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Show as tannic acid, iron solution, or strong alum water. If the artery is large apply con-striction between it and the heart if possible. If the loss of blood has been great inject into the rectum with a fountain syringe from 2 to 3 ints of normal salt solu-tion to take the place of the blood lost; this will quick1 &sorb. This normal salt solution is made by putting 6 drams of common table s& into a gallon of water and sterilize the solution by boiling; this can be used per rectum as an intra-veinous transfusion or subcutaneous1 , and is wonderful in its efficiency in tiding patients over a collapse from loss of b&od. The third thing to be watched for after anoperationis blaodpoisoning. Itspreseqce is indicated b a rise in temperature; chilly sensations. If the ease is an amputation, remove the Aessinga and see that free drainage is established by removing a. stitch at the lowest angle and appl wet dressings wrung out of asolution of hot water 1 pint and boracic acid one-halrounce, or use a l per cent solution of carbolic acid; if you have no acid, use plain sterilized water as hot as the patient ean bear and confine the heat with oiled pa er or silk. Keep up the patients' strength by as much liquid diet as they can ar$m$ate also by stimulation, and give them protoneuclean grains, 3 per hypodermic, every three hours, and if the temperature does not fall make the ap lication of the dressinga of a more germicidal nature, using bichloride 1-2000 or a mjd solution of creoline or lysol. If the work has been abdominal the thing to watch for is peritonitis. When the patient comes off the table yon want to notice the amount of depression directly over the epigastrium, as the first s mptom of peritonitis is bloating, and it always he ins in the transverse colon, the givrsion of the large intestine which lies directly be%w the stomach, and if you are alert enough to see the first danger signals, start at once to head off intestinal paralysis with cathartic of calomel grajns, 1 every hour until 3 grains ht~veb een taken, fallowed b salts, a teaspoonful of the saturate solution given five hours after the last dose of cayomel has been taken, repeating the salts every hour until there is inhtinal rumbling, and then sup lementing this with an enema of epsom d t s , ounces 3; g p ~ r i n eo,u nces 3, and hoiying water, ounces 4. Introduce this with the long tube, an if you effect a movement, the danger of death is reduced three-fourths. If the patient's stomach rejects the salts, give 3 grains more calomel instead. Few realize how many lives go out because the danger signals are not recognized. Concerning diet, the patient usually feels thirst and is apt to be nauseated so that fluids can not be allowed; when nausea subsides, begin in teaspoonful doses of hot water and increase the uantit as the stomach can tolerate it; for the first twenty-four hours hot water onqy shouyd be taken; the second twenty-four hours a little liq-uid diet beginning with a half ounce at a time, gradually Increasing quantity, but absolutely no solids until the waste in the alimeutar canal has passed off, which should be within the first forty-eight hours; then soliss may be glven : Begin with milk, a poached egg, a bit of toast, and the diet increased according to the judgment of the one in charge. The most common emergencies are wounds and fractnres. A punctured wound is made with a pointed instrument. A contused wound is when the surrounding tissue is bruised.' A lacerated wound is when the surrounding tissue is torn. An incised wound is when there is a clean cut. The treatment of a punctured wound which also applies to gunshot wounds, if they are in the flesh, and do not interfere kith a vital organ, is to make the surroundin tissue clean and do not probe the wound, but seal it air-tight with a. piece of sterilize% cotton oasted down with collodion. A bullet is often so hot that it sterilizes the tract th?ough which it passes. For contused wounds, clean thoroughly and ap ly either arnicahamamelis or a wet dressing until the discoloration and swelling Rave subsided, and then &nkle it with hodic acid powder and dress dry. A larerated wound is treated much the same way; remove any foreign matter, bring together the edges so there is no raw surface. With an incised wound, bring the edges into apposition and hold them with strips of adhesive plaster or stitches; should a wound be infected, cleanse twice daily with sterile water and an antiseptic solution, and keep the dressing6 dry and absolutely clean. Remember that nothing is clean which he made cleaner. Fractures : Symptoms of fracture are deformit , a grating sound if the ends of the bone rub again~et ach other, discoloration, an2 pain. The most common kinds are the incomplete, peculiar to childhood, when the soft hones bend rather than break, and the simple when there is an uncomplicated break, and compound when there is an open wound leadin to the point of fmtnre. Treatment for a simple fracture is to bring the ends of %one into apposition, the |
