. Wisconsin medical recorder . ed peri-toneal coverings where obtainable, andtime for obtaining the latter is neverconsidered a factor. Before completionof a peritoneal closure, if it is deemednecessary, a small funnel is inserted andfrom one to four pints of normal salinesolution is introduced at a temperatureof 109° F. In cases of shock an addi-tional saline is given per hypo-dermo-clysis or by intravenous injection atabout the same temperature. The tem-perature is always determined to thefraction of a degree by a specially con-structed infusion thermometer—a devicewhereby a thermometer is e
. Wisconsin medical recorder . ed peri-toneal coverings where obtainable, andtime for obtaining the latter is neverconsidered a factor. Before completionof a peritoneal closure, if it is deemednecessary, a small funnel is inserted andfrom one to four pints of normal salinesolution is introduced at a temperatureof 109° F. In cases of shock an addi-tional saline is given per hypo-dermo-clysis or by intravenous injection atabout the same temperature. The tem-perature is always determined to thefraction of a degree by a specially con-structed infusion thermometer—a devicewhereby a thermometer is enclosed with-in a glass tube terminating in a Y which is but two inches from the needlepoint conveying the solution, so there isno guess work as to how much the solu-toin has been cooled by the flask whileit is being enveyed to its device is original with Dr. A. , he being the first person to useit, having constructed and used it firstin 1899. Photographic production ofthe device is shown in Fig. FIGURE 1 All dry dressings at the Columbia Hos-pital consist of a special powder of boricacid and sub-iodide of bismuth, and thiswith all sponges, pads, etc., used indressing and re-dressing wounds haveundergone fractional sterilization andare then again re-sterilized on the day WISCONSIN MEDICAL RECORDER 233 they are to be used in operations or inre-dressing a wound. The above technic is absolutely essen-tial in order to obtain the best operator, assistants and surgicalnurses must be a combination and ableto do perfect team work without fric-tion in order to get perfe>3t results in theoperating room. Technic and perfectharmony in the operating room is theonly successful method by which perfectwork can be satisfactorily obtained andsuccessful surgical results accomplished. The more complex details of technicin surgery at the Columbia Hospital donot belong to a brief summary such asthis is, as many of the more minute de-tails that enter int
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