The surgeon's handbook on the treatment of wounded in war : a prize essay . especially suitable for thearrest of parenchymatous haemorrhage, such for example as is metwith in hospital gangrene or in thromboses of veins (Stromeyers phle-bostatische Blutungen). Should the cauterising irons not be at hand,they can be easily extemporised out of pieces of telegraph wire, byrolling up one end in a spiral form, filing the other end to a point,and pushing it into a piece of wood to serve as a handle (fig. 247and 248). Fig. 248. Improvised cautery of telegraph wire after BRANDIS. b) Compression of the
The surgeon's handbook on the treatment of wounded in war : a prize essay . especially suitable for thearrest of parenchymatous haemorrhage, such for example as is metwith in hospital gangrene or in thromboses of veins (Stromeyers phle-bostatische Blutungen). Should the cauterising irons not be at hand,they can be easily extemporised out of pieces of telegraph wire, byrolling up one end in a spiral form, filing the other end to a point,and pushing it into a piece of wood to serve as a handle (fig. 247and 248). Fig. 248. Improvised cautery of telegraph wire after BRANDIS. b) Compression of the artery above the wound. a. Digital compression. This can only be successfully carried outin those cases, in which a fixed point of resistance is afforded by thebone. The following are the principal places, where digital pressurecan be employed: \2\ 1) For the common carotid artery, the anterior part of the sideof the neck, between the larynx and the inner border of the sterno-mastoid muscle, where the finger presses the artery against the verte-brae (fig. 249). Fig. Digital compression of the carotid artery. 2) For the subclavian artery, the supra-clavicular fossa, wherethe artery at the outer border of the sterno-mastoid, and issuing frombehind the scalenus anticus, is compressed against the first rib. Bydrawing forwards the shoulder and with it the clavicle, the artery ismore easily reached by the finger (fig. 250). 3) For the axillary artery, the anterior fold of the axilla, where,when the arm is raised, the artery can be compressed against the headof the humerus. 4) For the brachial artery, the centre of the upper-arm, where theartery at the inner border of the biceps can be easily compressedagainst the humerus (fig. 251). 5) The abdominal aorta, when the abdominal walls are relaxedand the intestines empty, can be compressed against the vertebrae ona level with the umbilicus. The pressure here cannot however beborne for any length of time without a narcotic being empl
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Keywords: ., book, bookcentury1800, booksubjectwoundsandinjuries, bookyear1884
