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Bandage 1

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183 views85 pages

Bandage 1

Uploaded by

IC Sevillano
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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DEPARTMENT OF THE ARMY FIELD MANUAL

BANDAGING AND
SPLINTING

HEADQUARTERS, DEPARTMENT OF THE ARMY,


JUNE 1957
FIELD MANUAL

No. 8-50
I HEADQUARTERS,
DEPART2VIENT OF THE ARMY
*FM 8-50

WAsHINGTON 25, D. C., 6 June 1957

BANDAGING AND SPLINTING

Paragraphs Page
CHAPTER 1. PURPOSE AND SCOPE _______________________ _ 1,2 2
2. BANDAGI~G
Section I. Introduction ___________________________________ _ 3-7 3
II. Triangular and Cravat Bandages _________________ _ 8-23 4
III. Roller Bandages ________________________________ _ 24-52 15
IV. Tailed Bandages _________________________ _ .~:3-57 3\l
V. Plaster of Paris Bandages___ _________ ________ _ 58-60 4:~

CHAPTER 3. DRESSI~GS----------------------- ----------- 61-66 47


4. SPLIXTI~G
Section I. Introduction ___________________________________ _ 67,68 52
II. Splinting of Fractures of Upper Extremities ________ _ 69-73 53
III. Improvised Splints and Slings for Upper Extremities __ 74-76 56
IV. Splinting Fractures of Lower Extr 2mities __________ _ 77-\12 57
V. Improvised Splints for Lower Extremities __________ _ 93,94 68
VI. Preparation of Patients with Verterbral Injuries for
Transportation _______________________________ _ 95,96 71
VII. Adhesive Tape Strapping ________________________ _ 97-101 75

'This manual supersedes FM 8-50, 15 January 1944, including C1, 25 September 1944; C2, 6 June
1945; C3, 11 February 1948; and C4, 7 May 1953.

AGO 6507B-June
CHAPTER 1
PURPOSE AND SCOPE

1. Purpose
This manual is published to serve as a guide to the medical
service officer and noncommissioned officer concerned with in-
structing Army Medical Service enlisted personnel. The organiza-
tion of the manual will aid the instructor in his presentation of
subject matter; the illustrations will aid in explaining approved
procedures as these procedures are being demonstrated. As a
reference, the manual is a source of graphic information.

2. Scope
This manual is intended for use whenever instruction in the
various tasks pertaining to the care of casualties and patients
touches upon the application of bandages, dressings, and splints.
It cannot be too strongly emphasized that the techniques described
in the manual require constant practice if they are to be carried
out quickly and correctly. The scope of the manual is limited in
that it does not provide complete information on the care and
treatment of wounds and fractures.

AGO 6507B
2
CHAPTER 2
BANDAGING

Section I. INTRODUCTION
3. General
The proper bandage properly applied can aid materially in the
recovery of a patient. A carelessly or improperly applied bandage
can cause discomfort to the patient; in many instances it may
expose the wound to danger of infection; it may even imperil the
life of the patient. It is essential, therefore, that all personnel of
the Army Medical Service become familiar with the various
bandages and be able to apply them properly. The following dis-
cussion of bandaging will aid the student and the teacher, but the
technique of bandaging can be mastered only by constant practice.

4. Uses of Bandages
A bandage is used to hold a dressing in place over a wound,
to create pressure over a bleeding wound for control of hemor-
rhage, to secure a splint to an injured part of the body, and to
provide support to an injured part.

5. General Principles of Bandaging


A bandage should never be applied directly over a wound; it
should be used only to hold in place the dressing which covers a
wound. A bandage should be applied firmly and fastened securely.
It should not be applied so tightly that it stops circulation or so
loosely that it allows the dressing to slip. If bandages work them-
selves loose or become unfastened, wounds may bleed, they may
become infected, and broken bones may become further displaced.
It is essential, therefore, that bandages be properly applied and
well secured.

6. Basic Materials
Bandages are made from different types of material such as
gauze, muslin, flannel, crinoline, rubber, and elastic webbing. The
materials most commonly used are gauze and muslin.
a. Gauze bandages are widely used because they are light,
soft, thin, and porous, and may be easily adjusted and applied.
b. Before being made into bandages, muslin should be soaked
in water and dried to cause shrinkage and then ironed to remove
AGO 6607B
3
wrinkles. Muslin is strong, inexpensive, and readily obtainable;
and can be easily torn into strips of the desired width. Muslin
bandages are excellent for bandage practice, since they can be used
repeatedly without fraying and can be easily rerolled.
c. Flannel, being soft and elastic, may be applied smoothly and
evenly, and is useful for conditions requiring bandages which
absorb moisture and maintain body heat.
d. Crinoline, rather than ordinary gauze, is used in making
plaster of paris bandages, since the mesh of crinoline retains the
plaster more satisfactorily than that of gauze.
e. Rubber and elastic webbing are used to afford iirm support
to a part. Webbing is preferable to pure rubber, since it permits
the evaporation of moisture.

7. Types of Bandages
The three general types of bandages are triangular bandages,
roller bandages, and tailed bandages.

Section II. TRIANGULAR AND CRAVAT BANDAGES

8. General
(fig. 1)
The triangular bandage is used for the temporary or permanent
bandaging of wounds, the immobilization of factures and disloca-
tions, and as a sling for the support of an injured part of 1-he body.
It is valuable in emergency bandaging since it is quickly and
easily applied, stays on well, and can be improvised from a piece
of shirt, an old sheet, a large handkerchief, or any other pliable
material of suitable size. Unbleached muslin is generally used in
making triangular bandages, although linen, wool, or silk may be
used satisfactorily. In making the triangular bandage a square
of material about 3 by 3 feet, or slightly more, is folded diagonally
to make one bandage, or may be cut along the fold to make two.
The long side of the triangle is called the "base", the point opposite
the base is called the "apex", and the points at each end of the base
are called the "ends" or "extremities". This bandage may be used
either as a triangle or as a cravat, the latter being made from the
triangle by bringing the apex to the base and folding it upon
itself a sufficient number of times to obtain the desired width.
The names of the triangular and cravat bandages indicate the part
of the body to which the bandage is applied. In many of the
illustrations of bandages in this manual, the dressings have been
omitted for the sake of clarity.
AGO 6607B
4
Figure 1. Triangular and cravat bandages.

9. Triangle of Forehead or Scalp


(fig.2)
The triangle of forehead or scalp (fronto-occipital) is used to
hold dressings on the forehead or scalp.
a. Place middle of base of triangle so that edge is just above
the eyebrows and bring apex backward, allowing it to drop over
back of head (occiput). Bring ends of triangle backward above
ears.
b. Cross ends over apex at occiput, carry ends around forehead,
and tie them in a square knot (fig. 3).
c. Turn up apex of bandage toward top of head. Pin with safety
pin or tuck in behind crossed part of bandage .


Figure 2. Triangle of forehead or scalp.

10. Triangular Arm Sling


(fig.4)
The triangular arm sling (brachio-cervical triangle) is used for
the support of fractures or injuries of hand, wrist, and forearm.
Two versions of this sling are discussed below.
AGO 6507B 5

Figure 3. Tying the square knot.

a. In this method of applying the sling, the forearm is


supported from both shoulders by the sling.
(1) Bend arm at elbow so that little finger is about a hand-
breadth above level of elbow.
(2) Place one end of triangle over shoulder on injured side
and let bandage hang down over chest with base toward
hand and apex toward elbow.
(3) Slip bandage between body and arm.
( 4) Carry lower end up over shoulder on uninjured side.
( 5) Tie the two ends, by square knot, at the neck. Knot
should be on either side of neck, not in the middle where
it could cause discomfort when patient is lying on back.
(6) Draw apex of bandage toward elbow until snug, bring
it around to front, and fasten with safety pin or adhesive
tape.
b. If it is desirable to support the forearm without pressure
on the collarbone or shoulder of the injured side, the following
steps are taken.
(1) Bend arm at elbow so that the little finger is about a
handbreath above level of elbow.
(2) Drape upper end of triangle over uninjured shoulder.
(3) Slip bandage between body and arm.
(4) Carry lower end up over flexed forearm (ends of fingers
should extend slightly beyond base of triangle).
(5) Slide lower end of bandage under injured shoulder be-
tween arm and body and secure the two ends with a
square knot.
(6) Draw apex toward elbow until snug, and secure with
safety pin or adhesive tape.
AGO 6507B
6
Figure 4. Triangular arm sling.

11. Triangle of Chest or Back


(fig. 5)
This bandage is used to hold dressings on burns or wounds of
chest or back.
a. Drop apex of triangle over shoulder on injured side. Bring
bandage down over chest (or back) to cover dressing, so that
middle of base of bandage is directly below injury. Turn up a cuff
at base.
b. Carry ends around and tie in a square knot, leaving one end
longer than the other.
c. Bring apex down and tie to long end of first knot.
AGO 6507B
7
Figure 5. Triangle of chest or back.

12. Triangle of Shoulder


(fig.6)
The triangle of the shoulder is used to hold dressings on wounds
of the shoulder. Two bandages are required, one a triangle and the
other a cravat, roller bandage, or belt.

Figure 6. Triangle of shoulder.

8 AGO 6507B
a. Place center of cravat, roller bandage, or belt, at base of
neck on injured side, and fasten just forward of opposite armpit.
b. Slide apex of open triangle under cravat at base of neck and
place over dressing on injured shoulder and upper arm. Turn
up cuff at base.
c. Bring ends around arm and tie.
d. Secure apex to cravat at neck by tucking in, or with safety
pin.

