In this article, we will talk about Wound Dressing Procedure Steps, methods, products, and more.
This article was written by Roy Shor, a member of our website and a former paramedic.
The circulatory system is a closed system with a fixed volume of fluid, which passes through blood vessels connected to each other. When there is some damage to the integrity of the system, the blood bursts out of the blood vessels that store it and creates bleeding/hemorrhage.
The loss of more than 750 ml of blood in an adult is life-threatening, and blood loss also causes other risks, such as decreased fluid volume and the possibility of infection, therefore, it is so important to know how to stop wound bleeding.
It is important to remember that this “Wound Dressing Procedure Steps guide” is not a substitute for a first aid course and does not grant accreditation as a paramedic.
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Types of dressing
- Subcutaneous hemorrhage – appears as a blue sign (hematoma).
- Internal bleeding – Internal bleeding in the body that is not visible, caused by damage to blood vessels or organs. In this blood flow, it is not always possible to control by pressure.
- External bleeding – An injury to a blood vessel that causes bleeding outside the body. This blood flow can be controlled by pressure.
Treatment of bleeding (it is advisable to wear gloves during treatment)
- Stop bleeding as much as possible
- Giving an infusion (not at the expense of eviction time) – only the authority of a paramedic
- Urgent evacuation to hospital
Wound Dressing Procedure Steps-Methods
- Direct pressure on the bloodstream in hand/leg/tibia – placing a custom bandage, If the bleeding does not stop, place a pressure triangle on the personal bandage. In an area where a bandage or a tourniquet cannot be placed, pressure should be applied directly with a fist and a bandage. Be sure to have a pulse on the limb after placing the bandage and that the bleeding has stopped.
- Indirect pressure – stopping blood flow through a tourniquet or point of pressure (see below). A tourniquet completely stops blood flow to the bleeding area.
Types of bandages to stop bleeding
A custom pressure bandage
- A sterile opening of the bandage – hold the outside of the package and shake it to open the folded straps.
- Holding the straps and holding the bandage pad to the point of injury.
- Lower the straps down, around the organ, and roll up.
A 180-degree rotation (tethering) is performed above the place of injury.
- Fasten each pair of straps around the bandage, but leave the edges visible to make sure the bleeding has stopped.
- Tie the rest of the straps over the first knot.
- Checking a pulse at the end of the limb.
- If the bandage becomes red or unstable, place a pressure triangle above the bandage.
You can buy it here on Amazon.
Wearing a pressure triangle
The triangular bandage is used for additional dressing on an existing bandage, which was performed using a pressure bandage:
- Roll the fabric triangle into a narrow tie shape, forming a simple knot in the center of the triangle.
- Place the knot on the point of pressure (bleeding point).
- Lower the edges of the triangle downward, twisting and lifting upwards.
- Perform tap tying and finally tie the ends.
- Checking a pulse at the end of the limb.
- If the bleeding continues, one should assume a tourniquet.
An original silicone or rubber tourniquet is 2 meters long. there is today a new generation of very effective and simple to use tourniquets used by armies and paramedics around the world(see video below):
- Place the tourniquet over the source of the bleeding, 5 to 10 centimeters in the direction of the heart, leaving a 15-centimeter strip folded in the letter R.
- Do not place a tourniquet over a joint (if you can avoid it).
- Closely close the artery block around the organ.
- In the end, two knots are tied together and a stamp is made on the forehead or in any visible place: “Tourniquet” + Execution time in four digits (eg, tourniquet 10:35).
In any case, where the tourniquet can be converted to a pressure bandage at a later stage, the conversion should be performed under the following conditions and only with the instruction of a physician:
- The conversion operation is only made by the person who placed the tourniquet (or the one who gave the instructions for placing the tourniquet ).
- It was not more than 20 minutes after the tourniquet was placed.
- The injured person is not in a state of shock.
- The reason for placing the tourniquet was circumstantial and the conditions have changed.
The conversion from tourniquet to a pressure bandage is performed in two stages:
- First, bandage the place with a pressure bandage and slowly release the tourniquet.
- Second – if bleeding is indeed ruled out it is possible to remove the tourniquet completely.
You can find later in this article a sample of the advanced tourniquet used in combat and can be used in any situation which I truly recommend to have in your possession.
There are several types of improvised tourniquets.
Dutch tourniquet is designed for use in narrow-band organs (such as hand, femur, baby’s thigh, etc.):
- Fold a Triangular Bandage in two and form a loop.
- Fold the loop over the bleeding and thread the ends of the triangle into the loop.
- Splits the ends of the triangle, each in the opposite direction.
- Surround the injured limb, stretch tightly and tie the two knots to each other.
You can buy it here on Amazon.
A Russian tourniquet is designed for use in organs shaped like a wide roll (an adult’s thigh):
- Roll the Triangular Bandage into a narrow tie shape and make a tie in the center of the tie.
