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
Ligature of the larger arteries.—Resections: of the head of the
humerus, the elbow, the hip, the knee.—Removal of
necrosed bone.—Amputations: at the shoulder-joint;
arm; fore-arm and wrist; metacarpus; hip; thigh
and leg; Syme and Chopart’s operation; metatarsus and
toes 211-215
THE
ESSENTIALS OF BANDAGING,
&c.
CHAPTER I.
BANDAGING.
GENERAL RULES.—Ordinary bandages are strips of unbleached calico
6 or 8 yards long, having a breadth of ¾ inch for the fingers and
toes, 2¼ inches for the head and upper limb, 3 inches for the lower
limb, and 6 inches for the body. These, when tightly rolled for use,
are termed rollers. Besides these rollers for general use there are
special bandages, such as rollers of muslin for using with plaster
of paris, of stocking-webbing when elasticity is needed; four- and
many-tailed bandages for particular fractures, &c. Messrs. J. & J.
Cash, the cambric frilling makers of Coventry, now make a very firm
light bandage of unbleached cambric woven in the necessary widths
and lengths for use; these are very cool and pleasant, and a decided
improvement on the ordinary calico strips generally used.
_Position of the Operator._—He should place himself opposite his
patient, not at the side of the limb to be bandaged; the limb too
should be bent to the position it will occupy when the bandage is
completed.
Before applying any kind of apparatus, the surgeon should see that
the limb is carefully washed and dried.
_How to hold a Roller._—When applying a roller it is best to begin
by placing the outer surface of the roller next the skin (see fig.
1, page 3), for it then unwinds more readily, and the first turns
are more easily secured; moreover the bandage should be carried from
the inner side of the limb _by the front_ to the outer side, for
the muscles are thus more firmly and pleasantly confined than by
turns passing in the opposite direction; of course this observation
supposes the hand and forearm to be in their usual position of
semi-pronation.
_Varieties of Turns._—In carrying a bandage up a limb, it is
necessary, in order to support the parts evenly, to employ a
combination of three different turns. The _simple spiral_, _reverse_,
and the _figure of 8_.
The _simple spiral_ turn is used only where the circumference of the
part increases slightly, as the wrist; but when the limb enlarges too
fast to allow the fresh turn to overlap the previous one regularly,
the turn must be interrupted, and the bandage brought back again by
reverse, or by figure of 8.
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