Useful Tips

Rules for bandaging fingers and toes

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Desmurgy is one of the aspects of medicine that studies the rules for applying various dressings and tires. This subject is in the training program for doctors, it is required to study.

Proper bandaging can save the life of the victim. If the technique of this manipulation is incorrect, harm is also likely: excessive squeezing causes swelling of the limbs or even necrosis (necrosis) of the tissues.

Therefore, the main aspects of desmurgy are very important in the life of every person. This is especially necessary in cases when young children with a weak immune system are injured.

Why do you need to bandage your finger?


Any hostess has ever injured a finger on her hand: burns and cuts are frequent guests in the kitchen. Proper first aid will help to avoid complications and accelerate tissue regeneration.

With shallow cuts, small vessels are damaged and capillary bleeding begins, which normally goes away on its own. For deeper injuries, it is necessary to correctly bandage the affected area in order to:

  • stop the bleeding,
  • prevent infection of open tissues,
  • isolate the wound surface from aggressive environmental influences (temperature, chemical and mechanical effects).

Assessment of the severity of damage

If bleeding stopped on its own within 5-10 minutes, the lesions are superficial and non-hazardous. The use of breathable adhesive plasters, available individually.

With a deeper lesion, it is necessary to apply a medicinal dressing and fix it with a roll adhesive plaster. A gap should be left at the end of the phalanx so that the wound does not fog and fester.

If the finger is swollen, deformed, sharply painful when touched and does not make it possible to lean on it, then this is a fracture. Do not touch it and immediately contact the emergency room. Doctors will place a retaining splint on two adjacent fingers. Otherwise, bone fragments may be displaced. Crushed tissue will begin to become inflamed and necrotic.

If you ignore the fracture and bandage the finger, the bone will grow together anatomically incorrectly, which subsequently can cause discomfort when walking or when selecting shoes.

Blackening of the tissues indicates necrosis. Frolicking gangrene will go up the leg, increasing volume. There is a risk of developing pathologies of vital systems and organs (kidneys, liver, heart and lungs). With timely medical care, these tissues can be restored. Otherwise, amputation will be required: finger, foot or foot.

Bandaging


You can use different methods of ligation of the damaged phalanx. Most sites when cutting are advised to wrap your finger in a bandage in a circular motion. This method is ineffective, since the dressing slides very quickly, irritating the wound surface, or peels off. Change it accounted for up to a dozen times a day.

How to bandage a toe, is best known by the doctors of the emergency room. Therefore, we consider a more convenient and reliable method of dressing used by medical professionals.

Instruction manual

  1. Rinse the wound with water (preferably distilled). Pull out foreign objects that could be in the tissue dissection area.
  2. Treat the wound surface with an antiseptic to disinfect. Moisten a cotton ball in 3% hydrogen peroxide, take it with tweezers (for greater sterility) and go in a circular motion from the center of the wound several times.
  3. Along its edge, apply a solution of iodine or "green stuff."

Do not get substances on the affected area! Aggressive agents can cause suppuration and necrosis.

  1. Apply Levosin or Levomekol ointment to a sterile gauze napkin (a combination of them is necessary for better healing). This is a medicinal dressing. Attach it to the wound.

Do not apply cotton wool or adhesive tape to the damaged surface. This will lead to inflammation.

Big toe ligation

  1. Bandage begins from the lower part of the leg (on the ankle). The first 2-3 rounds (turnover) - strengthening. They are moderately tight. Subsequent ones will be slightly weaker.
  2. Next, we lead the bandage through the back surface of the foot (“upper part”) to the terminal phalanx of the big toe. Wrap it in several rounds.
  3. Also on the rear of the foot we return to the ankle, where we complete the ligation with fixing circular rounds.
  4. Cut the ends of the bandage and tie them.
  5. Change the bandage 1-2 times a day. The whole algorithm is repeated again, except for washing with water.

For minor wounds, it is acceptable to use special adhesive plasters with a sterile piece of cloth fixed on them.

