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Saturday, March 28, 2015 1
Contents
1. Introduction
2. Types of bandage
3. Materials for bandage
4. Parameters affecting pressure
5. Bandaging techni...
A bandage is a piece of material used either to support a medical
device such as a dressing or splint, or on its own to pr...
A History of BAND-AID Brand Innovation
1920 BAND-AID®
Brand Adhesive Bandages make their first appearance on the market. T...
BANDAGING
Definition:
 Bandaging is the process of covering a wound or an injured part.
Uses:
Bandages are used for follo...
TYPES OF BANDAGE
Simple elastic bandages
Light support bandages
Compression bandage
Orthopedic bandage
Saturday, March...
Saturday, March 28, 2015 7
• Roller bandages
– Various widths, lengths, and types
of material
• Self-adhering, conforming bandages
– Elastic, gauzeli...
PARTS OF ROLLAR BANDAGE:
• Head
• Free End or tail.
Saturday, March 28, 2015 9
Following terms are used in roller
bandaging
• Simple spiral
• Reverse spiral
• Figure of eight.
• Spica
1. Simple Spiral ...
2.Reverse Spiral:
• This bandage is used for the parts where the thickness varies e.g.
legs & forearms. It is applied in t...
GENERAL PRINCIPLES: -
• Select a bandage of proper size & suitable material.
• Put the patient in a comfortable position.
...
Steps of applying rollar bandage:
• Fixing
• Rolling
• Securing
Checking circulation after bandaging
• Pressing nail
• Che...
TYING THE BANDAGE
• For tying the bandage a ‘reef knot’ must be always
used.
• Knot should not cause discomfort.
• Tuck th...
Elastic Bandages
• Gauze, cotton cloth, elastic wrapping
• Length and width vary and are used according to
body part and s...
Continue………
• Elastic bandages- extensible and very useful with
sports; active bandages allowing for movement; can
provide...
Elastic Bandage application
• Hold bandage in preferred hand with loose end
extending from bottom of roll
• Back surface o...
Elastic bandages can be used to provide
support for a variety scenarios:
• Ankle and foot spica
• Spiral bandage (spica)
•...
Triangle and Cravat Bandages
• Cotton cloth that can be substituted if roller bandages
not available
• First aid device, d...
Triangular Bandages
• Can be used as a cold compress or for padding when
they are made into a pad.
• When folded up they c...
• Parts of Triangularlar Bandage
POINT
END (BASE) END
Saturday, March 28, 2015 21
Applying a Cravat Bandage to the Head
• Place middle of bandage
over the dressing and
wrap around the head.
Saturday, Marc...
• Wrap center of bandage
over the dressing.
• Turn one end going up the
extremity and the other end
going down.
• Tie band...
–Cross the two ends
snugly.
–Bring ends back
around and tie knot.
Saturday, March 28, 2015 24
Applying an Adhesive Strip
• Remove wrapping, and
hold by protective strips.
• Peel back protective
strips, and place on
w...
Classification of Compression
Bandages
Sr . No. Bandage type Selected
names
Pressure (mm
Hg)
1 Light compression 3A J-Plus...
SIZES OF BANDAGE:
• The size of the bandage varies according to the part it is supposed
to bandage
Part to be Bandaged Wid...
MATERIALS COMMONLY
USED FOR BANDAGES:
Cotton
Cotton Gauze
Jute
Wool
Special materials like crape bandage, elastic
ban...
Saturday, March 28, 2015 29
Type of
bandage
Fibres used Type of
process
Light support
bandages
Simple elastic
bandages
Com...
Parameters affecting Pressure
1. .
Saturday, March 28, 2015 30
Bandaging Technique
Saturday, March 28, 2015 31
Circular Spiral Herring Bone
Recurrent Turn
Heel Lock
Major leading bandage manufacturing
company
Saturday, March 28, 2015 32
Saturday, March 28, 2015 33
Innovation in Bandaging
1. The new bandage, called the Emergency Bandage,
was developed by First Care Products,
• American...
Continue…….
3 . An Inject able Bandage Can Stop Heavy Bleeding in 15
Seconds
New technology developed for the military has...
4. HERO H-2 is a two-layer compression bandage system,
designed for venous and mixed aetiology ulcers. It consists of
a un...
5. Quick and easy grip-pull-stick system makes bandage application a
snap - with less mess and no loose tabs.
• One handed...
Bandage Dress
Saturday, March 28, 2015 38
New new challenges & scope
Self pressure maintain bandage
research on bandage for hot and humid weather
conditions.
 Ef...
Result& conclusion
• With correct compression therapy it is possible to heal more
than 90% of leg ulcers.
• If improper an...
• Timing is the difference between life and death.
