The essentials of bandaging: $b including the management of fractures and dislocations, with directions for using other surgical apparatus — John Shaqi
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
_The elbow_ is covered by first carrying the roller round the joint,
so that the point of the olecranon rests on the centre of the turn
(see dotted lines, fig. 15). The bandage is then continued in figures
of 8, passing above and below the first turn until the elbow is
covered in and the bandage of the forearm is completed.
[Illustration:
Fig. 15.—Bandage covering the elbow. The first turn over the point
of the elbow is shown by the dotted lines.
]
[Illustration: Fig. 16.—Spica Bandage for the shoulder.]
_The arm_ is covered by spirals and reverses till the armpit is
reached. Before bandaging _the shoulder_ the armpit is protected by
cotton wool or a double fold of soft blanket; the roller is then
carried in front of and over the shoulder, across the back to the
opposite axilla, where also some wool should be placed, then across
the chest to the top of the shoulder again, and under the armpit to
the front (see fig. 16). These figures of 8 are repeated as often as
necessary to complete the covering. The bandage is applied in this
method for dressings; but when pressure is needed the first turn may
be carried at once to the root of the neck, and each succeeding turn
made to overlap below the last, until the point of the shoulder is
gained, as in fig. 37, p. 55. These are called _the spica for the
shoulder_.
=Wound of the Palmar arch.=—Bleeding from this wound can usually
be stopped by pressure on the bleeding point, when this fails an
attempt should be made to tie the vessel at the wound, and if this be
impracticable the arteries of the forearm must be deligated.
_For compression_ the following is necessary:—
_Apparatus._—1. Petit’s tourniquet.
2. Straight wooden splint.
3. Rollers 2 inches wide, and ¾ inch wide for fingers.
4. Pad and cotton wool.
5. Lint.
6. A slip of a wine cork.
7. Scissors and needle and thread.
8. Lunar caustic.
Step 1. First apply the tourniquet to the brachial artery, to control
the hæmorrhage while the apparatus is being adjusted.
Step 2. Make a graduated compress by folding a sixpence or slip of a
cork in two or three thicknesses of lint, trim the lint into circular
disks and prepare a dozen similar disks of increasing size; lay these
one on each other to form a round cone about one inch high with the
piece of cork at the apex, and fasten them together by a thread.
Step 3. Clean and dry the wound, then rub its surface carefully with
nitrate of silver, to lessen the suppuration.
Step 4. Bandage the fingers and thumb, and prepare the splint, which
should be straight, as broad as the forearm, and long enough to
reach from the elbow to the tips of the fingers; it should be lightly
padded.
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