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
Of _chemical caustics_ a host exist; those most commonly employed
are:—nitrate of silver, solid, or in saturated solutions (2 drachms
to the oz. of water, &c.); fuming nitric acid; solution of nitrate
of mercury in nitric acid; oil of vitriol made into a paste with
powdered charcoal; chloride of zinc mixed with dry starch, then
rolled into cakes and cut in slices; Vienna paste, that is, equal
parts of potassa fusa and quick lime worked into a paste with spirits
of wine; potassa fusa itself; solution of chromic acid. Some surgeons
prefer one, some another; as a rule, the liquid caustics are employed
where the surface to be destroyed is uneven and spongy, and solid
caustics where the surface is smooth, and a long continued action is
desired.
_Vesicants and irritants._—Of the commonest are _mustard poultices_,
made by mixing mustard flour in a basin with luke-warm water, _i.e._
about 100° F., to a paste and spreading it on muslin, which is again
folded over the exposed surface of the mustard. Boiling water and
vinegar should not be used, for they lessen the pungency of the
poultice. If the full effect be desired the poultice should remain
on the skin fifteen or twenty minutes. If only slight reddening is
wanted, the mustard flour should be diluted with its bulk of linseed
meal before mixing it with water.
A stronger vesicant is _Corrigan’s hammer_, a button of polished
steel with a flat surface, fixed to a handle; when used it should
be plunged for a couple of minutes in boiling water, or heated over
a spirit lamp, but care must be taken not to overheat it, or it
will bring the cuticle away with it. It is pressed on the skin for
ten or fifteen seconds; this is sufficient to cause reddening and
vesication.
_Blisters_ are raised by the emplastrum lyttæ, lin. cantharidis,
or _pâte epispastique_, which is milder in its effect than the two
preceding preparations of Spanish fly. Solution of iodine and iodide
of potash, in three times their bulk of spirit of wine, also produces
a blister when laid on freely.
_Poultices_ are made of linseed meal, bread, or starch, and are means
for applying warmth and moisture without absolutely wetting. Bread
poultices sodden the parts to which they are applied most, and starch
least, of the three kinds.
Before making a poultice all the materials should be at hand and
thoroughly warmed before a good fire. They are—boiling water, a
broad knife or spatula, soft old linen or muslin, oil silk, tapes,
strapping plaster, bandages, a piece of old blanket, flannel or
cotton wadding, safety pins, or needle and thread.
Public-domain text, read in full here on John Shaqi.
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