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
=Sand-bags= are very useful, when laid along an injured limb, to prop
it up on either side. For this purpose they are better than pillows,
as their weight prevents their slipping from under the part they
support. They should be made of macintosh cloth about 4 or 6 inches
diameter, and in lengths varying from 1 to 4 feet, well closed that
the sand may not escape through the seams; the macintosh should be
covered with flannel, renewed from time to time. The sand should be
washed and well dried before the bags are filled, that it may not
rot the cloth containing it. Moreover, the bags should be only three
quarters full, or they will be too hard to adapt themselves to the
limb when in use.
=Cradles= are light arched frames of wire or cane to support the
bedclothes over an injured limb. On emergency an efficient cradle
can be constructed from a band-box, by knocking out the bottom and
putting the leg through it. If used to protect a foot, a notch may be
cut with strong scissors, _not_ a knife, for that splits the wood.
If the cradle is stout enough, it is useful to sling a broken limb in
its splint, and often great relief is thus given to the patient. Dr.
Salter’s Swing Cradle is specially contrived for the purpose, and is
shown, fig. 42, page 64.
=Leather Splints.=—For these sole leather, to be purchased at any
leather dealer’s, is used. In preparing them, the required length
should be first noted down, then a series of transverse measurements
taken at the widest and narrowest parts of the limb and over the
projections of joints, &c., or a pattern may be first cut in paper
and laid on the sheet of leather from which a corresponding piece
is cut. The splint should always be so arranged that _its edges_
do not bear on any bony point, the shin, or malleoli, for example,
but either fall short of or pass beyond them. The hair side of the
leather should go next the skin, as it is the smoothest and least
irritating. The edges of the splint must be thinned by bevelling off
the outside for about an inch all round, and no sharp corners should
be left. When the leather is prepared it should be soaked, if the
time can be spared, for twenty-four hours in cold water, but when
wanted quickly it can be softened in a few minutes by soaking it in
warm water to which a little vinegar is added—this, however, renders
the leather brittle when dry, and apt to curl at the edges. When the
leather is softened, a very thin even layer of cotton wadding or of
lint is laid on next the skin; the splint is then moulded to the
limb with the hands, and bandaged firmly; in twelve hours it will
be dry and rigid. The roller is then unwound, and any parts of the
splint pressing on bony projections are marked before removal. It is
then trimmed, and laid between two layers of wash-leather stitched
together round the edges. The splint is now finished, and can be
either fastened on by a roller or by two or more straps and buckles
stitched to it.
Public-domain text, read in full here on John Shaqi.
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