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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
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
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
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
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
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