Traumatic surgery / by John J. Moorhead. with 522 orginal illustrations.

  • Moorhead, John J. (John Joseph), 1874-1957.
Date:
1917
Catalogue details

Licence: Public Domain Mark

Credit: Traumatic surgery / by John J. Moorhead. with 522 orginal illustrations. Source: Wellcome Collection.

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    is exposed for absorption. Carbolic applications are almost certain to produce decided escharotic effects even in weak solutions, and, in- deed, this drug (as hitherto stated) should not be used in acute surgical conditions except as a cauterant. Likewise, dry dressings, particularly of the collodion type, favor infection. A gauze-covered wire or other caging is the best form of protective, so that air and sun- light may have free access. If the area of denudation is very large, skin-grafting may be needed. When the serous oozing (or “weep- ing’’) has ceased, the use of balsam of Peru or scarlet red ointment will aid granulations. “Barks of the shin” need to be treated with the greatest care, so that periostitis and ulceration do not occur, especi- ally in old people or when varicose veins or perhaps lues exist. In cases of this sort rest in bed with high elevation of the limb will be beneficial, especially in the early stages. The systemic conditions often need as much attention as the local lesions. CRUSHING WOUNDS These are not infrequently associated with comminuted fractures, and more or less shock is a common accompaniment. The majority VY = VII : . fp Yi [= we \ x A y} fy WO \ \. Ey/))) 3 j : \ Zip oes —_— —— fe ~ GHEE: _ Ss ” fe fi Tp Z A rs A 0) / ie : Ly. Na H\ nase : ) HS Sf 7 | \\ N SPSS oa | he | 4 1 Fig. 8.—Momburg constrictor applied above the level of the umbilicus to restrict circula- tion through the abdominal aorta. of these involve the hands, feet, or limbs, and are due to machinery, railway, vehicle, mining, building, and other transportation and industrial accidents. 3 Treatment is directed mainly to the bleeding and shock, and only the most necessary manipulation is made at first so that the patient’s vitality may be conserved (Figs. 8,9). In many cases, as in a crushed limb, the patient is put to bed for shock treatment with a tourniquet in place or artery clamps hanging to the vessels, the wound being covered by a sterile dressing (Figs. 10-13). Later, the appropriate