Bandage for fracture of ribs

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Bandage for fracture of the ribs

A fracture is a bone injury with a violation of its integrity. The human skeleton consists of a variety of bones: long, short, flat, tubular and many others. Their structure and location in the body is not accidental. Each bone is as strong and light as possible, capable of withstanding incredible loads. But there are often situations where a bone is affected by a certain force that exceeds its strength. In this case, a fracture occurs.

There are three types of fracture of the ribs: a crack, a subperiosteal fracture, and a complete fracture of the rib. They are arranged in order of increasing severity. Most often there is a fracture of 5 to 8 pairs of ribs. 1 – 4 pairs are well protected by the clavicle, as well as a powerful brachial and thoracic muscular corset, and 9-12 pairs of ribs are less prone to injury due to the fact that most of them consist of a unique elastic cartilage.

Overlapping for rib fractures

The bandage is an aseptic material that covers the wound or other injured place. When the ribs are broken, three types of dressings are used: antiseptic, occlusive and immobilizing. Antiseptic dressing is applied with open wounds. It will prevent further infection of the wound. Sometimes, with fractures of the ribs, a splinter of bone breaks through tissues and an open wound is formed, through which air enters the pleural cavity. To avoid this, a special occlusive dressing is applied.

Almost always a special immobilizing dressing is applied to ensure immobility and rest. Let’s take a closer look at how all these types of dressings are applied:

General rules for applying dressings for a broken rib

The one who puts the bandage, if possible, should face the victim to see it reaction (pain or deterioration). Arrange the victim in a position convenient for him, try to immobilize the body part as much as possible, to which the bandage is applied. The size of the sterile bandage should correspond to the body part. For a finger, a bandage width of 2 to 5 cm, and for the trunk, you need to choose a bandage from 14 to 16 cm wide.

The bandage should always be applied from the intact site to the wound, and left to right. The sterile bandage itself should be in the right hand. It is extremely neatly rolling over the surface of the wound. Bandage should cover the previous layer at least half. When imposing, watch for the accuracy of the dressing application. There should be no significant folds and perceptions that can disrupt blood and lymph circulation. Antiseptic dressing

Antiseptic dressings are dry and moist. But with first aid, an antiseptic dry dressing is often used. First, it is necessary to examine the wound and remove from its surface foreign bodies in their presence. Do not remove the mote, the remains of tissues, fragments and other. The same piece of clothing, located deep in the wound, can squeeze the blood vessel. And if you pull it out, then a lot of bleeding can begin. These can be pieces of clothing, remnants of soil or metal (it all depends on the situation in which the injury occurred).

Next, several layers of sterile gauze impregnated with antiseptic solution should be applied to the wound. This may be a solution of sulaima or iodoform. The dried gauze is sprinkled with streptocide. Marl is covered with a wide layer of absorbent cotton and fastens the structure with a sterile bandage or a suitable adhesive plaster.

Occlusive bandage

An open pneumothorax (accumulation of air in the pleura) often accompanies a fracture of the ribs. The main thing is not to allow air to enter the pleural cavity. For this, a special occlusive dressing is applied. To do this, the skin around the wound is plentifully lubricated with petroleum jelly and an oilcloth, an ordinary plastic bag or other similar material that does not allow air to pass through is applied from above. The dressing covers the wound and 5 – 10 cm around it. After that, a thick layer of ordinary cotton wool is applied and tightly bandaged.

Immobilizing bandage

If a rib fracture is applied, a bandage bandage is applied. To impose such a circular bandage, take a bandage in the right hand, with your left hand hold the beginning of the bandage. The beginning of the bandage is laid obliquely, in order to carefully fix the first turns of the bandage. Then, the first turn around the body of the victim is carefully done (the tip of the bandage is initially free). Then the tip of the bandage is bent and a second turn is made.

After the bandage is fixed, a sterile bandage is applied to the required area. Do not forget, the bandage should always overlap the previous turn not less than half. With fractures There are several features of the bandage overlap. Before the beginning of the bandage, the victim must necessarily exhale the air. At the time of inspiration, the dressing always stops, and the loose end of the bandage is slightly stretched.

If you suspect that a person has a broken rib, first of all call an ambulance. And only then give first aid to the victim.

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