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
Having washed and dried the limb, and reduced the fracture; the bones
are held in position by assistants, while the limb is greased and
enveloped in a dry roller by simple turns and figures of 8. A basin
of plaster is prepared by shaking the powder into water till a thin
cream is formed, which is laid on the bandage with a spoon, or the
hands. Then a second but wetted roller is put on in the same way
quickly before the plaster has set, and covered in its turn, until a
case of sufficient thickness is procured.
This bandage is much improved if the first roller be of flannel
instead of calico. The flannel roller may be unrolled and loaded with
dry plaster, like the muslin, and wetted before using; in this way
it contains nearly as much plaster as the loose webbing rollers of
muslin.
In the Army Medical Reports for 1865 (1867), Mr. Moffitt describes
a very ready method of employing the plaster splints for recent
fractures. Instead of bandaging the limb, an envelope of Welsh
flannel is fitted to the part to be supported.
The flannel should envelope the limb, except for a longitudinal
space about ½ inch in width between the edges of the flannel. The
dotted lines in the accompanying figure show the shape of the flannel
when fitted to the leg. The limb being thoroughly greased, the
flannel is well soaked in thin plaster cream, and laid on a table
while the creases are smoothed out of it.
When ready it is applied accurately to the limb, so as to fit
everywhere, but leaving a narrow open space along the whole length of
the limb. The flannel must be held steadily till the plaster is set,
which takes place in about five minutes, and the splint is complete.
If one layer is not stiff enough, a second may be laid over the first
in the same way. When the splints are fitted, they are kept in place
by a roller applied lightly over them. If instead of soaking the
second layer of flannel in plaster, it be thickly spread with strong
solution of British gum (dextrine), and the gummed side laid next
the first flannel, the splint is tough enough to stand any ordinary
strain without breaking.
[Illustration:
Fig. 58.—Moffitt’s method of applying plaster of Paris splints.
Copied from Army Medical Reports for 1865.
]
Gum thickened with powdered chalk, glue, silicate of soda, Hides’
leather felt and stiffening solution, paraffine, &c., are also
employed for stiffening bandages and flexible splints, after they
are moulded to a limb, but none of them are as readily procured or
have much advantage over starch and plaster of Paris. A detailed
description of the mode of using them is unnecessary.
Public-domain text, read in full here on John Shaqi.
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