. Medical and surgical therapy . puncturedwounds, the object is to prevent secondary haemor-rhage. The methods of achieving these objects arcas follows :— As a general rule, extensive wounds of the neckare not amenable tosurgical treatment. Itoccasionally happens,however, that eitherat the dressing stationor during transport awound of the necktemporarily closed byclots gives rise to asudden reactionary haemorrhage of mostalarming profuseness. What should be done by the orderly who happensto be at hand w^hen the bleeding occurs, or bythe medical officer in charge of the first field-dressing sta
. Medical and surgical therapy . puncturedwounds, the object is to prevent secondary haemor-rhage. The methods of achieving these objects arcas follows :— As a general rule, extensive wounds of the neckare not amenable tosurgical treatment. Itoccasionally happens,however, that eitherat the dressing stationor during transport awound of the necktemporarily closed byclots gives rise to asudden reactionary haemorrhage of mostalarming profuseness. What should be done by the orderly who happensto be at hand w^hen the bleeding occurs, or bythe medical officer in charge of the first field-dressing station where surgical conveniences areusually so restricted ? The common carotid shouldbe immediately compressed, either against thespinal column in front of the sterno-mastoid, or bypinching it in the manner shown in fig. 44. If thisdoes not stop the haemorrhage, direct pressureshould be exercised by a finger thrust into the pressiuT nuist, however, be regarded as adangerous makeshift, to be used in anv case for a. Fio. 44.—Compression of the carotid.(After Farabeuf.) 158 WOUNDS OF THE VESSELS few moments only until more efficient measures canbe devised. Personally, I infinitely prefer to close theskin wound with one or more pair of is true that this gives rise to a haematoma whichmust be dealt with immediately the patient reachesthe field ambulance, but it prevents him from dyingof haemorrhage on the way there. I have alreadyreferred to a case in which primary haemorrhage froma large wound with section of the common carotidwas arrested by closing the skin wound with aKochers forceps. The patient arrived at the dress-ing station with an large haematoma of the neck, butat any rate he arrived there alive. Closure of theskin wound is a simple, easy, and efficient way ofarresting the formidable haemorrhage which occursin extensive wounds of the neck. At the Field Ambulance the surgeon may have todeal with either a lacerated and bleeding shell-wound
Size: 1797px × 1390px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
