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 Starch Poultice_ is made as follows: rub a little starch in a
basin with cold water till it has the consistence of cream, then mix
in _boiling_ water till the starch is a thick jelly, and spread it on
the linen while hot. Starch poultices retain their heat a long time,
but yield very little moisture to the part. They are chiefly used as
emollients to inflamed affections of the skin, &c.
_Hot fomentations_ are a means for applying heat when moisture is
not desired. A ready mode is to take a piece of blanket or thick
flannel, soak it in boiling water and dry it by wringing in a folded
towel, and then wrap it over the part to be fomented with a piece
of oil silk or a hot dry flannel over it. Laudanum, turpentine, and
other applications are sprinkled over the flannel, when soothing or
counter-irritating effects are required in addition to the warmth.
A bag of bran makes a light warm fomentation if heated in a steam
kitchen, or steamer for boiling potatoes.
When absolutely _dry heat_ is desired, chamomile flowers, bran, or
sand, may be heated in an oven, and poured into hot flannel bags.
Dry heat is also very agreeably obtained by filling _india-rubber
bags_ and _cushions_ with hot water: they are rather heavy, but
retain their heat many hours.
_Lister’s Method of Dressing Wounds with Carbolic Acid._—The
properties of carbolic acid which concern the surgeon may be briefly
recapitulated as follow:—
It is highly volatile, and the putrefaction of organic fluids
is indefinitely postponed where its vapour is present. Carbolic
acid is soluble in different degrees in water, alcohol, ether,
glycerine, fixed oils, gutta percha, india-rubber, and shell-lac.
Its varying affinity for these substances enables the surgeon to
modify the application of carbolic acid in various ways; these
modifications are necessary to fully utilise its properties. Water
dissolves the crystallised acid but sparingly, 1 part in 20 being a
concentrated solution, and allows it to escape readily. The aqueous
solution is therefore useful where the effects of the acid are
required copiously, but only temporarily. Glycerine and the fixed
oils dissolve a far greater amount of the acid, and part with it
unwillingly. Their solutions are adapted for the continuous but
abundant application of the antiseptic. Shell-lac, and some other
substances, hold the carbolic acid still more tenaciously, and are
valuable as solid storehouses which yield up the antiseptic in small
quantity for a considerable period.
Carbolic acid stimulates raw surfaces, and when concentrated even
destroys animal tissues. It is a local anæsthetic; with moderate
doses, wounds lose their sensibility after the first smarting of
the application has passed off. When given in large quantities the
acid produces a peculiar kind of delirium, and temporary paralysis
of sense and motion: fatal results have followed its internal
application.
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