Surgical emergencies, together with the emergencies attendant on parturition and the treatment of poisoning : a manual for the use of general practitioners / by Paul Swain.

  • Swain, William Paul, 1834-1916.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Surgical emergencies, together with the emergencies attendant on parturition and the treatment of poisoning : a manual for the use of general practitioners / by Paul Swain. Source: Wellcome Collection.

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    SURGICAL EMERGENCIES CHAPTER I INJURIES TO THE HEAD Wounds of the Scalp—Concussion and Compression—Fractures of the Skull—Trephining—Haemorrhage from Middle Meningeal—Bullet Wounds of Skull—Fracture of the Base—Injuries to Cerebral Nerves—Injuries to the Face—Wounds of Eyelids—of Lips— Fracture of the Nasal Bones—Foreign Bodies in the Ear and Nostril—Epistaxis —Plugging Posterior Nares—Fracture of Nasal Bones—of the Antrum—of the Zygoma—Fractures and Dis- locations of the Jaw—Injuries to the Spine. Wounds of the scalp are generally flap-wounds, and, however extensive, the flap should be thoroughly cleansed with a stream of warm carbolic lotion (1—100), replaced and kept in position by horsehair or silver wire sutures and strapping. Care must be taken not to include any part of the occipito-frontalis muscle in the sutures. The same treatment will be pursued if the bones of the skull are exposed. As a rule, these wounds are not followed by erysipelas. Punctured wounds are sometimes followed by diffuse inflammation, and if suppuration takes place very free incisions down to the bone must be made. Haemorrhage from scalp wounds is often very profuse, but can generally be arrested by the pressure of a pad of lint and a bandage. Should arterial bleeding continue it may arise from a partially divided vessel, and the division should be completed with a scalpel. It is next to impos- sible to put a suture on a vessel in the dense tissue of the scalp, so that other means failing, an acupressure needle