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DRESSINGS & BANDAGES
Dr.Praveen Katiyar
DRESSING
A dressingis a sterile pad, compress that is applied
directly over a wound to promote healing.
Purposes of dressing-
• To protect thewound
• To control/ stop bleeding
• To apply medication
• To absorb excess moisture / discharges from the wound
• To prevent infection
• To prevent further injury
• To promote healing
• Provide comforT
• If the situation permits, wash hands with soap and water
• Wear gloves ifavailable
• Control bleeding before applyingdressing
• Apply the sterile pad without touchingthe part that comes in contact
with thewound
Points to be considered for dressing in first aid
Types of Dressing
• Adhesive dressing
• Non adhesive dressing
Adhesive dressing
A sterile pad of absorbent gauze/ cellulose
is held in place by a layer of adhesive
material.
• Wash hands and wear gloves if possible
• In case of contaminated wounds, clean with antiseptic solution
• If antiseptic solution is unavailable, wash the wound with soap and water
• Dry the sides of the wound with gauze piece
• Remove the adhesive dressing from itsouter
• wrapping and hold itwith the gauze side down
• Peel back and expose the gauze
• Place itin such a way that the pad comes directly over the wound.
• Do not touch the gauze pad
• Pull away the protective strips withcare
• Press the edges and ends well to fix itonto the skin.
Method of Adhesive dressing
• This type of dressing does not contain an adhesive
material with itto fix thedressing.
• It includes sterile ready made dressing or gauze
dressing.
• The dressing material has to be held in place by using a
bandage or an improvises material like scarf or towel.
Non Adhesive Dressing
• Wash hands and wear gloves if possible
• In case of contaminated wounds, cleanwith antiseptic solution
• If antiseptic solution is unavailable, wash the wound with soap andwater
• Dry the sides of the wound
• Open the dressing by removing the wrappings
• Place the dressing directly over the wound
• Bandage firmly using triangular bandage and secure itby tying the two
ends together by reef knot.
• Gauze taken in layers may be used instead of dressing
• A piece of cloth cut in the shape of bandage may be used instead of bandage
• Wash hands with soap and water after dressing
Method
GUIDELINES IN USING DRESSING ANDBANDAGES
• Use a dressingthat is large enough to extend atleast1 inchbeyond the edgesof the wound.
• If body tissue or organsare exposed, cover the wound with a dressing that will not stick,such as
plasticwrapor moistenedgauze. then secure the dressingwith a bandageor adhesive tapes.
• If the bandage is over a joint, splint and make a bulky dressingso the joint remains immobilized.if thereis no movement of a wound
overjoint, thereshould be improved healing and reduced scarring.
• A bandageshould fit snugly but should not cutoff circulation or cause the victim discomfort. If the area beyond the wound changes in
color,begins to tingle or feel cold, or if the wound starts to swell, the bandagesis too tight andshould be loosened.
The bandage is any material that is used to hold a dressing or compress in place, to prevemt
infection of a wound, to apply pressure to control bleeding or to support broken bones when
used as a sling.
These includes gauze, triangular, Elastic, and tubular bandage. The most papular
bandage in first aid is the triangularbandage.
A triangularbandage may be used as open or folded. Once folded it is called cravat.
BANDAGE
HEAD TOP(FORHEAD INJURIES)
• Fold the base at least2-3”
• Place folded base alignedwith eyebrows
• Pull back and cross-overatthe back, tucking
apexbeneath
• Pull both ends in front/secure with a square knot
at the center of the foldedbase/tuck ends
• Pull down apex (tucksides neatly)
• Tuckapex neatly at cross-over area
CHESTBANDAGE
• Apexat the shoulder of injured part
• Pull backfolded baseand securewith square
knotat the centerindention of the back.
• Knot/tielonger end with apex
HANDBANDAGE
• Place the hand in the middle of the triangular
bandage withthe wristat the base of the
• Place the apex over the fingersand tuck any
excess material into the pleats on eachside of
the hand
• Cross the ends on top of the hand, take them
around the wrist, and tie them with a square
knot.
ARMSLING
• Place folded basevertically over
• One arm, withpointed directly under the elbow
of injured arm
• Lower ends of base atthe sideof the neck
using a squareknot
• Makeseveral twistwith apexand tie a knot
• Hidethe knot
UNDERARMSLING
• Same procedureas arm sling exceptthat the
lower end of the base is tucked under the
injured arm.
