_Treatment._—This dislocation can usually be reduced by placing the
knee in front of the patient’s elbow, and making firm traction on the
forearm—which is at the same time bent a little around the operator’s
knee. The patient can be kept sitting in a chair while this is done, and
the operator can get his knee into the required position by placing his
foot on the side of the chair.
_Hip-joint._—Is the most common form of dislocation. The limb is
shortened, bent at the knee and twisted inwards, the great toe of the
injured limb resting on the instep of foot of the opposite limb. The
outer side of the hip is swollen and distorted.
_Treatment._—Grasp the ankle with one hand and the knee with the other.
Lift up the leg and bend it at the hip, then carry it as a whole away
from the other limb as far as possible, rotate the toes and foot firmly
outwards, and in that position bring the limb back parallel to the sound
one.
_After-treatment of Dislocations._—After dislocations, gentle movement of
the joints should be begun in two weeks, so as to prevent them becoming
fixed.
POISONS.
It is impossible, in the small space available, to give anything like a
detailed scheme of the treatment of the various poisons, but a few hints
on the essential points must not be omitted.
I have therefore arranged a list of the commoner poisons, together with
the special treatment appropriate to each. Following this are a few hints
more especially adapted to the requirements of travellers.
Poison should be suspected (_a_) when severe and alarming symptoms of
illness suddenly attack a person apparently in good health; (_b_) if the
symptoms closely follow the taking of food, drink, or medicines; (_c_)
if several people are attacked after having partaken of the same food or
drink.
The points to be attended to in the treatment of cases of poisoning are:—
_a._ Remove as much of the poison as possible from the stomach. To do
this, it is usual to give an emetic, such as mustard and water, or zinc
sulphate, thirty grains; or to pass the soft rubber tube down the gullet,
and wash out the stomach with water.
_b._ Counteract the effect of the poison by an antidote.
_c._ Keep up the patient’s strength till the poison is removed from the
system.
_d._ Relieve pain.
Travellers may be poisoned in the following ways:—
1. By poisonous bites, arrow wounds, etc.
2. By eating food poisoned by natives.
3. By eating poisonous plants, etc.
4. By eating bad meat or fish.
The treatment of _snake-bites and arrow wounds_ has already been dealt
with.
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