Accidents and emergencies; a manual of the treatment of surgical and medical emergencies in the absence of a physician . to applycold wet cloths to the head. If muchtime must elapse before a surgeon comes,it is well to give a brisk purge, like castoroil, or an injection, so as to get the bowelswell cleaned out Fracture of the Spinal Column (brokenback) is often hard to detect. But if onebe suspected, the patient must be movedas litte as possible. He had best be laid flat upon his back ani,if po-sible, he should not be disturbed until th surgeon directsit. Turning such a patient over upon his f


Accidents and emergencies; a manual of the treatment of surgical and medical emergencies in the absence of a physician . to applycold wet cloths to the head. If muchtime must elapse before a surgeon comes,it is well to give a brisk purge, like castoroil, or an injection, so as to get the bowelswell cleaned out Fracture of the Spinal Column (brokenback) is often hard to detect. But if onebe suspected, the patient must be movedas litte as possible. He had best be laid flat upon his back ani,if po-sible, he should not be disturbed until th surgeon directsit. Turning such a patient over upon his face may prove fatal,and must not be permitted. Compound Fractures are those in which there is an openwound communicating with the broken ends of the bone. Theyare to be treated, in an emergency, like simple fractures in thesame locations, with the additional precaution that they mustbe thoroughly cleansed with boiled water containing a teaspoon-ful of salt to each pint, or with clean soapy water, and keptclean; and the greatest care must be exercised to keep the sharpedges of the bone from doing any further Fig. 15.—Bandage forfracture of the lowerjaw-bone. 54 ACCIDENTS AND EMERGENCIES In all Fractures cloths wet with cool water may be applied tothe surface, so as to prevent, as far as possible, the swellingwhich usually comes on soon after a fracture, and which often in-terferes very much with the examination of the surgeon. Splints.—There is nothing in which there is a greater call foringenuity and fertility of resource than in extemporizing splintsfor broken bones. Pasteboard, leather, shingles, pieces of cigarbox—anything fairly smooth and stiff-—may be used. Asurgeon at the seashore once got himself no httle credit by settinga broken arm on the beach, folding up and using as a splint a


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