Military medical and surgical essays ; prepared for the United States Sanitary Commission . her or tearing the adjacentsoft tissues. In the thigJij the bone being single and compara-tively small, the muscles powerful, and the leverage * IN MILITARY SURGERY. 447 on the lower fragment great, it is very generallynecessary to use some extending force from the , on the march or in the field, we must becontent with the straw-splint described in Section I;but if possible, some form of extension should beadded to this. Thus a board of proper length maybe placed along the outer side of
Military medical and surgical essays ; prepared for the United States Sanitary Commission . her or tearing the adjacentsoft tissues. In the thigJij the bone being single and compara-tively small, the muscles powerful, and the leverage * IN MILITARY SURGERY. 447 on the lower fragment great, it is very generallynecessary to use some extending force from the , on the march or in the field, we must becontent with the straw-splint described in Section I;but if possible, some form of extension should beadded to this. Thus a board of proper length maybe placed along the outer side of the limb, and ahandkerchief folded cravat-wise passed around theperineum and tied to its upper end, while the foot issecured below in like manner. The extending bandmay in such a case be tied over the shoe or boot. Orthe board may be placed along the inner side of thelimb, its upper end carefully padded, bearing againstthe perineum. Another plan, when the patient is to be trans-ported in a vehicle, is to drive pegs into the floor ofit at points corresponding with the axillae, and others. a few inches beyond the soles of the feet; these pegsbeing long and strong enough to serve as points ofattachment, the upper ones for the shoulders, thelower one for the feet, by means of wisps of straw, 4 448 TREATMENT OF FRACTURES handkerchiefs, bandages, or adhesive strips. (See cut.)Other pegs may be driven so as to be convenientlygrasped by the hands of the patient. Whatevermaterial is used for him to lie on, should be laid asevenly as possible; and the injured limb should becarefully and firmly wrapped in its own bundle ofstraw. When time permits, and a few boards can be had,a very good plan is to have a box knocked together,consisting of a bottom and two sides. The outerside should be long enough to reach from 4 inchesbelow the foot to the axilla, the inner one from thesame point to the perineum; the bottom, smoothlybeveled off above at its upper edge, should reach fromthe tuber ischii a
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectmedicine, bookyear186
