In cold applications, how should the compress be prepared?

• A. Soak gauze pads in ice water and wring out so damp, but not dripping
• B. Place the compress on the skin and leave it for a while
• C. Use hot water instead of cold
• D. Do not use a plastic wrap

Answer: (A)

Cold applications aim to lower inflammation and swelling, so the compress must deliver cooling safely. Soaking gauze pads in ice water and wringing them out until they are damp but not dripping provides effective cooling without soaking the skin or causing excessive moisture. The damp contact conducts cold well, while keeping moisture controlled helps protect the skin from maceration. Directly applying something very cold or leaving a cold compress on the skin for too long increases the risk of frostbite or irritation, which is why hot water would be inappropriate and why you shouldn’t leave it on indefinitely. A barrier between skin and the compress is usually used, and whether a wrap is used depends on the setting, but the key is a cool, damp contact rather than a dripping or dry application.