. Medical and surgical therapy . nd their attendants, it is indisput-ably better to take the wounded at once to a surgicalunit farther off which will assure him a longer andmore restful stay in hospital after the operation. Wherever he is to be operated on, near or far, thereis one stage to begot over in the caseof an abdominalwound to which toomuch attentioncannot be paid,for it is of the ut-most gravity—thatis the evacuationfrom the trench,and the transportto the point wherehe will be placed inan is often averitable Calvary,lasting perhaps twohours or more, in-terrupted by al


. Medical and surgical therapy . nd their attendants, it is indisput-ably better to take the wounded at once to a surgicalunit farther off which will assure him a longer andmore restful stay in hospital after the operation. Wherever he is to be operated on, near or far, thereis one stage to begot over in the caseof an abdominalwound to which toomuch attentioncannot be paid,for it is of the ut-most gravity—thatis the evacuationfrom the trench,and the transportto the point wherehe will be placed inan is often averitable Calvary,lasting perhaps twohours or more, in-terrupted by allsorts of shocks anddifficulties! Thisis the most injuri-ous time for thewounded. The surgeon mayuse his influence to enable him to use the evacuation trench for thewounded ; such trenches or galleries are to be foundalmost everywhere ; but before using them it is wisealways to ascertain their size. Gatelier declares thatin his sector the commandant had caused special largegalleries to be constructed for this purpose, and that. Fig. 35. -Immobilising stretcher(Martignon). 428 WOUNDS OF THE ABDOMEN these saved an hour in the transport. We have alsoto consider the different methods and apparatus re-quired in bringing the wounded to the shelters, thegaps in the trenches, the corners, and to arrange forplaces where relays of wounded may pass eachother. Many doctors have devoted themselves to the con-sideration of the best kind of stretcher for has those wounded in the abdomen carried ona piece of tent-cloth with their knees raised ; othersuse a kind of carrying-chair with the patient in a sittingposture; thishas great advantages. Eyberts stretcheris of this type (Fig. 34). Matignons stretcher keepsthe trunk and the lower limbs as steady as possible(Fig. 35) ; the wounded man is sausaged, that is tosay he is packed up like a mummy and carried as if hehimself were a stretcher or a hammock, or like a sackof corn carried on the back. In spite of all these efforts


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918