Beruflich Dokumente
Kultur Dokumente
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10.1 Dressings
Requirements:
Sterile, meaning that any microorganisms and
spores on the dressing have been killed
Aseptic, meaning that it is free of bacteria
Held in place with a bandage tightly enough to
control bleeding but not so tightly that it stops
blood circulation
Soft, thick, and compressible so that it
provides even pressure over the entire
surface of the wound. 2
Types of dressings
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Bandage is too tight if:
The skin around the bandage becomes pale or bluish in
color (cyanotic).
There is a bluish tinge to the nearest fingernails or toenails.
The victim complains of pain, usually only a few minutes
after you apply the bandage.
The skin beyond the bandage (distal) is cold.
The skin beyond the bandage (distal) is tingling or numb.
You cannot feel the pulse beyond the bandage (distal), or it
is very weak.
Capillary refill is absent or diminished in the fingernails or
toenails beyond the bandage (when you press on the
nail, the nailbed does not immediately turn pink
again)
The victim cannot move his or 6 her fingers or toes.
Bandages
Triangular Bandages
Support fractures and dislocations
Apply splints
Form slings
Make improvised tourniquets
Cravat Bandages
Roller Bandages
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Vocabulary
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PROGRESS CHECK
1. Bandages are applied on top of a ____________.
(wound/dressing/splint)
2. A bandage should normally not contact a ____________.
(wound/dressing/splint)
3. Cold, numb, or tingling skin distal to a bandage indicates the
bandage is ____________. (too tight/too loose/controllinga
bleeding)
4. A folded triangular bandage is a ____________ bandage.
(roller/compress/cravat)
5. The easiest roller bandages to use are ____________.
(gauze/elastic/self-adhering)
6. You should use an elastic roller bandage only in
cases of ____________.
(shock/profuse bleeding/fracture)
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10.3 Principles of Dressing and
Bandaging
The dressing is opened carefully and handled so it does not get
contaminated.
The dressing adequately covers the entire wound.
Bandages are not placed directly against the wound.
Wounds are bandaged snugly, but not too tightly.
Bandages are not too loose; neither the dressing nor the bandage should
shift or slip.
There are no loose ends of cloth, gauze, or tape that could get caught.
The bandage covers all edges of the dressing.
Tips of the fingers and toes are left exposed when arms and legs are
bandaged.
A small bandage on an arm or leg is covered with a larger bandage to more
evenly distribute the pressure and to avoid causing a pressure point.
Start a bandage on an arm or leg at the end nearest the hand or foot,
then work upward to prevent applying the bandage too tightly.
The body part is bandaged in the position in which it is to
remain.
Ask the victim how the bandage feels.
Never use a circular bandage around10the neck.
Vocabulary
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Applying Special Dressings and
Bandages
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Slings
1. Place one end of the base of an open triangular bandage over the
shoulder of the uninjured side.
2. Allow the bandage to hang down in front of the chest so its apex
will be behind the elbow of the injured arm.
3. Bend the arm at the elbow with the hand slightly elevated (four
to five inches). When possible, the fingertips should be exposed
so you can monitor for impaired circulation.
4. Bring the forearm across the chest and over the bandage.
5. Carry the lower end of the bandage over the shoulder of the
injured side, and tie a square knot at the uninjured side of the
neck; make sure the knot is at the side of the neck.
6. Twist the apex of the bandage and tuck it in or pin it at the
elbow.
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PROGRESS CHECK
1. Material used for dressings should be as ____________ as possible.
(strong/thick/clean)
2. Generally, the only dressing you should bandage in place while a wound
is still bleeding is a ____________ dressing.
compress/universal/pressure)
3. If blood soaks through the original dressing, you should ____________.
(remove it/replace it with a new dressing/leave it in place
and put a new dressing on top of it)
4. Make sure the bandage covers the entire ____________.
(wound/dressing/extremity)
5. All loose ends of the bandage should be ____________.
(tucked in/tied/cut off)
6. If you bandage across a joint, bandage it in ____________.
(a straightened position/a bent position/the position in
which it is to remain)
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