Emergencies : the etiology, pathology and treatment of the accidents, diseases and cases of poisoning which demand prompt action ; designed for students and practitioners of medicine / by Joseph W. Howe.

  • Howe, Joseph W. (Joseph William), 1843-1890.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: Emergencies : the etiology, pathology and treatment of the accidents, diseases and cases of poisoning which demand prompt action ; designed for students and practitioners of medicine / by Joseph W. Howe. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    lowing manner: A liandkercliief is passed loosely around the limb above the wound, and its ends fastened together. A small block of wood, a folded towel, or any substance from which a firm pad can be extemporized, is placed over the artery and under the handkerchief encircling the limb. A stick measuring five or six inches in length is then passed under the handkerchief at right angles, and twisted around until the pad compresses the artery firmly. Turning the stick draws the handkerchief very tightly around the limb and over the artery, so that it is thoroughly secured. Bleeding from the upper extremity, at any point below the axilla, may be temporarily suppressed by placing a piece of wood an inch and a half or two inches thick under the arm at right angles with the body, and then pressing the arm firmly against the chest-walls. A large book will an- swer the same purpose. In all cases the material employed must be placed as high as possible in the axilla. When the wound is situated below the knee-joint, the bleeding may be diminished by raising the limb and placing it on the back of a chair, so that pressure will be made in the popli- teal space. The weight of the limb in this position is sufii- cient to close the popliteal artery. In some cases it may be necessary to fold a towel and place it behind the knee between the chair and the limb. Pressure may be made in a wound with the thumb and fingers, picked lint, compressed sponge, or towels. In haem- orrhage from the carotid artery, pressure may be made with the fingers along the inner edge and lower half of the eterno-mastoid muscle. The subclavian artery is compressed as it passes over the first rib, by pushing firmly with the thumb in the subclavian triangle behind the sterno-mastoid.