Bandaging Wounds

Bandaging Wounds
Mike Brady, ORTOR
(Operating Room Technician, Orthopedics)
All Care Animal Referral Center
Fountain Valley, California

Click here to download video!
Approximate download time at 56K:
50 minutes

This downloadable video is for personal use only. Not to be resold or distributed without the express written permission of Waltham USA. Abridged from the complete procedure available on Waltham Forum® Video Vol. 9, No. 1.

KEY FACTS

A modified Robert-Jones bandage consists of wound coverage, compression, and protective layers.
Circumferential wrapping, inelastic materials, and applications that are too tight can cause a tourniquet effect.

OUTLINE

I. Preparation

A. Remove old bandage one layer at a time to avoid trauma.

B. Clean and medicate wound by irrigating with warmed sterile saline and hydrogen peroxide.

C. Evaluate limb.

1. Check entire limb for pressure sores.

2. Look between pads for maceration due to moisture.

D. Apply wound medication.

1. A thin layer of Silvadene® Cream (Hoechst Marion Roussel) is best for wounds with potential Pseudomonas infection.

E. Bandage contains three layers: Wound coverage, compression, and protective layers.

II. Wound Coverage Layer

A. Create a sterile field and wear gloves.

B. Cover wound with a petrolatum dressing such as Xeroform (Sherwood–Davis & Geck).

C. Apply a stockinet to avoid gummy mess of tape stirrups.

D. Apply two layers of soft cotton roll.

1. Start first layer at the bottom and work up.

2. Overlap each turn 50%.

3. Second layer starts at the top and goes down.

4. Use firm pressure and avoid wrinkles.

III. Compression Layer

A. Use inelastic brown roll gauze or elastic white gauze.

1. Inelastic materials create danger of tourniquet effect but provide more structural support.

2. Elastic materials are best for soft tissue injuries.

B. Start at the bottom and work up, overlapping 50% with each turn.

C. Stop 1/2 inch below top of soft cotton.

D. Roll stockinet up at toes, down at top of wrap.

E. Only the tips of the toes should be exposed.

IV. Protective Layer

A. Use material such as Vetrap™ (3M).

B. Do not apply with compression.

C. Apply white tape in a spiral to avoid tourniquet effect.

D. Write name and date on tape.

	Bandaging Wounds Mike Brady, ORTOR (Operating Room Technician, Orthopedics) All Care Animal Referral Center Fountain Valley, California Click here to download video! Approximate download time at 56K: 50 minutes
This downloadable video is for personal use only. Not to be resold or distributed without the express written permission of Waltham USA. Abridged from the complete procedure available on Waltham Forum® Video Vol. 9, No. 1.

OUTLINE
I.	Preparation
	A.	Remove old bandage one layer at a time to avoid trauma.
	B.	Clean and medicate wound by irrigating with warmed sterile saline and hydrogen peroxide.
	C.	Evaluate limb.
		1.	Check entire limb for pressure sores.
		2.	Look between pads for maceration due to moisture.
	D.	Apply wound medication.
		1.	A thin layer of Silvadene® Cream (Hoechst Marion Roussel) is best for wounds with potential Pseudomonas infection.
	E.	Bandage contains three layers: Wound coverage, compression, and protective layers.

II.	Wound Coverage Layer
	A.	Create a sterile field and wear gloves.
	B.	Cover wound with a petrolatum dressing such as Xeroform (Sherwood–Davis & Geck).
	C.	Apply a stockinet to avoid gummy mess of tape stirrups.
	D.	Apply two layers of soft cotton roll.
		1.	Start first layer at the bottom and work up.
		2.	Overlap each turn 50%.
		3.	Second layer starts at the top and goes down.
		4.	Use firm pressure and avoid wrinkles.

III.	Compression Layer
	A.	Use inelastic brown roll gauze or elastic white gauze.
		1.	Inelastic materials create danger of tourniquet effect but provide more structural support.
		2.	Elastic materials are best for soft tissue injuries.
	B.	Start at the bottom and work up, overlapping 50% with each turn.
	C.	Stop 1/2 inch below top of soft cotton.
	D.	Roll stockinet up at toes, down at top of wrap.
	E.	Only the tips of the toes should be exposed.

IV.	Protective Layer
	A.	Use material such as Vetrap™ (3M).
	B.	Do not apply with compression.
	C.	Apply white tape in a spiral to avoid tourniquet effect.
	D.	Write name and date on tape.