The time you take to apply a bandage
is important.
Or
Saturday, March 2...
Bibiliography
• Monica Puri Sikka*, Subrato Ghosh, Arunangshu
Mukhopadhyay (2013 ),Geometry of the bandaging
procedure and...
Saturday, March 28, 2015 43
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Bandages

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Bandages

  1. 1. Saturday, March 28, 2015 1
  2. 2. Contents 1. Introduction 2. Types of bandage 3. Materials for bandage 4. Parameters affecting pressure 5. Bandaging technique 6. Major leading bandage manufacturing company 7. Innovation in bandaging 8. New challenges & scope 9. Result& conclusion 10. Bibliography Saturday, March 28, 2015 2
  3. 3. A bandage is a piece of material used either to support a medical device such as a dressing or splint, or on its own to provide support to the body; it can also be used to restrict a part of the body. During heavy bleeding or following a poisonous bite, it is important to slow the flow of blood; tight bandages accomplish this task very well. Bandages are available in a wide range of types, from generic cloth strips to specialized shaped bandages designed for a specific limb or part of the body, although bandages can often be improvised as the situation demands, using clothing, blankets or other material. In colloquial American English, the word "bandage" is often used to mean a dressing, which is used directly on a wound, whereas a bandage is technically only used to support a dressing, and not directly on a wound. 3/28/2015 3
  4. 4. A History of BAND-AID Brand Innovation 1920 BAND-AID® Brand Adhesive Bandages make their first appearance on the market. They are made by hand and are not a big hit. They were three inches wide and eighteen inches long. Only $3,000 worth were sold the first year. 1924 The little red string used to open BAND-AID® Brand Adhesive Bandages wrappers makes its first appearance. 1938 Completely sterile bandages are introduced. 1942 Millions of adhesive bandages go overseas as part of the war effort 1951 Plastic strips are introduced. 1956 Decorative bandages are introduced - "Stars and Strips" (not Stripes). 1957 Clear Strips bandages are introduced. 1963 Adhesive bandages go into space with Mercury astronauts 1994 . BAND-AID® Brand SPORT STRIP® Adhesive Bandages are introduced 1997 Introduction of BAND-AID® Brand Antibiotic Adhesive Bandages, the first ever adhesive bandage to have specially formulated antibiotic ointment right on the pad. 2000 BAND-AID® Brand Advanced Healing is the latest generation in wound care available to consumers. 2002 Introduction of a revolutionary new concept from BAND-AID® Brand – the Liquid Bandage that promotes fast healing on contact. 2006 Re-launch of plus Antibiotic with new look and more line extensions. Saturday, March 28, 2015 4
  5. 5. BANDAGING Definition:  Bandaging is the process of covering a wound or an injured part. Uses: Bandages are used for following purposes:  To prevent contamination of wound by holding dressings in position.  To provide support to the part that is injured, dislocated joint.  To provide rest to the part that is injured.  To prevent & control hemorrhage.  To restrict movement / immobilize a fracture or a dislocation.  To correct deformity.  To maintain pressure e.g. elastic bandages applied to the improve venous return. Saturday, March 28, 2015 5
  6. 6. TYPES OF BANDAGE Simple elastic bandages Light support bandages Compression bandage Orthopedic bandage Saturday, March 28, 2015 6
  7. 7. Saturday, March 28, 2015 7
  8. 8. • Roller bandages – Various widths, lengths, and types of material • Self-adhering, conforming bandages – Elastic, gauzelike • Gauze rollers – Nonelastic cotton • Elastic roller bandages – Provide compression • Triangular bandages – Slings – Cravats • Adhesive tape and strips Saturday, March 28, 2015 8
  9. 9. PARTS OF ROLLAR BANDAGE: • Head • Free End or tail. Saturday, March 28, 2015 9
  10. 10. Following terms are used in roller bandaging • Simple spiral • Reverse spiral • Figure of eight. • Spica 1. Simple Spiral : • This type of bandage is used for uniform thickness part i.e. wrist or finger. Each turn of the bandage overlaps the previous turn. Saturday, March 28, 2015 10
  11. 11. 2.Reverse Spiral: • This bandage is used for the parts where the thickness varies e.g. legs & forearms. It is applied in the same way as the general spiral bandage, but each turn is reversed as necessary to prevent gaping & to make the bandage smooth. 3.Figure of Eight: • This bandage is used for elbow & knee joints. This bandage is made by forming two loops or oblique turns over a joint. The turns alternately ascend & descend to cover the part. 4.Spica: • It is a form of the figure of eight bandage. The turn is larger than the other. It is used for joints at right angles to the body, e.g. the shoulder, groin, thumb. Saturday, March 28, 2015 11
