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The essentials of bandaging / cover

The essentials of bandaging /

Chapter 22: RESTORATIVES.
By Berkeley Hill
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About This Book

This practical manual provides concise, illustrated instructions for applying bandages and surgical apparatus, with chapters on materials, operator technique, bandaging of specific body regions, strapping methods, and management of fractures and dislocations of head, trunk, and limbs. It describes common turns and splints, approaches to immobilisation and extension, and offers procedures for dressing wounds, supporting stumps, and using elastic and plaster appliances. An appendix supplies lists of preparations, instruments, and items recommended for sick-room and operating-room use, presented as checklists to help students and practitioners refresh practical skills.

PREPARATIONS AND REQUISITES FOR OPERATIONS IN GENERAL.

The Operating Room. Sedatives and Restoratives.
The Sick Bed and Bed-room. The Arrest of Hæmorrhage.

OPERATING ROOM.

Having a good Light and Windows that open readily, and a Fire in Winter.

1. Firm table, 4 feet long, 2 feet wide, and 3½ feet high. 14. Tow.
2. Pillows. 15. Perchloride of iron.
3. Blankets. 16. Basins, large and small.
4. Towels. 17. Hot and cold water, ice.
5. Old linen. 18. Bucket and slop-jar.
6. Mackintosh sheets. 19. Sponges.
7. Old carpet, or old sheet to cover the floor. 20. Chloroform and inhaler.
8. Tray of sawdust or sand. 21. Oil.
9. Bandages. 22. Pins.
10. Strapping plaister. 23. Scissors.
11. Lint. 24. Brandy.
12. Oiled silk. 25. Ammonia.
13. Cotton wool. 26. Fire for heating cauteries.

SICK ROOM AND BED.

1. Iron bedstead. 18. Bed-urinal and bed-stool.
2. Wool and hair mattress. 19. Basins.
3. Several pillows, soft and of different sizes. 20. Cold water.
4. Air and water cushions. 21. Condy’s fluid.
5. Blankets, small single ones. 22. Sir W. Burnett’s fluid.
6. Pieces of soft flannel. 23. A bed-rest chair.
7. Six sets of sheets and pillowcases. 24. Night lights.
8. Old soft linen. 25. A fire, or in summer a lamp to burn in the fireplace, to create a draught of air.
9. Cotton-wool. 26. Enamelled saucepan.
10. Towels. 27. Two feeding cups.
11. Soft pocket-handkerchiefs. 28. Spittoon.
12. Three pieces of Mackintosh, 2 feet 6 inches square. 29. Tea-equipage.
13. Bed cradle. 30. Tea-kettle.
14. Light bedgowns. 31. Medicine measure.
15. Flannel jacket, and flannel Zouave drawers. 32. Apparatus for keeping food warm, with lamp.
16. Hot-water bottle. 33. Flowers.
17. Bed-pan.

Before a room is occupied by a patient who has been operated on, it should be thoroughly cleaned; the walls and ceiling should be well brushed, the carpet taken away and the floor thoroughly scrubbed with soda. All curtains and chintz furniture should be removed, old window-blinds replaced by new green ones, and the window made to open readily at the top and bottom. A fire or oil-lamp should be lighted in the fireplace to maintain a circulation of air. If the season require a fire, the iron fender should be removed and replaced by a wooden tray of sand or ashes, to prevent the noise of cinders and fire-irons falling on the fender and hearth. It is well also to flush all the drains, water-closets and sinks in the house with disinfecting fluid one or two days before the operation, and a store of Sir William Burnett’s, or similar disinfecting fluid, should be made ready to clear away the fœtid odours of discharges as they arise.

When possible, it is a great advantage to have two beds of similar height and size, that the patient may occupy them alternately. The cool bed refreshes the patient greatly, and the vacated bed is easily cleaned and aired without fatigue to the sick person.

SEDATIVES.

1. Tincture of opium. 3. Morphia suppository.
2. Solution of morphia and hypodermic syringe. 4. Ice.

RESTORATIVES.

1. Brandy, champagne, sherry. 10. Milk.
2. Eau-de-cologne. 11. Lime-water.
3. Liquor ammoniæ. 12. Soda-water.
4. Smelling salts. 13. Eggs.
5. Spirit of chloroform. 14. French bread.
6. A fan. 15. Biscuits.
7. A Rimmel’s perfume vaporiser. 16. Arrow-root.
8. Beef-tea. 17. Liebig’s extract of meat.
9. Chicken-broth.

THE ARREST OF HÆMORRHAGE.

1. Artery forceps. 11. Richardson’s styptic colloid.
2. Torsion forceps. 12. Ice, ice-cold water.
3. Tourniquet. 13. Cautery irons.
4. Tenaculum. 14. Galvanic cautery wire.
5. Hare-lip pins. 15. Ligatures, silk, fine hemp, and whipcord.
6. Acupressure needles. 16. Lint.
7. Nævus needle. 17. Amadou.
8. Wire nippers. 18. Bandages.
9. Solution of perchloride of iron (equal parts of the salt and water). 19. Compressed sponge.
10. Solid perchloride of iron. 20. Scissors.

(See List for the Ligature of Arteries.)