Seeking medical help

  1. If there are signs of a fracture (pain, swelling, bruising, curvature of the shape of the finger and difficulty in moving it), you should immediately contact the emergency room.
  2. The appearance of blood under the nail is an alarming sign. The resulting microhematoma will press on the nail and surrounding tissues, causing pain. Subsequently, pus forms there, and the inflammation begins to spread further.
  3. If the affected area is sharply painful, deformed, pale and cold, then this is probably a fracture with an offset.
  4. You should beware of tetanus, an infectious disease that affects the central nervous system. The bacteria that cause it are anaerobes, that is, they are activated in an oxygen-free environment. Deep pockets of wounds - an ideal place for their reproduction.

First symptoms: headache, nervousness, muscle twitching in the wound area. At their first appearance, IMMEDIATELY consult a doctor!

  1. An increase in body temperature to 38 ° C and above, fever, chills, numbness of the damaged area or sudden severe pain indicate the activation of the inflammatory process, which can spread to the whole body (sepsis occurs).

Sepsis is a serious clinical condition when an infectious agent enters the bloodstream. This is a systemic reaction to the local infectious process. Inflammation is not limited to one organ, but spreads throughout the body.

When dressing is needed

Applying a bandage or dressing to a separate phalanx, a group of fingers, joints and the main parts of the upper and lower extremities is a typical event, carried out in the following cases:

  • Injury. As practice shows, up to 40% of all injuries due to falls, accidental or deliberate blows, other events of this kind, occur in the upper limbs. Sprain, fractures, other types of damage require the immobilization of the indicated elements of the body,
  • Damage to the skin. This includes burns, various injuries. In this case, bandaging is aimed at stopping bleeding, covering an open wound, and reducing the risk of secondary bacterial infection.

Preparatory Activities

A set of basic measures preceding direct bandaging includes the following steps:

  • Assess the severity of the problem. In the presence of obvious signs of an open fracture, deep penetrating wound, profuse bleeding, the formation of partial or complete numbness of the finger, the entire limb, the appearance of blisters with serous contents and signs of charring after a burn, you should immediately seek qualified medical help,
  • Primary Activities as part of first aid. We are talking about stopping bleeding, cooling the skin during a burn, treating the nearby epidermis and wounds with an antiseptic, etc.

What to do if fingers are injured?

Traumatic injuries of the fingers are quite common - from small scratches, splinters and abrasions to serious injuries with damage to bones, tendons and ligaments.

Finger injuries are classified into:

  • chipped
  • cut
  • torn-bruised
  • crushed wounds
  • fractures (open and closed)
  • dislocations
  • wounds complicated by damage to tendons, nerves and blood vessels
  • single finger tears
  • finger gunshot wounds

  • pain
  • swelling
  • soft tissue hemorrhage (bruise)
  • finger deformity
  • abnormal (pathological) mobility
  • bleeding

Methods for bandaging fingers

Wound injuries of the fingers are associated with three main circumstances:

  • Injury with dissection of the epidermis. Often accompanied by bruises, fractures of the phalanges of the fingers, hands, bones of the hands,
  • Burn. With a burn type of damage, the skin of several fingers is more often affected with a radial progression of the pathology to the palm, back of the hand and further,
  • Injured. Penetrating, dissecting, other types.

First of all, it is necessary to assess the severity of the wound. If the pathology is accompanied by heavy bleeding, which is difficult to stop using standard methods, then you should immediately seek qualified help by calling a team of doctors at home or on your own to get to the nearest medical facility (clinic or hospital).

A similar procedure is carried out in situations where signs of severe burns are clearly observed,accompanied by:

  • Destruction of the external integument,
  • The rapid formation of blisters with serous and bloody contents,
  • Carbonization of soft tissues,
  • The spread of the pathological process to large areas of the epidermis.

Before bandaging a damaged surface:

  • With burns. Cool the skin under running cool water for 15 minutes, then allow the epidermis to dry,
  • With wounds and other types of skin injury. Treat the area adjacent to the wound with an antiseptic, remove small foreign objects from the wound on the finger, and directly flush the problematic localization with Chlorhexidine or Miramistin.

