. Medical and surgical therapy . ionbetween the intensity of the shock and the seriousnessof the deep-seated injures. Besides haemorrhage, nervous shock certainly comesinto play (intensity of the injury, previous emotionalexhaustion, the shaking up of the abdominal visceraduring the automobile journey over rough roads). 468 WOUNDS OF THE ABDOMEN Haemorrhage which is not severe enough to prevent apatient being carried for a distance of 12 kilometresis never so bad that it cannot be temporarily checkedby injections of saline and adrenaUn (otherwise thepatient will die during or immediately after
. Medical and surgical therapy . ionbetween the intensity of the shock and the seriousnessof the deep-seated injures. Besides haemorrhage, nervous shock certainly comesinto play (intensity of the injury, previous emotionalexhaustion, the shaking up of the abdominal visceraduring the automobile journey over rough roads). 468 WOUNDS OF THE ABDOMEN Haemorrhage which is not severe enough to prevent apatient being carried for a distance of 12 kilometresis never so bad that it cannot be temporarily checkedby injections of saline and adrenaUn (otherwise thepatient will die during or immediately after the opera-tion). On the other hand, the nervous shock willundoubtedly be lessened by the tonics we have men-tioned. Here, then, is our programme : immediate injectionof camphorated oil, ether, even of morphia if thepatient is in great pain, but above all a copious injec-tion of saline with 1 milUgramme of adrenalin ; if in-travenous injection seems advisable, use at least a Htre ;shivering and shock will not be more marked than. Fig. 44.—Simple apparatus with electric lamps for warmingpatients when suffering from shoci: (lamps with carbon filaments). with a small injection, and it has the advantage ofkeeping the blood vessels full. Then, if within an hour DIAGNOSIS AND INDICATIONS 469
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
