Industrial medicine and surgery . L DISPENSARY STAFF 483 place, or often to replace bandages, can be cut and stuck to a pieceof glass the size of a window pane, thus being quickly available for use. Employees with minor injuries, not sufficiently serious to preventtheir working, can have their efficiency greatly increased or diminishedby the type of dressing that is applied. This is especially true in in-juries about the hands. Often one sees a small cut on a finger band-aged until the whole hand and wrist are encased. The psychologicaleffect of such a dressing on an employee is bad. Therefore
Industrial medicine and surgery . L DISPENSARY STAFF 483 place, or often to replace bandages, can be cut and stuck to a pieceof glass the size of a window pane, thus being quickly available for use. Employees with minor injuries, not sufficiently serious to preventtheir working, can have their efficiency greatly increased or diminishedby the type of dressing that is applied. This is especially true in in-juries about the hands. Often one sees a small cut on a finger band-aged until the whole hand and wrist are encased. The psychologicaleffect of such a dressing on an employee is bad. Therefore the smal-lest possible dressing should be applied and a minimum amount ofbandage used to hold it securely in place. As few joints as possibleshould be restricted by the bandage. Wire cages or protective strips of tin are very useful in protectinginjured fingers and adding to the comfort and efficiency of the em-ployee. These are placed next to the sterile dressing and held inplace by a bandage or adhesive plaster. (See Fig. 71.). Fig. 71.—Tin strips which act as a protection to the injured finger allowing the em-ployee to continue at work. Splints of all sizes should be prepared and always ready for im-mediate application to all fracture cases. The delay in preparing asplint for the immobilization of a fracture is annoying to the patientand often shows a lack of efficient management in the office. Before leaving this question of dressings the author desires tore-enforce what has been said regarding the use of sterile two years ago he visited five surgical dispensaries in plants andfive private offices where the doctors attended many minor injurycases for insurance companies. In only three of the plants dispen-saries and only one of the private offices were sterile dressings used:In the others gauze was bought from drug stores in the commercial, 484 INDUSTRIAL MEDICINE AND SURGERY so-called sterile, five yard rolls. The doctors would cut off the neces-sary amo
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Keywords: ., bookcentury1900, bookdec, booksubjectmedicine, booksubjectsurgery