- Place the knot on the inner side of the thigh, on top of the artery. On the outer side of the hip, a tight knot is attached, and above it, a loose knot is attached so that in the end a loop is formed.
- Insert a short stick/pole into the loop, and tighten the knot around the stick/rod.
- Rotate the stick/rod to stop the bleeding.
- Set the stick/rod by tying the ends of the triangle around the thigh.
If you can not place a Russian tourniquet with one triangle, you can tie another triangle at the end of the first triangle.
Wound Dressing Procedure Steps, using an improvised tourniquet video:
Indications for use of a tourniquet
- Hemorrhage in the adult thigh
- Full or partial amputation
- Multiple bruises (extensive tears)
- Hemorrhage from an open fracture
- Any bleeding that is not stopped by direct pressure, ie in circumstances that do not permit treatment at the scene of the incident
- In the dark – when the type and location of the injury cannot be identified
- In a danger zone – a fire, a busy road, a scene of an attack or shooting
- More than one casualty and no medical staff
- In a wounded person requiring CPR
Pressure points to stop bleeding and Hemorrhage
Pressure points are points in the human body, in which a blood artery passes close to the bone. Pressing the artery towards the bone will stop blood flow in the artery, and therefore stop the bleeding. As noted earlier, pressure points are a method of indirect pressure to stop bleeding.
Use of pressure points will be done in the following cases:
- Temporary pressure until a bandage/tourniquet is placed
- Bleeding in areas where a bandage/tourniquet cannot be placed
- Bleeding from the nose
The use of pressure points requires the use of considerable physical force. If the bleeding stops, the pressure should not be released until a bandage or a tourniquet is placed.
I hope that this article has helped you with the question “how to stop wound bleeding”, you can find more articles with a lot of information regarding this subject on this website.
Besides formal bandaging, which I have written extensively here, Science has provided us with amazing scientific innovations regarding blood stopping, that is being applied today on the battlefield and in everyday life.
The modern tourniquet
The first is the newly improved tourniquet which I have mentioned earlier in the article.
The great advantage of The new Gen tourniquet is that it can be used with one hand only, without the need for the knowledge or experience that was required in the past, so that every person can use it very effectively. Thanks to the impressive ability of the new tourniquet to stop bleeding in a simple and rapid way, medical forces are able to cope better with bleeding in the field, thus improving the chances of success in treating a significant injury.
Read here my post about the Best Tourniquet For Self applications.
I added here below a link to my favorite new-gen tourniquets for buying on Amazon:
Used for many years in the US Army and other armies, hospitals, paramedics, and as an important tool in first aid kits around the world. I truly recommend having one of those in your possession.
Cat Gen 7
In addition to the modern tourniquet, Hemostatic bandages, which are very effective in cases where there is no need for a tourniquet are being used. The hemostatic bandage is made of materials that increase blood clotting and speed up blood stops, providing a significant advantage over the simple bandage that only puts pressure on the bleeding area.
This bandage is especially effective for abdominal injuries, high limb injuries, and injuries in other areas where a tourniquet cannot be used, thus helping to treat many wounded.
Maybe the most famous hemostatic bandage and for sure one of the more expensive ones is the Combat Gause by Quickclot, you can read about it in more detail here, the Combat Gause is a hemostatic bandage which is soaked with a substance called kaolin, which accelerates the clotting process in contact with the blood.
The bandage is unique in that it does not adhere to the wound, and when it is removed, the injury is not damaged
The bandage hastens the stopping of bleeding, providing a significant advantage over the simple bandage that only activates pressure on the bleeding area. This bandage is especially effective for abdominal injuries, high limb injuries, and injuries in other areas in which a tourniquet cannot be applied.
In the use of combat units and in many armies around the world
In addition to bandages and tourniquets, military doctors and paramedics have an injection that increases blood clotting and thus helps in closing wounds. This is a drug used by many medical teams around the world, but the IDF is one of the first armies in the world to use it to treat the wounded on the battlefield.
In many cases, despite the cessation of bleeding, the injured person has lost a large amount of blood, and the volume of blood and fluid that he has lost must be restored. When it comes to medicine on the battlefield, it is not always possible to give the wounded blood transfusions, as these require storage in a refrigerated and gentle treatment. for that purpose, a highly effective solution that includes a powder that is mixed with liquid and becomes a plasma liquid was developed.
This liquid is basically being used as a blood substitute.
Apart from treating bleeding, another innovation is in the area of pain control. A remedy called Actiq is actually a sweetener that contains the active ingredient Fentanyl – a highly potent ingredient for relieving pain. The relief of pain is crucial in treating the wounded, making it easier to treat them (because they do not suffer and are rampant) and even lessens the development of post-traumatic stress disorder later on.
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