. Minor and operative surgery, including bandaging . POSITION. 245 just sufficient firmness to control the circulation. As thestrap, when firmly applied, completely cuts off the circu-lation of the parts below, it should be applied for as shorta time as possible, as gangrene has resulted from its pro-longed use. After removal of the tube or strap there isgenerally free capillary hemorrhage, due to paralysis ofthe vasomotor nerves from pressure, but this in a shorttime stops. This appliance is of the greatest service in Fig. Esmarchs bandage and tube applied. controlling hemorrhage at the


. Minor and operative surgery, including bandaging . POSITION. 245 just sufficient firmness to control the circulation. As thestrap, when firmly applied, completely cuts off the circu-lation of the parts below, it should be applied for as shorta time as possible, as gangrene has resulted from its pro-longed use. After removal of the tube or strap there isgenerally free capillary hemorrhage, due to paralysis ofthe vasomotor nerves from pressure, but this in a shorttime stops. This appliance is of the greatest service in Fig. Esmarchs bandage and tube applied. controlling hemorrhage at the time of operation, and inamputations and for removal of vascular tumors from thelimbs will be found most satisfactory. In operations uponbones, such as resection or sequestrotomy, it is especiallyuseful, as it allows the surgeon to inspect the parts unob-scured by hemorrhage. I have found its use most satis-factory in operations for the removal of foreign bodies, suchas needles embedded in extremities. Permanent Control of Arterial Hemorrhage. To secure this end, the surgeon may resort to the use ofposition, cold, heat, styptics, pressure, cauterization, liga-tion, torsion, suture of the artery, or acupressure. Position.—In arterial hemorrhage from wounds of theextremities, elevation of the part will be found to mate-rially diminish the amount of bleeding; in hemorrhagefrom wounds of the arteries of the hand, forearm, foot, or 246 MINOR SURGERY. leg, forcible flexion of the forearm on the arm or of the legon the thigh


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