13. Triat:~gle of Hip


(fig. 7)
The triangle of the hip is used to hold dressings on the buttock
or hip. It requires two bandages, one a triangle and the other
a cravat, roller bandage, or belt.
a. Fasten cravat, roller bandage, or belt around waist.
b. Place base of triangle below buttock (gluteo-femoral fold),
and slide apex under cravat at waist. Fold base upward to form
cuff and carry ends of base around thigh.
c. Tie ends of base with square knot. Fasten apex to waist
cravat with safety pin or by tucking under.

\.
\

I I f,- I { I


I (
/•
I'
0
Figure 7. Triangle of hip.

14. Triangle of Foot


(fig.8)
The triangle of the foot is used to hold dressings of considerable
size on the foot.
a. Center foot upon bandage at right angles to base, with heel
well forward of base.
b. Carry apex of triangle over toes to ankle, and tuck excess
fullness of bandage into small pleats on each side of foot.
AGO 6507B
9
c. Cross each half of bandage toward opposite side of ankle.
d. Bring ends of triangle around ankle.
e. Tie ends in square knot.

0
Figure 8. Triangle of foot.

15. Triangle of Hand


(fig. 9)
The triangle of the hand is used to hold dressings of considerable
size on·the hand.
a. Place middle of base of triangle well up on palmar surface
of wrist.
b. Carry apex around ends of fingers. Cover back (dorsum)
of hand to wrist, and tuck excess fullness of bandage into small
pleats on each side of hand.

0
Figure 9. Triangle of hand.

AGO 6507B
10
c. Cross each half of bandage toward opposite side of wrist.
d. Bring ends of triangle around wrist.
e. Tie ends in square knot.

16. Cravat of Head or Ear


(fig. 10)
The purpose of this bandage is to apply pressure to control
hemorrhage from wounds of scalp, or to hold dressings on wounds
of ear or lower scalp.
a. Place middle of cravat over dressing.
b. Pass each end completely around head.
c. Tie in square knot.

Figure 10. Cravat of head or ear.

17. Cravat of Jaw


(fig. 11)

The cravat of jaw (mento-vertico-occipital cravat) is used to


hold dressings on the chin, cheeks, and scalp and as a temporary
Eupport to immobilize a fractured or dislocated jaw.
a. After making a triangular bandage into a cravat of proper
width, place it under the chin and carry ends upward with one
@nd longer than the other.
b. Bring longer end over top of head. Cross both ends on side
of head. (Ends should now be of equal length.)
c. Pass ends around head in opposite directions and tie with
square knot on other side of head on primary turn of cravat.

AGO 6507B 11
Figure 11. Cravat of jaw.

18. Cravat Bundage of Eye


(fig.l2)
The cravat bandage of the eye is used to hold a dressing over the
eye. Two cravats are required.
a. Lay center of first cravat over top of head with the front
end falling over uninjured eye.
b. Bring second cravat around head, over eyes, and over loose
ends of first cravat. Tie in front.
c. Bring ends of first cravat back over top of head, tying there
and pulling second cravat up and away from uninjured eye.

Figure 12. Cravat bandage of eye.

19. Shoulder-Armpit Cravat


(fig. 13)
The shoulder-armpit cravat (his-axillary) is used to hold
dressings in the armpit (axilla) or on the shoulder.

AGO 6507B
12
a. Place cravat over dressing in armpit so the front end is
longer than the back. Carry the ends upward.
b. Bring ends across each other over top of shoulder.
c. Cross ends over back and chest respectively to opposite
armpit. Tie ends just in front of uninjured armpit.

Figure 13. Shoulder-a1·mpit cravat.

20. Cravat of Elbow


(fig.14)
The cravat of the elbow is used to hold dressings around the
elbow.
a. Bend arm at elbow and place center of cravat at point
of elbow (olecranon).

Figure 14. Cravat of elbow.

AGO 6507B 13
b. Bring ends up and across each other in overlapping spiral
turns. Continue one end up arm and the other end down forearm.
c. Bring ends to front of elbow (antecubital fossa), and tie.

21. Cravat of Knee


(fig. 15)
The cravat of the knee is used to hold dressings around the knee.
a. Place center of cravat over kneecap and let ends hang
down each side of knee.
b. Cross ends underneath and continue several overlapping
descending turns down calf, and several overlapping ascending
turns up thigh.
c. Bring ends together and tie under knee.

Figure 15. Cravat of knee.

22. Cravat of Leg


(fig.16)
The cravat of the leg is used to hold dressings on the leg.
a. Place center of cravat over dressing.
b. Begin ascending turns with upper end, and descending
turns with lower end, with each turn covering two-thirds of
preceding turn until dressing is covered.
c. Terminate by tying both ends in square knot.

23. Cravat of Palm of Hand


(fig. 17)
This bandage is used to hold dressing on the palm of the hand.
a. Lay center of cravat over center of palm of hand with ends
hanging down each side.
AGO 6607B
14
1
i {/' .
\''

Figure 16. Cravat of leg.

b. Bring the thumb end across back of hand, over palm, and
through hollow between thumb and palm.
c. Bring the other end across back of hand, toward base of
thumb, and obliquely across palm to base of little finger.
d. Cross both ends at back of hand.
e. Continue procedure, ends crossing first at back of hand
and then over palm.
f. Tie in square knot at wrist.

Section Ill. ROLLER BANDAGES


24. General
(fig. 18)
The roller bandage is used to hold dressings in place, to support
an injured part, to create pressure for control of hemorrhage,
and to secure a splint to an injured part in order to immobilize it.
Roller bandages are made from gauze, flannel, muslin, rubber, or
elastic webbing, the width and length depending upon the part to
be bandaged. The sizes most frequently used are 2 inches wide
and 6 yards long for hand, finger, toe, and head bandages; 3 inches
wide and 10 yards long for extremities; and 4 inches wide and 10

AGO 6607B 15
Figure 17. Cravat of palm of hand.

yards long for thigh, groin, and trunk. For convenience and ease
of application, the strip of material is rolled into the form uf a
cylinder. Each bandage of this type should consist of only one
piece, free from wrinkles, seams, selvage, and any imperfections
that may cause discomfort to the patient.

Figure 18. Rolle-r bandage.

25. Applying the Roller Bandage


When a roller bandage is to be applied to a part, the roll should
be held in the right hand so that the loose end is on the bottom.

16
The outside surface of the loose end is next applied to the part
and held there with the left hand. The roll is then passed around
the part by the right hand, which controls the tension and direc-
tion of the bandage. Two or three of the initial turns of a roller
bandage should overlie each other to secure the bandage. In
applying the bandage, it is often necessary to transfer the roll
from one hand to the other.

26. Control of Pressure in Applying Roller Bandages


Roller bandages should be applied evenly, firmly, and not too
tightly. Excessive or uneven pressure will interfere with the
circulation and harm the patient.
a. In bandaging an arm or leg, the entire extremity (except
the fingers or toes) should be covered to maintain uniform pres-
sure. The fingers or toes should be left exposed so the circulation
in these parts can be checked.
b. An extremity should be bandaged in its final position, since
bending will change the pressure of parts of the bandage.
c. It is safer to use a large number of turns rather than a few
too firmly applied turns to secure splints or dressings. This is
particularly important in applying a wet bandage, or one that may
become wet while securing a wet dressing. A wet bandage will be
unduly tightened when it dries if allowance has not been made
for shrinkage.
d. Bandage turns should overlap to completely cover the skin,
since any uncovered skin may be pinched between the turns. To
prevent chafing and irritation when two parts are bandaged
together, skin surfaces should be separated by absorbent material.

27. Anchoring the Bandage


(fig. 19)
The usual anchors consist of several circular turns overlying
each other. Initial turns should be applied securely and, when
possible, around the part of the limb with the smallest circumfer-
ence. The wrist and the part immediately above the ankle are
preferred for anchoring appropriate bandages. (Wrist anchors
and ankle anchors are applied similarly.) To apply a secure wrist
anchor, the following steps are taken.
a. Lay bandage end obliquely across top of wrist and then
bring under wrist and back to starting point.
b. Fold uncovered triangle of end back over second turn.
c. Cover by third turn, completing the anchor.
AGO 6507B
17
Figure 19. Anchoring the bandage.

28. Fastening the Bondage


(fig.20)
Bandages are terminated by applying several overlying circular
turns and fastening the ends securely. The ends may be tied,
pinned, or fastened with adhesive tape. Two methods of tying are
illustrated.
a. The end of the bandage is folded back upon itself to form
two ends which can be tied.
b. The end of the bandage is split lengthwise for a suitable
distance and a simple knot tied at the end of the tear.
c. The split ends are then brought around in opposite direc-
tions and tied. The square knot illustrated in figure 3 is the best
type of knot for tying bandages. It will hold firmly and can be
easily unfastened.

29. Removing the Bondage


Bandage scissors are preferable when the bandage is to be
removed by cutting. Interference with the underlying dressing
and wound should be carefully avoided. Folds should be gathered
up when the bandage is merely unwound.

AGO 6507B
18
,_________ y-
_,/ \..._ ____________
v
_./

o G
Figure 20. Fastening the bandage.

AGO 6507B 19
30. Circular Bandage
(fig.21)
A circular bandage is used to cover cylindrical parts and to
anchor bandages. As illustrated (fig. 21), a turn is made around
the part and anchored. Similar succeeding turns are made,
overlying each other completely. The bandage is then terminated
and secured.

Figure 21. Circular Bandage.

31. Spiral Bandage


(fig. 22)
A spiral bandage is also used to cover a cylindrical part, but
covers a larger area than that covered by the circular bandage.
It is applied to the arm; however, it can be used on other parts.
a. Anchor at wrist.
b. Apply succeeding spiral turns up the forearm, with each
turn overlapping one-third of preceding turn.
c. Terminate and secure just below elbow.

AGO 6507B
20
Figure 22. Spiral Bandage.

