First Aid for Splints & Bleeding Wounds : How to Apply a Pressure Bandage

My name is Alv Rios and I am a paramedic with
Lansing Mercy Ambulance on behalf of Expert Village. In this clip we are going to go over
making a pressure bandage for an injury such as a laceration or a deep cut. This is my
partner Jacob Barbor. He also works with me as a paramedic for Lansing Mercy Ambulance
and he is going to be doing this on behalf of Expert Village. What we want to do in this
situation is control the bleeding. We are going to start by taking a bandage or a dressing
and we are going to take our dressing and the first thing we are going to do if this
is our injury site is hold direct pressure and elevate the extremity. What we also want
to do is keep the direct pressure. It is more practical for me to tie something here to
hold the pressure for me rather that me use my resources to hold my hand here the whole
time. So what I want to do is use something that is clean. This is a bandage. What we
are going to do is put this on there to work as holding the pressure for me. It’s important
that when you are bandaging because you are going to be making this tight you want to
make sure that you work distal to proximal. Distal means the furthest from you. Proximal
means the closest. So you want to start at the wrist and as you work your way closer
in. The reason for this is because since you are going to be making this tight you don’t
want to push blood in the hand and trap it there. You would rather go the other way around
if possible. This is an adequate dressing right here and what I can do now is tuck it
in by cutting this. What I am going to show you also are some different ways that you
can help make this a little bit tighter cause usually the more pressure you have the better
chance you are going to stop the blood flow. You can do something which what we do is you
pull it out and you are just going to rotate the cloth. What this does is reinforce this.
It makes it a little bit stronger. You can pull harder. By doing that crossing motion
it makes it stronger and less flexible than this normal cloth. Again when you run out
of cloth you can just cut this and what you are going to do is just tuck it underneath
such as this eliminating this top part. If for some reason this ever becomes blood soaked
and the blood is coming through it to the point where it’s no longer controlling the
bleeding you want to make sure that you never take off the dressing but rather just put
new bandages over this one. But you never want to take off the original one once you
have it on.