In all cases (except for creating a “mittens” covering all fingers and palm), the main products are:

  • Sterile wipes,
  • Bandages 3-5 cm wide,
  • Tweezers and scissors,
  • Disinfected basin for dressings,
  • Trash can.

For the formation of mittens, tools and products are identical, however, a bandage with a width of 7-10 cm is used.

First aid

To provide first aid you will need:

  • Cold water ice pack
  • Sterile bandage
  • Bactericidal Adhesive Plaster
  • 2% solution of hydrogen peroxide or 0.05% solution of ethacridine lactate (rivanol) or furatsilina (1: 5000)
  • 3% tincture of iodine
  • Paracetamol or ibuprofen
  • Antibiotic ointment

How to bandage a thumb on a hand

The scheme of how to bandage the thumb on the hand:

  • Put a sterile cloth on the damaged location and make a reinforcing circular tour around the wrist joint,
  • Direct the canvas through the back surface to the base of the thumb of the nail phalanx,
  • Sequentially bypass the problem areas with a bandage on one surface with the exit through the back of the palm to the wrist joint,
  • Crossover turns until the problem localization is completely closed with a 1 centimeter overlap.
  • Finalize your wrist band in several circular rounds.

How to bandage any finger on your hand

The scheme how to bandage any finger on the hand is as follows:

  • Apply sterile wipes to wounds,
  • Fix the bandage in 2 rounds near the wrist, guide the canvas on the back of the brush through the base of the finger with a wound and the tip of the phalanx,
  • In a spiral oblique circular motion, wind the bandage from the tip to the base of the finger,
  • Transfer the canvas through the back of the hand to the wrist, and then fix it there with 2-3 circular rounds.

Glove Bandage

Bandaging of all fingers on the hand:

  • On all wound surfaces, install sterile wipes,
  • Perform a fixing circular tour around the wrist,
  • Pass the bandage on the back of the brush obliquely to the nail phalanx of the initial finger. For the right limb, this is the first (large) element. For the left, the little finger,
  • Perform a few circular wraps around the phalanx from tip to base,
  • Return to the wrist on the back of the hand,
  • Perform one circular tour on the wrist joint, then hold a bandage to the phalanx of the next finger, repeating steps 4 and 5,
  • Complete the procedure by performing 2-3 rounds on the wrist joint and fixing the ends of the cut edge of the panel in the area of ​​the beginning of the forearm.

Mitten bandage

Bandage hand bandage scheme:

  • Fix the bandage around the wrist with several circular turns,
  • Direct the canvas longitudinally, from the first third of the forearm to the back surface of the brush with the phalanx enveloping and transferring the material to the palm area,
  • Bring the material to the wrist, bend it, and then carry out a return stroke through the palm and fingers to the back of the hand,
  • Repeat the procedure a sufficient number of times until the phalanges are completely closed,
  • Finalize the event by spiraling the bandage of the bandage from the fingers onto the hand, and then securing it in the wrist area for several rounds.

What to look for when dressing

Focus on the details that will determine the future. the possibility of developing complications and secondary problems:

  • Whitening fingertips areas below the wrist. Such symptoms may indicate too tight bandaging, which is unacceptable,
  • Dirt and fragments of small foreign objects. Indicate the lack of necessary pre-treatment of the problem area with antiseptic hygiene methods,
  • Rapid redness of the outer surface of the dressing. It indicates active bleeding or a too thin layer of a sterile wipe that quickly passes through biological substance,
  • Strong pain. Signal the presence of a serious bruise, sprain or fracture of the finger, possibly with crushing of bone fragments.

Bandaging the hands with an elastic bandage

An elastic bandage is a fabric stretch tape based on cotton, polyester fiber and latex. Main areas of use:

  • Stabilization of elements upper limbs with dislocations, sprains, ligament ruptures. Superimposed on the elbow, shoulder, wrist joint,
  • Fixing compresses, pads, dressings for all types of injuries as an alternative to a regular gauze bandage,
  • Prevention various injuries, both domestic and industrial, and sports.