32. Oblique Bandage


(fig.23)
An oblique bandage is used for retention of thick dressings or
temporary dressings which require frequent changes. As illus-
trated, it is applied to the arm; however, it can be used on other
parts. Anchor at wrist, then apply a series of spiral turns around
the forearm. Spaces between turns should equal the width of
bandage. The bandage is then terminated and secured just below
elbow.

33. Recurrent Bandage of Head with One Bandage


(fig.24)
This bandage is used to hold a dressing on the scalp.
a. Anchor bandage with several turns around the head,
terminating behind head. At this point fold bandage upward, with
assistant or patient holding fold in place with two fingers.
b. Continue bandage over top of head to center of forehead.

A'~O 650iB 21
Figure 23. Oblique Bandage.

Fold bandage back at this point and hold it there with free hand.
Carry bandage back to point held by assistant at rear of head.
c. Continue procedure until entire head is covered, turns alter-
nating to the left and right of the center line and each turn overly-
ing the outer half of the preceding turn.
d. Apply several circular turns around head, covering the ends
of the initial turns, and secure.

34. Recurrent Bandage of Head with Two Bandages


(fig. 25)
This bandage is used to hold dressings on scalp when assistance
is not available.
a. Tie two bandages together with square knot. Place knot on
forehead and bring both rolls back above ears.
b. Cross bandages at back of head, bringing roll No. 1 upward
over top of head.
c. Continue roll No. 1 over top of head to forehead and bring
roll No. 2 around head, over other bandage and around to side of
head.
d. Bring roll No. 1 from forehead over top of head to nape of
neck.
e. Bring roll No. 2 over folds of roll No. 1 at nape of neck
juncture, and continue around head to front. Bring roll No. 1 back
over top of head and repeat procedure, alternating to the left and
right of the mid line, each turn overlying the outer half of the
preceding turn.

AGO 6507B
22
Figure 24. Recurrent bandage of head with one bandage.

f. Cover head, bring both rolls to front with several circular


turns around head.
g. Secure the bandage.

35. Crossed Bandage of One Eye


(fig. 26)
This bandage is used to hold a dressing on the eye.
a. Anchor the bandage with circular turns around the head,
then bring obliquely down across back of head.
b. Bring under ear on side of injured eye and obliquely up
across cheekbone to bridge of nose, joining primary turn.
c. Continue aroo.nd head for one turn.
d. Repeat procedure, each turn overlapping the upper two-
thirds of preceding turn until eye is covered.
e. Apply circular turns around head, and secure.

AGO 6507B
23
0 0
Figure 25. Recun·ent bandages of head with two bandages.

Figw·e 21i. Crossed bandage of one eye.

AGO 65071!
24
36. Crossed Bandage of Both Eyes
(fig. 27)
This bandage is used to hold dressings on both eyes.
a. Anchor bandage with circular turns around head.
b. Continue obliquely down across back of head, under ear, and
obliquely up across bone and bridge of nose, joining primary turn.
c. Continue around head to forehead, then obliquely down
across bridge of nose and cheek to point below other ear.
d. Repeat procedure, each circular turn covering its predeces-
sor, and each oblique turn overlying upper one-half or two-thirds
of preceding turn.
e. Continue until eyes are completely covered, apply circular
turns around head, and secure.

Figure 27. Crossed bandage of both eyes.

37. Bandage of Jaw (Modified Gibson Bandage)


(fig. 28)
The bandage of the jaw is used for a fracture of the jaw and to
hold a dressing on the chin.
a. Start bandage in front of ear, then bring over top of head
and under jaw. Make several turns as needed.
b. Anchor vertical bandage by making several horizontal turns
around head.

AGO 6507B
25
c. Reinforce both loops with strips of adhesive placed in direc-
tion of loops. To prevent vertical turns under jaw from slipping,
anchor with strips of adhesive tape across the front of the chin.

Figure 28. Bandage of jaw (modified Gibson bandage).

38. Spica of Shoulder


(fig. 29)
The spica of the shoulder is used to retain dressings of the
shoulder and armpit.
a. Pad the axilla well and anchor by several circular turns
around upper arm on injured side.
b. Carry across back to armpit of opposite side; then across
chest obliquely to top of primary turns.

AGO 6507ll
26
c. Carry around arm, under armpit, and upward toward
shoulder. Repeat procedure, each turn overlying about two-thirds
of preceding turn.
d. Continue until entire shoulder is covered. The line of cross-
ings on the shoulder be straight and should pass over the point
of the shoulder. Secure with safety pin or adhesive tape.


·. ; /!

Figzl1'c 29. Spica of shoulder.

39. Figure-of-Eight of Clavicle


(fig. 30)
This bandage is used to hold the shoulders back in a fracture
of the collarbone. As illustrated, pads are applied to axillary re-
gion to keep bandage from obstructing circulation. End of bandage
is placed between shoulder blades and roll is carried obliquely over

AGO 6507B
27
shoulder, under armpit, across back, over opposite shoulder, and
under armpit. This procedure is repeated until shoulders are
drawn back securely. The bandage is then terminated and secured.

Figu1·c 30. FigHTe-of-cight of clavicle.

40. Velpeou
(fig. 31)
The velpeau is used for holding arm and forearm in fixed posi-
tion in the treatment of fractures and dislocations of the shoulder.
a. Place fingers of affected side on opposite shoulder, with pad
in armpit and skin surfaces separated by sheet wadding. Start
bandage in the middle of the patient's back, approximately at the
waist. Bring bandage up from waist and over affected shoulder.
b. Continue down shoulder and upper arm, then under elbow
and around front of waist.
c. Continue around back of waist, crossing the starting end to
anchor bandage.
d. Circle waist over bent elbow.
e. Bring obliquely up across back.
f. Repeat procedure, each turn ascending and overlapping two-
thirds of preceding turn. Terminate with circular turns over arm,
forearm, and chest, and secure.

AGO 6507B
28
Fignre 31. Velpeau.

41. Figure-of-Eight of Hand


(fig. 32)
This bandage is used to hold dressings on back or palm of hand.
a. Anchor bandage on hand with circular turns near ends of
fingers. Carry obliquely across back of hand to thumb. Bring under
thumb and across palm to back of hand.
b. Carry obliquely across back of hand to bottom of primary
turn and across palm.
c. Follow with several similar turns, each one overlying about
two-thirds of preceding turn on back of hand. After sufficient
turns, terminate with circular turns around wrist and secure.

42. Figure-of-Eight of Forearm


(fig. 33)
The figure-of-eight of forearm is used to retain dressings or

AGO 6507B 29
Figun 82. Figure-of-eight of hand.

secure splints on the forearm. This may start as a continuation


of figure-of-eight of hand, or with primary circular turns of wrist.
(Illustration shows continuation of figure-of-eight of hand.)
a. Carry spirally upward around forearm.
b. Apply circular turn just below elbow.
c. Then carry spirally downward around forearm forming X
with upward turn.
d. Repeat procedure, each turn overlapping one-half or two-
thirds of preceding turn.
e. When forearm is covered, terminate below elbow, and secure.

43. Spiral Reverse of Forearm


(fig. 34)
The spiral reverse of forearm is used to hold dressings or secure
splints on the forearm. It is a modification of the figure-of-eight.
a. Anchor at wrist with primary turns in usual way, bring
bandage obliquely up forearm to just below elbow, and make a
circular turn.
b. Bring obliquely downward to wrist, and circle wrist. (These
turns hold the dressing while the spiral reverse is being applied.)
Then start the bandage obliquely upward again.
c. Instead of continuing upward as in a figure-of-eight, fold
bandage back and hold fold with thumb.
d. Continue around arm and repeat procedure until arm is
covered. Each turn must overlie about two-thirds of preceding
turn and reverses must be in a straight line.
e. Terminate with circular turns below elbow and secure.

AGO 6507B
30
Figure 33. Figure-of-eight of forearm.

AGO 65070

3J
• 0

Figure 34. Spiral reverse of forearm.

44. Figure-of-Eight of Elbow


(fig. 35)
This bandage is used to hold a dressing in the triangular hollow
in front of elbow joint (ante-cubital fossa).
a. Anchor with circular turn above elbow and carry bandage
obliquely downward over hollow of elbow.
b. Circle forearm below elbow to anchor, bring obliquely up-
ward over hollow of elbow, and pass around upper arm at primary
circle.

Fignre 35. Pigm·e-of-cight of elbow.

AGO 6507B
32
c. Repeat procedure with oblique turns progressing up fore-
arm, each turn overlapping preceding turn by two-thirds.
d. Terminate at starting point, and secure.

45. Front of Elbow Bandage


(fig. 36)
This bandage is also used to hold dressings on the ante-cubital
fossa. Unlike the figure-of-eight of the elbow, this bandage leaves
back of elbow exposed. It allows movement of joint without dis-
turbing the dressing. Anchor bandage with circular turns around
forearm below elbow. Carry bandage obliquely upward over hol-
low of elbow, and circle arm just above elbow. Bring obliquely
downward over hollow of elbow, and pass around forearm at pri-
mary circle. Repeat procedure until hollow of elbow is covered,
each oblique turn overlapping preceding oblique by three-fourths
and each circular turn overlying each preceding circular turn.
Terminate at circular turns above elbow, and secure.

Figure 36. Front of elbow bandage.

AGO 6507B
33
46. Demigauntlet Bandage
(fig. 37)
The demigauntlet bandage is used to hold dressings on back of
hand, with palm and fingers exposed.
a. Anchor with primary turns at wrist. Bring bandage back of
hand to space between fourth and little finger; then around base
of little finger and across back of hand to wrist.
b. Circle wrist and repeat on other fingei., invoived.
c. Terminate at wrist, and secure.

Figure 37. Demigauntlet bandage.

