BANDAGING

PRESENTED BY : SN HAINE LOIMON

27.07.2018
at the end of the session participant will be able to;

a) Define bandaging.

b) Explain the purpose of bandaging.

c) List the types of bandages.

d) State the sizes of Bandages

e) Describe the principal of bandaging.

f) Methods of applying Bandages.

g) Identify the complication of bandaging.

 Definition of a Bandage
A strip of material used mainly to support and immobilize a part of the body.
 Purpose of Bandaging

 To support – fractured bone.

 To immobilize – Dislocated shoulder

 To apply pressure – Stop bleeding and improve venous blood

flow.

 To secure a dressing place

 To retain splints in place.

 Types of Bandages
Triangular Bandage
Triangular bandages could be used on upper limbs fractured or
dislocations to support and immobilization.

Crepe Bandage
Type of woven gauze which has the quality of stretching

Gauze/Cotton Bandage
Lightly woven, cotton material. Frequently used to retain dressings
on wounds of fingers, hands, toes, feet, ears, eyes, head.

Adhesive Bandage
Use to retain dressing and also used where application to an area
is needed.
Sizes of Bandage
 The size of the bandage varies according to the part it is
supposed to bandage.

Part to be Bandaged Width (cm) Length (Mts)

Head 5 4 to 6
Trunk 10 to 15 6 to 8
Leg 6 to 8 4
Arm 5 to 6 3 to 4
Fingers 2.5 2
Hand & Wrist 5 3
 Principle of Bandaging
1) Assess the body part to be bandaged to ensure correct size and bandage
measurement.
2) Stand in front of the patient except bandaging over the head which is
standing behind the patient.
3) Support affected limb.
4) Always start bandaging from upper to lower part of the limb and from inner to
outer part of the limb.
5) Ensure the bandage not to loose or to tight.
6) Always start and end bandaging with two circular turn.
7) Bandage must be covering 2/3 of the bandaged area. (1/3 width seen from
the outer side)
8) Expose the toes and fingers to check circulation (6P).
9) Check the circulation (6P) every 4 hourly.
What is 6P??
a) PAIN – Where the pain is located and the characteristics
of the pain.

b) PULSE – Check peripheral pulse.

c) PALLOR – Observe colour and temperature of the skin.

d) PARATHESIA – Increase and decrease in sensation.

e) PARALYSIS – Mobility of the limb.

f) PUFFINESS – Swollen extremity .

 Methods of applying Bandages

Circular

Spiral

Reverse spiral

Figure of eight

Triangular Bandage Sling

 Circular Turn
 Circular turns are used chiefly to anchor bandages and
to terminate bandages.

 Apply the end of the bandage to the part of the body to

be bandaged.

 Encircle the body part a few times or as needed, each

turn directly covering the previous turn.

 Secure the end of the bandage with tape, metal clips or

a safety pin.
 Spiral Turn
 Spiral turns are used to bandage cylindrical parts of the body
that are fairly uniform in circumference, such as upper arm
and upper leg.

 Make two circular turns to begin the bandage.

 Continue spiral turns at about a 30 degree angle, each turn

overlapping the preceding one 2/3 the width of the bandage.

 End the bandage with two circular turns, and secure the end
as described for circular turns.
 Spiral Reverse Turn

 Spiral reverse turns are used to bandage cylindrical parts of the body
that are not uniform in circumference, such as the lower leg or lower
fore arm.

 Begin the bandage with 2 circular turns, and bring the bandage
upward about 30 degree angle.

 Place the thumb of the free hand on the upper edge of the bandage.

 The thumb will hold the bandage while it is folded on it self.

Cont..

 Unroll the bandage about 4-6” then turn the hand so that the
bandage is folded down.

 Continue the bandage around the limb, overlapping each

previous turn by 2/3 width of the bandage.

 Make each bandage turn at the same position on the limb so

that the turns of the bandage will be aligned.

 Terminate the bandage with two circular turns, and secure the
end as described for circular turns.
Cont….
 Figure of Eight Turn
 Application of Bandages on Elbow, Ankle and Knee.

 Begin the bandage with two circular turns.

 Carry the bandage above the joint, around it, and then below
it, making a figure of eight – continue above and below the
joint, overlapping the previous turn by 2/3 width of the
bandage.

 Terminate the bandage above the joint with two circular turns,
and secure the end appropriately.
Cont…

Figure of Eight Turn

 Triangular Bandage Sling
 Insert the material under the injured arm so that the arm is in the centre,
the apex of the sling is beyond the elbow, and the top corner of the
material is over the shoulder of the injured side.

 Position forearm so that the hand is slightly higher than the elbow (about
10 degree angle)

 Bring the lower position of the material over the injured arm so that the
bottom corner goes over the shoulder of the uninjured side.

 Bring the top corner behind the patient’s neck.

 Tie the two corners together so that the knot will not slip.
Cont…

Triangular Arm Sling

 Securing Bandage

Bandage Tape Safety Pin

 Complication of Bandaging

 Altered blood circulation over the affected limb.

 Pain and numbness over the affected limb – tight bandage.

1)List the purpose of bandaging.

2)What is 6p?
 Refferences
Sachwani, A. (14 July,2014). Fisrt Aid Bandaging. Retrieved from
slideshare.net:http://www/slideshare.net