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Show 4% or BLEEDING IN run NECK, roor, 8w. INFLAMMATION OF THE ARM, UNDER THE FASCIA. gently upwards with a warm hand; that is, you force the blood from the deeper veins, while, by relaxing the skin, you give greater freedom to the superficial course of the blood. If the patient is faint, you lay him horizontally. When you wish to stop the blood, you put the thumb of the left hand firmly on the vein, a little below the orifice, and loosen the bandage. Generally when the bandage is taken from the arm, the bleeding stops, and a very slight compression secures it. We put on a small compress of lint, as we would apply a piece of adhesive plaster. Putting it down upon one edge, we stretch the wound. longitudinally with the finger and thum b of the otii~ (L) BAD CONéEQUENCES \VHICH MAY FOLLOW BLEEDING IN THE ARM. Eecumrosrs.-When the blood does not readily step, and when the pressure has not been sufficient to compress the vein; n hen soon after the operation, the patient has strongly exerted himself ; when he complains of pain and stiffness, and upon taking off the bandage the orifice and the skin for some extent round it is black with blood extravasated under the skin; the distended vein has burst forth, and poured the blood amongst the cellular membrane ;---the part is to be embrocated with vinegar, spirits, camphorated spirits, See. er hand, bringing the lips by that means accur ately together, in the hope of preventing suppuration. so as to prevent the fleecy lint from entering betwixt the li us of the puncture. Over this is placed a larger compress, lowing day, instead of finding the puncture healed up, and Perhaps on the fol- A I R i . f. o 40.5le Mimi and then a roller, which is made to encircle the arm above and be» low the ellww-joint, in form of the figure of 8:15. ‘,R,.,., V". . :. Ahv'~"'?‘- ' '- 11- may be necessary to perform . cp:r:s.tioii ins-tar unit-oust" and it requires no apparatus ; nothing but the hmcct and a small basou. The patient. is laid with the head low. Ifit be a clLild on whom you have to operate, you lay the child over your knee, and pressing the fingers and thumb on the low» or part of the neck, on each side of the trache a, so as to compress the jugular vein, you strike the lancet into the ("r tcrnuljug‘ular vein, as it crosses the mastoid muscle. The pressure of t ede‘e of the boson below the or iticc will be sufficient to produce a. flour ct blood. ....~ dc -- A-e-- "W ‘ " and are hard, fretted, and inflamed. Bathe the part with warm water, and dress lightly with soft, dry lint. If the part still remains fretted, a little mild *‘ or BLEEDIEG :2: TELL NECK. l free from inflammation, the lips of the orifice are turned out, ointment will be necessary. If the inflammation extends with an erysipelatous character, use a more general fomentation. If the sore becomes very irritable, a cold poultiee of a weal: solution of lead, with or without opium, will frequently re~ lieve it. [NFLAMMATION OF THE ARM, UNDER THE FASCIA. or BLEIZJ IZIC‘. IN THE TOO 4‘. Tina ligature is put a little 2‘." the ankle, or b;‘ cw the knee, and t.'.z' ‘ \ -' em on ‘the inner ' that usuankle is ally struck. Ifthe blood does not flow freelr, the foot is u ' i i put into tin: warm water, to bleed there ; and \a e have to judge ofthe (iuzmtitr , ‘ ‘ ' > drawn by . . V the stream i. of bloom, .‘in the n ate-r, , '. h feet put into warm water. ' Ine " «(‘7 a: v saplicna and the declines ti." gr of the Water. or ensrmxc; 1.x '1;:;; TEMPORAL Aui 2;:1'. 'l‘n: artery is struck lv ore the ear, " ‘ t such {:81 re" ‘7' gum, that it may be fairly exposed to co "prelim-m. It may be struck at once, opening the intcgumcnts freely mcr it ; or a small incision may he . ~' 1 i made with ' toe lancet m» ors it, and then the artery punctured. The common roller and cmnpress will stop it. It has, however, been found not essarv to .. across befor tut ,,_ e It stepped. I SAY inflammation of the arm, because I see no proof of this effect which I am going to describe proceeding from inflam- mation of the fascia. To such an inflammation of the orifice as I have noticed in the last paragraph, there succeeds great pain and (‘liiliculty of moving the arm, with a sense of tightness and binding, and pain on pressure. These symptoms I conceive to proceed from the inflammation spreading in the cellular membrane, and passing down ni‘nongst the muscles and under the fascia. The fascia acts as a "ocunlage; and from the swelling of the parts beneath, it UDJ'T " Mum |