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
[Illustration: Fig. 97.—Ring tourniquet.]
When hæmorrhage has to be temporarily arrested, that of _Petit_ (fig.
98) is generally used. It consists of a strap of stout webbing and
buckle, that can be rapidly tightened by a few turns of a screw. To
use this tourniquet, lay a roller over the artery and carry the end
once or twice round the limb to steady the roller, then pass the
strap over the roller, keeping the buckle about two inches away from
the screw and the screw on the anterior or outer aspect of the limb,
not over the pad, lest that be displaced when the screw is tightened.
The tourniquet should be screwed up as quickly as possible, that the
limb be not charged with blood by obstructing the venous, before the
arterial flow is checked.
[Illustration: Fig. 98.—Petit’s tourniquet applied to the popliteal
artery.]
[Illustration: Fig. 99.—The horse-shoe tourniquet.]
In _Signoroni’s Horse-shoe_ tourniquet (fig. 99) the extremities of
the shoe can be approximated to each other by a rack screw working a
hinge. The ends are furnished with pads, one broad and flat to bear
on the limb away from the artery, the other rounded to compress the
vessel itself. This tourniquet does not arrest the whole circulation
in the limb. It can therefore be applied for a longer time than
Petit’s. However, it easily slips out of place, and soon becomes very
irksome and painful.
[Illustration: Fig. 100.—Lister’s tourniquet for compressing the
aorta.]
_The Abdominal Tourniquet_ of Professor Lister is a very effectual
contrivance for compressing the aorta during amputation through the
hip joint, and operations where a tourniquet cannot be placed on the
limb. It consists (see fig. 100) of a semicircular bar, with a broad
pad to fit on the lumbar vertebræ behind, while in front it holds
a long screw-pin carrying a pad. This instrument passes round the
left side, and its pad is forced down into the abdomen, one inch to
the left of the umbilicus, until the aorta is compressed against the
spine.
[Illustration: Fig. 101.—Carte’s tourniquets for femoral aneurism.]
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