The practice of surgery . back of the neck. All stimuli are forbidden, and absolute rest andquietude enjoined. This treatment failing, astringents may be takeninto the nostril, and applied to the bleeding surface, by injection or byinsufflation, Ruspinis styptic, a solution of zinc or alum, turpentinedilute, powdered gall-nuts, matico, &c. And this method of arrest maybe assisted by obstruction of the anterior nares, either by compression,or by stuffing the cavity firmly with lint, after the styptic has beensufficiently applied. Lately, it has been proposed to elevate the arm,or arms, and to r
The practice of surgery . back of the neck. All stimuli are forbidden, and absolute rest andquietude enjoined. This treatment failing, astringents may be takeninto the nostril, and applied to the bleeding surface, by injection or byinsufflation, Ruspinis styptic, a solution of zinc or alum, turpentinedilute, powdered gall-nuts, matico, &c. And this method of arrest maybe assisted by obstruction of the anterior nares, either by compression,or by stuffing the cavity firmly with lint, after the styptic has beensufficiently applied. Lately, it has been proposed to elevate the arm,or arms, and to retain them raised above the head, and certainly thisproceeding would seem occasionally to contribute, at least, towards thesuccessful result, perhaps in consequence of greater power being requiredto propel the arterial blood upwards in the arm, and less consequentlybeing expended on the carotid circulation, as the originator,1 Dr. Negrier,imagines, or perhaps in consequence of the increased facility of venous FUs. The arresting of Hemorrhage by plugging. A plug, about to be lodged firmly iu the posterior nares, bymeans of the ligature. This having been clone, and a plug afterwards placed in the front nares, the bleed-ing from that nostril is fairly commanded. 1 Archives GeneVales de Medecine, June, 1842. EPISTAXIS. 169 return in the subclavian vein hurrying the return-blood in the jugu-lars, and thus deriving from the bleeding vessels of the nose. When such minor means fail, it is necessary to plug the nares, bothanteriorly and posteriorly. A long stout ligature is passed through thenostril into the mouth ; by means of a flexible bougie, a loop of wire orcatgut, or a springed instrument made for the express purpose. To theupper part of the oral extremity of this ligature, a portion of spongeor a dossil of lint is attached, of sufficient size to occlude the posterioropening of the nostril; and by pulling the nasal extremity of the liga-ture, this obstructing substance is fi
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