=Treatment= consists in applying a wide band of surgeon's adhesive
plaster, to be obtained at any drug shop. The band is made by
overlapping strips four or five inches wide, till a width of one foot
is obtained. This is then applied by sticking one end along the back
bone and carrying it forward around the injured side of the chest over
the breastbone as far as a line below the armpit on the uninjured side
of the chest, i. e., three-quarters way about the chest. These four-
or five-inch strips of plaster may be cut the right length first and
laid together, overlapping about two inches, and put on as a whole,
or, what is easier, each strip may be put on separately, beginning at
the spine, five inches below the fracture, and continuing to apply the
strips, overlapping each other about two inches, until the band is
made to extend to about five inches above the point of fracture, all
the strips ending in the line of the armpit of the uninjured side.
(Fig. 8.)
If surgeon's plaster cannot be obtained, a strong unbleached cotton or
flannel bandage, a foot wide, should be placed all around the chest
and fastened as snugly as possible with safety pins, in order to limit
the motion of the chest wall. The patient will often be more
comfortable sitting up, and should take care not to be exposed to cold
or wet for some weeks, as pleurisy or pneumonia may follow. Three
weeks are required for firm union to be established in broken ribs.
=COLLAR-BONE FRACTURE.=
_First Aid Rule.--Put patient flat on back, on level bed, with small
pillow between his shoulders; place forearm of injured side across
chest, and retain it so with bandage about chest and arm._
[Illustration: FIG. 9.
A BROKEN COLLAR BONE (SCUDDER).
Usual attitude of patient with a fracture of this kind; note lowering
and narrowed appearance of left shoulder.]
Fracture of the collar bone is one of the commonest accidents. The
bone is usually broken in the middle third. A swelling often appears
at this point, and there is pain there, especially on lifting the arm
up and away from the body. It will be noticed that the shoulder, on
the side of the injury, seems narrower and also lower than its fellow.
The head is often bent toward the injured side, and the arm of the
same side is grasped below the elbow by the other hand of the patient
and supported as in a sling. (See Fig. 9.) In examining an apparently
broken bone _the utmost gentleness may be used_ or serious damage may
result.
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