47. Gauntlet Bandage


(fig. 38)
The gauntlet bandage is used to hold dressings on back of hand
and fingers.
a. Anchor with primary turns at wrist. Bring bandage back of
hand to space between fourth and little finger, then spirally down
little finger.
b. Bring bandage up little finger with spiral, then across back
of hand to wrist.
c. Repeat procedure with each finger involved, terminate at
wrist and secure.

48. Complete Bandage of Hand


(fig. 39)
This bandage is used to retain dressings covering entire hand.
Make certain gauze dressing is placed between each injured finger.

AGO 6507B
34
Figw·e 38. Gauntlet bandage.

a. Anchor at wrist, then fold bandage back, and bring over


back of hand to tip of forefinger.
b. Continue over front of finger and palm to wrist, repeating
procedure four or five times, covering all involved fingers, except
the thumb. (Hold folds at wrist until next step.)
c. Circle around folds at wrist to secure them.
d. Then bring bandage obliquely across back of hand to tip of
fingers.
e. Make circular turn near ends of fingers.
f. Continue with figure-of-eight.
g. Terminate with several circular turns around wrist and
secure.

49. Finger Bandage


(fig. 40)
The finger bandage is used for holding dressing on finger.
a. Anchor bandage at wrist. Bring over back of hand and make
one complete turn at base of injured finger over dressing. Make
spiral turn to tip of finger to ho* dressing while applying bandage.
b. Make another spiral turn back to base of finger.
c Complete bandage with figure-of-eight, progressing from tip
to finger base. Terminate with circular turns around wrist and
secure.

50. Recurrent Bandage of Stump


(fig. 41)
The recurrent bandage of the stump is used to hold dressing
around stump of arm, of leg, or finger. To hold dressing on leg,
first anchor bandage below knee with circular turns of bandage.

AGO 6507B
35
0 0
Figure 39. Complete bandage of hand.

Figure 40. Finger bandage.

36 AGO 6507B
a. Hold dressing in place with loose spiral turns down and up
stump, securing spirals with circular turn below knee.
b. Fold bandage at right angle at knee and carry over outer
half of stump, down, and then under stump. Continue bandage
back to knee, reverse, and carry over stump again, now covering
inner half.
c. Repeat procedure, now covering middle of stump. It is ad-
visable to place several additional turns over stump in manner de-
scribed above.
d. Carry several turns around base of folds to secure them in
place.
e. Cover loops with spiral to end of stump.
f. Complete bandage with figure-of-eight, progressing from
end of stump to knee. Terminate with circular turns just below
knee, and secure.

Figure 41. Recurrent bandage of stump.

AGO 6507B 37
51. Spica of Foot
(fig. 42)
The spica of the foot is used to hold dressings on foot, and for
support of sprained ankle.
a. Anchor around foot near base of toes. Carry obliquely across
instep and around heel. Continue obliquely across instep, crossing
preceding turn to base of large toe.
b. Repeat procedure, turns gradually ascending on both foot
and heel, crossings being in line along middle of instep.
c. Continue procedure in b above.
d. Terminate above ankle, and secure.

,I
<"'" _ _lj

Figure 1,2. Spica of foot.

52. Figure-of-Eight of Foot with Heel Exposed


(fig. 43)
This bandage is used to hold dressings on foot.
a. Anchor just above ankle, bring bandage obliquely across in-
step to base of large toe, with turn around base of toes.
b. Continue obliquely across instep to point of beginning.

AGO 6507B
38
c. Repeat procedure, leaving heel exposed, with turns ascend-
ing until arch and instep are covered. Terminate at starting point,
and secure.

G
Figure 1,3. Figure-of-eight of foot with heel exposed.

Section IV. TAILED BANDAGES


53. Types and Uses
(fig. 44)
Tailed bandages consist of the T-bandage, the doubleT-bandage,
the four-tailed bandage, and the many-tailed bandage. These band-
ages are used to secure dressings to parts which do not lend them-
selves to roller bandage applications.
a. The T -bandage is a T -shaped bandage consisting of a ver-
tical strip of material sewn or pinned to the center of a horizontal
strip. This bandage may be used as a scalp, ear, eye, or perineum
bandage.
b. The doubleT-bandage may be made by sewing two vertical
strips of material to the center of a horizontal strip and about 4
inches apart. The doubleT-bandage may be used to hold dressings
on the chest, back, or perineum.
c. The four-tailed bandage is a piece of material 4 to 6 inches
wide and about 30 inches long with each end cut about 12 or 14
AGO 6507B
39
inches down its middle, leaving the center piece about 12 or 14
inches in length. The four-tailed bandage is used to hold dressings
on the jaw, nose, forehead, and the back of the head.
d. The many-tailed bandage is similar in construction to the
four-tailed bandage, except that the ends are cut into the desired
number of tails about 16 inches in length and the uncut portion is
about 20 inches in length.

----·----------
I

II

i' I
I

• E ---------;;_

Figure 44. Tailed bandages.

54. T-Bandage of the Scalp


(fig. 45)
The T-bandage of the scalp is used to hold dressings on the scalp,
the side of the head, or the back of the head. A T -bandage 2 or 3
inches wide is used. As illustrated the junction of the horizontal
and vertical strips is placed over the center of the back of the head
just above the ears. The horizontal ends are brought around to the
forehead, and the vertical end across the top of the head. The three
ends are then tied.

AGO 6507B
40
Figure 45. T-bandage of the scalp.

55. Double T-Bandage of the Chest


(fig. 46)
A doubleT-bandage is made ,as described in paragraph 53b, with
the horizontal strip about 8 or 10 inches wide and long enough to
encompass the chest, and the two vertical strips about two inches
wide and 12 inches long. If the wound is high upon the chest or

Figure 46. Double T-bandage of the chest.

AGO 6507B 41
back, an armhole can be cut on each side of the upper edge of the
horizontal strip of the bandage. As illustrated (fig. 46), the wide
strip is secured around the chest well up in the axilla. The two
vertical strips are brought over the shoulders and secured to the
upper edge of the wide strip.

56. Four-Tailed Bandage of the Nose


(fig.47)
This bandage is used for holding a dressing around the nose. A
four-tailed bandage of the desired length and width is used.
a. Split the bandage lengthwise from each end to within 3 or 5
inches of the center of the strip.
b. Place the top of the center over nose, carry the two upper
ends under ears and around to nape of neck, and tie.
c. Fold the bottom of the center under nose, carry the two
lower ends above ears to top of head, and tie.

Figure 47. Four-tailed bandage of the nose.

42
57. Four-Tailed Bandage of the Jaw
(fig. 48)
The four-tailed bandage of the jaw is used for holding a dressing
on the chin or jaw. A bandage of desired length and width is used.
a. Split bandage lengthwise from each end to within 3 or 4-
inches of center of strip. Place top of center over chin, carry two
upper ends along each side of jaw, and tie at nape of neck.
b. Fold bottom of center under chin, carry two lower ends up-
ward from under the chin and along each side of face in front of
ears, and tie on top of head.

Figure 1,8. Fow·-tailed bandage of the jaw.

Section V. PLASTER OF PARIS BANDAGES


58. Purpose
Plaster of paris bandages are used to immobilize the involved
part of the body in the treatment of fractures, as well as for fixa-
tion and treatment of injuries and diseases of joints.

59. Preparation of Plaster of Paris Bandages


(fig. 49)
Plaster of Paris bandages are prepared by impregnating the
meshes of crinoline gauze with plaster of paris. Two methods of
preparation are discussed in this paragraph; however, it should be

AGO 6507B 43
pointed out that ready-made bandages are procured and supplied
by the Army Medical Service.
a. (1) Tear crinoline the desired width and pull loose threads
from each side.
(2) Roll strip loosely on dowel stick or similar piece of wood.
(3) Unroll about 3 feet of crinoline on flat surface, and work
plaster of paris gently into mesh with palm of hand,
spatula, or tongue depressor. Roll loosely on dowel stick.
(4) Repeat process with next 3 feet of bandage and con-
tinue until entire bandage is impregnated with plaster.
(5) Remove stick and wrap bandage in waterproof paper, if
not to be used immediately.
b. Plaster of paris bandages can also be quickly and satis-
factorily made by using a box 10 inches long, 5 inches wide, and 3
inches deep, with top and bottom removed.
(1) Cut a small slot approximately lj11 -inch to %-inch deep
and 5 inches long at the bottom of each end of the box.
(2) Place box on flat surface and pull end of bandage through
the two slots so that it protrudes for a distance of about
1 inch.
(3) Place plaster of paris in box to about one-half its depth.
(4) Pull bandage through slots, impregnating bandage with
layer of plaster.
(5) Roll bandage on dowel stick or similar piece of wood.
( 6) Repeat process until entire bandage has passed through
box of plaster.
(7) Remove stick and wrap bandage in waterproof paper, if
not to be used immediately.

60. Application of Plaster of Paris Bandages


(fig. 50)
The fundamental rules for the application of plaster of paris
bandages are based on certain technical points involved in the
process of application. These technical points, which are brought
out in the rules which follow, must be observed if plaster bandages
are to be properly applied.
a. Cover the part to be encased with a suitable bandage of soft
material, being careful to protect bony prominences and to remove
all creases.
b. Place plaster bandage roll in warm water, handling care-
fully so as to avoid shaking out the plaster. (Warm water is used
to speed up setting of plaster.) Place the roll on end so that re-
sultant air bubbles can easily escape from within the roll through
its upper end. When bubbles cease to rise, remove roll from water.
Remove excess water by grasping the roll at its two ends and press-

AGO 6507B
44
Figure 49. Preparation of plaster of paris bandages.

ing toward the center to prevent excessive loss of plaster. If too


much water is left in the roll, the cast will be weak; if the roll is
too dry, the bandage cannot be applied with the ease required for
accurate and rapid bandaging. As soon as bandage is removed
from water, replace with another.
c. Apply bandage rapidly and evenly, and with a minimum of
pull to avoid constricti0n by the edges of the bandage. Apply band-
age spirally up and down entire length of extremity or body part
involved, making each turn conform to the part without tension.
Do not twist. In changing the direction of the bandage, tuck or
cut and start again. The bandage is never reversed. Take tucks in
the leading or rear edges of the bandage to get smooth coverage
over irregularities of the body part. During the application,
smooth out each successive turn, always in the same direction, to
provide a smooth, even surface. Apply as many bandages as neces-
sary to obtain a cast of desired strength. When the final roll has
been applied, rub surface of the completed cast evenly with liquid
plaster, prepared by addition of water to dry plaster, until it has

AGO 6507B 45
the consistency of thick cream. Rub bony prominences and de-
pressions with rotary motion of the palm to get accurate fit. In all
recent injury cases that are to be evacuated, split the plaster casts
on both sides (completely bivalved). To remove plaster of paris
cast, cut with plaster of paris shears, or soften with small amount
of hydrogen peroxide solution, hydrochloric acid, or vinegar, and
then cut with a knife.

