Catechism of the locomotiveForney, Matthias N. (Matthias Nace)
Science
Catechism of the locomotive
Forney, Matthias N. (Matthias Nace)
Locomotives -- Handbooks, manuals, etc.
_Answer._ The most efficient and available method is the application of
PRESSURE on the artery BETWEEN THE WOUND AND THE HEART. Under ordinary
circumstances this can be most effectively done with what is called a
_field tourniquet_, which is simply a handkerchief passed around the
limb above the wound, the ends of which are then tied together. A pad
is then made, either of cloth rolled up, a piece of wood, or a round
stone about the size of a hen’s egg well wrapped, or any substance
from which a firm pad can be quickly made, which is placed over the
artery. The handkerchief is then placed over the pad and a short stick
put through it on the opposite side of the limb and twisted around
until the pad compresses the artery firmly. While the tourniquet is
being prepared, some one should compress the artery with his fingers or
thumb, so as to prevent as much loss of blood as possible.
QUESTION 549. _What is the position of the arteries in the body and how
can their location be known?_
[Illustration: Fig. 230.]
_Answer._ The position of the principal arteries is shown in fig. 230.
They proceed from the heart _h_ with branches, _a_, _a_, and _b_, _b_,
which extend along each limb. These branches subdivide again below the
knees and elbows, and again in the hands and feet. The position of the
arteries can be felt by their pulsation at almost any part of them, but
when they are buried below the muscles it is more difficult than when
they are near the surface.
QUESTION 550. _In case of a wound and rupture of the arteries in the
arm, what should be done?_
_Answer._ The artery at _a_ should be firmly compressed with the
thumb until a bandage and pad from which a tourniquet can be made are
prepared. The pad should then be applied over the artery and compressed
as explained in answer to Question 548. The bleeding can also be
stopped by placing a round piece of wood or other form of pad between
the arm at _a_ and the body and then tying the arm tightly against the
body, so that the pad will be pressed against the arm.
QUESTION 551. _In case of rupture to an artery below the knee, where
should the pressure be applied?_
_Answer._ The artery approaches near the surface at _c_, _c_,
immediately back of the knee, where it is represented in dotted lines
in fig. 230. Pressure should therefore be applied at that point first
with the thumb until a tourniquet can be applied. The bleeding can also
be stopped by elevating the leg and allowing it to rest on the back
of a chair or other similar support. The weight of the leg will then
bring sufficient pressure on the artery to stop the bleeding. A towel
or other soft material should be placed over the back of the chair, so
that the pressure will not be too painful to the sufferer.
QUESTION 552. _If an artery is ruptured in the leg above the knee,
where should the pressure be applied?_
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.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account