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Bandage
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Cravat
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Sling
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a very useful in first aid work and consists in reality of a triangular bandage
applied by placing the base of the triangle under the wrist and the apex toward the elbow
the arms of the sling are then carried upward around the neck and tied
Bandaging
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IMPORTANCE OF BANDAGING
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securing a dressing
retaining warmth
TYPES OF BANDAGES
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adhesive compresses or strips for small wounds that combine a dressing with an adhesive
bandage
elastic bandages
- Circular turns
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- Spiral turns
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used to bandage parts of the body that are fairly uniform in circumference, for example,
the upper arm or upper leg
used to bandage cylindrical parts of the body that are not uniform in circumference, for
example the lower leg or forearm
- Recurrent turns
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used to cover distal parts of the body, for example, the end of a finger, the skull, or the
stump of an amputation
- Figure-of-eight turns
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used to bandage an elbow, knee, or ankle, because they permit some movement after
application
The bandage must be applied snugly, since it stretches after a period of a few hours,
particularly if there is motion of the part
If the bandage is applied too tightly, the blood supply to the parts distal may be seriously
interfered with, resulting in grave complications including gangrene and paralysis
Most bandages should be reinforced with adhesive to prevent shredding of the edges and
to prevent undue stretching of the gauze
When an open wound is present on an extremity, a dressing will have been applied to the
wound and fixation achieved with a bandage
The bandage should be applied with the limb in the position in which it is to be carried
Pain usually is experienced within a few minutes after the application of a tight bandage
A bandage which is too tight will produce coldness of the extremity and within an hour or
two, perhaps numbness and tingling
There are several turns available for bandaging: circular turn, spiral bandage, spiral
reverse bandage, figure-of-eight turns, recurrent turns
Whenever possible, bandage part in its normal position, with the joint slightly flexed to
avoid putting strain on the ligaments and the muscles of the joint
Whenever possible, leave the end of the body part exposed so that you will be able to
determine the adequacy of the blood circulation to the extremity
Always bandage body parts by working from the distal to the proximal end to aid the
return flow of venous blood
Cover the dressings with bandages at least 5 cm beyond the edges of the dressing to
prevent the dressing and wound from becoming contaminated
Face the client when applying a bandage to maintain uniform tension and the appropriate
direction of the bandage
Pad between skin surfaces and over bony prominences to prevent friction from the
bandage and consequent abrasion of the skin