The essentials of bandaging: $b including the management of fractures and dislocations, with directions for using other surgical apparatusHill, Berkeley
Science
The essentials of bandaging: $b including the management of fractures and dislocations, with directions for using other surgical apparatus
Hill, Berkeley
Bandages and bandaging; Dislocations -- Treatment; Fractures -- Treatment; Surgery, Minor
When the patient is recumbent, the testes may be supported by a
strip of diachylon plaster 2 feet long and 4 inches wide, passed
across from hip to hip underneath the scrotum and testes, which lie
supported on a shelf.
Another way of raising the testes is to place a soft pincushion
between the thighs, and allow the swollen gland to rest on the
cushion.
UPPER EXTREMITY.
=Bandage for the Fingers and Thumb.=
_Apparatus._—A ¾-inch wide roller.
_The fingers_ are bandaged to prevent œdema when splints are tightly
attached to the fore or upper arm. A roller ¾ inch wide is passed
once round the wrist and then carried over the back of the hand to
the little finger; then wound in spirals round it to the tip and
returned up the finger, completed by a figure of 8 round the wrist
and the root of the finger, and returned to the wrist before being
brought across the back of the hand to the next finger, to which it
is applied in the same manner till the four fingers are covered.
It is a good precaution to place a shred of cotton wool between
each finger before carrying the figure of 8 turn round the root; it
prevents the bandages from chafing the tender skin.
_The thumb_ is bandaged rather differently: the roller is commenced
in the same way round the wrist, but the first turn is carried at
once beyond the last joint, turned once or twice round the last
phalanx, and continued by reverses to the metacarpo-phalangeal joint;
the ball of the thumb is then covered by figures of 8 round the thumb
and wrist. This is called the _spica for the thumb_.
[Illustration: Fig. 13.—Spica for the Thumb.]
This plan is sometimes employed to compress bleeding wounds of the
ball of the thumb, and is applied without previously covering the
phalanges, as in fig. 13.
=The Hand and Arm.=
_Apparatus._—1. A roller 2¼ inches wide for an adult, but narrower
for a child.
2. Some cotton wool.
A little cotton wool should fill the palm before applying the roller.
The bandage commences with figures of 8 carried round the hand and
wrist. The roller is first passed across the back of the hand from
the radial border of the thumb to the root of the little finger (see
fig. 14), and then across the palm, reaching the back of the hand
between the thumb and forefinger.
[Illustration: Fig. 14.—Commencing to bandage the hand.]
When the hand is covered by these figures of 8 the bandage is passed
up the _forearm_ by reverses placed over the extensor muscles till
the elbow is nearly reached. Before going further a dossil of cotton
wool is placed in the bend of the elbow, and on the inner condyle;
the joint is bent to the degree that will be required by the splint,
and the patient told to grasp some part of his dress, or the sleeve
of the other arm, that he may not unconsciously extend the joint
again while the bandage is being rolled round it.
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