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
The lamp is placed under a high wicker chair, on which the patient
sits undressed, and round his neck, a frame is tied, made of cane
hoops, with a calico cover sewn over them; this falls to the ground
and encloses his body in a chamber, where the vapour is confined
while absorbed into the skin. A blanket thrown over the frame
completes the preparation. If a hoop frame be not at hand a lady’s
wire-hooped petticoat answers the purpose quite as well.
[Illustration: Fig. 105.—Lamp for local fumigation.]
The patient, in four or five minutes, usually breaks into a violent
perspiration, his pulse quickens much, sometimes even syncope occurs;
hence, he should not be left alone until the bath is over. This, if
the flame is strong and the quantity of calomel not very great—one or
two scruples being a common dose—occupies a quarter of an hour. When
the bath is over the patient should at once get into bed, and lie
there a few hours; then he may rise and be well sponged with tepid
water. Moderate but tolerably speedy mercurialisation of the system
is thus induced.
=Local Fumigation= is employed when the disease is confined to a
few obstinate patches of eruption. For this purpose an earthenware
alembic (fig. 105) is fitted to the lamp used for general fumigation;
the calomel is thrown into the bottom of the alembic. The flame plays
over the outside, and heating it, sublimes the calomel; which reaches
the mouth of the alembic and condenses on any part to which it is
applied.
The _throat_ may be fumigated by inhaling the vapour as it escapes
from this alembic, or by sucking air through the spout of an
earthenware teapot in which the calomel has been placed, and heated
by a spirit lamp underneath.
=The Hot Air-Bath= is easily obtained by undressing the patient,
putting him to bed on a mattress, and fastening across the bed two
or three lengths of cane or stout wire, over which a blanket is next
thrown. The patient’s body is thus enclosed in a small chamber, the
air of which is then heated by putting inside, on an earthenware
plate, a spirit lamp, surrounded by a kitchen lemon-grater to protect
the bed clothes from its flame. Sheets should be dispensed with while
the lamp is alight, lest they catch fire. The temperature of the air
should be watched, lest it grow hot enough to scorch, but it must be
kept up till the patient breaks into a sharp perspiration, when the
lamp may be removed and the patient allowed to cool slowly down.
The action of the bath is greatly accelerated by sponging the patient
all over as he lies in bed with tepid water, when the air grows warm.
Lamps protected with wire gauze, and furnished with a cradle to keep
the bed clothes up, are sold at the instrument-makers, but the above
arrangement answers just as well as more elaborate apparatus.
Public-domain text, read in full here on John Shaqi.
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