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 leech is put in a little glass when applied to the gums or the
cervix uteri, and held against the part he is to suck.
If the leeches do not bite readily the part should be smeared with
blood or warm milk, and the leeches put into lukewarm water a few
minutes; immersion in small beer is also said to stimulate them to
bite.
If the bites bleed longer than is desired, they may be stopped by
pinching the skin between the finger and thumb, wiping the bite
thoroughly dry, and filling it with a little bit of amadou or fine
sponge, soaked in solution of perchloride of iron; a larger piece of
amadou is placed over the first, and the whole compressed with a turn
of a bandage or long strip of plaster. If this fails, a sewing needle
may be passed through the skin beneath the floor of the bite, and the
bleeding surface constricted by twisting a thread round it under the
needle.
Leech-bites should never be left bleeding, especially in children,
for a dangerous amount of blood may be lost from them in a few hours.
=Tents= are instruments made of some substance that enlarges as it
absorbs liquid; they are employed to dilate apertures of sinuses or
natural passages, as the cervix uteri, &c., and are generally short
rods 2 to 3 inches long, and 1/10 to ¼ inch in thickness, made of a
whalebone stem, wound round with compressed sponge, which is smeared
with wax to keep it in shape. Slips of gentian root, or of laminaria
digitata, which rapidly enlarge as they imbibe moisture, are also
employed for this purpose.
=Setons= are strips of varnished calico, 6 or 8 inches long and ⅓
broad; a thread is fastened to each end, which are tied together
while the seton is worn. It is employed to excite irritation either
along the course of a sinus, or in some superficial situation, as
the nape of the neck, to relieve congestion of internal parts. In
sinuses, a few threads of silk usually produce the required amount of
irritation.
=Chassaignac’s Drainage-tubes= are a form of seton; they are
india-rubber tubes of the calibre of a wheat straw, of any requisite
length, and perforated with holes at frequent intervals; they are
carried into the cavity to be drained, by hitching the prong of a
forked probe, made for the purpose, through one end of the tube and
thrusting it along the sinus, or across the abscess. The skin is then
incised over the further end of the sinus to bring the probe out, and
the ends of the tube are tied together.
The advantages of these tubes are, the small amount of irritation
they provoke, and the ready exit furnished for the matter along their
interior.
Public-domain text, read in full here on John Shaqi.
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