The surgeon's handbook on the treatment of wounded in war : a prize essay . Torsion of an artery. 4. When all the vessels are tied, which canligature is removed, not gradually but all at onceat first appear for a few seconds bloodless; theforth first at separate spots, but soon afterwardsface as out of a sponge. 5. If a cold stream of disinfectant water is Fig. 325. P1- f;M^: Pn wlhiinir I. Ice-douche. with anotherpair of forceps(Amtjssats for-ceps) (fig. 324).By this pro-ceeding the in-ner coat of theartery is curledupwards in theinterior, andforms a reallysafe valve-likemeans of clos-ing. be
The surgeon's handbook on the treatment of wounded in war : a prize essay . Torsion of an artery. 4. When all the vessels are tied, which canligature is removed, not gradually but all at onceat first appear for a few seconds bloodless; theforth first at separate spots, but soon afterwardsface as out of a sponge. 5. If a cold stream of disinfectant water is Fig. 325. P1- f;M^: Pn wlhiinir I. Ice-douche. with anotherpair of forceps(Amtjssats for-ceps) (fig. 324).By this pro-ceeding the in-ner coat of theartery is curledupwards in theinterior, andforms a reallysafe valve-likemeans of clos-ing. be seen, the elastic The cut surfaces blood then gushes over the whole sur- conducted over theentire surface ofthe wound, with anice-douche (fig. 325),that is, an irri-gator , which con-tains a weak so-lution of carbolicacid, in the middleof which is placeda tin cylinder, filledwith ice and salt,the smaller bleeding-vessels are easilyrecognised, seizedwith artery forceps,and ligatured, ashas been describedabove. J87 6. If in spite of this treatment the parenchymatous haemorrhagecontinues, it can soon be arrested by raising the stump, by pressurewith a large sponge, by digital compression of the arterial trunk(v. Langenbeck), or by the application of the induced current to thesurface of the wound (Riedinger). e. The closure of the wound. The wound must not be closed before the haemorrh
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Keywords: ., book, bookcentury1800, booksubjectwoundsandinjuries, bookyear1884
