You have applied a dressing and roller-gauze bandage to a laceration on the arm of a young female. During transport, she begins to complain of numbness and tingling in her hand. You should:

• A. Assess distal circulation and readjust the bandage as needed.
• B. Remove the bandage and dressing and apply another one.
• C. Remove the gauze bandage and replace it with an elastic one.
• D. Carefully manipulate her arm until the symptoms subside.

Answer: (A)

Numbness and tingling after applying a dressing and roller bandage point to possible constriction that’s compromising circulation or pressuring nerves. The first step is to check distal circulation in the hand—look at the pulse, assess capillary refill, skin color and temperature, and test sensation and movement. If these signs show reduced circulation or if symptoms continue, loosen or readjust the bandage to relieve constriction. Once circulation is back to normal, rewrap with appropriate support but not so tight that it causes another constriction. Avoid manipulating the arm or simply replacing the dressing without addressing the pressure.