Bandaging and splinting Flashcards
Why bandage?
- Stabilise the wound and prevent further trauma
- Protect the wound from further contamination
- Prevent or control swelling
- Protect the wound from self-trauma
- Promote the clotting cascade
- Helps with local pain relief
What are the different layers of the bandage?
- Primary - in contact with the wound
- Secondary - padding material
- Tertiary layer - final layer of protective material, holds everything in place
What would be a suitable material for the primary layer of a bandage?
A dressing (of desired variety)
What would be a suitable material for the secondary layer of the bandage?
Cotton wool
What would be a suitable material for the tertiary layer of the bandage?
VetWrap
When and why is a figure of 8 bandage used in equine?
To avoid pressure points over the backs of the joints e.g. carpus, hock
What are the layers in a Robert Jones bandage? What material would you use for each?
- Dressing
- Protective material - softban
- Conforming - elasticated bandage e.g. knitfirm
- Outer layer - Vetwrap
- Finishing layer - Elastoplast/duct tape ± splints
True/false: a Robert-Jones bandage can be used in conjunction with splints.
True
When is a Robert Jones bandage used?
To provide stability e.g. in fractures, tendons rupture
Which layer of the Robert Jones bandage must be really tight? What material would you use for this layer?
Conforming layer - elasticated bandage e.g. knitfirm
True/false: it is fine to knot the conforming layer in a Robert Jones bandage.
False
Do not knot - this can cause pressure sores.
What does this diagram show?
The 4 regions with different biomechanics forces and splinting needs.
What are the considerations for 1? Where should you place the splint?
Need to align dorsal cortices.
Place the splint dorsally.
Commercial splints are available.
Where do you place the splint for 2?
Laterally and caudally.
Where do you place the splint for 3?
Laterally (and medially potentially)
What do you do for 4?
Stabilise the carpus
When might you use a gutter splint?
In small, lightweight animals, to stabilise portions of the distal limb e.g. carpus
What type of fracture would you use a Robert Jones bandage for?
Long bone fracture
When using Plaster of Paris or fibreglass impregnated with resin in your bandage, what do you need to be careful of?
Correct padding is very important
Too little = rubbing and sores
Too much = instability at the fracture site
Which dressing(s) would be appropriate for an infected wound from an RTA?
- Silver impregnated dressing
- Manuka honey
- Topical wound gels
