Israeli Trauma Dressing

The Israeli Trauma Bandage

The ETD is essentially an ACE bandage, a tourniquet and a trauma dressing all wrapped into one. They’ve taken elements from the C.A.T. tourniquet, the typical sports (ACE) bandage and the traditional camouflage combat dressing and rolled them into one more efficient, more compact package.
The Israeli bandage has a built in tension bar that applies continuous pressure to the wound, allowing the bandage to act as a stand-alone field dressing, sling, pressure dressing and mild tourniquet. It is ideal for head wounds, because it can be wrapped very easily. Directions on how to use the bandage are printed on the back of the package.
The Israeli Bandage was developed by Jerusalem-based First Care Products Ltd., a startup company founded by inventor Bernard Bar-Natan.
Since it’s invention in 2003, the Emergency Trauma Bandage has become a mainstay for U.S. Combat Forces stationed world wide..


The ETD is very simple to administer properly. First Care’s website writes:

Nine Steps to Apply the Israeli Bandage Properly
1. Remove the emergency trauma bandage package from the casualty’s kit
2. Remove the bandage from the pouch
3. Place the pad (dressing) on the wound
4. Wrap the elastic bandage around the wounded extremity
5. Insert the elastic bandage completely into the pressure bar
6. Pull the elastic bandage back over the top of the pressure bar, forcing the bar down onto the pad
7. Wrap the elastic bandage tightly over the pressure bar
8. Continue to wrap the elastic bandage around the limb so that all edges of the pad are covered
9. Secure the hooking end of the closing bar into the elastic bandage to secure the bandage

Here’s a pictorial representation of how to utilize the above 9 steps:

Open the package and give your ETD it’s first wrap around the trauma site, with the trauma pad against the wound.
Thread the elastic bandage through the pressure bar.Pull the elastic bandage over the pressure bar, forcing it flat.

Wrap until you’re out of elastic bandage and secure the bandage to itself with the hooking ends of the closure bar.
Here’s a pictorial representation of how you can apply the ETD to cover a very wide range of traumatic injuries to both trunk, head and extremity.



The Emergency Trauma Bandage comes in many different sizes and configurations which allows you, the medic, to pick and choose which dressing will best serve your patient’s needs.


Here’s a few selling points from the manufacturer:

* Immediate direct pressure to the wound site
* Quick, easy personal and professional application
* Consolidation of numerous treatment equipment into a single unit
* Significant per treatment time and cost savings
* The product is designed with the end-users in mind.
*The Victim and the Care-Giver (sometimes one and the same)

The Israeli Bandage is NOT for head wounds. If it’s a small
laceration and they have not hit their head or done anything to cause
raised Intracranial pressure (ICP) is fine (very rarely will you ever
see this scenario in the battlefield or on the civilian side).
However, if you apply any elastic bandage to a head injury even the
smallest amount of pressure can raise the ICP (Just think about the
last time you wore a hat that didn’t quite fit right and you got a
headache, that’s a good example of how easily ICP can be raised). This
can cause anything from an anuerism to leakage of blood or
cerebrospinal fluid (CSF) into the brain matter. Obviously this can
cause serious brain damage or kill someone. A simple dressing of 4×4
gauze with a bandage of roller gauze will suffice. The bandage may
even be applied in the same manner you have applied it in your
picture.

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