1. First Aid Dressings and Bandages

2. Dressings *Covers an open wound. *Touches the wound

3. Dressings Should be: Sterile Larger than wound Thick, soft and compressible Lint free

4. Dressings: Purpose Control bleeding Prevent infection Absorb blood and wound drainage Protect wound from further injury

5. Dressings: DO NOT *Use cotton balls as dressings *Remove a blood soaked dressing until the bleeding stops *Pull off a dressing stuck to a wound Soak a dressing off if stuck to wound DO…..

6. Dressings: Types Gauze Pads *Used for small wounds *Various sizes *Some have nonstick surface 4 x 4

7. Dressings: Types Adhesive Strips *Band-aids *Used for small cuts *Combination dressing and bandage

8. Dressings: Types Trauma Dressing *Also called ABD pads *Large, thick, absorbent *Can use sanitary pads (not sterile)

9. Dressings: What To Do *Wash hands (if possible) *Place dsg directly over wound *Cover with bandage

10. Bandages: Purpose *Holds a dsg in place *Apply direct pressure over wound *Prevents or reduces swelling *Provides support or stability Wrap toward the

11. Bandages: DO NOT *Apply directly over wound (apply dsg 1 st ) *Bandage so tight it restricts blood flow *Bandages so loose, the dsg slips

12. Bandages: DO NOT *Have loose ends *Cover fingers or toes (unless they are injured) *Use elastic wrap *Apply around neck X

13. Bandages: Signs that the Bandage is too Tight *Blue color to fingers or toes *Tingling or loss of sensation *Extremity coldness *Inability to move fingers or toes below Check pulse below dressing

14. Bandages: Types Roller Bandages *Various widths and lengths *Kling *Kerlex

15. Bandages: Types Triangular Bandages 36 - 40 inch square of cotton cut diagonally “ Cravat ”

16. Bandages: Types Adhesive Tape Varies widths, lengths and material

17. Bandages: Types Adhesive Strips Used for small cuts Band-aids Combination dressing and bandage

18. Fractures: DOTS Deformity Open wound Tenderness Swelling Not always obvious. Compare

19. Fractures: What To Do Check and treat ABCs Tx for shock Gently remove clothing covering injured site LAF

20. Fractures: What To Do LAF: Look And Feel Look at injured site. Swelling? Brusiing? Damaged skin? Gently press, feel for deformity, tenderness

21. Fractures: What To Do Check circulation, nerves: Arm: Radial pulse Leg: Post tib pulse Sensation: squeeze fingers, toes Movement: Wiggle fingers, toes

22. Fractures: What To Do RICE Rest Ice Compress Elevate With Ace bandage. Wrap toward the heart Injuries heal faster with rest. For 20 - 30 minutes q 2 - 3 hours for first 24 - 48 hours After stabilized

23. Fractures: What To Do Stabilize with splint Stabilize: limit movement Reduces pain Prevents damage to muscles,nerves and blood vessels Reduces bleeding and swelling

24. Types of Splints Improvised Folded newspaper, piece of wood, another body part Commercially prepared

25. Splints Stabilize before moving Splint in position found Cover wounds before applying splint

26. Splints Check pulses, if no pulse: try to straighten extremity to restore blood flow. Stabilize above and below injury

27. Splints Use cravats if possible Tie firmly but not too tight Check pulse after each cravat is tied Leave fingers or toes exposed

28. Splints RICE after splint is applied SMA immediately if no pulse in injured extremity