{"id":818,"date":"2010-12-02T17:52:06","date_gmt":"2010-12-02T17:52:06","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/bandages\/"},"modified":"2024-06-11T16:14:47","modified_gmt":"2024-06-11T15:14:47","slug":"bandages","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/bandages-and-bandaging-techniques\/wounds-and-bandages\/bandages\/","title":{"rendered":"Bandages"},"content":{"rendered":"<hr \/>\n<p><span style=\"color: #003366;\">A <span style=\"color: #33cccc;\"><strong>bandage<\/strong><\/span> is used in an attempt to improve conditions for <span style=\"color: #33cccc;\"><strong>rapid wound healing<\/strong><\/span>. With an <span style=\"color: #33cccc;\"><strong>external wound<\/strong><\/span>, the primary function of the bandage is to keep the wound <span style=\"text-decoration: underline;\">dry<\/span> and <span style=\"text-decoration: underline;\">protect<\/span> it from <span style=\"text-decoration: underline;\">contamination<\/span>. In the case of an <span style=\"color: #33cccc;\"><strong>internal wound<\/strong><\/span>, the emphasis is more on <span style=\"text-decoration: underline;\">limiting swelling<\/span> by exerting pressure on the body part involved, and on allowing the body part to <span style=\"text-decoration: underline;\">rest<\/span> by <span style=\"text-decoration: underline;\">providing support<\/span>. <\/span><\/p>\n<p><span style=\"color: #003366;\">Bandages can be divided into <span style=\"color: #33cccc;\"><strong>four groups<\/strong><\/span>, according to what they are used for.<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\"><strong>Wound Dressing<\/strong><\/span><\/p>\n<p><span style=\"color: #003366;\">This is used in the case of an (<em>imminent<\/em>) <span style=\"color: #33cccc;\"><strong>external wound<\/strong><\/span> to <span style=\"text-decoration: underline;\">prevent contamination<\/span> of the wound or the surrounding area.<\/span><\/p>\n<p><span style=\"color: #003366;\">The dressing comprises three layers <em><strong>[Figure 1]<\/strong><\/em>:<\/span><\/p>\n<ul>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Moisture-permeable layer<\/strong><\/span> which covers the wound (<em>A<\/em>) and which is <span style=\"text-decoration: underline;\">sterile<\/span> or contains an <span style=\"text-decoration: underline;\">antiseptic<\/span>.<\/span><\/li>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Absorbent core<\/strong><\/span> (<em>B<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Moisture impermeable and\/or fixing layer<\/strong><\/span> (<em>C<\/em>).<\/span><\/li>\n<\/ul>\n<p><span style=\"color: #003366;\">The technique for applying a wound dressing is described in the section &#8220;<em>Wound Dressings<\/em>.&#8221;<\/span><\/p>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-815\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-1.jpg\" alt=\"\" width=\"300\" height=\"112\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-1.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-1-300x112.jpg 300w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><strong><span style=\"width: 300px; display: block;\">Figure 1<\/span><\/strong><\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\"><strong>Compression Dressing<\/strong> <\/span><\/p>\n<p><span style=\"color: #003366;\">This is a variant of the wound dressing <em><strong>[Figure 2]<\/strong><\/em>. It is used for <span style=\"color: #33cccc;\"><strong>external wounds<\/strong><\/span> with <span style=\"color: #33cccc;\"><strong>arterial<\/strong><\/span> or <span style=\"color: #33cccc;\"><strong>venous bleeding<\/strong><\/span>. An object the size of the wound (<em>C<\/em>) is placed on top of the layer in contact with the wound (<em>A<\/em>) and the absorbent layer (<em>B<\/em>). The dressing material is fixed using a <span style=\"color: #33cccc;\"><strong>roller bandage<\/strong><\/span> (<em>D<\/em>) and the object (<em>C<\/em>) is pressed against the wound. By applying pressure in this way, bleeding is more likely to stop. The application is described in &#8220;<em>The Wound Compression Bandage<\/em>.&#8221;<\/span><\/p>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-816\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-2.jpg\" alt=\"\" width=\"300\" height=\"108\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-2.