  12. 12. GENERAL PRINCIPLES: - • Select a bandage of proper size & suitable material. • Put the patient in a comfortable position. • Support the injured area while bandaging. • If a joint is involved, flex it slightly. Face the patient while applying the bandage, except when applying it to the head. Hold the roll of the bandage in the right hand when applying bandage on the left side, Hold the bandage with the roll uppermost & apply the outer surface to the skin, unrolling a few centimeters of the bandage at a time. Put some cotton wool on the part to be bandaged so that the bandage does not slip or cause cutting into the skin underneath. Bandage from below upward, & from within outward. Saturday, March 28, 2015 12
  13. 13. Steps of applying rollar bandage: • Fixing • Rolling • Securing Checking circulation after bandaging • Pressing nail • Checking pulse • Tingling, coldness, inability to move fingers Saturday, March 28, 2015 13
  14. 14. TYING THE BANDAGE • For tying the bandage a ‘reef knot’ must be always used. • Knot should not cause discomfort. • Tuck the loose ends of bandage out of sight Saturday, March 28, 2015 14
  15. 15. Elastic Bandages • Gauze, cotton cloth, elastic wrapping • Length and width vary and are used according to body part and size • Sizes ranges 2, 3, 4, 6 inch width and 6 or 10 yard lengths • Should be stored rolled • Bandage selected should be free from wrinkles, seams and imperfections that could cause irritation Saturday, March 28, 2015 15
  16. 16. Continue……… • Elastic bandages- extensible and very useful with sports; active bandages allowing for movement; can provide support and compression for wound healing Saturday, March 28, 2015 16
  17. 17. Elastic Bandage application • Hold bandage in preferred hand with loose end extending from bottom of roll • Back surface of loose end should lay on skin surface • Pressure and tension should be standardized • Anchor are created by overlapping wrap – Start anchor at smallest circumference of limb Saturday, March 28, 2015 17
  18. 18. Elastic bandages can be used to provide support for a variety scenarios: • Ankle and foot spica • Spiral bandage (spica) • Groin support • Shoulder spica • Elbow figure-eight • Gauze hand and wrist figure-eight • Cloth ankle wrap Saturday, March 28, 2015 18
  19. 19. Triangle and Cravat Bandages • Cotton cloth that can be substituted if roller bandages not available • First aid device, due to ease and speed of application • Primarily used for arm slings – Cervical arm sling – Shoulder arm sling – Sling and swathe Saturday, March 28, 2015 19
  20. 20. Triangular Bandages • Can be used as a cold compress or for padding when they are made into a pad. • When folded up they can be used to provide support or pressure. • When unfolded they can be used as a support sling or cover bandage. Saturday, March 28, 2015 20
  21. 21. • Parts of Triangularlar Bandage POINT END (BASE) END Saturday, March 28, 2015 21
  22. 22. Applying a Cravat Bandage to the Head • Place middle of bandage over the dressing and wrap around the head. Saturday, March 28, 2015 22
  23. 23. • Wrap center of bandage over the dressing. • Turn one end going up the extremity and the other end going down. • Tie bandage over dressing. Saturday, March 28, 2015 23
  24. 24. –Cross the two ends snugly. –Bring ends back around and tie knot. Saturday, March 28, 2015 24
  25. 25. Applying an Adhesive Strip • Remove wrapping, and hold by protective strips. • Peel back protective strips, and place on wound. • Pull away protective strips, and press ends and edges down. Saturday, March 28, 2015 25
  26. 26. Classification of Compression Bandages Sr . No. Bandage type Selected names Pressure (mm Hg) 1 Light compression 3A J-Plus, K-Crepe Upto 20 2 Moderate compression3B Setopress, Surepress 21-30 3 High compression 3C Tensopress 31-40 4 Extra high compression 3D Blue Line Webbing 41-60 Saturday, March 28, 2015 26
  27. 27. 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 Trunk Leg Arm Fingers Hand Wrist 5 10 to 15 6 to 8 5 to 6 2.5 5 5 4 to 6 6 to 8 4 3 to 4 2 3 3 Saturday, March 28, 2015 27
  28. 28. MATERIALS COMMONLY USED FOR BANDAGES: Cotton Cotton Gauze Jute Wool Special materials like crape bandage, elastic bandage. Saturday, March 28, 2015 28
  29. 29. Saturday, March 28, 2015 29 Type of bandage Fibres used Type of process Light support bandages Simple elastic bandages Compression bandages Orthopedic bandage W,K W,K W, NW W,KCotton, Viscose, Polyamide, Elastomeric yarns Cotton, Viscose, Elastomeric yarns Cotton, Viscose, Polyamide, Elastomeric yarns Cotton, Viscose, Polyester, Polypropylene, polyurethane forms
  30. 30. Parameters affecting Pressure 1. . Saturday, March 28, 2015 30
  31. 31. Bandaging Technique Saturday, March 28, 2015 31 Circular Spiral Herring Bone Recurrent Turn Heel Lock
