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Desmurgy. General information
Desmurgy (desmos – bandage, ergon – action) is the doctrine of medical dressings.
There are many types of bandages. We`ll consider gauze bandages, that are commonly used for fixation of dressings to the wound and sometimes for immobilization of limb segments.
Gauzes may have different width. Wide gauzes (≥10 cm) are suitable for bandaging of the trunk, medium thickness gauzes 6-10 cm) are best for the head, neck and limbs and narrow (﹤6 cm) – for fingers.
Anatomically gauze can be divided into head and body. In most cases the head of the gauze must be held in the right hand and tail – in the left hand. So, mostly bandage is applied from left to right. Bandaging usually consists of 3 stages: starting (circular) fixing tours, the main part of the bandage and final fixing circular tours.
There are several rules of bandaging:
- Bandaging medical professional should be in front of the bandaged patient;
- Patient should be in a comfortable position (sitting or lying);
- The bandaged part of the body should be in a physiological position;
- Bandaging of limbs should start from their distal parts;
- Each next tour should overlap the previous one to 1/2 or 2/3 of its width;
And, of course, bandage should be convenient, cosmetic, perform its functions well and don`t compress excessively soft tissues.