. Modern surgery, general and operative. ill stop capillary bleeding. A graduated compress was for-merly recommended in hemorrhage from the palmar arch (Fig. 251). A compresswill arrest bleeding from superficial veins. The knotted bandage of the scalpwill arrest bleeding from the temporal artery. Long-continued pressure causespain and inflammation. Indirect compression is used to prevent hemorrhage or to arrest it tem-porarily. It may be effected by encircling a limb above a bleeding point with an Esmarch band or by applying a tourniquetor an improvised tourniquet (Fig. 252). It mayalso be eff
. Modern surgery, general and operative. ill stop capillary bleeding. A graduated compress was for-merly recommended in hemorrhage from the palmar arch (Fig. 251). A compresswill arrest bleeding from superficial veins. The knotted bandage of the scalpwill arrest bleeding from the temporal artery. Long-continued pressure causespain and inflammation. Indirect compression is used to prevent hemorrhage or to arrest it tem-porarily. It may be effected by encircling a limb above a bleeding point with an Esmarch band or by applying a tourniquetor an improvised tourniquet (Fig. 252). It mayalso be effected by a clamp. Crile has deviseda clamp to effect temporary closure of thecarotid artery. In operations about the headone or both carotids may be closed for a con-siderable time and bleeding may thus be largelyprevented. In 10 cases Crile temporarily closedboth carotids. A hypodermatic injection ofatropin is given to prevent inhibition, thevessels are exposed, and the clamps are appliedwith just sufficient firmness to approximate the. Fig. 250.—Tamponade of in-tercostal arery (after Von Langen-beck).
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Keywords: ., bookcentury1900, bookdecade1910, bookidmodernsurger, bookyear1919
