Military medical and surgical essays ; prepared for the United States Sanitary Commission . h the bone be-neath, and varied a little along the course of thebone, until the artery is detected. This is the high-est position in the inferior extremity to which thetourniquet can be applied in wounds of the groin, andin such cases it is generally necessary, from the pro-fuse hemorrhage, also to stuff the wound. I woulddo all that was possible by either or both methods tostop the loss of blood. Where the wound is veryhigh, the band of the tourniquet may be allowed topass around the hips, placing the


Military medical and surgical essays ; prepared for the United States Sanitary Commission . h the bone be-neath, and varied a little along the course of thebone, until the artery is detected. This is the high-est position in the inferior extremity to which thetourniquet can be applied in wounds of the groin, andin such cases it is generally necessary, from the pro-fuse hemorrhage, also to stuff the wound. I woulddo all that was possible by either or both methods tostop the loss of blood. Where the wound is veryhigh, the band of the tourniquet may be allowed topass around the hips, placing the pad over the stuff-ing of the wound. No harm can come from the trial,though it is very difficult to control the artery byany instrumental means at this point. The lowest point of the inferior extremity to whichit is customary to apply the tourniquet, is the pop-liteal space behind the knee. If the leg be bentnearly to the thigh, and the ends of the fingerspressed between the two lines of the cords, in thespace behind the knee, so as to bear upon the bone. BEST MEANS OF ARRESTING IT. 415. 416 HEMORRHAGE FROM WOUNDS, AND THE the pulsation of the artery will be distinctly felt atthis point, and by sufficient force may be fact, this is one of the most convenient places forapplying the tourniquet when we are allowed ourchoice, as the broad extremity of the thigh-boneforms an admirable support, and the hollow spacesecures a fixed position of the pad. Having discovered the artery then at these twopoints, namely, near the center of the groin above,and in the center of the space behind the knee below,it only remains to join the two by a line which willpass from the pubic bone down along the inside ofthe thigh-bone, gradually winding backward until itis directly behind at the knee. The pulsations ofthe artery may be easily detected through this entireroute in thin persons, but its path is not so readilydiscovered as that of the main artery of the arm. To any portion of this r


Size: 873px × 2861px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No

Keywords: ., bookcentury1800, bookdecade1860, booksubjectmedicine, bookyear186