PADDING
SOFT MATERIAL

PADDING
I


PLASTER OF PARIS
BANDAGE

Figure 50. Application of plasteY of paris bandages.

AGO 6507B
46
CHAPTER 3
DRESSINGS

61. General
A dressing is a sterile pad, compress, sponge, or piece of material
that is applied directly over a wound for the promotion of its
proper healing. Since it is for use directly over an open wound, a
dressing must be sterile; it must not only be clean in the ordinary
sense of the word, but must be free of germs. Dressings are used
to cover the wound and protect it from bacteria, to control bleed-
ing, to apply medication, to absorb excess moisture, and to con-
serve local heat. The material most commonly used in the making
of dressings is gauze. Sponges and compresses are made of gauze
or of cotton wrapped in gauze. Dressings may be generally classi-
fied as standard dressings for field and hospital use, commercially
prepared and packaged dressings, and improvised dressings. In
the field, the most widely used dressing is the first-aid dressing,
and will therefore be stressed in this chapter. The small first-aid
dressing is for individual troop use and for treatment of small
wounds; the medium is carried by the aidman for emergency medi-
cal treatment; and the large is for use in aid stations, collecting
stations, and clearing stations.

62. Standard Dressings for Field Use


a. Dressing, first-aid, field, individual, troop, 4 by 7 inches;
sterile ; brown ; (first-aid packet) .
b. Dressing, first-aid, field, 4 by 7 inches; sterile; brown; (bat-
tle dressing) .
c. Dressing, first-aid, field, 71fs by 8 inches; sterile; brown;
(battle dressing) ; with safety pins.
d. Dressing, first-aid, field, 11% inches square; sterile; ·brown;
(battle dressing) ; with safety pins.
e. Compress and bandage, gauze, field 18- by 22-inch compress;
two rolls of bandage 6 inches by 6 yards; nonwoven fabric backing
and bandage dyed for camouflage; sterile; in waterproof package;
with safety pins.
f. Compress and bandage, field, 22- by 36-inch compress; two
rolls of bandage 6 inches by 6 yards; nonwoven fabric backing and
bandage dyed for camouflage; sterile; in waterproof package;
with safety pins.
g. Compress ~nd skullcap, head dressing, 3 by 2 by o/s inch; ad-
jus table ; camouflaged ; sterile.

AGO 6507B 47
63. Procedure
Initial treatment of wounds in the field should consist of such
measures as control of bleeding, treatment for shock, splinting of
fractures, and protection of the wound by application of a sterile
dressing. Care should be t3;ken to insure that the surface of the
dressing which is to be applied to the wound is not allowed to slide
over the wound or come in contact with the fingers, the skin sur-
rounding the wound, or any substance that is not sterile. After
the patient reaches a medical treatment facility, the wound should
be examined and treated in accordance with instructions issued by
a medical officer.

64. Steps in Applying Dressing


(fig. 51)
a. Open packet and remove wrapped dressing.
b. Remove wrapper from dressing, twisting wrapper to re-
move it quickly.
c. Grasp one of the folded ends in each hand and open dressing
carefully with printed side up, being careful not to touch side of
dressing which goes next to the wound.
d. Still holding folded end in each hand, apply dressing to the
wound and hold it there. If one dressing is not large enough to
cover the wound or if additional pressure is desired for hemorrhage
control, apply more than one dressing.
e. Wrap the tails around the injured part and tie ends together,
anchoring the dressing firmly in place. The four tails of the
dressing should be utilized as bandages applied flat; they should
not be allowed to become twisted into cords, thereby causing un-
even constriction. Whenever possible, the dressing should be ap-
plied so that the tails cover the edges of the dressing in order to
close off the wound from dirt and germs. By changing slightly the
direction of application, it is possible to completely enclose the
sides and ends of the dressing so that dirt cannot get under it and
into the wound. This method of wrapping the tails also insures
firm, uniform pressure. In some instances, the tails of the dressing
will not be of sufficient length to achieve the desired pressure over
the wound and to close off the edges of the dressing. In such cases,
it is desirable to apply additional bandage or strips of cloth. To
hold several dressings close together, the tails of the dressings can
be knotted together. Dressings can also be reinforced by threading
roller bandage under the tails on the back of the dressing between
the two sewed portions which secure them to the dressing.

AGO 6507B
48
Figure 51. Steps in applying dressing.

65. Application of Dressings to Wounds of Specific Areas


(fig. 52)
a. In treating sucking chest wounds, it is important to stop the
flow of air through the chest wall into the chest cavity. This flow
of air squeezes the lung, collapsing it and preventing proper
breathing. Before applying the dressing, have the patient exhale.
Apply a dressing large enough to stop the flow of air, and press
firmly. Cover the dressing with some material to help make the
wound airtight. Bind securely with belts or strips of material.
b. For wounds of the shoulder, apply two dressings, one over-
lapping the other. Carry tails of the upper dressing across the
chest and tie under axilla on the uninjured side. Wrap tails of the

AGO 6507B 49
lower dressing around the arm under axilla on the injured side and
tie.
c. For wounds of the head (vertex), apply dressing to vertex
and bring tails to sides. Carry front tails back over ears, cross
them on back of neck, and tie in front of neck (not tightly). Carry
back tails forward across and below ears, and cross under the chin.
Bring tails up toward top of head in such a manner that the tails
close the gap at the sides. Tie on top of head in middle of dressing.
d. In wounds of the face and neck, bleeding is usually severe.
Stop the bleeding by exerting pressure with a dressing. In wounds
of this type, the mouth should never be bandaged shut, since there
is always danger of choking on blood or vomitus. The dressing
should be so applied that enough freedom is allowed for free drain-
age from the mouth. If wound is under chin, place dressing under
chin and bring tails to the sides. Carry forward tails up in front
of ears and tie firmly on top of head. Bring rear tails behind ears
and tie less firmly but still snugly-on top of head. In this manner,
pressure is upward not backward, and the jaw can be opened
aginst the upward pressure of the dressing below the chin to allow
for free drainage.
e. For wounds of the forearm (lateral and medial surfaces),
cover wound with dressing and wrap and tie tails around the arm.
f. For woundR of the knee, cover wound with dressing, press,
and wrap tails around limb. Apply a completely closed dressing
taking care to prevent interference with circulation. Tie tails
securely behind the knee.

66. Improvised Dressings


Freshly laundered handkerchiefs, towels, or other cloth may be
used in emergencies when sterile dressings are not available.
These should be carefully unfolded and a part that has not been
touched placed next to the wound. If these are not to be found,
take the cleanest cloth available and sterilize it by scorching with
a hot iron o1· over a flame. The small amount of carbon which may
collect on the cloth during this operation contains no germs and is
not sufficient in amount to do any harm.

AGO 6507B
50

Figure 52. Application of dressings to wounds of specific areas.

AGO 6507B
51
CHAPTER 4

SPLINTING

Section I. INTRODUCTION
67. General
Fractures can cause total disability or death; on the other hand,
they can often be treated so that the patient completely recovers
from his injury. A great deal depends upon the treatment the
patient receives before being moved. This treatment normally in-
cludes the use of splints. The purpose of splinting is to immobilize
the fragments of a broken bone. Fixing the fragments of a broken
bone will prevent the jagged edges of the bone from tearing blood
vessels and nerves, will reduce and sometimes actually prevent
shock, and will greatly reduce the pain induced by the fracture. In
a closed fracture (one in which there is no communication between
the outside of the skin and the fracture) , proper splinting will pre-
vent the bone fragments from piercing the skin. If the fracture is
open, proper splinting will prevent further injury to the wound.
Correct methods of applying various splints are illustrated in this
chapter. The procedures involved are not simple and require con-
stant practice and careful attention to detail. Their importance
cannot be overemphasized.

68. General Principles of Splinting


a. All fractures of long bones should be splinted "where they
lie" before movement or transportation of any kind is attempted.
b. In applying a splint, the joint above the fracture and the
joint below the fracture should be immobilized.
c. The splint should be so applied that it does not interfere
with the circulation of the splinted part.
d. The splint should be padded to prevent injury to the limb
or discomfort to the patient.
e. Traction is required for most fractures of long bones to
overcome muscle contraction and associated shortening. Traction
overcomes muscle contraction and lessens shortening and thus re-
gains or maintains normal length of the bone.
f. Spli:1ts may be improvised from boards or sticks, rolled
magazines or newspapers, etc.

AGO 6507B
52
Section II. SPLINTING OF FRACTURES OF
UPPER EXTREMITIES

69. Basswood Splint for Fracture of Arm (humerus)


(fig. 53)
a. Use two basswood splints. (In illustration, complete padding
is not shown for clarity, but all splints must be padded.) Place
pad in axilla to protect blood vessels and nerves from undue pres-
sure. Then place a padded splint between arm and chest wall. Place
the other padded splint on lateral surface of arm.
b. Secure padded splints in position with triangular bandages
folded as cravats, as shown, or with roller bandage.
c. Place forearm in sling (fig. 4). (Narrow sling is shown in
illustration for clarity.)

