First aid in illness and injury; Medicine, Popular
After five days you may remove your stitches in this manner: Cut the
stitch near the skin on one side, grasp the knot in the bite of the
forceps and pull it out. Be careful not to try to pull the knot through
the flesh, and do not leave any end on the part you do pull through
the flesh, as it may carry infection down into the wound.
It is a fact not generally known to the laity that a solution of common
salt and water will take the place of blood when introduced into the
system. Surgeons resort to this practice in performing all very bloody
operations. Their method of hypodermoclysis could not be carried out
in the camp, of course, but a very good substitute for it can be used.
The lower bowel is very receptive of this solution, which by the way,
is made by dissolving a teaspoonful of clean common salt in a pint of
water. The solution, maintained at blood heat, is introduced into the
lower bowel with a fountain syringe. Persons who have lost a great deal
of blood, so much in fact that their pulse can hardly be felt at the
wrist, will receive great benefit from this procedure. Use at least a
gallon of the solution and do not permit it to flow too rapidly into
the bowel.
Certain cuts may be dressed without stitches. Proceed as before up to
the point of putting in the stitches, then roll up two pieces of gauze
as long as the cut and about the size of a lead pencil. Lay these on
either side of the wound quite close to it. With adhesive tape half an
inch wide and four inches long begin two inches on either side of the
wound and carry across, bringing the edges of the wound together. Place
these strips half an inch apart until the wound is brought into line.
Dress as before, except that you will have to omit the moist gauze,
dressing with the powder entirely.
I want to add here that should you run out of sterilized gauze at any
time you can make it from any soft cloth by boiling it for ten minutes
in the bichloride solution and hanging in the air to dry.
The pain attendant upon any surgical manipulation can be prevented by
the hypodermic injection of a solution of cocaine. When you get your
hypodermic have the instrument man show you how it works. He can show
you much better than I can tell it. Insert the needle half an inch
from the wound and inject a few drops of the solution into the skin.
Proceed thus entirely around the wound and by the time you are through
the wound will be perfectly painless. Before replacing the instrument
in its case always dry it out and replace the small brass wire that you
will find in the needle.
Public-domain text, read in full here on John Shaqi.
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