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Lesson 4
PUT ON A FIELD DRESSING,
PRESSURE DRESSING, AND TOURNIQUET
INTRODUCTION
✓ TASK
Apply a field dressing, elevation, manual pressure, a
pressure dressing, and a tourniquet, as needed, to a
wound on a casualty's limb.
✓ CONDITIONS
Given a simulated casualty with bleeding from a limb
and needed supplies.
✓ STANDARD
Score a GO on the performance checklist.
EXPOSE THE WOUND
✓ Tie the tails into a nonslip knot over the outer edge of
the dressing, not over the wound itself. The bandage
should be tight enough to keep the dressing from
slipping, but not tight enough to interfere with blood
circulation. You should be able to slip two fingers
under the knot.
APPLY AND SECURE FIELD DRESSING
✓ Check the circulation below the bandage.
→ If the area below the bandage previously had adequate
blood circulation but is now cool to the touch, bluish, or
numb or if a pulse can not be detected below the bandage,
the bandage may be interfering with blood circulation.
Loosen and retie the tails without disturbing the dressing.
→ Recheck the circulation. If circulation is not restored,
evacuate the casualty.
APPLY MANUAL PRESSURE
✓ Apply direct pressure over the dressing with your
hand.
✓ If possible, maintain this pressure for 5 to 10 minutes.
The casualty may be able to apply the manual
pressure himself.
✓ If the limb is elevated, apply manual pressure and
elevation at the same time.
ELEVATE THE INJURED LIMB
CLOSING
CLOSING