Poisoned wounds are chiefly punctured. The danger of these wounds
lies in the possibility that the poison is absorbed by the lymphatics
and veins, and conveyed to the heart, whence the entire blood becomes
infected. To prevent this a ligature should be tied above the wound, by
means of a strip of muslin or preferably an elastic suspender, so as to
check the free return of the blood by the veins and lymphatics. After
which the poison should be sucked from the wound, or the wound should
be cauterized, with carbolic or nitric acid by means of a sharp-pointed
stick dipped into the acid and then applied to the wound, or _fired_
with a red-hot iron, crochet or knitting needle. The poison of snakes
and tarantulas is neutralized with an alkali; the most efficient seems
to be spirits of ammonia, but a strong solution of washing or even
baking soda should be substituted when ammonia is not at hand. I would
puncture and enlarge the wound of the sting with the point of a sharp
knife or scissors, so that the alkali can come into immediate contact
with the injected venom; the patient must be given frequent drinks of
whisky, brandy or strong wine until a physician arrives to supervise
further treatment.
Wounds inflicted by poisonous insects like the bumblebee, honeybee,
wasp, hornet, yellow jacket and mosquitoes produce wounds which are
instantly followed by a sharp, pungent, itching pain, and in a few
moments after by a pale, circumscribed, inflammatory swelling. Some
persons have a peculiarity in their constitution that the poison
of an insect gives rise to exceedingly alarming symptoms, such as
palpitation, nausea, dizziness, dimness of sight and an indescribable
sense of suffocation. The sting is sometimes left in the skin; for this
the wound should be carefully examined, and when present drawn out. The
most prompt and useful application is water of ammonia, or strong salt
water, or strong soapsuds. Turpentine is also a valuable application.
If the insect has lodged in the throat, large quantities of warm salt
water and mustard must be immediately administered until the patient
has vomited freely, and if there is a sense of suffocation leeches and
afterwards hot poultices should be applied to the neck. If the system
has become poisoned, and some of the distressing symptoms that were
above enumerated are present, the internal use of whisky or brandy is
called for.
Hemorrhage is common to all wounds, and the loss of the blood depends
upon the size and nature of the vessel that is injured.
The bleeding that takes place in ordinary superficial wounds oozes
from minute vessels, the capillaries, and slight pressure temporarily
applied controls it. When an artery is wounded, the blood flows in
intermittent jets, or in a running pulsating stream from the vessel.
The venous blood is dark red and flows in a continuous stream and not
under the same pressure as that coming from the arteries, hence it is
much easier controlled.