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The Dressings are used for the wounds and
injuries, which are of the open type. They are used in
order to prevent blood loss, diminish the wound contamination
and infection and as an aid in wound healing.
The dressing used should be sterile, clean, soft and non-sticking
to the wound.
The dressings can be adhesive or non-adhesive type. The
commercial dressings are of the adhesive types. They also
contain an antiseptic cream on the dressing (medicated
dressing). The non-adhesive one can be made of gauze and
cotton with or without a bandage attached to it.
While applying the dressings, the part should be cleaned
and made sterile as far as possible. Bleeding should be
decreased. Foreign bodies should be removed. The gauze
should be placed directly on the wound and not moved from
one side to the other. It should be large enough to cover
the wound. To keep it in place, a bandage could be used
and tied firmly over the dressing.
The bandage should not be tight. If it is so, the patient
will be uncomfortable. There will be numbness and tingling
of the fingers. The pulse distal to the application of
the bandage will not be felt or will be weak. The part
may be pale or blue and appear swollen. When the distal
part is pressed and released, the whiteness, which appears
on pressure, does not become pink within 3-4 seconds.
This is a bad sign and implies that the bandage should
be loosened.
Bandages
The bandages could be of the triangular or roller type.
The triangular bandage is a cloth of 100 cms, square in
shape. This is cut diagonally and the two parts are two
triangular bandages. They can be used as such or as a
broad or narrow bandage.
The roller bandage
can be sued for the control of bleeding, dressings of
wounds and support of limbs. The roller bandage has
a head and a tail. The size varies from 1 inch to 5-6
inches. It is made of cloth, linen or gauze. The length
is usually 5 meters.
While applying, the bandage should be started from the
distal end and moved towards the proximal end. The application
can be spiral, reverse spiral, in figure of '8' form
or applied as a spica. The end should be secured. It
should be applied neither too loosely nor too tight.
Always check the blood supply to the distal end.
Slings are applied
when there is an injury to the upper limb or chest.
They are for the support. The sling could be an arm
sling or an elevation sling. The latter is used when
there is bleeding from the upper limb and has to be
elevated. This can be done as a collar and cuff sling
or as a triangular sling.
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