k. Overlap the "X" pattern with half the width of the bandage (circular turn).
l. Tape, clip, or tie the end of the bandage (see figure 6-6 E).
6-9.
APPLY A SPICA WRAP
The spica wrap is a variation of the figure-eight wrap; it is used for large areas
such as the shoulder and hip.
a. Anchor the bandage below the joint (around the upper arm or thigh).
b. Wrap the bandage across the joint and around the trunk of the body (chest or
abdomen).
c. Return to and cross the previous wrap.
d. Wrap the bandage behind the limb, overlapping one-third of the anchor wrap.
e. Continue to wrap (steps b, c, and d) until the joint is sufficiently supported.
f. Tape, clip, or tie the end of the bandage.
6-10. MONITOR A CASUALTY WITH A WRAPPED LIMB
After you have wrapped a casualty's limb with an elastic bandage, monitor the
limb.
a. Check for Impaired Circulation. Even if the circulation was not impaired
when you finished the wrap, pressure caused by swelling (edema and/or internal
bleeding) may result in impaired circulation. If impaired circulation is discovered, loosen
and apply the wrap again.
(1)
Check the pulse.
(2)
Perform the blanch test.
(3)
Ask the casualty about numbness, tingling, or cold sensationsin the limb.
(4)
Observe the skin below the bandage wrap for discoloration.
b. Check for Skin Irritation. Check for rubbing or wrinkles in the bandages.
Correct the source of the irritation. If the bandage is removed, check the wrapped area
for redness and sores.
MD0533
6-9
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