• Secureend ofbaseand apexwitha square
knot the centerindention at the back.
CRAVAT BANDAGE FORFOREHEAD
• Place the center of the cravat over the compress
coveringthe wound.
• Carry the ends around to the opposite side of the
head, cross them. Bring them back to the staring
point and tie them.
• Placethe center of the cravat overthe compresscovering the
wound.
• Carry the ends around tothe neck,cross them. Bringthem back to the
starting point and tie themloosely.
CRAVATBANDAGE FOR THENECK
• Usethe widecravat.Start with the middle of the cravat
over the compresscovering the cheek or the ear.
• Carry one end overthe top of the head and the other
under the chin.
• Crossthe endsat the opposite side.
• Bringthe short endbackaround the foreheadand
the long end around the backof the head.
• Tie them down overthe compress
CRAVATBANDAGE FOR THE CHEEK OR EARS
CRAVATBANDAGE FOR THE EYE
• Lay center of the firstcravat over top of he with
thefront end falling over uninjured eye.
• Bring second cravat around head, over eyes,
and over loose ends of firstcravat.Tie in front
• Bring ends of firstcravatback overtop of head,
tying there and pulling second cravat up and
awayformuninjuredeye.
CRAVATFORELBOW
• Bend arm at elbow and place center of cravat
at point of elbow
• Bring ends up and across each other in
overlapping spiral turns. Continue one end up
armand the other end down forearm.
• Bringends tofrontof elbow and tie.
CRAVATFOR THEKNEE
• Starton topof the knees.
• Crossoverand twist2-3 timesunder the knee.
• Crossoveron top/pull ends tooppositesides.
• Securewith a squareknot under the knee
CRAVATFOR THE FOREARM, ARM, LEG AND THIGH
• Place centerof cravatoverthe dressing
• Begin ascending turns wit upper end and
descending turns with lower end, with eachturn
covering two-third of precedingturn until
dressingis covered.
• Terminatebytying both ends in squareknot.
SHOULDERARMPITCRAVAT
• Startat the armpit.
• Cross-overat injured shoulder
• Tie at the opposite armpit (sideof front)
BANDAGING TECHNIQUES DEPENDUPON:
• Size and location of the wounds
• Yourfirst aid skills
• Materialsat hand

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FIRST-AID-DRESSING-BANDAGES (1).pptx

  • 2. DRESSING A dressingis a sterile pad, compress that is applied directly over a wound to promote healing. Purposes of dressing- • To protect thewound • To control/ stop bleeding • To apply medication • To absorb excess moisture / discharges from the wound • To prevent infection • To prevent further injury • To promote healing • Provide comforT
  • 3. • If the situation permits, wash hands with soap and water • Wear gloves ifavailable • Control bleeding before applyingdressing • Apply the sterile pad without touchingthe part that comes in contact with thewound Points to be considered for dressing in first aid
  • 4. Types of Dressing • Adhesive dressing • Non adhesive dressing Adhesive dressing A sterile pad of absorbent gauze/ cellulose is held in place by a layer of adhesive material.
  • 5. • Wash hands and wear gloves if possible • In case of contaminated wounds, clean with antiseptic solution • If antiseptic solution is unavailable, wash the wound with soap and water • Dry the sides of the wound with gauze piece • Remove the adhesive dressing from itsouter • wrapping and hold itwith the gauze side down • Peel back and expose the gauze • Place itin such a way that the pad comes directly over the wound. • Do not touch the gauze pad • Pull away the protective strips withcare • Press the edges and ends well to fix itonto the skin. Method of Adhesive dressing
  • 6. • This type of dressing does not contain an adhesive material with itto fix thedressing. • It includes sterile ready made dressing or gauze dressing. • The dressing material has to be held in place by using a bandage or an improvises material like scarf or towel. Non Adhesive Dressing
  • 7. • Wash hands and wear gloves if possible • In case of contaminated wounds, cleanwith antiseptic solution • If antiseptic solution is unavailable, wash the wound with soap andwater • Dry the sides of the wound • Open the dressing by removing the wrappings • Place the dressing directly over the wound • Bandage firmly using triangular bandage and secure itby tying the two ends together by reef knot. • Gauze taken in layers may be used instead of dressing • A piece of cloth cut in the shape of bandage may be used instead of bandage • Wash hands with soap and water after dressing Method
  • 8. GUIDELINES IN USING DRESSING ANDBANDAGES • Use a dressingthat is large enough to extend atleast1 inchbeyond the edgesof the wound. • If body tissue or organsare exposed, cover the wound with a dressing that will not stick,such as plasticwrapor moistenedgauze. then secure the dressingwith a bandageor adhesive tapes. • If the bandage is over a joint, splint and make a bulky dressingso the joint remains immobilized.if thereis no movement of a wound overjoint, thereshould be improved healing and reduced scarring. • A bandageshould fit snugly but should not cutoff circulation or cause the victim discomfort. If the area beyond the wound changes in color,begins to tingle or feel cold, or if the wound starts to swell, the bandagesis too tight andshould be loosened.
