Scientific American Supplement, No. 299, September 24, 1881Various
Science
Scientific American Supplement, No. 299, September 24, 1881
Various
Science -- Periodicals
Therefore I will call attention to the method of forcible flexion; and
though extreme flexion has been practiced by surgeons in isolated cases,
still to Professor Adelman, of Dorpat, is due the credit of first having
systematized the following method:
BLEEDING FROM THE UPPER ARM (ART. BRACHIALIS).
Bring the elbows of the patient as near as possible together upon the
back, and fasten them with a bandage. From this point let a doppelt
bandage pass down to and over the perineum; separate the bandages again
in front, let one end run over the left, the other over the right groin
back again to the elbows (see Fig. 1)
[Illustration: Fig. 1.]
"The illustrations will explain at a glance."
BLEEDING FROM THE ARTERIES IN THE UPPER THIRD OF THE ARM.
Acute flexion of the elbow, simple bending of the forearm upon the upper
arm, will suffice. But if there is bleeding from the arteries near the
joint of the hand or from any part of the hand, then the hand must also
be brought into flexion, and secured by a bandage. (See Fig. 2.) The
bandage must always be wrapped around the wound first.
[Illustration: Fig. 2.]
BLEEDING FROM THE THIGH (ART. FEMORALIS).
It needs no other explanation, as Fig. 3 shows the mode of stopping the
hemorrhage from that region temporarily.
Bleeding from the front part of the leg (Art. Tibialis Ant.), same as
Fig. 3.
[Illustration: FIG. 3.]
Bleeding from the posterior part of the leg (Art. Tibiailis Post, et
Peronea) same as above, with the addition of a tampon or compress under
the knee joint, or like Fig. 4.
BLEEDING FROM THE FOOT (ART. PLANTARIS ET DORSALIS PEDIS).
Flexion of the leg upon the thigh, and flexion of the foot upon the
front of the tibia.
Objections might also be raised to the above method on account of the
pain which it may produce; but the flexion never needs to be so forced
as to be unendurable to the patient; the position may be a little
uncomfortable to a very sensitive person, that is all. Furthermore, it
has been proven that a limb can be kept in a flexed position for several
days, "nine by some authors," without any injury, and with a complete
closure of the arteries. We do not expect, however, that this method of
arresting hemorrhage will ever be adopted as "the" method in surgery,
neither will it be necessary here to point out any cases where the
practitioner can have and under certain circumstances be obliged to have
to resort to this simple method. Military surgeons may also profit by
it, for it is certainly a valuable and admirable mode, and so easily
applied in cases of emergency by any one, if the unfortunate should be
distant from surgical aid. I also believe that it would be advisable and
certainly humane, to instruct the people in general, by popular lectures
or through the press, the manner of stopping hemorrhage temporarily.
[Illustration: Fig. 4.]
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