North Carolina Medical Journal. Vol. 3. No. 4. April, 1879Various
Science
North Carolina Medical Journal. Vol. 3. No. 4. April, 1879
Various
Medicine -- North Carolina -- Periodicals; Medicine -- Periodicals
The dressing of wounds after the new processes of antiseptic practice
receives a great deal of attention. To one familiar with the dressings
during our civil war, on examination of the present multitudinous plans
to exclude “germs” would bring back the days of our grand-fathers in
surgery with their balms and balsams and salves; and some of the
dressing is not more rational. According to Esmarch (p. 151 and 152) the
dressing of gun-shot wounds should be purely antiseptic. “Do not examine
the wound at all, rather than examine it with unclean fingers—and
everything is unclean, in the strict sense that is not antiseptic.
“* * * * To avoid pernicious putrefactive influences the wounds must not
be touched by the hands, but closed rapidly by antiseptic plugs, in
order to preserve them from the contact of putrefactive agents until
they can undergo the Lister treatment in the hospitals if necessary. He
proposes that every soldier should carry in the lining of his uniform
two balls of _salicylated jute_ wrapped in gauze.”
We make this particular quotation to show to what old-maidish precision
the antiseptic idea is leading good surgeons. This ever-present
inextinguishable “germ” is the evil spirit hovering over every wound.
Nets of gauze are set to protect it; strong odors from the witches
cauldron are summoned to stifle and destroy the malicious fiend.
We are thankful though that the civil surgeon still sees “union by
adhesion,” and “first intention,” and “granulation,” in regions so far
remote from Listerism that there is little hope it will enter there, and
if it does it will hardly captivate the even-minded country surgeon.
When the days of probationary Listerism have ended, we will not be
surprised if the verdict is against it.
But we have digressed from our book. It is the XVIth chapter on
“Diseases of the Skin” that will be often consulted by the busy doctor.
Having made his diagnosis, here is a goodly array of remedial agents,
from the most eminent teachers to help him out of difficulties. We miss
chrysophanic acid in the composition of his formulæ for the treatment of
psoriasis. It certainly has made as much headway in the favor of the
general practitioner as any of the more recent agents.
But why say anything about a book which has made its way through the
world, and has now come to its sixth edition? The hundreds of medical
men who will read it, will traverse a field of surgical treatment far
beyond the facilities of those possessed of the best private libraries.
As long as the author keeps up with the current of surgical treatment,
his book will be sought after. We congratulate the author, and Dr.
Brinton, on the success of this book, and advise our friends to buy it.
Public-domain text, read in full here on John Shaqi.
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