When bandaging a wound, when should one tie the knot on top of the bandage directly over the wound?

Tying the knot of a bandage directly over the wound is not recommended because it can create additional pressure on the injury, potentially causing more harm than good. Instead, the knot should be tied to the side or above the wound to avoid compressing it directly. This approach allows for adequate blood flow and helps to keep the area from becoming too tight, which can increase pain and disrupt healing. Additionally, having the knot away from the wound makes it easier to monitor the injury and allows for quick adjustments if necessary.

Proper bandaging technique emphasizes securing the dressing well while avoiding any undue stress on the wound itself, which is essential for effective healing and preventing complications.