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Desmurgy

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Desmurgy is a branch of surgery which is

related to dressings and bandages, techniques

of making

Bandages are an integral part of the First Aid

If there are wounds

In case of bleeding

Immobilization of fractures

Antiseptic

Soft Firm

During the first-aid mainly used following

dressings

Triangular bandage

Bandages with rubber adhesive

Emplastic bandage…….

Terms of use:

• Diapers should be a larger size than the wound

• Place an diapers directly on the wound;

• Diapers should be fixed after the bandages

If diapers are soaked with the blood of her from the

top to put the other diapers and should be fixed after

the bandages

Triangular bandageCircular bandage

Spiral wrap bandage

Figure

eight

wrap

Triangular

bandage

Used to secure dressings on head/scalp or as a sling

At times used as covering for large body part such as hand, foot or shoulder

Effectively used for fixation of fractures and

wound wrapping

Place the hand in the middle of the triangular bandage

place the apex over the fingers and tuck any excess material into the pleats on each side of

the hand

cross the ends on top of the hand take them around the wrist and tie them with a square

knot

Triangular

bandage

Similar techniques are for head, arm and foot wrapping

Circular bandage

Frequently used to hold dressings on body parts

seuch as arms, legs, chest or abdomen

Spiral bandage

Used to hold dressings in place on arm or leg or used to provide support to a limb

Spiral wrap is started at bottom of limb and moves up in direction of blood flow to the heart Spiral motion is used to encircle the limb and the bandage is overlapped about one-half its width on each turn At top of limb or stopping point, end with one or two circular wraps around limb Secure end with tape, pins or clips

Spiral bandage

Figure eight

wrap

Form a figure eight

Carry bandage up over foot in diagonal

direction

Wrap bandage around back of ankle

Come down over top of the foot

Circle under the instep

Recurrent wrap to finger

o Used to hold dressing or splint on finger

o Fold bandage backward and forward over finger three to

four times to form a recurrent wrap

o Start at bottom of finger and use spiral wrap up and down

the finger to hold recurrent wraps in position

o Use a figure eight around the wrist to hold bandage in place

o End with one or two circular wraps around the wrist

Tie, tape or pin bandage at the wrist

Bandages on the head

This technique includes a combination of recurrent and circular turns. Hold the

bandage as you make each recurrent turn and then use the circular turns as a

final anchor.

four- tailed bandage

four-tailed bandage - consisting of a strip of cloth split in

two on both ends; the central part is placed under the chin

to restrict motion of the mandible and the tails are tied

over the top of the head

And finally Check the circulation

Important to check circulation after bandage applied to make sure bandage

is not too tight

Signs of poor or impaired circulation

1. Swelling or edema

2. Pale or cyanotic color

3. Coldness to touch

4. Numbness or tingling

5. Poor or slow return to pink color after nailbeds are

blanched

Loosen bandages immediately if any signs of

impaired circulation are noted

Thank you for your

attention!