Premergency First Aid, CPR and AED Manual

7 Bleeding, Wound Care and Trauma

Securing bandages How you secure the ends of the bandage depends on how the bandage is used and how much pressure you need to keep on the dressing to control bleeding. Many commercial bandages come with fasteners. Sometimes these are separate parts or they may be attached to the bandage itself. Other methods of securing bandages include using adhesive tape or tying the bandage. Tying is a simple, quick, and secure way of finishing a bandage. First aiders and Paramedics use the square, or reef knot, when tying slings and bandages and immobilizing limbs because it is low profile and causes less discomfort. The square knot is also easy to both tie and untie. Once tied, a square knot does not slip.

Principles of bandage use • Cover and protect the dressing. • Secure the dressing and apply pressure to the wound. • Check circulation below the injury before and after applying a bandage. Reassess circulation frequently during the ongoing care phase.

When tying a bandage, make sure to position the knot so as not to cause discomfort to the patient.

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