Figure 53. Basswood splint for fracture of arm (humerus).

70. Basswood Splints for Fractures at or near Elbow When


Elbow Cannot Be Bent
(fig. 54)
a. With arm held at approximately 45° angle from the body,
apply padded splint to medial surface of arm, with splint extend-
ing from just below axilla to wrist.
b. Apply padded splint to lateral surface of arm, with splint
extending from shoulder (as shown in illustration) to wrist.
c. Secure padded splints in position with triangular bandages
folded as cravats (as illustrated), with roller bandage, or with
strips of adhesive tape which do not encircle arm but are medially
and laterally placed.

AGO 6507B 53
Figure 54. Basswood splints for fracture at M' near elbow when elbow
cannot be bent.

71. Chest Wall as Splint for Fracture of Arm (humerus)


(fig. 55)
a. Place pad under arm against chest wall. Then fix arm to
chest wall, with triangular bandages folded as cravats (as il-
lustrated), or with strips of roller bandage.
b. Place forearm in sling (fig. 4).

Figure 55. Chest wall as splint for fracture of arm (humerus).

72. Basswood Splint for Fracture of Forearm, Wrist, or Hand


(fig. 56)
Place padded splints in position and secure with triangular band-
ages folded as cravats or with roller bandages. Place splinted arm

AGO 6507B
54
in sling (fig. 4). Note that level of hand is several inches above
level of elbow. (Padding is omitted and narrow sling is shown in
fig. 56 for clarity.)

Figure 56. Basswood splint for fracture of forearm, wrist, or hand.

73. Wire Ladder Splint for Fracture of Arm (humerus)


(fig. 57)
The wire ladder splint is 31 inches long and 31/2 inches wide.
The sides and ends are of strong wire which can be bent by hand
to fit various shapes. The cross struts are thin wires attached to
one side of the splint wires. These splints may be lashed together
to provide additional length. Wire ladder splints should be well
padded before application. The following steps should be taken in
the application of a wire ladder splint for a fractured humerus.
a. Bend splint to fit, pad well, and secure padding.

Figure 57. Wire ladder splint for fracture of arm (humerus).

AGO 6507B 55
b. Place splint in positiun on lateral surface of arm extending
from shoulder to dorsum of hand. Secure splint to arm with
cravats.
c. Support forearm with sling (fig. 4). For transportation
purposes, fix arm to chest wall with triangular bandages folded
as cravats or with strips of roller bandage.

Section Ill. IMPROVISED SPLINTS AND SLINGS FOR


UPPER EXTREMITIES
74. Stick Splint for Fracture of Forearm or Wrist
(fig. 58)
Place padded sticks in position as illustrated, making certain
that sticks are wide enough and are padded. (Padding is omitted
and narrow sling is shown in illustration for clarity.)

Figure 58. Stick splint for fracture of forearm or wrist.

75. Field Jacket Flap Used as Sling


(fig. 59)
Open all jacket buttons except top one, and bring front flap up
over injured arm. Secure with safety pin to jacket at upper chest.

76. Shirttail Used as Sling


(fig. 60)
Open lower three buttons of shirt, and bring front shirttail up
over injured arm. Fold back edge of shirttail for about 1 or 2
inches and secure with safety pins to shirt at upper chest.

AGO 6507B
56
Figure 59. Field Jacket fiap used as sling.

Figure 60. Shirttail used as sling.

Section IV. SPLINTING FRACTURES OF LOWER


EXTREMITIES
77. General
The half-ring Thomas leg splint with supporting equipment
(fig. 61) is used to immobilize and render transportable fractures
of the long bones of the lower extremity. Although the splint
illustrated is the telescopic splint, there are many of the solid
shaft splints still being utilized.

AGO 6507B
57
Figu1·e 61. Half-ring Thomas leg splint.

78. Application of the Half-Ring Thomas Leg Splint


(ten steps).
The application of the half-ring Thomas leg splint, as here out-
lined, is done in ten steps for the purpose of clarity in instruction;
however, it should be borne in mind that the operation of splinting
is a continuous procedure in which all personnel concerned with
splinting the patient are constantly occupied with application of
the splint or the treatment of the wounded patient. (The telescopic
splint and the solid shaft splint are applied in the same identical
manner except that the telescopic splint can be adjusted to the
desired length.)

79. Step 1-Dress Litter


(fig. 62)
a. Open litter.
b. Place first blanket in position.
c. Fold first blanket on self to overhand one-third on opposite
side of litter.
d. Place second blanket on litter, reversing procedure in c
above.
e. Fold back on self to overhand one-third on opposite side.
f. Litter is now covered with four blanket folds on which
patient is placed.

80. Step 2-Apply Traction Strop and Initiate Traction


(fig. 63)
This step may be done simultaneously with step 3. See comment
step 3.

AGO 6507ll
58
Figure 6!2. Dress Litter.

a. Apply traction strap over boot.


b. No. 1 man places leg splint alongside injured leg, with the
ring portion near the hip and with the buckle on the outside. The
lower or sliding portion of the splint should be extended from six
to eight inches beyond the patient's foot, and the locking devices
securely fixed. No. 2 man passes hand through rods, grasping heel
with that hand and instep with other hand. No. 2 man then exerts
traction by pulling on foot, and while <icing so raises it several
inches from the ground. No. 3 man supports leg while it is being
pulled and raised, No. 1 man then rolls splint into position under
injured leg.

81. Step 3-Dress Wound


If wound has not already been dressed, it is done at this point
and, if already dressed, the dressing is inspected and adjusted if
necessary. Steps No. 2 and No. 3 may be done simultaneously by
different members of the team.

AGO 6507B
59
Figure 63. Apply traction stmp and initiate traction.

82. Step 4-Apply Splint and Secure Traction Strap


(fig. 64)
a. No. 1 man eases splint up under patient's hip, bending
padded half-ring to a right angle, and insures that the half-ring
sets against bone in buttock (tuberosity of the ischium). Then
No. 1 man fastens strap securely at upper thigh. (It is advisable
to use padding under :::trap.) No. 2 man continues pulling on leg,
and No. 3 man continues to support limb. (Long rod of splint
should always be on outside.)
h. Long free end of traction strap is brought down over
notched end of splint by No. 1 man, and then brought back and
passed through link at swivel. No. 2 and No. 3 continue as in
figure 63. No. 1 man pulls on free end of traction strap to secure.
greater traction, and fastens strap securely to splint.

83. Step 5-Secure Splint Support and Footrest


(fig. 65)
No. 1 man secures splint support and footrest in position. No. 2
man and No. 3 man continue to maintain traction and support
limb.

AGO 6507B
60
Figure 64. Apply splint and secure traction strap.

SUPPORT
PLACED BY
MAN NO.1

Figure 65. Secure splint support and footrest.

AGO 6507B
61
84. Step 6-Support Leg
(fig. 66)
a. Place cravat bandage across rods of splint, leaving loop
between rods and allowing ends to fall over rods, with one end
longer than the other.
b. Bring ends under splint and loop, in opposite directions.
Carry long end over top of splint.
c. Tie ends together with a square knot directly over the out-
side splint bar.
d. Place five cravat bandages in this manner to support the
injured limb.

Figure 66. Support leg.

85. Step 7-Secure Foot to Splint Support and Footrest


(fig. 67)
Secure foot to splint support and footrest with triangular band-
age folded as cravat and tied in same manner as for supporting
leg (step 6).

86. Step 8-Piace Patient on Dressed Litter


(fig. 68)
a. No. 2 man and No. 3 man kneel on side of patient nearest
splinted leg; No.1 kneels on opposite side. Each man kneels on his
knee nearest patient's feet. No. 1 places his hands under patient's
back and thighs, while No. 2 places his hand under patient's legs
and No. 3 supports patient at shoulder and back. Then all three
men raise patient together onto thighs of No. 2 and No.3.

AGO 6507B
62
Figure 67. Secure foot to splint support and footrest.

b. No.2 man and No. 3 man support patient on thighs, while


No. 1 places dressed litter in position. Then No. 1 aids No. 2 and
No. 3 in placing patient gently on litter, supporting patient with
hands in same positions as when lifting patient.
c. Patient is on litter with splint support resting on litter an
inch or two from lower border of canvas.

87. Step 9-Secure Splint to Litter with Litter Bar


(fig. 69)
Litter bar is placed in position with groove under horizontal
part of splint support. Splint support is then placed in this groove
and locked there by turning handle of cam. (Bar is placed so that
cam is on same side as splinted leg.)

88. Step 10-Cover Patient


(fig.70)
No. 2 man and No. 3 man fold third blanket once lengthwise
and place it on patient so that one edge is under chin. They then
bring up free edges of first two blankets, fold over third blanket
(making sure that patient's feet and lower end of splint are en-
closed), and secure blanket in place with safety pins.

89. Ankle Hitch Using Cravat or Roller Bandage


(fig. 71)
The ankle hitch using cravat or roller bandage is applied when
traction strap is not available. (Cravat bandage is shown in
illustrations.)

AGO 6507B 63
Place patient
Fi.gure 68.

64
Figure 69. Secure splint to litter with litter bar.

Figure 70. Cover patient.

a. Hold cravat in one hand, and make loop, leaving one end of
cravat longer than the other.
b. Pass long end of cravat behind loop and hold it in a position
which bisects the loop.

AGO 6507B
65
c. Bring upper half of loop over instep, bisecting portion of
cravat under instep, and lower half of loop under heel.
d. Continue as inc above.
e. Using the two ends of the cravat, apply traction.

Figure 71. Ankle hitch using cravat or roller bandage.

