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 solution of morphia should contain a grain in six drops and
be as little acid as possible. In injecting morphia, it should be
recollected that ⅙ grain is the usual dose to allay pain, and produce
sleep; doses even far smaller often suffice for this purpose, though
very much greater quantities can be administered by injection, where
long use has rendered the patient tolerant of the drug. Some persons
dread the puncture considerably; for them the pain may be entirely
prevented by numbing the surface with ether-spray (see page 186)
before inserting the syringe, though usually the prick is of so
little consequence that any precaution of this kind is unnecessary.
The cannula should be thrust completely through the skin into the
subcutaneous cellular tissue; if the fluid is injected into the
skin itself, inflammation and suppuration of the puncture sometimes
ensues. After the cannula is withdrawn, the finger should be placed
for a few seconds over the puncture, or much of the fluid will leak
out again. When large quantities of solution (one or two syringefuls)
are injected the cannula need not always be withdrawn, the nozzle
can be unscrewed and the syringe charged again; but more than ten or
twelve drops injected into one place generally causes much pain, even
where the cellular tissue is very loose.
The syringe and cannula should be carefully cleaned, by sending
plenty of cold water through them each time they are used, or the
cannula will rust and become unfit for use.
=Collodion= is much used in drawing the edges of small wounds
together, &c. Preston’s plastic collodion, or the flexible collodion
of the British Pharmacopœia, 1867, have advantages over the common
form by furnishing a tougher pellicle, yielding to the movements of
the skin beneath without cracking. Collodion should be kept for use
in a small wide-mouthed bottle, with stopper and brush, and when
employed should be laid on quickly in a thick mass, so that the
crust it leaves shall be of one layer. A tougher crust is obtained
if a piece of muslin is soaked in the collodion and then laid on the
wound, than if the collodion is used alone.
=Vaccination.=—The lymph of the vaccine vesicle, taken between the
seventh and tenth days, is preserved for use on lancet-shaped slips
of bone 1 inch long, called _points_. These are dipped in the lymph
as it exudes from the vesicle, and exposed to the air till dry; they
are then wrapped in paper ready for use. When used, the lymph should
be moistened, by holding them over a vessel of steaming water a few
seconds before inserting them in the wound made to receive the lymph.
The points often lose the virus in a few days, and should, if
possible, be used the same day they are charged.
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