The algorithm of actions to correctly bandage the hand with an elastic bandage is as follows:

  • Get the product you need. In most cases, a bandage of standard width, up to one and a half meters long, is required,
  • Put the initial part of the open matter on the area above the damaged area,
  • Perform oblique spiral bandage with overlapping the previous move by 2/3,
  • Bandage the problem area from top to bottom, starting from the bottleneck in the direction of the damaged part of the localization,
  • Every 2-3 turns, bend the vertical line with the direction of the canvas obliquely,
  • After covering all the problematic localization, direct the elastic bandage to the beginning from the back of the hand, where fix it with a latch.

Elastic bandage on a finger of a hand

To fix the finger, you can use an elastic bandage. The following steps will help to correctly bandage the finger on the arm with an elastic bandage:

  • Fix the beginning of the product web around the wrist with 2-3 turns,
  • Pass the bandage through the back of your hand to the problem phalanx,
  • Make one revolution, then go back to the wrist,
  • Make one revolution around the wrist joint and repeat steps 2 and 3, making ring-shaped movements until the phalanx is completely covered with an elastic bandage,
  • At the last turn of the wrap, wrap the product around the wrist, fix it with a clip.

When bandaging the thumb and other fingers, an elastic bandage no need to stretch too much - moderate pressure is enough with stretching the material by no more than 15% of the total length.

If the area near the wrist joint, palm or finger are white, you feel numbness, then most likely the bandage is too tight - you should remove the product and carry out the procedure again.

How to bandage a big toe

If the need for bandaging the big toe arose due to a wound, then foreign objects are pulled out of the damage area before the event. The wound and nearby skin are treated with a safe antiseptic (Miramistin, Chlorhexidine or Hydrogen Peroxide).

In case of a burn, the epidermis is cooled under a stream of cool water for 15 minutes. Further, a medicinal dressing is applied containing Levomekol or Levosin.

This event is not necessary when the skin is not damaged, and the need for dressing is associated with dislocation, closed fracture, and other injuries of this type. You can bandage the big toe according to the following algorithm:

  • Perform a double fixation turn on the ankle with moderate density (not too tight)
  • Pass the cloth through the back of the foot to the thumb, then wrap the phalanx in several rounds,
  • Return the bandage on the back of the foot to the ankle area, where finally fix the dressing.

Victor Sistemov - expert at 1Travmpunkt

Bruised toe or toe

  • Оцените объем движений в травмированном пальце (попытайтесь согнуть и выпрямить каждый палец).
  • При ограничении движений в каком-либо пальце сделайте рентгенографическое исследование для исключения перелома.
  • Put the cold in the place of the bruise (an ice pack wrapped in a napkin) or dip your finger in cold water for 20 minutes.
  • Take an anesthetic (paracetamol, ibuprofen, but not acetylsalicylic acid) in a dose appropriate for age.

Finger sprain

  • Remove all rings or jewelry from an injured finger.
  • Attach the injured finger to the other finger.
  • Put the cold in place of the bruise (ice pack wrapped in a napkin) for 20 minutes.
  • Take an analgesic (paracetamol or ibuprofen) in a dose appropriate for age.

Suspected fracture or dislocation of the finger

  • Remove all rings or jewelry from an injured finger.
  • Attach the injured finger to the other finger.
  • Put the cold in place of the bruise (ice pack wrapped in a napkin) for 20 minutes.
  • Take an analgesic (paracetamol or ibuprofen) in a dose appropriate for age.

Surface cuts

  • Press the wound with a sterile gauze towel for 10 minutes to stop the bleeding.
  • Thoroughly wash the wound and skin around the wound with soap and water.
  • Carefully remove the dirt from the wound with a sterile gauze cloth moistened with a 2% solution of hydrogen peroxide or 0.05% solution of ethacridine lactate (rivanol) or furacilin (1: 5000).
  • Lubricate the skin around the wound with 5% tincture of iodine.
  • Put an antibiotic ointment on a sterile gauze napkin, put it on a wound and bandage it.