90. Ankle Hitch Using Two Cravats


(fig. 72)
The ankle hitch using two cravats is used for holding sprained
ankle in fixed position, and for securing traction in cases of frac-
ture of thigh or leg.
AGO 6507B
66
a. Place center of cravat under arch of shoe.
b. Carry both ends back of foot, crossing at back of ankle.
c. Carry ends to front of foot, cross each end in front of ankle,
and carry ends under bandage at each side of ankle. Take up slack.
d. Bring ends to front.
e. Tie securely.
f. Slip second cravat through fold under arch of shoe.
g. Fasten ends of second cravat in square knot over notched
end of splint. Insert piece of wood in position for use as windlass.
h. Obtain traction by twisting piece of wood.
i. When traction is complete, secure windlass to splint.

Figure 72. Ankle hitch using two cravats.

AGO 6507B 67
91. Alternate Method of Securing Splint to Litter with Roller
Bandage Tie
(fig. 73)
a. When litter bar is not available, secure end of bandage to
litter support on same side as splinted leg. Encircle handle of litter
dose to canvas with two turns, and carry up to outside rod of
iiplint at juncture of splint support. Secure here with two turns of
bandage.
U. Carry back and around same handle encircling with two
turns, keeping bandage taut at all times. Carry bandage under
handles to opposite handle of litter, encircle twice, and secure to
inside rod of splint at juncture with splint support. Secure with
t\vo turns.
r. Carry back around second handle, encircle twice, and secure
!.>· second litter support.

92. Wire Ladder Splint for Fracture of Lower Extremity


(fig. 74)
The wire ladder splint may be used for fractures of the lower
portion of the leg and for injuries and fractures about the ankle
<..nd foot.
a. Bend splints to fit as shown at ®.
b. Pad well, and place in position as shown at ®.
c. Complete by securing both splints to injured limb, using
roller bandages or cravats.

Section V. IMPROVISED SPLINTS FOR LOWER


EXTREMITIES
:n. General
In the field it may be necessary to improvise splints from any
suitable material that is available. Leg splints can be improvised
from boards, sticks, or poles 'Well padded with blankets or pieces
Jf cloth or from rolled magazines or newspapers. If splinting
material is not available or if time is limited, both legs can be tied
together with belts or strips of cloth above and below the fracture,
with the uninjured leg serving as a splint for the fractured leg.

94. Stick, Pole, or Board Splints


(fig. 75)
If sticks or poles are used as splints, they should be well padded
to protect the leg from pressure and rubbing. Place stick or pole
on each side of a folded blanket and roll toward the center until
only enough unrolled blanket remains to hold the injured leg. Be

AGO 6507B
68
Figure 73. Alternate method of securing splint to litter with roller bandage
tie.

69
Figure 74. •
Wire ladder splint for fracture of lower extremity.

sure that the ends of the sticks or poles are well padded. If boards
are used, pad the inside of the splint.
a. For fractures of the tibia, ankle, or foot, the splint should
extend fr•)m above the knee to a little below the foot. Secure the
splints with five cravat bandages, the first two above the fracture,
AGO 6507B
70
the second two below the fracture, and the fifth one immediately
above the knee. Tie all knots on the outer splint.
b. If the broken bone is in the thigh or hip, the inside splint
should extend from the groin to a little below the foot, and the out-
side splint should extend from the axilla to a little below the foot.
Place pads in the axilla and groin to cover the ends of the splints.
In addition to the five cravats placed as described in a above,
secure the long splint with two triangular bandages folded broad
and tied, one around the chest and the other around the hips.

Figure 75. Leg splints improvised from sticks, poles, or boards.

Section VI. PREPARATION OF PATIENTS WITH VERTE-


BRAL INJURIES FOR TRANSPORTATION
95. Transportation of Patient with Fractured Neck
(fig. 76)
When a patient with a fractured neck is moved, the most im-
portant point to remember is that the patient's neck must not be
flexed. If the neck is flexed, the patient may die instantaneously,
or he may be permanently disabled. In moving the patient, the
head and trunk must be moved in unison. One person should never
attempt to move a patient with a fractured neck; at least two are
AGO 6507B
71
necessary, so that one can steady the head and neck while the other
moves the patient.
a. Place a board or plank lengthwise beside the patient so that
it extends at least 4 inches beyond his head.
/;. If the patient is found face up, No. 1 man steadies the head
and neck between his hands, while No. 2 m.::" g-rasps him at the
shoulders and hips, places his foot against the boar~ :--- nrevent it
from slipping, and slides the patient onto the board.
c. If the patient is found face down, No. 1 man steadies the
head and neck between his hands as in b above, while ~o. 2 man,
holding the patient at the shoulders and hips, gently rolls him
onto the board so that he lies face upward.
d. No.1 man steadies the head and neck of the patient between
his hands, while No.2 man raises the shoulders and places a rolled
hath towel, or a roll of clothing about the same bulk as a bath
towel, under the neck for support and padding. The roll should
be thick enough only to arch the neck slightly and should be so
placed that when the patient is lying flat the back of his head
touches the board. He then places a large padded rock or pack
against each side of the head to prevent it from moving and ties a
cravat bandage over the brow and around the board for additional
security.
e. The patient may then be picked up by grasping the board
at the head and feet and placing it on a litter. Either two or four
men may form a team to carry the patient. If no litter is available,
the board may then be lifted onto a blanket and the blanket used
as a litter.
f. A fractured neck may be immobilized by means of wire
ladder splints, if they are available. Overlap two splints, fasten
them together, and pad them. Shape them to fit the head and
shoulders in a yoke-shaped splint. No. 1 man steadies the head
and neck of the patient, while No. 2 man places splint over
shoulders and head, secures splint to shoulders with bandages
running under the axilla and over the shoulders, and immobilizes
the head to the splint by tying circular bandages around the
forehead and jaw.

96. Transportation of Patient with Fractured Spine


(fig. 77)
The chief concern in handling a patient with a fractured spine
is to prevent further damage to the spinal cord. Do not flex the
spine. If the spine is flexed, broken vertebrae can crush the un-
damaged portion of the spinal cord. To avoid flexing the spine and
causing additional damage, it is necessary that the patient's back
maintain a sway-back position, which removes the pressure from

AGO 6507B
72
Figure 76. Transportation 1/ patient with fractured neck.

AGO 6507B
73
the spinal cord. This is normally achieved by transporting the
patient in a supine position with a folded blanket placed under the
small of the back. Failure to follow this principle may cause
permanent paralysis of the lower extremities. The following steps
should be taken:
a. No. 1 man ties the patient's hands across his chest to im-
mobilize patient, and then places a folded blanket on the litter
to support the arch of the patient's back.
b. All four men kneel on knee nearest the patient's feet, three
men on one side of the patient and one on the other side. No.
3 man kneels at the head of the patient, placing his hands under
the patient's shoulders and controlling his head. No. 4 man
kneels at the hips, placing his hands under the small of the back

Figure 77. Transportation of patient with fractured spine.

74 AGO 6507B
and buttocks. No. 2 man, at the feet, places his hands under the
patient's thighs and calves. No.1 man, opposite No.4 man, assists
in lifting at the site of the injury.
c. All men gently lift patient off ground about 8 inches.
d. No. 1 man procures litter, places it under patient, adjusts
rolled blanket, and returns to his position Ulisting No. 4 man.
e. All men gently lower patient onto the litter.

Section VII. ADHESIVE TAPE STRAPPING


97. General
Adhesive tape may be used to strap or tape injuries for light-
weight support, to splint a soft part, or to serve as a semirigid
support to limit the mobility of an injured area. It is never used
on acute sprains, strains, or contusions.

98. Taping a Sprained Ankle


(fig;78)
Cut 14 strips of adhesive tape about 1 inch wide, half of them
about 16 inches long and the other half 10 inebu long. Place foot
in corrected position. (Foot at right angle to leg.)
a. Have patient hold foot in corrected poeition by means of a
strip of bandage.
b. Start first strip of tape well back on the calf of the leg.
Carry it down and around the heel and up the other side of the leg
to the starting level. Place another strip, at right angles to the
first, on one side of the instep and carry it around the heel to the
other side of the foot.
c. Repeat the procedure, overlapping the tape each time until
area above ankle is included in the support. A space %-inch wide
extending up the middle of the dorsum of the foot and ankle should
be left free of tape to prevent interference with circulation.

99. Taping the Knee


(fig.79)
The purpose of strapping the knee is to effect immobilization of
the knee or to support the soft tissues about the knee joint. It
should extend from at least 2 inches below the kneecap to well
above it. Cut about 10 or 12 strips of adheaive tape 1 inch wide
and about 15 inches long.
a. Place the first strip slightly behind at the inner side of the
leg and carry it upward below the kneecap, to slirhtly behind the
outer side of the thigh about 6 inches above the knee. Apply
AGO 6507B
75
-,
------------~,~,-,-~------------------~
-"

-------~~------~
'- /

• Figure 78. Taping a sprained ankle.

the second strip similarly from the outer side to the inner side
of the thigh, crossing the first strip below the kneecap.
b. Repeat procedure with successive strips of adhesive tape,
each strip overlying half the width of the preceding strip, until the
entire knee region is enclosed.
AGO 6607B
76
c. Secure ends of strips and short strips horizontally placed
across ends of tape on the leg and on inner sides and outer sides
of the thigh, but not encircling leg or thigh.

Figure 79. Taping the knee.

100. Taping Fractured Ribs


(fig.80)
Cut several strips of tape about 3 or 4 inches wide, each long
enough to reach more than halfway around the patient's chest.
Tape is applied when the patient has exhaled all the air from his
lungs. One end of the tape is placed across the midline on the
back, and the other end is brought around the chest and across
the midline of the chest. The procedure is repeated with each strip
overlapping one-half of each preceding strip until the chest is
strapped.

