Treating Fractures in the Field

Lesson 6: Roller Bandages

6-2

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6-2. GENERAL RULES FOR APPLYING ROLLER BANDAGES

Some general rules for applying roller bandages are given below.

a. Expose the limb to be bandaged. The limb should be as dry and clean as possible.

b. Position the body part to be bandaged in a normal resting position (position of function).

c. Check the circulation at a point below where the bandage will be applied.

d. Choose the appropriate sized roller bandage. Roller bandages range from 1/2 inch to 6 inches in width. The wider widths are used for the larger body parts. The 2-inch roller bandage is primarily used for the hand. The 3-inch roller bandage is used for the forearm, lower leg, and foot. The 4-inch and 6-inch roller bandages are used for the thigh and chest.

e. Pad bony areas and/or between skin surfaces (such as between fingers) that will be covered by the roller bandage.

f. Apply the roller bandage. A roller bandage applied to a limb is normally applied beginning with the most distal point to be wrapped. The roller bandage is normally secured with an anchor wrap at the beginning and with a circular wrap at the end.

g. Tape, clip, or tie the end of the bandage in a position that is easy to reach.

h. Check the circulation below the wrapping. If the wrapping is interfering with the casualty's circulation, loosen the roller bandage and apply it again.

i. Elevate the injured limb to help control swelling.

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