Although the spiral wrap is normally used to apply pressure to a limb, the spiral reverse wrap can also be used.
The spiral reverse wrap is especially useful when applying pressure to the calf (lower leg) since it follows the contours of the limb more closely than does the spiral wrap.
a. Expose the limb and check the circulation at a point below the injury, such as the foot.
b. Lay the end of the bandage on the bottom of the limb to be wrapped and at an angle so one corner (apex) of the bandage will not be covered when the bandage is brought around the limb.
NOTE: In figure 2-26, the apex points down toward the hand. In figure 2-27, the apex points up away from the foot. Either method is acceptable.
c. Wrap the bandage completely around the limb twice and past the starting point.
d. Fold the apex (figure 2-27 A) so it lies on top of the bandage.
e. Continue wrapping the bandage around the limb a third time, bringing the bandage over and covering the apex. The bandage is now anchored.
f. Wrap the limb in a spiral manner (figure 2-27 B) for a couple of turns.
g. Make a spiral reverse turn (figure 2-27 C).
(1) Place your thumb on the upper edge of the bandage and hold firmly.
(2) Turn the bandage down over the thumb and toward the lower edge of the previous turn.
(3) Cover about half of the previous lap and continue the turn.
h. Continue making spiral reverse turns until the entire portion of the limb has been wrapped. Keep the bandage tight enough to apply pressure to the limb, but not tight enough to impair blood circulation.
i. Secure the wrap with two circular turns at the top of the limb portion being bandaged. Then tape, clip, or tie the end of the bandage in a position that is easy to reach (figure 2-27 D).
j. Check circulation below the bandage. If blood circulation was not impaired before the bandage was applied but has become impaired, loosen the bandage and apply the bandage again.