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• ahmed haneef

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Triangular bandage

TRIANGULAR BANDAGES These can be made by cutting in half diagonally a piece of material (linen or calico) not less than 1 m square. Alternatively triangular bandages can be bought, often wrapped in sterile packages. Triangular bandages can be used in a number of ways. Open or unfolded bandages can be used to form a sling to provide support or protection for the arms or chest or for securing dressings over areas such as the head, Hand and toot. Alternatively, they can be folded according to specific requirements STORING TRIANGULAR BANDAGES 1

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1- Make a narrow-fold bandage as in steps1 and 2 opposite. 2-Turn the ends of the bandage into the middle. 3- Continue folding the ends into the middle until a convenient size is reached.

Parts of a triangular bandage

BROAD-FOLD BANDAGES These folded triangular bandages are used for immobilizing limbs during transportation or for securing splints or dressings. 1-Turn in a narrow hem along the base of, the bandage. Fold the point to the base. 2- Fold the whole bandage in half again in the same direction. NARROW-FOLD BANDAGES These are useful for securing a dressing at a joint if no other bandage is available 1-Make a broad-fold bandagers in steps I the 1 and 2 2-Fold the bandage in half again in the same direction RING PAD

3rd Male, Scout Group

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Scout standard

Triangular bandage Using a narrow bandage, form a loop around one hand by wrapping one end of the Bandage twice around the four fingers. Pass the other end through the loop and wrap it around and around until the entire bandage is used and a firm ring is made.

SLINGS These are used to provide support and protection for injured arms, wrists and hands or for immobilizing an upper limb when there are chest injuries. There are two types, the Arm sling and the elevation sling . Apply slings from the injured side so that you can provide extra support and protection. ARM SLING This sling is used where there are injuries to the upper limb and for some chest injuries. It holds the forearm across the chest but it is effective only if the casualty sits or stands. When an arm sling is in the correct position, the casualty’s hand will be slightly higher than the elbow. The base of the bandage should lie at the root o the little finger, leaving all fingernails exposed. METHOD Ask the casualty to sit down, and support her fire arm o the injured side with her wrist and hand a little higher than her elbow - The casualty may be able to support her own arm. 2-Using the hollow between her elbow and £ chest, slide one end of the triangular bandage between her chest and forearm so that its point reaches well beyond her elbow. 3-Place the upper end over her shoulder on the sound side and around the back of her neck to the front of the injured side. 4- Still supporting her forearm, carry the Lower end of the bandage up over her forearm and hand, leaving only the fingertips exposed. Using a reef knot tie on the injured side in the hollow above her collar-hone. 5-Finally, bring the point forward and secure it to the front of the band age with a safety pin. If no safety pin is available, twist the fold at the point and tuck it between the Bandage and the front of the arm. 6- Check the circulation in the limb If it is affected, adjust the bandage and/Or position of the sling. ELEVATION SLING

3rd Male, Scout Group

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Scout standard

Triangular bandage This sling is used to support the hand and forearm in a well-raised position if the hand is bleeding, if there are complicated chest injuries or if there are shoulder injuries. METHOD 1-Ask the casualty to sit down and support his injured limb. Place his forearm across his chest with his fingertips almost resting on his opposite shoulder. 2- Place an open bandage over his forearm and hand with its point reaching well beyond the elbow and its upper end just over the shoulder on the sound side. 3 Supporting the casualty’s forearm ease of the base of the bandage round under his hand, forearm and elbow. 4 carry the lower end round across his over to the front of the uninjured shoulder. 5-Using reef knot, tie on the sound side in front of the hollow above his collarbone, gently adjusting the height of the sling if necessary in between the forearm 6- Tuck the point between the fore arm and the front part of the bandage. Turn the fold back against the arm and secure it with a safety pin. If a safety pin is not available, tuck the fold over the top of his forearm. 7 -Check the circulation in the limb if it is affected; adjust the bandage and/or the position of the sling. ELBOW 1 .Set Triangular bandage as a whole cloth with a narrow hem folded along its base 2. Place the center base on the forearm 3. Position the point up ward and over the dressing, and bring the ends around the limb, crossing over front of the elbow. 4. Tie off on the upper part of the limb. 5. Draw the points up to put the desired pressure on the dressing, and then fold it downward to secure it at the lower pan of the limb with a safety pin. HAND BANDAGE