101. Taping the Back


(fig.81)
Cut about 12 strips of adhesive tape 1% inches wide and from
10 to 12 inches long. Have patient stand erect. Place a pad of
gauze in the hollow of the back to aid in keeping the tapP taut.
Apply one strip across the back from the lower side of the back to
the opposite armpit. Apply another strip in a similar manner on

AGO 6607B 77
the opposite side. Continue the procedure, overlapping about one
half of each preceding strip. Cover the ends of the narrow strips
with short, wider strips of tape.

Figure 80. Taping fractured ribs.

Fift~.re 81. Taping the back.

AGO 6507B
78
INDEX

Paraeraph Par•
Ankle hitch:
Using cravat or roller bandage __________________ -- ___ _ 89 63
Using two cravats __________________________________ _ 90 66
Ankle, taping __________________________________________ _ 98 75
Application of dressings _________________________________ _ 64, 65 48, 49
Arm:
Basswood splint for fracture _________________________ _ 69 53
Chest wall as splint for fracture ______________________ _ 71 54
Sling, triangular __________________________________ --- 10 5
Back:
Fractured _________________________________________ _
Taping ____________________________________________ _
96 72
101 77
Triangle ____________________________ -- - ___ - -- __ - -- __ 11 7
Bandages:
~aterials------------------------------------------­ 6 3
Types---------------------------------------------- 7 4
Uses----------------------------------------------- 4 3
Bandaging, principles ___________________________________ _ 5 3
Basswood splint:
For fracture of arm _______________________________ - __ 69 53
For fracture at or near elbow ________________________ _ 70 53
Chest:
I>ouble-T bandage __________________________________ _ 55 ·U
Wall of chest used as splint __________________________ _ 71 54
Clavicle, figure-of-eight_ ____________________ -- ______ ---- __ 39 27
Closed fracture _______________________________________ - __ 67 52
Cravat bandage----------------------------------------- 8, 16-23 4, 11
I>emigauntlet ______ - __________ - ____ -- _____ - __ - _-- __ --- __ 46 34
I>ouble T-bandage ______________________________________ _ 53,55 39,41
I>ressings:
Application _______________ - ________________________ _ 64, 65 48, 49
First aid __________________________________ - - ___ -- __ 61, 62, 64 47,48
Improvised ________________________________________ _
66 50
Uses----------------------------------------------- 61 47
Ear, cravat ______________ -- _________ - ___ ---- __ -------- __ 16 11
Elbow:
Basswood splint for fracture __________________ -- _____ _ 70 53
Cravat--------------------------------------------- 20 13
Figure-of-eight_ __________________________________ - __ 44 32
Front of elbow bandage _____________________________ _ 45 33
Eye:
Cravat bandage ____________________________________ _ 18 12
Crossed bandage of one eye ________________________ - __ 35 23
Crossed bandage of both eyes ________________________ _ 36 25
Fastening the bandage _______________________________ -___ 28 18
Figure-of-eight bandage---------------------------------- 39, 41, 42, 27, 29,
44,52 32,38

AGO 6507B 79
Paragraph Page
Finger bandage ________________________________________ _ 49 35
First aid dressings ______________________________________ _ 61, 62, 64 47, 48
Foot:
Figure-of-eight with heel exposed _____________________ _ 52 38
Spica _____________________________________________ _
51 38
Triangle ___________________________________________ _ 14 9
Forearm:
Basswood splint for fracture _____ . ___________________ _ 72 54
Figure-of-eight _____________________________________ _ 42 29
Spiral reverse ______________________________________ _ 43 30
Stick splint for fracture _____________________________ _ 74 56
Forehead, triangle ______________________________________ _ 9 5
Four-tailed bandage ____________________________________ _ 53, 56, 57 39, 42, 43
Fracture:
Closed__________________________ ----------------- 67 52
Open _____________________________________________ _
67 52
Gauntlet bandage ______________________________________ _ 47 34
Hand:
Basswood splint for fracture _________________________ _ 72 54
Complete bandage __________________________________ _ 48 34
Cravat--------------------------------------------- 23 14
Triangle ___________________________________________ _ 15 10
Hip, triangle ___________________________________________ _ 13 9
Humerus, wire ladder splint for fracture ___________________ _ 73 55
Improvised:
Dressings __________________________________________ _ 66 50
Leg spling _________________________________________ _ 93, 94 68
Sling, field jacket flap _______________________________ _ 75 56
Sling, shirttaiL _____________________________________ _ 76 56
Jaw:
Bandage (modified Gibson) __________________________ _ 37 25
Cravat ____________________________________________ _ 17 11
Four-tailed bandage ________________________________ _ 57 43
Knee:
Cravat ____________________________________________ _ 21 14
Taping ____________________________________________ _ 99 75
Leg:
Cravat--------------------------------------------- 22 14
Splint improvised from sticks, poles, or boards _________ _ 93,94 68
Half-ring Thomas Splint ____________________________ _ 77-88 57
Wire ladder splint for fracture _______________________ _ 92 68
Lower extremities:
Improvised splints ______________________ . ___________ _ 93, 94 68
Splints ____________________________________________ _ 77-94 57
Materials, bandages _____________________ - __ -_----------_ 6 3
Neck, immobilization of fractured ________________________ _ 95 71
Oblique bandage ________________ . ______________________ _ 32 21
Open fracture __________________________________________ _ 67 52

AGO 6507B
80
Paragraph Page

Pole splint _____________________________________________ _ 94 68


Plaster of paris bandage _________________________________ _ 58, 59, 60 43, 44
Principles of:
Bandaging _________________________________________ _
5 3
Splinting _____________________________ -- __ -_- ___ -_-- 67 52
Recurrent bandage:
Of head with one bandage ___________________________ _ 33 21
of head with two bandages __________________________ _ 34 22
Of stump __________________________________________ _
50 35
Removing bandages:
Plaster of paris _____________________________________ _ 60 44
Roller _____________________________________________ _ 29 18
Ribs, taping of fractured ________________________________ _ 101 77
Roller bandages ________________________________________ _ 24-52 15
Scalp:
T-bandage _________________________________________ _ 54 40
Triangle of forehead. _______________________________ _ 9 5
Shoulder-armpit cravat _____ • ____________________________ _ 19 12
Shoulder:
Spica _____________________________________________ _
38 26
Triangle ___________________________________________ _ 12 8
Slings:
Jacket flaP------------------------------------------ 75 56
ShirttaiL ___________ - - - -- _- - - -- - - ---- - - - - - - -- - -- - - - - 76 56
Triangular arm _____________________________________ _ 10 5
Spica:
Of foot ____________________________________________ _
51 38
of shoulder ________________________________________ _
38 26
Stick splint:
For fractures of arm ________________________________ _ 74 56
Improvised ________________________________________ _ 74, 93 56, 68
Spiral bandage _________________________________________ _ 31 20
Spiral reverse of forearm ________________________________ _ 43 30
Spine, fractured ________________________________________ _ 96 72
Splint:
Basswood _________________________________________ _ 72 54
Board _____________________________________________ _
94 68
Half-ring Thomas leg _______________________________ _ 77-88 57
Stick ______________________________________________ _
74, 94 56, 68
Wire ladder _________________________________ -------_ 73,92 55, 68
Stump, recurrent bandage _____________ ---- ___ -------- ___ _ 50 35
Tailed bandages:
Types _____________________________________________ _
53 39
Uses----------------------------------------------- 53 39
DoubleT-bandage of the chest_______________________ _ 55 41
Four-tailed bandage of the jaw _______________________ _ 57 43
Four-tailed bandage of the nose ______________________ _ 56 42
T-bandage of the scalp ______________________________ _ 54 40
Taping:
Back ______________________________________________ _
101 77
Fractured ribs _____________________________________ _ 100 77
]{nee _____________________________________________ _
99 75
Sprained ankle-------------------------------------- 98 75
AGO 6507B 81
Paragraph Page
T-bandage:
lJ&eB----------------------------------------------- 53 39
Of ecalp ______________ -- _____ - ---- ____ -------------- 54 40
Traction----------------------------------------------- 68, 80 52, 58
l)iangularbandagee ____________________________________ _ 8-23 4
lJpper extremitiee:
Improvieed elinge ___________________________________ _ 75, 76 56
Improviaed splinte __________________________________ _ 74 56
Splints ____________________________________________ _ 69-76 53
Velpe&U------------------------------------------------ 40 28
Wire ladder splint:
For fracture of humerus _____________________________ _ 73 55
For fracture of lower extremity _______________________ _ 92 68
Wrist:
Bauwood splint for fracture _________________________ _ 72 54
Stick splint for fracture _____________________________ _ 74 56

AGO 8607B
82
[AG 730 (19 Apr 57)]
By Order of Wilber M. Brucker, Secretary of the Army:

MAXWELL D. TAYLOR,
General, United States Army,
Official: Chief of Staff.
HERBERT M. JONES,
Major General, United States Army,
The Adjutant General.

Distribution:
Active Army:
CNGB Instl
Tee Svc, DA Gen & Br Svc Sch
HqCONARC Sp s~h
Army Air Def Comd Joint Sch
OS Maj Comd Pl\1ST :\Iil Sch Div Units
OS Ba~e Comd P:\IST Sr Div Units
Log Comd P:\IST Jr Div Units
Armies POE (OS)
Div Disp
Brig Mil Dist
Regt/Gp :\IAAG
Bn Mil :\Isn
Co/Btry
NG: State AG: units-same as Active Army.
USAR: None.
For explanation of abbreviations used, see SR 320-50-1.

For sale by the Superintendent of Documents, U.S. Government Printing Office


Washington, D.C., 20402 - Price 30 cents

*U.S. Government Printing Office: 1969 -358-136/129

AGO 6507B 83
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