Crushed wound on a finger or toe

  • Wash the wound and skin around the wound under running water with soap and water.
  • Lubricate the skin around the wound with 3% tincture of iodine.
  • Put an antibiotic ointment on a sterile gauze napkin, put it on a wound and bandage it.
  • Take paracetamol or ibuprofen as an anesthetic.

Subungual hematoma

  • Put the cold in the place of the bruise (an ice pack wrapped in a napkin) or dip your finger in cold water for 20 minutes.
  • Take a pain reliever (acetaminophen or ibuprofen) in a dose appropriate for age.
  • If the hematoma occupies more than 25% of the nail, you need to consult a doctor.
  • If the nail was removed during an injury, apply an antibiotic ointment to a sterile gauze napkin, put it on a wound and bandage it.

What to do with an amputated finger?

  • Stop bleeding, preferably with a pressure bandage and elevated limb position. The tourniquet is applied only with severe arterial bleeding and for a short while. a prolonged lack of oxygen leads to tissue damage, and this creates worse conditions for engraftment of the amputated part of the finger. Do not apply clamps and bandage the vessels visible in the wound.
  • Apply a sterile dressing to the stump.
  • Do not treat the stump with antiseptics. Chemical damage to tissues impairs their regeneration.
  • In case of incomplete amputation, when the limb hangs on a tissue flap, apply a splint to avoid bending in the area of ​​the “tissue bridge”, which to some extent contributes to the blood supply to the amputated part.
  • Wrap the amputated part of the finger in a dry sterile napkin, put in a plastic bag, tie it tightly and immerse it in a thermos or other, larger size bag filled with cold water and ice. The best temperature is + 4 ° C. Avoid direct contact of the amputated part of the finger with ice in order to avoid frostbite of its tissues.
  • At the same time as conducting these events, call an ambulance to deliver the victim to the microvascular surgery center (or surgical department) as soon as possible. It is better if the replantation operation is carried out in the first hours after the injury, although engraftment is possible within hours after amputation, provided that the amputated portion of the finger is properly maintained.

What can not be done

  • Do not lay the splint on the crushed finger unless the doctor has recommended that you do so. Immobilization (immobilization) can lead to limited mobility of the fingers.
  • Do not treat the wound with "aggressive" antimicrobial agents (alcohol, tincture of iodine, etc.); this worsens healing.

When to seek medical attention

Call an ambulance "03" if:

  • severe bleeding that cannot be stopped (link: first aid for bleeding)
  • as a result of injury, the finger is fully or partially amputated

Seek medical help at any time of the day or night if:

  • You think the injury is serious,
  • damage is like a dislocation (the finger is bent or deformed),
  • bleeding did not stop after direct pressure in the projection of the vessel,
  • the cut is very deep (e.g. bones or tendons are visible)
  • the wound is gaping and stitching may be required,
  • blood under the nail causes severe pain,
  • there is a complete or partial detachment of the nail,
  • cannot clean the contaminated wound or remove a foreign body,
  • a cut or abrasion looks infected (redness of the skin around the wound, swelling or pus).

See your surgeon on the first day after an injury if:

  • you think you need to see a doctor
  • the finger does not fully unbend or bend,
  • you have a cut or abrasion, and after the last vaccination against tetanus more than 10 years have passed (and for a contaminated wound - more than 5 years).

Contact your surgeon on weekdays if:

  • Do you have other questions or concerns
  • trauma interferes with work or study,
  • 3 days after the injury, the pain did not decrease,
  • 2 weeks after the injury, pain and swelling in the area of ​​damage are still present.

Prevention

Use common sense and safety precautions to prevent bruising. Be careful! Never put your fingers into the door slit!

If your work is related to construction, wear special shoes with steel toe caps.

Pay attention to where the children’s hands are when opening or closing the doors of the car. Do not try to lift objects that are too heavy for you.

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