American practice of surgery : a complete system of the science and art of surgery . rainage, energetic second-ary disinfection, and substitution of the hot antiseptic compress for the dry dressingconstitute the proper course to pursue. If wound infection does not occur, the com-pound fracture is converted at once into a simple subcutaneous fracture, andshould be treated as such. P. Bruns recommends for similar cases a powder composed of ? Carbolic acid. 25 parts Colophonium 60 Stearin 13 Precipitated carbonate of lime 700 Senn says: I have,however, used the boro-salicylic powder, in the propo
American practice of surgery : a complete system of the science and art of surgery . rainage, energetic second-ary disinfection, and substitution of the hot antiseptic compress for the dry dressingconstitute the proper course to pursue. If wound infection does not occur, the com-pound fracture is converted at once into a simple subcutaneous fracture, andshould be treated as such. P. Bruns recommends for similar cases a powder composed of ? Carbolic acid. 25 parts Colophonium 60 Stearin 13 Precipitated carbonate of lime 700 Senn says: I have,however, used the boro-salicylic powder, in the proportionspecified, on an extensive scale, both in civil and in military practice, and havebeen so much gratified with the results that lean recommend it most emphatically as a local application in such cases, used in the manner described. 77/i after-treatment of a compound fracture by the surgeon [says Dr. Morse] cannotbe too carefully watched. He must, day after day, look for evidences of rise in temperature during the first twenty-four hours usually means ferment in-. Fic 98. -Bavarian Splint, Method of Application. (From Cheyne and Burghard.) The inner layer of flannel is being smeared with liquid plastcr-nf-Paris. The outer layer is seen beneaththe basin and is ready for application to the plastered surface. toxication; after that time it suggests septic infection. In fermentation fever the sub-jective symptoms are generally nil; in sepsis they correspond in intensity with thedegree of intoxication. The condition of the tongue is of more diagnostic impor-tance than the character and frequency of the pulse in discriminating betweenfever and sepsis. In septicaemia the tongue is dry and usually brown; in fermen-tation fever it is moist and coated. If, from the local and general symptoms, ita]iparent that the wound has become infected, no time must be lost inremoving the dressing and making additional provision for drainage. Secondarydisinfection is generally incomplet
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