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
Step 2. The surgeon carefully greases the limb wherever the plaster
will reach, and rolls a Welsh flannel roller round it for about
3 inches at the point where the plaster roller will cease. This
protects the skin from the rough edge of the plaster splint when the
apparatus is set and hard. Indeed, if the whole of the surface to be
covered with plaster be enveloped in a flannel roller, the apparatus
is more comfortable to the patient, and in this case the grease may
be dispensed with. When the limb is prepared the surgeon intrusts
it to assistants, who will maintain reduction while he lays on the
plaster rollers, wetting them freely as they are laid on, with a
sponge at hand in a basin of cold water. Usually two layers of roller
give sufficient rigidity to the apparatus; but if the limb is heavy,
the case should be strengthened, by smearing over it a coating of
plaster, prepared by shaking the powder into a basin of water kept
constantly stirred, till it has the consistence of cream. The surgeon
must watch that the fractured bones are kept in position till the
plaster is set, a process sufficiently advanced in five minutes, when
the bandage, supported by sand-bags, may be left to dry.
When the plaster is quite set the bone is immoveable and may be
carried about without risk of displacement. In deciding what joints
should be included in the bandage, the same rules obtain in this as
for the starch bandage; no more joints should be rendered immoveable
than are necessary to obtain command of the broken bone; when the
fracture is near a joint, that must be confined to prevent the bones
being moved with the movements of the joint; when the fracture is far
away from it, sufficient control can be exercised over the bone to
prevent the broken ends moving, and the joint may remain free.
If the plaster apparatus is applied over a wound, the latter
should be covered with greased lint, and its position noted before
the rollers are applied; when the apparatus is set, the plaster
must be dissolved around the wound by touching it with strong
nitro-hydrochloric acid; when this is carried completely round, the
isolated fragment of plaster may be removed, and the wound exposed.
For removal, the roller can be unwound again readily, or it can be
softened by acid along a line, and slit up with scissors, when the
apparatus comes off in a piece.
Should bandages of loose texture not be at hand, _common rollers_ can
be made to answer the purpose tolerably well in the following way.
Public-domain text, read in full here on John Shaqi.
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