First aid in illness and injury; Medicine, Popular
I found the man in a mining camp in the very heart of the higher
mountains, lying in his bunk with a badly fractured thigh. The bone
was separated between the upper and middle third—that is, up toward
the body. The accident had occurred some twenty hours previous and
there was much swelling, which it was necessary to reduce before
anything else could be done. This was accomplished by the application
of cold water by means of strips of blanket, changing the application
as fast as the water became warmed by the body heat.
In the meantime I went out into the timber and felled a small cedar
tree some six inches in diameter. From this I cut a section five feet
in length and removed the bark. Splitting the bark in half, I rounded
up the edges and made a splint for the outside of the limb extending
from the armpit to six inches below the foot. The other half was made
into a similar splint, only shorter, for the inside of the limb,
extending from well up into the groin to a point opposite the outer
splint below the foot.
It was necessary to cut holes in the splints where the bony prominences
came. When all was in readiness and the limb reduced in size, I wrapped
it well in soft cloth, having no absorbent cotton, and applied my
splints. I had a man stand at the feet of the injured man, take hold
of the injured leg, and pull steadily while I manipulated the fracture.
Right here I want to state that it is unnecessary to try to pull a
broken bone out of the socket in order to set a fracture. A persistent
pull of some fifty pounds will soon overcome the contraction of the
muscles and the bone will be replaced. The acting surgeon must at the
same time grasp the limb at the site of the break and knead the two
ends into place. You will know when they are in place by the absence of
inequality at the point of break.
After the bone had been replaced, I placed my splints in position and
bound them on, using strips of sheet torn up for bandages. Any stout
cloth will do as well. They may be placed in the ordinary manner,
each wrap beside the other, or they may be run on in continuous form,
permitting each ascending turn to half overlap the one below it. Care
must be taken that the pressure is equal in all parts of the bandage
and that it is placed tight enough to prevent any slipping of the
splints.
The next problem was to get the man out. Again the cedar forest came
to my relief. I felled another and somewhat larger tree, sufficiently
large to permit placing the injured man in a boat-shaped section of
the bark. This was made longer than his body and a semi-circular board
fitted in each end. When the whole was completed it resembled a rude
trough.
Public-domain text, read in full here on John Shaqi.
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