TYPES OF BANDAGES:
It may be a gauze roller bandage or an elastic bandage.
1.
Figure: The correct method to unravel the bandage (keeping the roll above the unraveled part of the gauze)
2. Patient should be in a comfortable position and you should stand in front of the patient
3. Assess the capillary refill time always after bandaging (to ensure that it not too tight and circulation is maintained)
4. To secure the ends while using a roller gauze bandage:
It is a common technique used for bandaging arms and legs
PROCEDURE:
1) Anchor the bandage using 2 turns, usually below the injury
2) Then wrap bandage upward around the limb in a spiral pattern, overlapping half of the width of the bandage with the previous turn
3) Continue bandaging till injury is well covered
When bandaging a wound which is bleeding, place a thick gauze piece over the wound, which may be soaked in an antiseptic solution. Then cover the part of injury and surrounding limb using spiral bandaging. This is called 'Pressure bandaging'.
REVERSE SPIRAL BANDAGING
It done at sites where the diameter of the part to be bandaged varies (example: legs, forearm). It holds on to the particular site snugly.
PROCEDURE:
1) Anchor the bandage with 2 turns, below the injury
2) Then wrap the bandage upwards in a spiral pattern for half a turn (till you have reached mid-point of extensor surface of your forearm
3) Then twist the roller bandage while keeping a thumb at the mid-point of extensor surface of forearm
4) Continue doing so, while overlapping half the breadth of roller gauze with each new turn
CIRCULAR BANDAGING
1) Anchor the bandage using 2 turns, usually below the injury
2) Then wrap bandage upward around the limb in a circular pattern, overlapping half of the width of the bandage with the previous turn
3) Repeat it till the whole injury or part to be bandaged is covered
FIGURE OF EIGHT BANDAGING
It is done across a joint. It stabilises the joint while allowing movement.
POSITION:
• Elbow joint: Flexed at around 90 degrees
• Wrist joint: Forearm in mid- prone position and wrist joint at neutral position
• Knee joint: Knee in slight flexion
• Ankle: Ankle dorsiflexed at around 90 degrees and toes slightly extended
PROCEDURE (across the elbow; similar procedure is followed for bandaging across wrist, knee and ankle)
1) ANCHOR the bandage by wrapping it around the forearm 2 times
2) Wrap diagonally upwards across the front of the elbow, wrap 1.5 times around the upper arm
3) Wrap diagonally downwards across the elbow and wrap it 1.5 times around the elbow
4) Repeat, overlap the bandage each time overlapping 2/3rd of the previous turn
5) Check capillary refill to make sure that it isn't cutting off the blood circulation to the limb
1. While bandaging across the elbow, start from flexor aspect of forearm (so that it remains more secure)
2. While bandaging across the ankle, start from lateral end of the dorsum of foot rather than from the plantar aspect to avoid any discomfort to the patient while walking
3. While bandaging across the wrist joint, try not put more than 2 rounds of bandage between the thumb and index finger (so that the bulk of the bandage doesn't limit the movement of thumb)
4. The end of figure of eight bandage and knot placement should be at the inner or medial aspect of the joints to prevent it from being undone
VIDEO LINK:
For all types of bandaging done around a limb: https://youtu.be/C8VfEVZVyHc
Across elbow: https://youtu.be/5KlQN_p3upM
Across wrist: https://youtu.be/owiyW8ON94o
Across knee: https://youtu.be/ag512AMEqu8
Across ankle: https://youtu.be/xg-s14bM5cA
Written by our guest authors Bhakti Vijaykumar Dongare and Anveshi Nayan
Illustrations by Anveshi Nayan
#Ae(ONE)INTERN
The whole ‘The Indian Intern’ series of posts is very helpful. I appreciate the quality of content, ease of presentation, the beautiful illustrations and the links too which are provided at the end. Thanks to the whole team who took efforts to make this! Also see whether this can updated and more posts can be added under different specialities.
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