When the fractured bone protrudes through the flesh, and there is much
bleeding, first straighten the limb and close the wound, and tie a
handkerchief tightly round over the wound, until a pad can be made,
then as quickly as possible make a pad by folding old rags or cloth,
or anything of the kind to be got closely together, of some thickness,
and broad enough to cover the wound well, then remove the handkerchief
already tied on, and place the pad over the wound and tie it lightly,
so that the pad presses hard upon the wound and stops the bleeding; the
bandage or handkerchief cannot well be too tight. Many a life might
be saved, which is now lost if this or a similar method were adopted
promptly. The materials are almost always at hand, and the application
of them easy and simple. Immediately after the bleeding is stopped
remove the sufferer, and call in professional advice without delay.
The stoppage of bleeding from arteries is taught practically in the
ambulance classes, and though it forms no part of the Bone-setter’s
art, yet many a life may be, and has been saved by this little
knowledge, so I subjoin the directions given in the hand-book of the
order of St. John, by the lamented Surgeon-Major Sheppard, whose
humanity cost him his life after the battle of Isandula.
“_The following situation of the main arteries in the
different regions of the body, and their treatment when
wounded._”
IN THE REGION OF THE HEAD there is the _Temporal Artery_ in front of
ear, one _P. Auricular_ at the back of ear at the _Occipital_, back of
head. Compress over the wound, and bandage.
IN THE NECK the _Carotid Arteries_ ascend in a line from inner ends of
collar-bones to angles of jaw. Digital compression in line of vessels
above and below the wound, or directly into wound on the mouths of the
bleeding vessels.
IN THE ARMPIT, the _Auxiliary Artery_ lies across hollow space of
armpit. Compress subclavian artery behind middle of collar-bone, or
digital pressure into the wound.
IN THE UPPER ARM, the _Brachial Artery_ lies on inner side of arm, in
a line with seam on coat sleeve—from inner fold of armpit to middle of
bend of elbow. Compress artery by a tourniquet above wound.
IN THE FORE-ARM the _Radial and Ulnar Arteries_ begin below the
middle of bend of elbow, and descend one on each side of the front of
the arm to the wrist. Compress Brachial artery in the upper arm by
a tourniquet, _or_ place a pad in hollow of elbow and bend fore-arm
against arm.
IN THE PALM OF THE HAND, the _Radial and Ulnar Arteries_ give a number
of branches, which spread out and supply the palm. Apply two small firm
pads to arteries at wrist, or forcibly close and fix hand over a piece
of stick or hard substance, and bandage.
IN THE THIGH, the _Femoral Artery_, from middle of fold of groin runs
down the inside of thigh in its upper two-thirds. Pressure at middle of
fold of groin, with fingers or by tourniquet above wound.
Public-domain text, read in full here on John Shaqi.
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