A practical treatise on fractures and dislocations . surgeons. Immovable, or Permanent Dressings.—In 1834, Seutin, of Brussels, introducedthe use of starch as a means of hardeningthe bandages; his method of using whichis essentially as follows: a dry roller isfirst applied to the skin, and then smearedwith starch ; all of the bony prominencesand irregularities of the limb are filledup or covered with cotton batting, char-pie, down, etc.; strips of pasteboard, orof binders board, moistened and coveredalso with starch, are now laid alongsidethe limb, over which again are turned insuccession one,
A practical treatise on fractures and dislocations . surgeons. Immovable, or Permanent Dressings.—In 1834, Seutin, of Brussels, introducedthe use of starch as a means of hardeningthe bandages; his method of using whichis essentially as follows: a dry roller isfirst applied to the skin, and then smearedwith starch ; all of the bony prominencesand irregularities of the limb are filledup or covered with cotton batting, char-pie, down, etc.; strips of pasteboard, orof binders board, moistened and coveredalso with starch, are now laid alongsidethe limb, over which again are turned insuccession one, two, or three layers of thestarched roller; the number of rollersand the thickness of the pasteboard beingproportioned to the size of the limb or tothe required strength of the splint. Thewhole is completed by starching the out-side of the last bandage. This dressing will generally becomedry within from thirty to forty hours;starch bandages, applied for a broken which process may be expedited by ex-thigb. posing its sides as much as possible to. 1 Amer. Journ. Med. Sci , vol. xxvi, p. 220, May, 1840; from London Lancet,Jan. 25, 1840. 2 Amer. Journ. Med. Sci., vol. ii, p. 216, May, 1828; from Journal des Progres,vol. iv. GENERAL TREATMENT OF FRACTURES. 55 the air, or by the application of artificial heat with bags of dry sand,or with hot bricks. As a temporary support until the drying is com-pleted, some surgeons lay upon each side of the limb additional splints,securing them in place with tapes. As soon as the bandages are dry, they are to be cut along the frontto a sufficient extent to permit of an examination of the limb, and thenclosed with an additional roller. For the purpose of opening the band-ages, both at this period and subsequently, Seutin uses a pair of strongscissors or pliers, such as are represented in Fig. 12. On the third or fourth day, or as soon as the subsidence of the swell-ing may render it necessary, the bandages should be cut open throughtheir whole e
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