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-2-300x108.jpg 300w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><strong><span style=\"width: 300px; display: block;\">Figure 2<\/span><\/strong><\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\"><strong>Compression Bandaging<\/strong>\u00a0<\/span><\/p>\n<p><span style=\"color: #003366;\">This bandaging is used for <span style=\"color: #33cccc;\"><strong>internal wounds<\/strong><\/span> to <span style=\"text-decoration: underline;\">prevent<\/span> or <span style=\"text-decoration: underline;\">limit swelling<\/span> as the result of bleeding<em><strong> [Figure 3]<\/strong><\/em>. By tightly applying a roller bandage (<em>B<\/em>) around the body part involved, circular pressure is exerted. To ensure that the pressure is evenly distributed, a <span style=\"color: #33cccc;\"><strong>pressure-distributing layer<\/strong><\/span> (<em>A<\/em>) is placed between the skin and the bandage (<em>B<\/em>). The application is described in &#8220;<em>The Compression Bandage<\/em>.&#8221;<\/span><\/p>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-817\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-3.jpg\" alt=\"\" width=\"300\" height=\"208\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-3.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-3-300x208.jpg 300w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><strong><span style=\"width: 300px; display: block;\">Figure 3<\/span><\/strong><\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\"><strong>Support and Immobilising Bandages<\/strong><\/span><\/p>\n<p><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Wound healing<\/strong><\/span> is promoted by <span style=\"text-decoration: underline;\">providing support<\/span> and <span style=\"text-decoration: underline;\">limiting<\/span> or <span style=\"text-decoration: underline;\">preventing movement<\/span> of the body part involved.<\/span><\/p>\n<p><span style=\"color: #003366;\">A commonly-used support bandage for <span style=\"text-decoration: underline;\">upper extremities<\/span> is the <span style=\"color: #33cccc;\"><strong>sling<\/strong><\/span>. The <span style=\"text-decoration: underline;\">forearm<\/span> is supported in a <span style=\"color: #33cccc;\"><strong>triangular cloth<\/strong><\/span>. The <span style=\"color: #33cccc;\"><strong>Collar\u2019n\u2019Cuff<\/strong><\/span>, a <span style=\"color: #33cccc;\"><strong>stockinette<\/strong><\/span> with a <span style=\"text-decoration: underline;\">pressure-distributing filling<\/span> has a comparable function to the sling, but is more <span style=\"text-decoration: underline;\">comfortable<\/span> around the neck. <\/span><\/p>\n<p><span style=\"color: #003366;\">A <span style=\"color: #33cccc;\"><strong>plaster cast<\/strong><\/span> is a form of <span style=\"text-decoration: underline;\">supportive bandage<\/span> which more or less <span style=\"text-decoration: underline;\">fully immobilises<\/span> part of the body. Bandages are meant to support proprioception (<em>or its temporary loss<\/em>) and control activity by preventing any extreme movements. <\/span><\/p>\n<p><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Support bandages<\/strong><\/span> can also be used to <span style=\"text-decoration: underline;\">prevent injury<\/span>. One example is a <span style=\"color: #33cccc;\"><strong>preventative bandage<\/strong><\/span>, as well as the <span style=\"color: #33cccc;\"><strong>pressure gradient bandage<\/strong><\/span> used for <span style=\"text-decoration: underline;\">venous insufficiency<\/span> in <span style=\"text-decoration: underline;\">lower extremities<\/span>. Weakening of the connective and muscle tissue leads to a reduction in venous support and pump function, resulting in <span style=\"color: #33cccc;\"><strong>congestion<\/strong><\/span> in the <span style=\"color: #33cccc;\"><strong>vascular system<\/strong> <\/span>of the lower legs. The use of a support bandage, in the form of an <span style=\"color: #33cccc;\"><strong>elastic stocking<\/strong><\/span> or <span style=\"color: #33cccc;\"><strong>bandage wraps<\/strong><\/span>, where the pressure decreases in the distal to proximal direction, stimulates venous return and prevents ulcer formation. A step-by-step demonstration of the techniques involved in these supportive and immobilising bandages is provided in the section &#8220;<em>Support and Immobilising Bandages<\/em>.&#8221;<\/span><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A bandage is used in an attempt to improve conditions for rapid wound healing. With an external wound, the primary function of the bandage is to keep the wound dry and protect it from contamination. In the case of an internal wound, the emphasis is more on limiting swelling by exerting pressure on the body [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[78],"tags":[149],"class_list":["post-818","post","type-post","status-publish","format-standard","hentry","category-wounds-and-bandages","tag-bandages-bandaging-techniques"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Bandages - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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