Abstract: Systems and methods of applying a bandage to a patient including securing a bandage device over a wound and around a body part of the patient. The bandage device includes a platform with a plurality of first openings for use with a tensioning mechanism, and at least one second opening for use with a pressure adjusting mechanism. The pressure adjusting mechanism may include threads, detents, and other adjustable, or semi-permanent, locking mechanisms. In addition to pressure applied to a wound via the tensioning mechanism, an additional pressure may be applied to the wound through the platform of the bandage device via the pressure adjusting mechanism. The pressure adjusting mechanism may have a pressure application mechanism that applies the additional pressure to the wound.