Bandages & Slings
Bandages
How to apply a roller bandage:
The injured person should sit or lie down
Position yourself in front of the casualty on their injured side
Support the injured body part in position before starting
The casualty may be able to help by holding the padding in place
Wrap the ‘tail’ of the bandage one full turn around the limb to anchor it
If there is no assistance and there is padding over a wound, wrap the ‘tail’ of the bandage directly around the padding
Roll upwards continuing to unwind the bandage around the limb
Overlap the bandage by about two thirds its width as you unwind and secure the end with tape (alternatively bandage in a ‘figure eight’ fashion)
Make sure the bandage isn’t too tight. Check by pressing on a fingernail or toenail of the injured limb. If the pink colour returns within a couple of seconds the bandage isn’t affecting the circulation. If the nail remains white for some time, loosen the bandage. Keep checking and adjusting the bandage, especially if swelling is a problem
How to fold a triangular bandage:
Place an open triangular bandage on a clean flat surface
To create a broad bandage for splinting fractures of the upper legs - fold again in the same direction
To create a narrow fold bandage for lower leg fractures - fold one more time in the same direction
To create a sling - fold from the (point) to the middle of the bandage
Slings
Upper arm sling:
Support the injured arm in a ‘V’ so that it is held in front of their body and bent at the elbow with the hand resting in the hollow where the collarbone meets the shoulder
With the point of the triangular bandage positioned at the elbow, place the bandage over the top of the arm; tuck the upper point under the casualty’s fingertips
Pass the base of the bandage up under the forearm to create a cradle or hammock
Join the bandage together at the elbow and twist towards the casualty into a long spiral
Bring the long spiral around and then up the person’s back
Tie the two ends together firmly at the person’s fingertips
Secure at the elbow with a pin, tape or twist
Check circulation to the arm, wrist and fingers
Secure additional bandages to support the sling, if needed
Lower arm sling:
Support the injured forearm parallel to the ground
With the point of the triangular bandage at the elbow, place under the arm
Extend the upper point of the triangular bandage over the shoulder on the uninjured side
Bring the lower end of the bandage up to meet the other end and tie in the hollow of the neck just above the collarbone on the uninjured side to avoid any pressure on the neck;
Check for circulation to the arm and fingers