3rd Male, Scout Group

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Scout standard

Triangular bandage This is used for holding a Light dressing or to a hand injury such as a graze or burn where pressure is not required. For bandaging a bleeding wound in the palm of the hand, NOTE For a small hand you may need to fold in a hem along the base of the bandage. METHOD 1-keeping the injury uppermost, place a bandage under the casualty’s Hand with the base at his or her wrist and the point away from the casualty Bring the point up over the hand to the wrist. 2-Carry the ends around the Hand, cross them and tie off over the wrist below the point, using reef knot. 3- Bring the point over the knot and secure 4-check for the circulation SCALP BANDAGE This is used to hold a dressing in place over a scalp wound but it is not used to control bleeding. METHOD 1- Fold in a hem along the base of a Triangular bandage. Place the base on he casualty’s forehead so that the centre or the base is above, hut close to, his eyebrows and the point of the bandage hangs down at the back of his head. 2-Carry the ends round to the back of his head passing them just above his ears 3-Cross the ends above the point of the bandage in the nape of his neck and bring them around to the front. 4-Using a reef Knot, tie off on his forehead close to the hem. 5-Steady his head with one hand and with your other hand gently draw the point of the bandage down to take up the slack. 6-Turn up the point, and secure with a safety pin to the bandage on top of the casualty’s head. THE FEET 1. Use the triangular bandage as a whole cloth, placed on a flat surface with the point away from the casualty. 2: Place the foot on the bandage with toes toward the point. Leave sufficient bandage at the 3rd Male, Scout Group

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Scout standard

Triangular bandage wrist to enclose the part. 3: Bing the point up and over the foot to rest to the lower leg. 4: Bring the ends up and around the ankle, crossing over the point and repeating turns around the part se up any extra bandage before tying off. 5: Draw the point through the tie to apply direct pressure, and then fold it downward and secure with a pin.

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The Knee I Use Triangular bandage as a whole cloth with a narrow hem folded along its base. 2. Place the center base on the shine below the kneecap. 3. Position the point up ward and over the dressing, crossing over in the back of the knee 4. Tie off on the upper part of the limb. 5. Draw the points up to put the desired pressure on the dressing, and then fold it downward to secure it at the lower part of the limb with a safety pin. APPLYING A ROLLER BANDAGE The most common of applying a roller bandage is to use simple spiral turns as shown below. It is used when the part to be bandaged is of uniform width, e.g., forearm. METHOD

3rd Male, Scout Group

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Scout standard

1-Place the tail of the bandage on the limb make a firm oblique turn from the inside of hold the bandage in position. 2- Make a series of spiral t turns working up successive turn to cover two thirds of the previous Layer and leave the free edges parallel.

Triangular bandage below the injury and the limb outwards to the limb. Allow each

3-Finish off with a straight turns and secures the end. 4-Check the circulation.

SECURING A ROLLER BANDAGE 1-Finish off a hove the dressing. Fold in the end of the bandage. 2-Secure with a safety pin, adhesive tape or a bandage clip. IF pins, tape or clips are not available, gauze bandages can be tied. Leave about 15 cm (6 in) or mo re of the bandage free - the amount you leave will depend on the size of the part being bandaged - and split it down the centre. Tie a knot at the bottom of the split and, using a reef knot, tie the ends a round the limb.

ELBOW/KNEE BANDAGE The method for bandaging an elbow can he adapted for bandaging knee METHOD

3rd Male, Scout Group

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Scout standard

Triangular bandage 1-Ask the casualty to support his limb in the most comfortable position. Place the tail of the bandage on the inside of his elbow and make one straight turn, carrying the Head over the elbow tip a on around his limb. 2-Take the bandage around his upper arm, covering half of the first turn then around his forearm, covering the outer edge of the first turn and touching the edge of the second turn. 3-Continue turns a alternately above and below the first turn, allowing each to cover a little more than two-thirds of the previous turn. 4-Finish off with one or two spiral turns above the elbow and secure the end. 5-Check the circulation HAND/FOOTBANDAGE To bandage foot adapt the method for bandaging a hand shown below. METHOD 1- Ask the casualty to support his hand with I his palm held downwards. Fix the tail of the bandage his wrist by making one straight turn.

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2-Carry the head of the bandage diagonally across the back of his hand towards the base of the little finger, then take it around the palm of the hand under the fingers to the base of the finger nails. 3-Carry the head of the bandage up across the top of the fingers to the root of the nail of the little finger. Then, bring it down around the palm again and diagonally across the back of the hand towards the wrist. 4-Continue making these figure of-eight turns until the hand is covered. Finish off by making a spiral turn at the wrist and secure the end. 5-Check the circulation

3rd Male, Scout Group

page7

Scout standard