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
The many-tailed bandage is however superior to the roller, in the
fracture of the Leg. The method of laying it on is this: the patient
laying upon his back, with his thigh lifted upwards by the assistant,
put the bandage under the calf of the leg; then begin from the ancle
upwards, folding over alternately the tails of the bandage, so that they
secure each other. When this is compleated, put over the whole a
_Compress_, as before directed, as also the _Splints_; or in the room of
common splints, put on the new invented splints of Mr. Sharp; of which a
ship should have three or four pair of different sizes, both for the
right and left leg.
When this is performed, the patient should be put to rest as soon as
possible; and he will lay easiest upon the side where the fracture is,
with his thigh and leg bent forwards. This position suits not only best
on board a ship where the motion is continually apt to disturb the sick
part, but is also most natural both for ease, and for healing; as the
muscles are all at rest, and adds firmness and ease to the body.
_Compound Fractures._
When a fracture is attended with a wound, it is needless to observe,
that the case is of a more dangerous nature. If the contusion has been
so great, as to splinter the bones, such splints as are loose, and seem
to prick through the flesh, should by all means be removed. Violence
must however be avoided; for by a little patience, nature will of her
own accord separate and discharge them.
Gentleness should ever be observed in surgery, though not a timid
weakness, by being defective in dressing properly. The reduction of the
fracture should be conducted the same as before, with this difference,
that always a many-tailed bandage should be chosen, so that it may be
opened when requisite.
The dressing of the wound should be the simplest possible; for the
nature of bone is so delicate, that it will neither bear to be much
exposed to the air, nor suffer any greasy salve or ointment to come near
it; both are liable to corrode it, and bring on a carious, which is of a
most dangerous tendency. Dry lint therefore is the best, particularly
near the fractured bone.
In short, it is to be treated cautiously, like an ulcer, and the
greatest care to be taken, that the arm, leg, or whatever fractured part
it is, be kept steady, and no oftener dressed than what is absolutely
necessary.
_Conclusive Observations on Fractures._
In the obscure times of surgery, various medicines were applied to
broken bones, with a notion to unite them the sooner. This, however, is
entirely exploded from modern practice.
Public-domain text, read in full here on John Shaqi.
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