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
_Arnott’s Floating Bed._—In the hydrostatic or floating bed of Dr.
Arnott, the patient floats on the surface of a trough of water,
into which he sinks until he has displaced his own weight of water;
his floating apparatus, or raft, so to speak, being a sheet of
waterproofing, and a thin mattress or folded blanket, on which he
lies. The bed consists of a trough running on large castors, about
8 feet long, 2 feet 8 inches wide, and 1 deep, with a tap at the
bottom for letting out the water, and a spout in one corner to fill
it by. Over the top a macintosh cloth is spread, its edges being
firmly nailed to the margin of the trough, but the cloth is left
slack enough to float easily on the surface of the water when the
trough is partly filled. This slackness is requisite to allow the
water displaced by the weight of the patient’s body to rise up
around him without tightening the cloth, or the floating principle
of the bed is not carried out, and the pressure of the patient’s
weight not evenly distributed over his body (see fig. 93). Three
or four blankets are laid evenly over the macintosh, and these
again protected from the moisture of the patient by a macintosh
under-sheet. If a mattress is used, it must be very thin, and supple
enough to let the surface of the water adjust itself to the patient’s
body and receive the pressure evenly. The water employed to fill the
bath should be about 50°.
[Illustration: Fig. 94.—Water-cushion.]
_Water Cushions_ are flat cushions of stout macintosh cloth, half
or two-thirds full of water, and laid on the mattress beneath
the blanket and sheet (see fig. 94). They are more portable than
the water-bed, but they are simply soft pillows, and do not
counter-balance the weight of the patient in the manner of the
floating bed.
=The Stomach-Pump= is used for emptying the stomach, or for injecting
fluid food when patients refuse to swallow.
It consists of a brass syringe holding 4 ounces, of which the nozzle
is connected with two tubes, one at the end, the other at the side.
The passage through these is directed by a valve which is governed
by a lever lying on the barrel (see fig. 95). When the lever is at
rest, the current passes in and out of the syringe by the lateral
tube; when depressed, by the direct tube. The elastic tubes with
smooth nozzles, about 2 feet long, are fitted to the syringe. There
is also a gag of hard wood, having a hole in the middle, through
which the tube passes on its way to the stomach, to protect it from
the patient’s teeth.
[Illustration: Fig. 95.—The stomach-pump.]
Public-domain text, read in full here on John Shaqi.
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