First you remove the old packing so your arm is like this and take a shower (sorry, no shower pictures)....
![](http://www.servious.org/~servious/livejournal/arm/s-before.jpg)
Put a 50/50 mix of hydrogen peroxide and water in said wound...
![](http://www.servious.org/~servious/livejournal/arm/s-clean.jpg)
Then you take a sterile swab and clean out the wound... you have to get it good...
![](http://www.servious.org/~servious/livejournal/arm/s-clean2.jpg)
Now you get a strip of wound packing gauze...
![](http://www.servious.org/~servious/livejournal/arm/s-packing.jpg)
And with the non-swab end of the swab you start pushing it into said hole...
![](http://www.servious.org/~servious/livejournal/arm/s-packing2.jpg)
Until it is pretty much full...
![](http://www.servious.org/~servious/livejournal/arm/s-packing3.jpg)
Then wrap place a telfa pad over the wound and wrap it with a cotton roll.... you are done til tommorow!
![](http://www.servious.org/~servious/livejournal/arm/s-done.jpg)