. Modern surgery, general and operative. Fig. 102S.—Petits spiral tourniquet. Fig. 1029.—Charrieres tourniquet. plan is to hold the extremity in a vertical position for three minutes, lightly strok-ing it toward the body with the hand, and then apply the constricting a matter of fact, this plan satisfactorily empties the limb of blood, and itis not necessary in any case to force the blood out by elastic surgeons prefer the tourniquet. Figures 1028 and 1029 show two forms oftourniquet. To apply Petits tourniquet, place the plates in contact, applya small, firm compress


. Modern surgery, general and operative. Fig. 102S.—Petits spiral tourniquet. Fig. 1029.—Charrieres tourniquet. plan is to hold the extremity in a vertical position for three minutes, lightly strok-ing it toward the body with the hand, and then apply the constricting a matter of fact, this plan satisfactorily empties the limb of blood, and itis not necessary in any case to force the blood out by elastic surgeons prefer the tourniquet. Figures 1028 and 1029 show two forms oftourniquet. To apply Petits tourniquet, place the plates in contact, applya small, firm compress over the arter\ and a broad thick compress over theouter surface of the Umb, buckle the tapes around the limb so that the plateis over the broad pad, and tighten the tourniquet by separating the plates. Fig. 1030.—Catlin, long knife, and saws for amputation. by the screw (Fig. 1027). When a tourniquet is apphed to arrest bleedingduring transportation, bandage the limb, sew the compress pad to a bandage,and place the plates of the instrument over the pad. Monprofits all-metaltourniquet may also be used. Signorinis horseshoe tourniquet may be usedupon the brachial arter\-. The extended use (several hours, during transpor-tation, etc.) of the tourniquet is to be deprecated. Frightful gangrene oftenfollowed its prolonged apphcation in the recent hostilities. In hip-joint andshoulder-joint disarticulations Wyeths pins may be passed, and after the limb isemptied of blood the band can be fastened above them. These pins preventthe band from slipping. The mstruments and appHances required for amputation are Esmarchsapparatus or tourniquet, amputating knives (Fig. 1030), a bone-knife, scalpels, 1552 Amputations saws (Fig. 1030), a lion-jaw forceps, bone-cutting forceps, a periosteum-elevator


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Keywords: ., bookcentury1900, bookdecade1910, bookidmodernsurger, bookyear1919