How Do I Bandage a Hand?

Bandaging is one of the important measures for emergency treatment at the scene of trauma. Timely and correct dressing can achieve the purpose of compressing hemostasis, reducing infection, protecting wounds, reducing pain, and fixing dressings and splints. Conversely, incorrect bandaging can lead to increased bleeding, worsening infections, causing new injuries, and legacy sequelae.

Bandaging

Bandaging is one of the important measures for emergency treatment at the scene of trauma. Timely and correct dressing can achieve the purpose of compressing hemostasis, reducing infection, protecting wounds, reducing pain, and fixing dressings and splints. Conversely, incorrect bandaging can lead to increased bleeding, worsening infections, causing new injuries, and legacy sequelae.

Chinese name

Bandage

Foreign name

Bandaging method

Overview

No internal injuries at the trauma emergency site

Solid

Open cavity wound

For bandaging wounds, you should know whether there are internal injuries. At the emergency site of trauma, you must not only look at the wounds visible on the bandaging surface and ignore other internal injuries.

The same is the wound on the limb. Whether there is a fracture or not, the method of dressing is different. When there is a fracture, the dressing should take into account the correct fixation of the fracture site. It is also a wound on the body. Such as

1. How to clean the wound

1.Ordinary head bandaging

First fold the bottom of the triangle scarf, put the bottom of the triangle scarf on the forehead and pull it behind the head. After intersecting, tie a half knot first, and then wrap around the forehead.

2, hooded head bandaging

Tie the top corner of the triangle towel and the center of the bottom edge into a hood shape. The top corner is placed on the forehead, and the bottom knot is placed under the back of the head, covering the head.

3.Ordinary facial bandaging

Tie the top corner of the triangle towel and cut the holes (eyes, noses) in place. The knot is placed on the top of the head, the triangle towel covers the face, and the cutouts just expose the eyes and nose. Pull the left and right corners of the triangle scarf behind the neck and tie in front.

4.Ordinary chest bandaging

Put the top corner of the triangle towel upward and stick it to the part. If the left chest is injured, the top corner is placed on the right shoulder, and the bottom edge is tied behind the back and knotted at the back; The back bandage is the same as the chest bandage.

Notes 1. The average family does not have a triangle towel, but it is widely used in first aid and should be equipped. It's easy to make. Cut it diagonally with a one-meter square cloth.
2. In addition to the above-mentioned usage, the triangle towel can also be used for bandaging of hands and feet, and can also be used for bandaging and fixing of foot contusions, bandaging and hemostasis for wounds that are inconvenient to bandage.
3. Another important use of the triangle towel is to suspend the arm; to fix the arm with the splint; to fix the splint to the injured limb without the splint.
Precautions for plaster bandaging

1. Before the plaster is dry, do not press it with your hands, move your joints or carry it, so as not to deform or break the plaster.
2. Pay attention to the blood circulation of the limbs after being wrapped with plaster (observe the skin at the end of the limbs for purple, pale, numbness or severe pain, if necessary, come to the hospital for review).
3. If it is found that the plaster is broken, it should be replaced immediately in the hospital to avoid affecting the treatment.
4. Pay attention to the hygiene of plaster and prevent the entry of bed bugs and fleas. If itching the fixed limbs, you can only use slap method. It is forbidden to use hard tools and insert the spatula by hand to avoid accidents such as compressing the skin.
5. During the fixation of the limbs, muscles should be exercised to enhance blood circulation and be conducive to wound healing.
6. Do not remove the plaster without the consent of the doctor.
7. Rehabilitation training should be carried out as soon as possible after removing the plaster to promote the maximum recovery of joint function, muscle strength, nerves and local swelling and pain.

Precautions for bandage therapy for burns and scalds 1. Bandage therapy is not suitable in the following cases:
(1) Large-scale deep burn wounds.
(2), head, face, beard and perineum.
(3) It is not good to prevent infection after including. It should not be used in hot season.

2. During the bandaging process, you must always pay attention to the blood flow at the distal end of the limb. Once the outer layer is infiltrated by the exudate, it should be replaced in time.

