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Show 116 GENERAL raLA‘mws 1' or rnaclcnn. placing of these aright, all pressure of the bandage or splints may be prevented on the sharp spines, or on the fractured extremities of the bones, and, where the bones are only thinly covered by integuments, or where the skin is tender. Further, by the management of these pieces of linen, and these compresses, the necessity of a bandage under the splints is avoided; for by this means the splints, coming to press equally over the whole limb, (unless on the guarded parts), the limb is uniformly supported by the bandage, which is placed above the splints. I believe that the bandaging of a fractured limb, before the 1 ; TOW tNlJlA :-plints are applied, may be of use, when well done; but it is always attended with the danger of being applied too tight at first, or becoming so from the swelling of the parts, for in that case it is not merely the undoing of a superficial roller which is required to give ease, but the splints are to be taken oil", and the bandage undone,‘to do which it is necessary to raise the limb from its position. ' ‘he splints are to be had in the shops, and every young man can make them. But I would recommend pasteboard to be much used, especially in the lesser splints which may V M_>s,:__.._ ,_ .~m~.<-e-;a be required, while one larger, of wood, or leather and wood, gives strength to the whole. The only disadvantage of the pastcboard, is, that in the event of rising inflammation and tumefaction, we may wish to apply wet and cool cloths to the part, by which the splints are softened ; but still if the larger splint be firm, it will be a sufficient guard. When there is an evident necessity, in the beginning, for fonlenting the limb, it ought to be laid out on the tin splint. It will be understood that I apply the bandaging over the splints. I have only to add, that we ought not to use one very GENERAL TREATMENT or FRACTURE. 11; If the first turns of a roller be tight, the whole must be undone before we can loosen these; but if it be lightly put round at first, and then with increasing tightness, then merely to unpin it, and undo one or two turns, gives relief. In most cases the eighteen tailed bandage is to be preferred to the roller. When we bandage a limb for whatever cause, we must support the lower part of it by a few turns of the roller; else place a fulness and kind of strangulation, as it were, Will take . in the hand or foot. is r membe broken. the which In regard to the position in reto be laid, we may say in general that the joint 18 to be are laxed, or the limb placed in a half-bent position; there the of part th1s reserve shall exceptions to this rule, but we subject until we come to speak of the particular accrdents. in laying a limb with a COMPOUND rmeruan while the general principle remains the same, some things must be (hf- . ferently managed from the simple fracture. - We have already remarked that there is a real and import arising e, fractur und compo ant distinction in the simple and l wound. from the more breaking of the skin, or the externa t to Our first care then is, if possible, to reduce the acciden of the nature of a simple fracture, by securing the healing and project the external wound. But perhaps the bones cannot easily be withdrawn from the wound. ought to have it in our power to ease the whole, by undoing . the outermost bandage. I r , we '2"? -‘viyghagau fv-W ,, p.44 _.- long roller, but lesser ones, distinct in their attachments ; and 't hat the one last applied should always be the tightest, for if the. limb swells too much, or there is pain and uneasiness, we This plan will shew that when the end of the broken bone projects, the direct extension of the limb is improper, 1t forces the sides of the bones against each other, 311d the "PP" |