  • 9. The bandage is any material that is used to hold a dressing or compress in place, to prevemt infection of a wound, to apply pressure to control bleeding or to support broken bones when used as a sling. These includes gauze, triangular, Elastic, and tubular bandage. The most papular bandage in first aid is the triangularbandage. A triangularbandage may be used as open or folded. Once folded it is called cravat. BANDAGE
  • 10. HEAD TOP(FORHEAD INJURIES) • Fold the base at least2-3” • Place folded base alignedwith eyebrows • Pull back and cross-overatthe back, tucking apexbeneath • Pull both ends in front/secure with a square knot at the center of the foldedbase/tuck ends • Pull down apex (tucksides neatly) • Tuckapex neatly at cross-over area
  • 11. CHESTBANDAGE • Apexat the shoulder of injured part • Pull backfolded baseand securewith square knotat the centerindention of the back. • Knot/tielonger end with apex
  • 12. HANDBANDAGE • Place the hand in the middle of the triangular bandage withthe wristat the base of the • Place the apex over the fingersand tuck any excess material into the pleats on eachside of the hand • Cross the ends on top of the hand, take them around the wrist, and tie them with a square knot.
  • 13. ARMSLING • Place folded basevertically over • One arm, withpointed directly under the elbow of injured arm • Lower ends of base atthe sideof the neck using a squareknot • Makeseveral twistwith apexand tie a knot • Hidethe knot
  • 14. UNDERARMSLING • Same procedureas arm sling exceptthat the lower end of the base is tucked under the injured arm. • Secureend ofbaseand apexwitha square knot the centerindention at the back.
  • 15. CRAVAT BANDAGE FORFOREHEAD • Place the center of the cravat over the compress coveringthe wound. • Carry the ends around to the opposite side of the head, cross them. Bring them back to the staring point and tie them.
  • 16. • Placethe center of the cravat overthe compresscovering the wound. • Carry the ends around tothe neck,cross them. Bringthem back to the starting point and tie themloosely. CRAVATBANDAGE FOR THENECK
  • 17. • Usethe widecravat.Start with the middle of the cravat over the compresscovering the cheek or the ear. • Carry one end overthe top of the head and the other under the chin. • Crossthe endsat the opposite side. • Bringthe short endbackaround the foreheadand the long end around the backof the head. • Tie them down overthe compress CRAVATBANDAGE FOR THE CHEEK OR EARS
  • 18. CRAVATBANDAGE FOR THE EYE • Lay center of the firstcravat over top of he with thefront end falling over uninjured eye. • Bring second cravat around head, over eyes, and over loose ends of firstcravat.Tie in front • Bring ends of firstcravatback overtop of head, tying there and pulling second cravat up and awayformuninjuredeye.
  • 19. CRAVATFORELBOW • Bend arm at elbow and place center of cravat at point of elbow • Bring ends up and across each other in overlapping spiral turns. Continue one end up armand the other end down forearm. • Bringends tofrontof elbow and tie.
  • 20. CRAVATFOR THEKNEE • Starton topof the knees. • Crossoverand twist2-3 timesunder the knee. • Crossoveron top/pull ends tooppositesides. • Securewith a squareknot under the knee
  • 21. CRAVATFOR THE FOREARM, ARM, LEG AND THIGH • Place centerof cravatoverthe dressing • Begin ascending turns wit upper end and descending turns with lower end, with eachturn covering two-third of precedingturn until dressingis covered. • Terminatebytying both ends in squareknot.
  • 22. SHOULDERARMPITCRAVAT • Startat the armpit. • Cross-overat injured shoulder • Tie at the opposite armpit (sideof front)
  • 23. BANDAGING TECHNIQUES DEPENDUPON: • Size and location of the wounds • Yourfirst aid skills • Materialsat hand