first aid bandaging

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The purpose of bandages and dressings
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Dressings cover the wound A bandage holds a dressing in place over the wound Creates pressure that controls bleeding Helps keep the edges of the wound closed Secures a splint and provides support to an injured part of the body Prevents further contamination and/or injury Keeps the wound dry
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Dressing requirements
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Sterile: microorganisms and spores on dressing have been killed Aseptic: Free of bacteria Held in place with a bandage: Tight enough to control bleeding but not so tightly that it stops blood circulation Extend beyond edges of wound Provides even pressure over the entire wound
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aseptic
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sterile dressing
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wet
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moist dressing
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dry sterile
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a sterile dressing free from moisture
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pertoleum gauze
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sterile gauze saturated with petroleum jelly to keep it from sticking to a wound (often used to cover burns)
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occlusive
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plastic wrap, petroleum gauze, or other dressing that forms an airtight seal (usually used for chest or abdominal wounds)
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compress
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a bulky, usually sterile dressing intended to stop or control bleeding
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universal
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a dressing made from a 9×36 inch piece of thick, absorbent material (also called trauma dressing)
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adhesive strips
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a combination of a sterile dressing and a bandage, individually packaged and used for small wound
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triangular bandages
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Support fractures and dislocations Apply splints Form slings Make improvised tourniquets
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Cravat Bandages
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A folded triangular bandage
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bandage is too tight if
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Skin becomes pale or cyanotic Capillary refill is slowed or diminished Victim complains of pain(Usually only a few minutes after application) Skin distal to bandage is cold, tingling, or numb Victim cannot move fingers or toes REMEMBER: PMS (pulse, motor, sensory) AND feeling, warmth, color
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Principles of Dressing and Bandaging
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Never touch the wound or the dressing that goes against the wound Dressings should be as clean as possible Bleeding is controlled- do not remove original Dressing adequately covers entire wound Bandages not placed directly against the wound Wounds are bandaged snugly, but not too tight Bandages not too loose; should not shift or slip No loose ends, all ends are secure Bandage covers all of the dressing Tips of the fingers and toes are left exposed Distribute pressure of a small bandage with a larger one Bandage the body part in the position it is to remain Ask victim how the bandage feels Never use a circular bandage around the neck
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pressure dressing
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Cover the wound with a bulky, sterile dressing Apply direct pressure over dressing with hand until bleeding stops Apply a firm roller bandage, monitor continuously for signs that the bandage is too tight If blood soaks through the original bandage, do not remove, apply another
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slings
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Base of triangular bandage over uninjured shoulder Apex behind elbow of the injured arm Bend arm at elbow with the hand elevated (4 to 5 inches) Fingertips should be exposed to monitor for impaired circulation Bring forearm across the chest and over the bandage Other base of bandage over injured side shoulder Tie a knot on uninjured side of neck (make sure the knot is at the side ,Pad under knot) Twist apex of bandage and tuck it in, tie it, or pin it at the elbow

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