
5 – 7.5 cm UNROLLED AT A TIME SO THAT
FULL CONTROL OF BANDAGE IS
MAINTAINED
   
METHOD OF BANDAGE
APPLICATION
● START FROM JUST BELOW THE PART TO
BE COVERED
● OUTER SURFACE OF BANDAGE IS PLACED
NEXT TO SKIN
● PUT TWO TURNS INITIALLY TO ANCHOR
THE BANDAGE
● APPLY BANDAGE IN AN UPWARD
DIRECTION WHENEVER POSSIBLE AND
FROM WITHIN OUTWARDS FOR A LIMB
   
● ALL PROMINENCES SHOULD BE WELL
PADDED
● EVEN TENSION OVER WHOLE AREA
● ONE-THIRD OF EACH TURN OF BANDAGE
SHOULD BE LEFT UNCOVERED
● BANDAGE SHOULD BE FINISHED WITH A
COMPLETE TURN AND FIXED SECURELY
WITH AN ADHESIVE STRAPPING, SAFETY
PIN, END SPLIT AND TYING OR SEWING
WITH NEEDLE AND COTTON
   
FOLLOWING SHOULD BE
AVOIDED
● WET BANDAGE
● UNEVEN TENSION OF BANDAGING
● REVERSE TURNS OVER A PROMINENCE
OR WOUND
● USE OF TOO MUCH BANDAGE
● INCORRECT SECURING OF END OF
BANDAGE

   
BASIC TURNS OF APPLYING
ROLLER BANDAGE
● 5 TYPES
● CIRCULAR :– BANDAGE IS CARRIED
HORIZONTALLY AROUND THE PART FOR
SECURING IT AT BEGINNING AND AT END
SHOULD NOT BE USED AROUND A LIMB
● SPIRAL :– APPLIED SPIRALLY AROUND THE
PART HAVING UNIFORM THICKNESS LIKE
FINGER OR ARM
   
● REVERSE SPIRAL :– WHEN A SPIRAL
BANDAGE HAS REVERSE TURNS
USED FOR PARTS OF VARYING DIMENSION
LIKE FORE-ARM
● FIGURE OF EIGHT :– EACH COMPLETE
TURN FORMS FIGURE OF EIGHTCONSISTS
OF OVERLAPPING TURNS,EACH OF WHICH
CROSSES AT A MIDPOINT AND ASCENDS
OR DESCENDS ALTERNATELY
USED OVER JOINTS OR AS AN
ALTERNATIVE TO REVERSE SPIRAL
   
SPICA :– MODIFICATION OF FIGURE OF
EIGHT WHERE ONE LOOP IS MUCH
LARGER THAN THE OTHER. IT IS SO
NAMED BECAUSE THE APPEARANCE OF
THE PATTERN OF COMPLETED BANDAGE
RESEMBLES AN EAR OF BARLEY
● RECURRENT – GOT RECURRENT TURNS
OVER SPIRAL BANDAGING
USED OVER AMPUTATED LIMB OR HEAD

   
SPECIAL BANDAGES
T – BANDAGE
● T-BANDAGE CONSISTS OF ONE OR TWO
TAILS ATTACHED TO A BELT. THE BELT IS
PASSED AROUND THE WAIST AND
SECURED. TAIL IS PASSED BETWEEN THE
LEGS WHICH ARE EXTENDED AND TIED TO
THE BELT.
● USED FOR FIXING DRESSINGS ON THE
PERINEUM AND IN GROIN – AFTER APR OR
HAEMORHOIDECTOMY
   
TUBULAR GAUZE

● TUBE GAUZE IS A SEAMLESS TUBULAR


GAUZE AVAILABLE IN ROLLS OF
STANDARD SIZE : THE BANDAGES ARE
SUPPLIED WITH SPECIALLY DESIGNED
APPLICATORS
● COMMONLY USED IN ACCIDENT AND
EMERGENCY DEPARTMENTS , FRACTURE
CLINICS AND DERMATOLOGICAL UNITS

   
BANDAGES IMPREGNATED
WITH MEDICAMENTS
● ZINC PASTE BPC
● ZINC OXIDE AND ICHTHAMMOL
● ZnO, ICHTHAMMOL AND URETHANE 2%
● ZnO, CALAMINE 5.75% AND URETHANE
● PREPARED COAL TAR 3% IN ZINC PASTE
● IODOCHLOROHYDROXYQUINOLINE 1% IN
ZINC PASTE

   
COTTON CREPE BANDAGE

● SMOOTH SURFACE COTTON CREPE


BANDAGE PROVIDES GREATER
COMPRESSION AND SUPPORT
● IT STRETCHES TO NEARLY TWICE ITS
LENGTH BUT REGAINS ITS ORIGINAL
LENGTH READILY.THIS ELASTICITY GIVES
FIRM BUT CONTROLLED COMPRESSION.
● COTTON CREPE INCORPORATED WITH
RUBBER THREADS- BLUE LINE WEBBING
   
ADHESIVE BANDAGES

● USUALLY MADE OF COTTON AND IT MAY


OR MAY NOT BE EXTENSIBLE.
● EFFECTIVE IN PROVIDING
PRESSURE AND SUPPORT IN C/C COND
SUPPORT FOR SPRAIN AND STRAIN
FRACTURE IMMOBOLISATION
SKIN TRACTION
PROTECTION OF WOUNDS
   
THANK YOU

   

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