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What we are going to do now is carry on from the previous film and look at applying cling film on a burn. Now, with this example, we have used a wet gel dressing. We can leave that in place and apply the cling film over the top. If we didn't have the wet gel dressing, obviously, you would put it underwater for at least 20 minutes, and then, we can apply the cling film over. Now, the idea of cling film is it won't stick. If we were to put a normal, workplace-type dressing on there, it would stick, and then, we've got problems, it's going to lift the skin away and be extremely painful with increased scarring. With cling film, it will go on and not stick. Now, this is just normal cling film, you can get a special burn film, which is quite expensive, but this is standard cling film. The first thing you want to do with it is just open it up to start with and just get rid of the first part of the film on there because we don't want to have anything that's likely to have any bacteria on. Now, we've got it clean. 

Remember, always have your gloves on with anything to do with first aid and burns. What the idea is, the rules will state that you apply this over in layers, so you could just cut a layer, and cut a layer, and put it on top, but it's quite hard to get that to stay. What we don't want to do is just wrap this around the arm, because if you wrap it around the arm, as the arm swells, then we're going to have problems that the cling film is going to actually constrict it and increase the pain. Another solution is to just open up the cling film, lay it over the burn, just go underneath, just seal it off, if you can just hold that bit down there, you can always get your patient to help you if possible or a bystander. Then just run it around over again, and down. What we're doing is we're applying layers on, so we can protect the burn, but we're not actually wrapping it around. Once you've gone through a few times, just cut off the cling film, and then, once you've done that, just make sure it's gripping together. Now, you can leave it like that if you wanted to, but an easier way is just to cut a V out of the cling film so that we can leave the underside exposed.

Just taking the scissors, be careful not to cut the skin, so cut it at one side, the other side, and then across, and what we can do either side of the burn is just twist the cling film round, and that will hold it in place, but if necessary, we can easily remove it, because all we've got to do is cut or tear the cling film across here or across here, and if there's any swelling, then we can relieve it, or literally, just undo these twists, and we can allow for any expansion room. To hold that in place, we can use a standard bandage. Because we're applying it to the cling film and not over the burn, we are not going to have any problems with it sticking. With this, we can just loosely, don't do it tightly, very loosely apply it over either side, a couple of times around here, and then, you can just go along to the far end. If you just pop your finger along that, you're not going over the burn itself, and then, just wrap that around that end, and you don't need to use all the bandage, just cut off the bandage, and you can either just pop this on with a micropore tape, or it's easier just to tuck it in place. Now, we've got the burn, it's covered, it's got the water gel dressing underneath, nothing's over the top of it. All the cling film is against the skin, there are no dressings against the skin, and we'll leave this in place until the patient arrives at the hospital.

  • IPOSi Unit three LO4.3, 4.4 & 5.1