The procedure of bandaging

If the bandage is placed on the wound clean it off, put in a special box, then washed, sterilized, then he is fit for further use. If the bandage soaked with pus, bandages cut and burned. Cut the bandage it away from the wound, not to damage it and not to cause pain to the patient.
The bandage is removed with tweezers in the direction along the wounds, holding the skin tweezers, trowel or a gauze ball. Rough OTDELENIE unacceptable.
If you remove the gauze from the wound hard, her soaked with hydrogen peroxide or immersed in a warm bath of potassium permanganate (1 : 4000).
In the future, after removing bandages proceed to the toilet environmental wound skin. If the patient takes the local bath limb dry gauze napkins. The skin is located next to the wound treated with gauze or cotton balls soaked in 0.5% ammonia solution or gasoline, replacing them as pollution. Toilet skin produce from the edges of the wound to the periphery, in order not to contaminate the wound. In the presence of hair around the wound them shave for 4-6 cm, leading a razor from the wounds. After shaving the skin around the wound thoroughly and carefully wipe gauze or cotton balls soaked in alcohol.
The next stage dressings - treatment of the wound itself. Unacceptable wiping the wound with gauze. The accumulation of pus and wound remove not very strong pressing dry gauze balls that suck detachable. Thick pus, brown, hair carefully removed from the surface of the wound with the help of tweezers and gauze balls soaked in physiological solution or hydrogen peroxide.
In some cases (for bactericidal effects on tissues and for the mechanical purification from foreign bodies), the wound is washed with antiseptic solutions (rivanol 1 : 1000, chloramine 0.5-1% solution) by means of a syringe. In the treatment of infected wounds, one must consider dwuhfaznoe wound process: hydration and dehydration. In the first phase used a wet bandage (5-10% solution of sodium chloride or glucose), antiseptic and antibiotic funds (sulfa drugs, furatsilina, penicillin, streptomycin, and so on). In the second phase of antiseptics are not shown; it is necessary to apply only fat dressing (vaseline oil, fish oil, Vishnevsky ointment, gum Arabic and other), sparing granulation.
Bandaging infected wounds often include research and probing the wound, lubrication, plugging and draining it. Examine the wound carefully (my fingers through cheesecloth the wound edges without touching hands the wound and skin). When narrow wound passages and sinuses produce sounding Pugovkina or globulinam probe to determine the direction of the turn or the presence of a foreign body, purulent discharge. Sensing do only for special reasons, without violence, to avoid damage deep in the blood vessels and organs. Best diagnostic tool when there are fistular moves is fistulography (see).
If excessive granulation in the wound their cuticles solution of silver nitrate (lapis); * do not touch the edges of the wound, as a young epithelial tissue from Lyapis damaged and its growth can be broken.
Indication for plugging the wound is incurred capillary bleeding from tissues delay purulent discharge (see Tamponade). In some cases shown drainage (see).
To prevent maceration and irritation of the skin the skin around the wound grease paste Lazzara, zinc ointment, vaseline oil, etc.
The final stage of bandaging. is the imposition aseptic bandage from gauze, white hygroscopic cotton wool; in the case of extensive pus advanced over a white wool, put a layer of grey wool and bandage fixed with a bandage. Hard bandaging may cause the disorder of blood circulation and affect the performance of the suction system. On the other hand, weak bondage badly keeps a bandage, which may shift and cause secondary infection wounds.
Frequency of change depends in each case on the nature and course of the wound process, the General condition of the patient and condition of the dressing. Frequent changes of dressings bring patients often more harm than good. If the bandage is abundantly wet with blood or pus or pain appeared in the wound worsened General condition of the patient, increased temperature, it is necessary to change the bandage and to inspect the wound. In the absence of the above symptoms dressings produced once in 2-3 days, and when the smooth course of the wound - even rarer. In ligation is not necessary to squeeze out the pus, wipe granulation surface, scraping, to produce sounding without special indications, as all this creates a new injury, damage the tissue and protective granulation shaft, causing increases the danger of total infections, lymphangitis, erysipelas and other complications.