  32. 32. Major leading bandage manufacturing company Saturday, March 28, 2015 32
  33. 33. Saturday, March 28, 2015 33
  34. 34. Innovation in Bandaging 1. The new bandage, called the Emergency Bandage, was developed by First Care Products, • American forces are now using an advanced new bandage, developed in Israel, that can save lives by stopping traumatic hemorrhaging wounds. 2. ProGuide* is a multi-layer compression bandage for venous leg ulcers and associated conditions. • ProGuide offers the following benefits: • All the advantages of Vari-stretch compression • The effective level of compression is consistently achieved • Sustained compression for up to 7 days • Innovative layer system • ProGuide 18-22cm 22-28cm 28-32cm Saturday, March 28, 2015 34
  35. 35. Continue……. 3 . An Inject able Bandage Can Stop Heavy Bleeding in 15 Seconds New technology developed for the military has the potential to save soldiers from fatal gunshot wounds. For that, Steinbaugh credits students at Harvey Mudd College, who worked with RevMedX to fabricate a spongy material that’s coated with an antimicrobial clotting agent called chitosan. As the sponges soak up blood and expand within the wound, they clump together, becoming one firm mass that prevents excessive bleeding while simultaneously accelerating the clotting process. Additionally, the sponges are individually marked with an "X" symbol that’s visible under x-rays, making it easy for the surgeons to locate and remove them. Saturday, March 28, 2015 35
  36. 36. 4. HERO H-2 is a two-layer compression bandage system, designed for venous and mixed aetiology ulcers. It consists of a unique moisturising and odour reducing cohesive compression foam layer and an inelastic cohesive compression bandage which lock together to be more secure………a completely fresh approach to compression bandaging! • Layer 1 consists of a gentle, conformable cohesive absorbent foam bandage which contains pure Aloe with moisturising properties to reduce the dry skin associated with chronic venous ulcers and cyclodextrin to help bind odour and give off a fresh scent. • Layer 2 is a unique, hand tearable, light tan, inelastic cohesive bandage designed to produce graduated, therapeutically effective compression. The two layers lock together to maintain compression and reduce slippage. Saturday, March 28, 2015 36 Continue…….
  37. 37. 5. Quick and easy grip-pull-stick system makes bandage application a snap - with less mess and no loose tabs. • One handed application minimizes contamination risk. • Easy Access Bandages™ are secured in portable packs organized by size. Packs stay organized, are easy to find and slip easily into a purse or pocket without damage to the bandages. Simplify Your Life • Easy one-handed application • Easy to find - packs organized by size • Easy to carry - bandages secured in portable packs • Less mess - no loose tabs • Less contamination risk • Latex free • Sterile Saturday, March 28, 2015 37
  38. 38. Bandage Dress Saturday, March 28, 2015 38
  39. 39. New new challenges & scope Self pressure maintain bandage research on bandage for hot and humid weather conditions.  Effect of body fat, age, sex and race on the interface pressure development not understood. More techno economical afford to produce better quality with cheap price. Made in India Saturday, March 28, 2015 39
  40. 40. Result& conclusion • With correct compression therapy it is possible to heal more than 90% of leg ulcers. • If improper and widely varying pressure is applied by inexperienced doctor or nurse that may lead to amputation of leg • So correct pressure profiling of bandage is extremely important for effective treatment • High scope of research • Better standards for research institutes Saturday, March 28, 2015 40
  41. 41. • Timing is the difference between life and death. The time you take to apply a bandage is important. Or Saturday, March 28, 2015 41
  42. 42. Bibiliography • Monica Puri Sikka*, Subrato Ghosh, Arunangshu Mukhopadhyay (2013 ),Geometry of the bandaging procedure and its application while wrapping bandages for treatment of leg ulcers, 2013, 6, 1186-1190 http://dx.doi.org/10.4236/jbise.2013.612148 • S rajendran & s c anand contribution of textile to metical textile and health care products and developing innovative product IJFTR vol no. 31 march 2006 pp. 215-229 • Geest, A.J., Veraart, J.C.J.M., Nelesmans, P., “The effect of medical elastic compression stockings with different slope values on edema”, Dermatol Surgery, 2000, 26, pp. 244-47 • Morton, W.E., Hearle, W.S., PhysicalProperties of Textile Fibers, 1993, the Textile Institute, Manchester • www.slideshare.com Saturday, March 28, 2015 42
  43. 43. Saturday, March 28, 2015 43

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