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 inflammation that generally attends fractures requires however a
fomentation of _Camphor Spirits_ (A), in order to disperse the
obstructed humour; but if there is no inflammation, the part undoubtedly
is the better without such applications; as then there will be nothing
to hinder a free circulation; for which reason, fomentation should be
used as sparingly as possible.
It is well known too, with what difficulty the fractured bones were set
formerly, owing principally to the limb being stretched out in a
position that excited all the muscles to contraction. This is also here
obviated.
In reducing therefore a dislocation or fracture, the muscles should be
as much at rest as possible, both in the operation, as well as during
the whole time of the cure. It is for that very reason my direction in
this respect differs from what has been delivered to us by authors on
that subject, particularly such, as might be expected to fall into the
hands of a seaman.
Another error has been practised, namely, the laying on the bandage very
tight. It was supposed, that that would strengthen the limb, and make
the bone smooth; but it has sometimes prevented the bones from growing
together at any rate. The bandage to be sure should not be too slack,
for then we might as well lay it aside entirely. A bandage certainly is
necessary, but merely as a support, and it should never be tighter than
what the patient can well bear.
In simple fractures, the first dressing should be so permanent, as to
have no need for being removed, at least for six, seven, eight, nine
days, or more; if the patient don’t feel uneasy. For my own part, having
ever been successful in fractures, I have not opened the first dressing
for a fortnight, and sometimes three weeks.
The laying stretched upon the back when a leg is fractured, is
altogether needless, troublesome, and even a hindrance to the healing.
The patient should have a good wide cot, and so that it may swing pretty
easy; or else entirely confined, when the ship has much motion; and
having the leg well secured with splints, he may safely lay on what side
he pleases, provided he does not sit up in the bed (though he may out of
it) for the first three weeks; for that strains the muscles very much.
The diet should be sparing, the body kept open, and a temperate warmth
should be preserved, in order to promote perspiration. Drinking of
strong liquors should by all means be avoided, and the diet should be as
fresh as the circumstances will permit.
Six weeks is generally the time allowed for the cure; that however is no
certain rule. If the fracture is simple, and the constitution good, then
at a month’s time a small trial may be made by the help of crutches, or
a trusty mess-mate, in a calm day; but if it occasions the least pain,
it should be postponed.
Public-domain text, read in full here on John Shaqi.
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