Surgical Experiences in South Africa, 1899-1900: Being Mainly a Clinical Study of the Nature and Effects of Injuries Produced by Bullets of Small CalibreMakins, George Henry
History
Surgical Experiences in South Africa, 1899-1900: Being Mainly a Clinical Study of the Nature and Effects of Injuries Produced by Bullets of Small Calibre
Makins, George Henry
Gunshot wounds; South African War, 1899-1902; Surgery, Military
This consisted during the campaign in the primary application of the
regulation first field dressing by one of the wounded man's comrades, an
orderly, or less commonly an officer or a medical man. This dressing is
composed of a piece of gauze, a pad of flax charpie between layers of
gauze, a gauze bandage 4-1/2 yards long, a piece of mackintosh
water-proof, and two safety pins, enclosed in an air-tight cover. Mr.
Cheatle,[13] in insisting on the importance of an immediate antiseptic
dressing in the field, recommends the following. A paste contained in a
collapsible tube, made up in the following proportions: Mercury and zinc
cyanide grs. 400, tragacanth in powder gr. 1, carbolic acid grs. 40,
sterilised water grs. 800; sufficient bicyanide gauze and wool for the
dressing of two wounds, a bandage, and four safety pins; the whole
enclosed in a mackintosh bag. The paste possesses the advantage over any
liquid or powder, that it can be applied in any position of the body to
severe wounds, and its application in the open air is not interfered
with by draughts of wind. Mr. Cheatle used a similar preparation with
success during the campaign.
On arrival at the Field hospital, or in some cases at the station of the
bearer company, the wounds were then commonly dressed as follows: The
parts around the wound were cleansed with an antiseptic lotion, either
solution of perchloride of mercury 1 in 1,000, or 2-1/2 per cent.
solution of carbolic acid. The wound itself was then cleansed, and a
dressing of double cyanide of mercury and zinc applied. This was covered
with a pad of wool and secured with a bandage. The gauze was usually
wrung out in the lotion before application as a precaution against
previous contamination, and the moistening was also useful as helping to
ensure the dressing from subsequent displacement. It was early
recognised that the drier the dressing the better, and hence anything
like a mackintosh layer was carefully avoided. In some instances,
antiseptic powders were employed, but they did not find much favour, and
because they tended to favour slipping of the dressing, and to prevent
the adhesion of the gauze dressing to the wound, they were certainly not
desirable when there was any necessity for the patient to travel. In the
absence of reliable water the use of antiseptic lotions was obligatory,
and such is likely to be the case in most campaigns; in the present one,
filtration of the thick muddy water was impossible, without a
considerable expenditure of time, which could only be obtained when the
hospitals were fairly stationary. I very much preferred carbolic acid
lotions.
Public-domain text, read in full here on John Shaqi.
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