First aid in illness and injury; Medicine, Popular
In dislocations of the shoulder the old method still in vogue among
some medical men is quite easy of accomplishment. Lay the patient on
his back and seat yourself at his side, first having removed the shoe
from your foot next to his body. Grasp his injured arm and turn it
outward from the body. Place your bare foot well up into his armpit.
While an assistant steadies his shoulder, pull downward upon his arm,
at the same time moving it toward the patient's body.
Make your pull steady, and when you have begun do not relax until you
feel the bone jolt into its position. In the case of muscular persons
the pull must be kept up for a longer period, or until the contraction
of the muscles has been overcome.
Dislocations of the elbow are usually those in which the two lower
bones slip backward and the upper bone forward. They may be reduced by
grasping the injured arm just above the elbow with your left hand, the
fingers just behind the prominence of the dislocation; with the other
hand bend the injured arm well forward, at the same time slipping your
left hand downward.
When the injured arm is fully bent, grasp tightly with your left hand
at the elbow joint and with your right forcibly straighten it. The
fingers of your left hand form a fulcrum for the bone that is out of
place to act upon and thus force it back into position. This maneuver
is somewhat difficult to describe but quite easy to accomplish. One
will be surprised with what ease the bone slips back into position.
Dislocations of the knee are reduced similarly, except that it requires
two to do the work. Then, too, the knee often becomes dislocated
laterally and the pressure must be made in a lateral direction.
A very distressing little accident is the dislocation of the lower jaw.
I once had a patient who rode a long distance with his mouth wide open,
suffering a great deal of inconvenience and no little pain, when one
of his friends could have relieved him in an instant. Wrap both your
thumbs in several layers of cloth, stand behind the patient, who should
be seated, and place your thumbs thus protected, on his back teeth,
grasp his jaws on either side with your fingers, press down with your
thumbs, up with your fingers, at the same time drawing the jaw forward.
The bones will go back with a snap and the victim will spasmodically
close his mouth hard enough to draw blood unless your thumbs are well
shielded.
Dislocations of the joints of the fingers may be reduced by taking
a double half-hitch around the finger below the dislocation with
a handkerchief, placing your left thumb back of the head of the
dislocated bone, and as you pull on the handkerchief with your right
hand push forward and downward with your left. The bone will readily
slip into place.
Dislocations should be kept at rest for several days and any tendency
toward inflammation kept down by the application of water. Severe
dislocations, as those of the hip, should be treated similarly to
fractures.
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