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
A catheter is first passed into the bladder, and the urine runs off.
The catheter is then gently withdrawn, till the stream ceases, that
the end of the instrument may remain just without the neck of the
bladder. The string should be tied round the catheter ½ an inch from
the meatus, its ends gathered together and tied in a knot about 1
inch farther on. The foreskin is then drawn back, the ends passed
beneath the glans and tied round the penis behind the corona; the
superfluous string is snipped off, and the foreskin brought forward.
The catheter is cut off obliquely ½ an inch beyond the string and
then stopped with a spigot, direction being given to the patient to
withdraw the spigot, and push the catheter a little further in when
he wants to make water.
=To Tie a Patient in Position for Lithotomy.=
_Apparatus._
Two bandages, each 3 yards long and 2 inches wide, of calico or
saddle-girth, with tapes sewed on the ends.
[Illustration: Fig. 92.—Tying for lithotomy.]
The patient is laid on his back, a slip-knot made in the middle of
the bandage and passed over the wrist; the hand is then made to grasp
the foot, the thumb above, the fingers under the sole (fig. 92); one
end of the bandage is carried behind and inside the ankle to the
dorsum of the foot, where it meets the other end passing in front of
the ankle. The ends are then carried under the sole, brought up and
tied in a double bow over the back of the hand.
=Bedsores= are best treated by great cleanliness, and by washing
the skin exposed to the discharges with spirit of wine every day.
Brown-Sequard recommends cold and heat to be applied daily, by means
of an ice bag for ten minutes, followed by a warm poultice for an
hour. The pressure of the skin over the sacrum or trochanters is
prevented by a ring of soft thick felt, covered on one side with
adhesive plaster, and applied like a corn plaster _around_ the
prominent bone.
In addition to these local applications, the pressure of the body
should be evenly distributed over its under surface by placing the
patient on a water cushion, or, better, on Arnott’s water-bed.
[Illustration: Fig. 93.—Water-bed.]
Public-domain text, read in full here on John Shaqi.
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