Securing Head Dressings: Techniques to Prevent Slippage

Effective head bandaging requires techniques that accommodate the skull's shape and jaw movement.

Common Methods

1. Triangular Bandage (Cravat):
   • Base across forehead above brows.
   • Apex to nape; cross ends at back, bring forward, tie at forehead.
   • Tuck apex under crossed ends.
2. Roller Gauze (Figure-8):
   • Anchor at forehead.
   • Wrap around occiput, cross at top, under chin, up other side.
   • Repeat figure-8; secure with tape or tie.
3. Occlusive Dressing + Tape: For small wounds. Seal edges with waterproof tape (e.g., Tegaderm, Hypafix).
4. Commercial Head Wraps: Elastic net or tubular gauze (e.g., Surgilast) over primary dressing.

Key Principles

• Avoid pressure on eyes, ears, airway.
• Check circulation/neuro status distal to wrap.
• Reassess frequently; head wounds bleed profusely.
• Severe trauma → stabilize, call EMS, do not pack skull fractures.