The Seaman's Medical Instructor: In a Course of Lectures on Accidents and Diseases Incident to SeamenFalck, N. D. (Nikolai Detlef)
Science
The Seaman's Medical Instructor: In a Course of Lectures on Accidents and Diseases Incident to Seamen
Falck, N. D. (Nikolai Detlef)
First aid in illness and injury -- Early works to 1800; Medicine, Popular -- Early works to 1800
As these kind of wounds are liable of becoming ulcers, great care should
be taken in the beginning to treat them properly.—Wounds in general
should not be dress’d or look’d to too often; in general it aggravates
the parts, and retards healing. A wound should not be opened the first
three days after the first dressing: nature is very kind, and requires
care only to replenish what is deficient.
When an ulcer has commenced, see the treatment under that head.
_Gun-shot Wounds._
These are the most terrible of all sorts of wounds; for it is not only
the contusion that attends them, but frequently the ball forces strange
things, as cloaths, &c. into the wound with it.
Gun-shot wounds at best are tedious in their healing, but very often,
from their nature, liable to mortification, and thence become dangerous.
Besides, it is seldom that the fleshy parts alone are wounded, but they
frequently penetrate into the very bones themselves.
The first care in gun-shot wounds, is to extract the ball, or whatever
is forced into the wound; in the next place, the wound should be dressed
with _Yellow Basilicon_, (F) mixed with fine _Precipitate_ (O).
No. I
_Take Basilicon one ounce, fine Precipitate one scruple, and mix
them._
The parts all round should be well fomented with warm claret,
intermixed with _Spirits of Wine and Camphor_.
If the patient is full-bloody, and no blood lost by the wound, he should
be blooded, and immediately treated as a patient in a fever.
If the pain in the parts become violent, eight or ten drops of _liquid
laudanum_ (T), together with thirty or forty drops of _sweet spirit of
nitre_ (D), should be given once, twice, or thrice a day. If the wound
begins to discharge plenty of matter, it should be dressed with the same
dressing often. But if the parts become black, very fœtid, the patient
in great pain, and grows faint, a mortification is to be feared; which I
shall treat of in its proper place.
When the suppuration is unkind, and the parts are much inflamed, a
poultice will be very proper.
No. II
_Take oatmeal (15) or (if that is not on board) biscuit pounded
about three spoonfuls, honey one spoonful, water a sufficient
quantity to boil it into soft poultice; in which put of sweet
oil about half a spoonful. This poultice should be renewed twice
a day at least, and put on as warm as possible it can be borne._
As gun-shot wounds are apt to degenerate into malignant ulcers, I shall
refer the reader to the treatment of ulcers in general.
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SECT. III.
_Of Bruises._
Public-domain text, read in full here on John Shaqi.
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