Marine Online
This section should give a short
introduction to
onboard medical public
the ship's medical stores and emergency
kits the difference between dressings
and bandages use of dressings
use of rollerball
and their applications use of triangular
bandages and their many applications
limb immobilization using bandages
dressing bandage and sling improvisation
and splint improvisation
abort many ships there are medical
publications dealing with shipboard
emergencies a useful one is the ship
captains medical guide also the whu-oh
publishes the international medical
guide for ships crew members should make
themselves acquainted with all of these
onboard medical publications and know
their location and the location of all
first-aid in emergency kits as well as
the location of and the responsible
person for the ship's medical stores in
all thursdaya kits there will usually be
a collection of dressings slings and
bandages also they will often contain a
variety of splints crew members should
be aware of the contents of the
emergency kits
you
addressing is used directly on a wound
care should be
when opening dressing packages to not
touch the wound contact surfaces and
always use a pressing larger than the
wound standard dressings come in many
different sizes and packages
they are made of cotton or linen gauze
and elasticized material and are
packaged in a roll there are three main
types of roller bandage elasticated for
securing dressings and supporting
injuries like sprains crepe for firm
support to injured joints open weave
that allow ventilation but do not
support joints or apply pressure they
are applied by working up a limb in
overlapping spirals they are used in the
figure-of-eight around knees and elbows
on hands bandaged from the inside of the
wrist leaving the thumb three use
diagonal terms across the back of the
hand
one of the most useful shipboard
bandages is the triangular bandage which
has many uses in first-aid a triangular
bandage is made of calico or similar
material by cutting a metre square
diagonally across and can be used as a
temporary dressing if opened straight
from a sterile pack there is an apex or
point a base and two sides
open up the triangular bandage
on a clean surface then folded
horizontally so that the point touches
the center of the base then fold the
triangular bandage in half again in the
same direction this type of bandage is
used to immobilize and support limbs and
secure splints and bulky dressings
first fold a triangular bandage to
take a broad four bandage
then sold the bandage horizontally in
half again to make a thick long and
narrow bandage this bandage is used to
immobilize limbs for wrists ankles and
feet as well as to hold I and other
dressings in place
large armed slim
you
open out the triangular bandage explain
to the patient that it helps if the
patient holds their arm across their
chest lifting when necessary when fixing
the bandage place the triangular bandage
under the arm and around the back of the
neck then put the other half of the
bandage over the arm to meet at the
shoulder and tie it over the shoulder
with a reef knot on the uninjured side
use a safety pin or tuck the loose ends
of the bandage in at the elbow collar
and cuff or wrist sling use a narrow
fold bandage and make a clove hitch
round the wrist support the wrist by
tying off with a reef knot at the
opposite shoulder to the injured wrist
use the collar and cuffs sling for a
suspected fracture of the collarbone or
elbow when a triangular sling is not
available
you
place the hand on the bandage with the
wrist at the base of the triangular
bandage it is useful to separate the
fingers with soft material to prevent
them rubbing on each other bring the top
of the triangle over the fingers and
tuck any extra material into the pleats
on each side of the hand cross the ends
on top of the hand taking them around
the wrist and secure them with a reef
knot a foot bandage is very similar
you
use a narrow fold bandage place palm
down on its middle and take the ends
across the back of the hand in between
the thumb and index finger wrap around
the wrist and finish with a reef knot on
the back of the hand
you
only use if there is no suspected fact
the elbow apply a triangular bandage to
the elbow with bandaged folded in half
and the apex or point of the bandage
halfway up the back of the top half of
the arm the arm is bent at the elbow and
lies in the middle of the folded bandage
the base ends of the bandage are taken
across the forearm crossing at the elbow
Bend and taken up round the upper arm in
a figure of 8 and tied in a reef knot at
the back of the upper arm
fold down the apex
you
take the ends of a triangular bandage
round the back of the head with the
point in the air the base of the bandage
should be just above the eyebrows lower
the point to pass between the two ends
and make the ends fast with a reef knot
on the forehead attach the apex to the
top of the bandage
use narrow fold bandages if necessary
tied together in tandem and place some
soft padding between the arm of the body
or between the legs so that the
bandaging does not affect the broken or
fractured limb bandage around the limit
intervals avoiding the injury as much as
possible
tie the final leaf knots on the
uninjured side or in the middle of the
body if both sides are injured use
splints if available
you
for an improvised dressing use any clean
or sterile preferably white material
that is lint-free such as a pillowcase
sheet or a towel or even a sanitary pad
bandages can be improvised from pillows
sheets belts ties and any fabric cut to
form a triangle or rolled into a narrow
or broad bandage slings that support an
arm can be used from scarf belt tie or
anything that will go round a neck the
arm can also be supported inside a
button jacket or pinning a sleeve to the
clothing
when improvising a splint make sure it
is
with soft material and it is long enough
to reach the joint above and below a
fracture for thigh bones the splint
should run from armpit to ankle
now I bandaged the splint at least above
and below the fracture and also at the
ends of the splint use sticks dunnage
boards metal pieces newspapers magazines
cardboard broom crumples pillows etc