Surgery, with Special Reference to PodiatryStern, Maximilian
Science
Surgery, with Special Reference to Podiatry
Stern, Maximilian
Foot -- Surgery; Surgery
1. the high frequency current is unipolar, that is, does not
require a complete circuit.
2. glass does not insulate the high frequency current as it
does ordinary electricity.
3. the high frequency current generates enormous quantities of
ozone during its flow.
4. the current does not produce any pain.
5. the high frequency current produces a cellular massage.
The contractile effect is expended upon the individual cells making up
the tissues, instead of on individual muscles.
If a sedative effect is desired, keep the electrode in contact with
the part; if a stimulating effect is desired, hold the electrode away
from the surface; the farther away, the longer the spark.
A uniform spark of any length can be produced by administering the
current through layers of toweling, or through the clothing; the
length of the spark depends upon the thickness of the layers.
The use of the high frequency current in surgery is limited to
sprains, stiff joints, neuritic pains, and adhesions due to
inflammatory exudates. Fulguration for the destruction of growths is
obtained by employing a pointed metal electrode.
+RUBEFACIENTS+
+Rubefacients.+ These are agents which revulse by causing congestion of
the skin:
+1.+ +Turpentine.+ A few teaspoonfuls of oil of turpentine sprinkled over
a piece of flannel wrung out of hot water, applied to the skin and
covered with oiled silk or dry flannel, constitutes the turpentine
stupe. Twenty minutes is the maximum for this application.
+2.+ +Mustard.+ Mustard flour (the black being the stronger), mixed with
tepid water into a paste, spread thinly on a piece of muslin or paper,
and covered with gauze or thin cambric, is an excellent
counterirritant. Few skins will bear pure black mustard for more than
ten minutes. Mustard, diluted one-half with wheat or corn flour, and
allowed to stand for twenty minutes, should be the maximum strength
for application, because blistering must be avoided, that produced by
mustard being specially painful. After removing a mustard plaster,
greased lint should be applied.
+3.+ +Mustard Foot-Bath.+ A mustard foot-bath consists of one or two
tablespoonfuls of pure mustard in a bucket two-thirds full of water at
105°F; the feet may be kept in this for about twenty minutes, a
blanket being thrown around the limbs, and including the bucket, to
retain the heat.
Revulsives must be used with caution in cases of shock or coma, lest
impaired vitality or sensation to pain result in extensive sloughing
of the skin.
+CAUTERIES+
+The Actual Cautery+ is used in the form of variously shaped irons,
hatchet-edged, round, or olivary, fitted into wooden handles, and
heated in a charcoal furnace.
As a counterirritant, the iron should be heated only to a dull red
heat, and should be quickly drawn in parallel lines, about one inch
apart, over the skin, avoiding all bony prominences. Compresses wet
with cold water, or with some antiseptic lotion, may then be applied.
Public-domain text, read in full here on John Shaqi.
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