First aid in illness and injury; Medicine, Popular
When the bleeding has been entirely controlled get out your surgical
kit and throw a pair of the hemostatic forceps into the boiling water.
After they are sterilized wash the wound free from blood with pure
water. I will add in this connection that spring water in the mountains
is practically sterile and can be used for washing wounds without any
danger of infection.
After the wound is clean have some one slightly loosen the tourniquet.
As he does this watch sharply for the jet of blood that will locate the
cut artery. As soon as you see it grasp it with the forceps, lock them,
and leave them in place. The compression of the forceps while you are
getting ready your other instruments will seal up the vessel so that
when you remove them it will not bleed any more.
Take two of your full curved needles, at least two inches long, and
thread them with quite coarse silk, cut off a piece of your gauze
and run the needles through it. Place the needles thus prepared, the
needle holder, shears, and the other pair of hemostats in a vessel and
boil. In the meantime make up a solution of the bichloride, using the
antiseptic tablets for that purpose.
Wash your hands well and rinse them in the bichloride solution. Clean
out the wound, taking great care to remove all clots. With one of the
threaded needles in the grasp of the needle holder begin at the upper
angle of the wound, about half an inch from the end. Pass the needle
down through the flesh one-fourth of an inch from the edge, carrying it
well toward the bottom and making it enter the wound near the bottom
and re-enter the flesh on the opposite side, pass up through and out an
equal distance from the edge. Cut the thread off and lay the two ends
out of your way, leaving, of course, sufficient to tie with when the
time comes.
Place your row of stitches half an inch apart all down the wound. When
all the stitches are in place you may begin to tie. Take the two ends
of the first stitch in your hands and lift up on them; this will bring
the edges of the wound together. Tie the thread, turning the first knot
under twice to prevent its slipping. After all the stitches have been
tied take the handle of your scalpel or the forceps and raise the edges
of the skin, which will have rolled in, until they meet each other.
This is necessary, as where the skin is rolled in it will not heal
readily and leaves an opening for the entrance of bacteria.
Sponge off all the free blood and dust well with surgical powder. Place
a pad of gauze that has been soaked in the bichloride solution over the
wound, cover that with a wad of cotton and the cotton with a piece of
oiled silk, bandage over all, and do not molest for at least three days.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account