The human machine, its care and repair; or, How to develop the body, preserve the health, meet emergencies, nurse the sick, and treat disease; . it should be rejected and another applied,and so on until a perfect fit is secured. A truss is not usuallyworn by an adult at night, but is removed after the patient liesdown, then reapplied before rising. That hernia is much morecommon than most people realize may be seen by a glance at the MINOR SURGERY, 231 magnitude of the truss business; a single city in the United Statesturns out a half-million hernial trusses annually. Strangulated Hernia.—Shou


The human machine, its care and repair; or, How to develop the body, preserve the health, meet emergencies, nurse the sick, and treat disease; . it should be rejected and another applied,and so on until a perfect fit is secured. A truss is not usuallyworn by an adult at night, but is removed after the patient liesdown, then reapplied before rising. That hernia is much morecommon than most people realize may be seen by a glance at the MINOR SURGERY, 231 magnitude of the truss business; a single city in the United Statesturns out a half-million hernial trusses annually. Strangulated Hernia.—Should one be so unfortunate as tohave strangulation of a hernia, a physician should be summonedimmediately and at the same time be informed as to what hashappened that he may not delay in answering the call. The symp-toms are pain and tenderness in the hernia; the swelling becomesharder than usual; there are colicky pains through the abdomen,sometimes extremely severe; occasionally the patient sweats pro-fusely because of the pain, even becoming cold and almost lifeless,thus showing that he has entered a very dangerous stage of Position for a Patient Suffering with Strangulated Hernia. Treatment.—A patient with strangulated hernia should bemade to lie upon his back, with his hips much A verygood way to get this position is to place a chair so that its top andthe front edge of the seat shall rest upon the bed, the back of thechair being pushed under the back of the patient until his hips reston the rear edge of the seat, his legs from the knees falling overbetween the chair legs, its back and rounds having been coveredwith a folded blanket. A bag of pounded ice, or some other very cold application,should be placed upon the hernial swelling to arrest inflammation, 232 MINOR SURGERY. and in ten or fifteen minutes efforts at reduction of the protrusionshould be made by the patient, who is likely to be much more skill-ful than anyone else in reducing his own


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