BANDAGES AND SLINGS
Types of bandages:
- Crepe bandages – used for sprains, fractures & pressure bandage.
- Conforming bandages – used for holding dressings in place.
How to use a roller bandage:
- With the tail of the bandage, place it over the limb and roll up and continue to unwind the bandage over the limb.
- Overlap the bandage each time.
- Secure the bandage end with tape or tuck the end into the bandage.
- Check the colour of the skin after bandaging. Loosen bandage if discolouration has occurred or the casualty complains of increased pain because of the bandage.
- When applying the bandage, ask the casualty if the bandage is too tight. Check the extremities for colour & warmth.
How to fold a triangular bandage:
Triangular bandages are used for slings, pads or bandaging.
- Fold the triangular bandage in half, and this makes a broad fold bandage.
- Fold the triangular bandage in half again and this is called a narrow fold bandage.
Slings are used for:
- Supporting an injured arm or wrist.
- Immobilising fractures.
- Elevating to control external bleeding.
What can be used as a sling?
How to apply an Upper Arm sling:
This sling is used for injuries to the upper arm, including the collarbone, shoulder or ribs, add an additional narrow bandage.
- Position the arm across the body with the hand near the opposite shoulder.
- Place the triangular bandage under the arm with the apex at the elbow.
- Fold the lower half of the bandage over the arm.
- Twist the bandage firmly at the elbow and bring the twisted bandage around the back.
- Twist the bandage around the hand and over the uninjured shoulder and tie the ends together using a reef knot on opposite side of the injury and place a pad under the knot.
- Check the bandaged arm for circulation.
How to apply a Lower Arm sling:
- This sling is used for injuries to the lower arm, including the wrist and hand.
- Place the arm across the chest and slightly raised.
- Place the triangular bandage between the arm and the body with the
- apex pointing towards the injured elbow.
- Bring the lower half of the bandage up and over the injured arm.
- Tie the ends together with a reef knot on the uninjured side & place a pad under the knot.
- Tape, tie or pin at the elbow.
- Check the injured arm for circulation.
- Ensure the arm is not sloping downwards as this will increase swelling and pressure.
How to apply a Collar and Cuff sling:
This sling can be used for dislocated shoulder, fractured ribs, or a fracture of the upper arm.
- Make a clove hitch (dp) using a narrow fold bandage.
- Put the loops over the wrist of the injured arm.
- Gently elevate the injured arm against the casualty’s chest.
- Tie the bandage ends together around the neck on the uninjured side using a reef knot, place a pad under the knot.
- For extra support apply a broad bandage below the fracture site over the arm & around the body.