Commentaries on the Surgery of the War in Portugal, Spain, France, and the Netherlands: from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate.Guthrie, G. J. (George James)
History
Commentaries on the Surgery of the War in Portugal, Spain, France, and the Netherlands: from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate.
Guthrie, G. J. (George James)
Crimean War, 1853-1856 -- Medical care; Napoleonic Wars, 1800-1815 -- Medical care; Surgery, Military -- Europe -- History; War wounds -- Europe -- History
12. The treatment of simple gunshot or flesh wounds should be, under
ordinary circumstances, as simple as themselves. Nothing should be
applied but a piece of linen or lint, wetted with cold water; this
may be retained by a strip of sticking-plaster, or any other thing
applicable for the purpose of keeping the injured part covered. A
compress of linen, or other similar substance, moistened with cold
or iced water when procurable, will be useful; and a few inches of a
linen bandage may be sewed on, to prevent the compress from changing
its position during sleep. When the wound becomes tender, a little
oil, lard, or simple ointment may be placed over it. A roller, as a
surgical application, is useless, if not injurious. At the first and
second battles in Portugal, every wound had a roller applied over it;
it soon became stiff, bloody, and dirty. They did no good, were for the
most part cut off with scissors, and thus rendered useless. When really
wanted, at a later period, they were not forthcoming. An advancing
army cannot, and ought not to carry casks full of rollers into the
field; and the apothecary-general had better have instead, two casks or
boxes full of good wax candles; for, although every regimental surgeon
ought to have four in his panniers, kept as carefully for emergencies
as his capital instruments, they will require from time to time to be
replaced. No roller should be more than two inches and a quarter wide,
and made of good, strong, coarse linen, very much, in fact, the reverse
of the rollers which have until lately been supplied to the army.
13. Cold or iced water may be used as long as cold is grateful to the
sufferer. When it ceases to be so, it should be exchanged for warm,
applied in any convenient way which modern improvements have suggested,
whether by piline, gutta-percha, oiled silk, etc. An evaporating
poultice may be used in private life, but no poultices should be
permitted in a military hospital, until the principal surgeon is
satisfied they are necessary. They are generally cloaks for negligence,
and sure precursors of amputation in all serious injuries of bones and
joints. They are properly used to alleviate pain, stiffness, swelling,
the uneasiness arising from cold, and to encourage the commencing
or impeded action of the vessels toward the formation of matter. As
soon as the effect intended has been obtained, the poultice should be
abandoned, and recourse again had to water, hot or cold, with compress
and bandage. I was in the habit of calling a poultice when misapplied a
_cover-slut_.
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