A manual of minor surgery and bandaging : for the use of house-surgeons, dressers and junior practitioners / by Christopher Heath.

  • Heath, Christopher, 1835-1905.
Date:
1862
Catalogue details

Licence: Public Domain Mark

Credit: A manual of minor surgery and bandaging : for the use of house-surgeons, dressers and junior practitioners / by Christopher Heath. Source: Wellcome Collection.

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    and it may be well, as an additional precaution, to make pressure upon the radial and ulnar arteries at the wrist with pieces of elastic catheter wrapped in lint beneath the bandage. The elbow is then to be fully flexed, and the hand bound up to the opposite shoulder. Wounds of veins give comparatively little trouble, and the hfemorrhage is readily arrested by pressure, if the vein is of moderate size. A ligature may occa- sionally be required on a large vein, and may be ap- plied without much apprehension as respects phlebitis. HEMORRHAGE FROM DISEASE Bleeding may occur from vascular or malignant growths on the surface of the body, and, from the low condition of the patient, it may be highly desirable that as little blood as possible should be lost. As the source of the htemorrhage is generally rather a sur- face than any one bleeding vessel, the ligature is seldom applicable, and from the nature of the case pressure can hardly be applied; htemostatics therefore must be employed, such as the Liquor Ferri Perchlo- ridi fortior, the Liquor Ferri Persulphatis, the solid Nitrate of Silver, and Nitric Acid, or, in extreme cases, the actual cautery. In dealing with vascular growths, it will b(! advisable to surround the mass with a ligature and tie it by one of the numerous methods described in surgical works, or more simply by passing a needle or harelip pin beneath the bleeding tissue, and tlien carrying a thread around it. Einstaxis, or haemorrhage from the nose of spon- taneous and constitutional origin, may be treated locally hy the application of cold to the liead and face, or better by the injection into the nasal cavitic;^ of water as hot as the patient can bear it, by thi'