The mariner's medical guide : designed for the use of ships, families, and plantations : containing the symptoms and treatment of diseases : also, a list of medicines, their uses, and the mode of administering, when a physician cannot be procured : selected from standard medical works . from the mus-cles, as they say this leaves merely a flap of skin to coverthe stump of the bone ; by no means a sufficient protec-tion. It is recommended, instead, that after the skin isdivided by the circular incision, as described, and welldrawn back by the hands of the assistant, the muscularsubstance should
The mariner's medical guide : designed for the use of ships, families, and plantations : containing the symptoms and treatment of diseases : also, a list of medicines, their uses, and the mode of administering, when a physician cannot be procured : selected from standard medical works . from the mus-cles, as they say this leaves merely a flap of skin to coverthe stump of the bone ; by no means a sufficient protec-tion. It is recommended, instead, that after the skin isdivided by the circular incision, as described, and welldrawn back by the hands of the assistant, the muscularsubstance should be divided by three, four, or even more,successive circular cuts, the layer of muscle divided byeach cut being drawn upward with the skin by the assist-ant, with gradually increasing force, so that when thebone is reached, the retractor applied and drawn forciblyupward, the bone may be sawed off as high under the flapas possible ; and when the retractor is removed and theparts resume their natural position, a good thick flap, asufficient covering of muscle and skin, will be preserved, 166 MARINER S MEDICAL GUIDE. the skin being the longest, and, if properly joined bystitches, neatly covering all. The accompanying cutshows the method of holding the knife, and making There is another method of performing amputacion, bywhat is called the flap operation. It is of more mod-ern date than the circular, and it is claimed that it issimple and speedy in execution. It may be practised asfollows : — The limb should be grasped firmly on the outside atthe point intended, and the muscles and soft parts drawnout, as it were, from the bone. A long and sharp-pointedknife should then be passed straight through the limb inthe centre, close to and touching the bone, with the cut-ting edge towards the extremity, thus transfixing the limb MARINER S MEDICAL (JUIDE. 167 as in the annexed cut. (The arteries must, of course, besecured previously by compression, the tourniquet, ortwisted h
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Keywords: ., bookcentury1900, bookdecade1920, booksu, booksubjectmedicinenaval