3. Strict aseptic operation is required, and the dressing must be perfect.

4. Change the dressing time. The first time should be based on the depth of the burn wound, the infection or the degree of infection. In general, there is a mild burn wound. When there is no symbol of infection, the dressing is changed 1 week after the injury, at which time the wound has basically healed. It is difficult to achieve primary healing with bandaging therapy for deep II degree wounds. In general, even if infection is not caused It is also necessary to usually change the medicine and gradually remove the necrotic tissue so that the epithelial cells can regenerate and expand to repair the wound. Deep-degree second-degree wound necrosis begins to dissolve 5 to 7 days after injury, and infection is prone to occur. Dressing change and removal of necrotic tissue should be started. III degree wounds depend on the timing of the surgery.

5, indications for changing dressings. It is mainly to check whether the wound is infected, the body temperature rises or falls below normal, the white blood cells increase or decrease suddenly, the wound is wet, the pain is aggravated, the secretion of stench, and the serum-fibrillars continue to drop 5-7 days after the injury, should be immediately Remove the dressing, check the wound, diagnose the infection, judge the depth of the wound again, and take corresponding treatment measures. Where the inner gauze is in close contact with the wound, the dry one does not need to be removed, especially for shallow II degree wounds, the outer layer dressing can be replaced, or semi-exposed therapy can be replaced. The wet part shows the wound with mild infection. It is advisable to open the window to cut off and continue to use topical antibacterial drugs for treatment. If the inner layer is coated with biological or artificial film, regardless of the depth of the planed surface, you can switch to semi-exposed therapy to facilitate observation of the wound and control infection.

Precautions for bandage dressing methods Precautions for bandage dressing methods Before treating a reel bandage, treat the affected area and place a dressing. During bandaging, unfold the outer head of the bandage, facing away from the affected area, and twist it while unrolling. No matter what kind of dressing, it should be ring-shaped, ring-shaped, tight, proper, flat and no folds. Finally, cut the bandage end in half and tie it with a square knot. The knot should be on the opposite side of the affected area and should not be pressed on the affected area. Some bandages do not need to be tied and fixed, and can be fixed by themselves after bandaging. Splint bandages and plaster bandages are brake bandages. They are mainly used for first aid and treatment of limb fractures, severe joint sprains, and tendon ruptures. Bamboo boards, wooden boards, branches, thick cardboard, etc. can be used as plywood materials, and the plywood can be prepared according to the length, thickness and shape of the affected part. The two ends of the splint should be bent slightly outwards to avoid local compression. Dispose before bandaging. After the fractured end of the bone is restored and wound treatment, roll bands are used for spiral banding 3-4 layers. The depressions are flattened, plus blanket pads, plywood, and tied with a wire or string. The padding should be properly filled, too much fixation is not sure, too little will cause compression. When bandaging a plaster bandage, it should be done quickly and surely. It is best to lie the animal in a lying position and general anesthesia. After the local treatment, firstly wrap the affected limb loosely with a reel band to avoid damaging the skin during removal. Soak the bandage roll with 40-50 ° C warm water. Take out and squeeze out excess water when no bubbles escape. Apply a roll soaked in a roll, so as not to soak the gypsum for too long. When bandaging, be sure to flatten the bandage and gently wrap it around your limbs. Do not wrinkle or overtighten. Use your palm to lift the affected limb, not your fingers. The bandage should be attached to the body surface and should not be passed overhead, leaving no gap between the bandages. The ends should bend slightly outward. After bandaging, remove the gypsum mud from the basin, add it to the surface and wipe it off, and mark the date, fracture line and wound location when it is slightly dry. When fully awake, help to stand up, avoid falling, and loosen or deform the plaster. Regardless of whether it is a splint bandage or a plaster bandage, it must be properly tightened when bandaging. If it is too loose, it will slip and lose its effect. If it is too tight, it will cause compression. The length of the splint or plaster bandage at the time of the fracture should be at least longer than the upper and lower joints of the fracture, otherwise it will not achieve the purpose of fixation and will be harmful.

Alcohol plaster

Trauma fixation

Splint bandage