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
This being done, the operator lays aside his lancet, and takes up the
dish, holding it so that the blood shall flow into it: when the dish
is placed, he lifts his left thumb from the vein cautiously or the
sudden spirt of blood will fall outside the dish and be lost. When
the desired amount is drawn, the operator compresses the vein again
with the left thumb, and setting down the dish, puts the pledget of
lint over the wound. He keeps the pledget in place with his left
thumb, while he releases the tape round the arm and places its middle
obliquely across the pledget. His left thumb presses the pledget on
the wound, while the right hand takes the end of the tape which is
farthest from his left, and passes it under the forearm below the
elbow to his left fingers, which grasp it tightly. He then takes the
other end with his right hand (see fig. 17), and bringing it round
the arm above the elbow, carries it across the pledget: as he does
this, he replaces his left thumb on the compress with his right
forefinger, which he keeps there while he brings up the end of the
tape he has already in his left fingers, and throws it over the arm
_above_ his right forefinger, then passing his left hand _below_ the
right forefinger, he catches the same end of the tape again and draws
it back. The two ends thus locked in a loop over the compress, are
secured by tying them in a bow outside the elbow and the operation is
finished (see fig. 18).
[Illustration: Fig. 17.—Adjusting the tape after bleeding.]
[Illustration: Fig. 18.—The bandage completed.]
THE LOWER EXTREMITY.
For adults the most useful width for the rollers is 3 inches, and the
length the ordinary one of 8 yards.
=The Foot= is usually bandaged without covering the heel, and the
bandage is begun as follows:—
The roller being held in the right hand for the right foot, or in
the left hand for the left foot; the unoccupied hand takes the end,
and passing it under the sole, brings it up on the back of the foot
just behind the toes, where it is made fast by carrying the roller
outwards over the back. When one turn is completed, the bandaging is
continued by reverses until the metatarsus is covered, then one or
two figures of 8 round the foot and ankle carry the bandage to the
leg, where it proceeds upwards by spiral turns round the small of the
leg, and by reverses up the calf. The reverses lie at equal distance
up the leg, on the muscles, not over the bone, that the skin be not
pinched between the crease of the bandage and the bone. When the calf
is passed, the roller is continued by figures of 8 above and below
the knee, until that joint is covered in, then by reverses up the
thigh to the groin, where the bandage terminates by a spica round the
body (see page 9). This is the ordinary bandage for the lower limb.
There are some varieties for particular parts, these are:—
Public-domain text, read in full here on John Shaqi.
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