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Skill lab blok 28

Tehnik Balut Membalut


BANDAGES

PURPOSE OF BANDAGES
- Hold a dressing in place
- Apply direct pressure over a dressing
- Prevent or reduce swelling
- Provide stability for an extremity
- Extend (e.g. broken bones)
- Stop bleeding
Institute of Nursing Theory and Practice,
First Aid
Bandaging technique
Spiral bandaging
Reverse spiral bandaging
Figure of eight bandaging
Spiral bandaging
Reverse spiral bandaging
Figure of eight
BANDAGES

SIGNS THAT THE BANDAGE IS TOO TIGHT


- Blue tinge to the fingernail/toenail
- Blue or pale skin colour
- Tingling or loss of sensation
- Coldness of the extremity
- Inability to move the fingers/toes

Institute of Nursing Theory and Practice,


First Aid
Direct Pressure

Cover the injury with sterile dressings.


Apply firm direct pressure to the site of injury.
Pressure should be maintained until the bleeding stops, a
pressure dressing is applied.
If the dressing becomes saturated, reinforce the dressing;
do not remove the dressing.
After bleeding has stopped, apply a pressure dressing.
A pressure bandage is made by securing several gauze pads over
the injury with a rolled gauze bandage.
After applying a pressure dressing, always ensure that the
patient has a pulse distal to the dressing. If no pulse is present,
the dressing may be too tight.
Wound dressing
Applied in three layers.
The first layer is the contact layer : nonabsorbent
hydrophilic dressing. Examples of contact layer
dressings are Adaptic, petroleum gauze, and
Xeroform gauze.
The second layer is the absorbent layer and is
usually constructed of surgical dressing pads or 4
4 gauze dressings.
The third layer is the outer wrap that holds the
dressing in place : rolled gauze and tape.
DRESSINGS

PURPOSE OF DRESSINGS
- Control bleeding
- Prevent infection and contamination
- Absorb blood and fluid drainage
- Protect the wound from further injury

Institute of Nursing Theory and Practice,


First Aid
Bidai
Tujuan : mengurangi nyeri dan mencegah
kerusakan jaringan lebih berat
Bidai
Bidai kayu sebaiknya dibalut dengan kassa
Pembidaian meliputi 2 sendi : proksimal dan distal
sendi dari lokasi fraktur
Lakukan traksi dan reduksi ringan. Traksi dan reduksi
dilakukan hanya jika pulsasi distal fraktur tidak teraba
Luka pada fraktur terbuka dibersihkan dan ditutup
dengan antiseptik. Patahan tulang yang keluar tidak
perlu direduksi.
Beri bantalan pada tonjolan tulang
Ikat bidai (4 ikatan) pada proksimal dan distal fraktur
Open pneumothorax
Open pneumothorax
Close the chest wall defect with a sterile
occlusive dressing taped on three sides
to act as a flutter-type valve.
Avoid securing the dressing on all four
sides in the absence of a chest tube,
which can produce a tension
pneumothorax.
Occlusive Dressing
Penetrating abdominal trauma
Management of Evisceration Injuries
Use sterile side of dressing to place protruding
organs near the wound (NOT into wound)
Cover organs and wound completely with sterile or
clean moist dressing
DO NOT APPLY PRESSURE TO WOUND or expose
internal parts
Tie dressing tails loosely around wound
Prepare evacuation to surgical assets
THANK YOU

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