The training and work of first aid parties / issued by the Home Office (Air Raid Precautions Department).

Date:
1939
Catalogue details

Licence: Public Domain Mark

Credit: The training and work of first aid parties / issued by the Home Office (Air Raid Precautions Department). Source: Wellcome Collection.

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    APPENDIX F Wounds of abdominal wall WOUNDS OF THE FRONT WALL OF THE ABDOMEN. Wounds here may or may not be accompanied by protrusion of bowel or other organs through the wound. Immediate treatment is as follows:— (a) When bowels or other organs protrude, whether the wound is vertical or transverse :— (i) Keep the case lying on his back; draw his knees well up, and support his head and shoulders well raised. Apply lint or a soft towel, if possible, wrung out of hot water, to which, if readily available, table salt may be added (one teaspoonful of table salt to a pint of clean hot water). Cover the lint with cotton wool or soft clean flannel or similar material, securing it firmly but carefully with a broad bandage eau eas bandage “ broad-fold ”’). (b) When there 1s no protrusion of organs :— (i) If the wound is vertical—keep him flat on his back with legs straight; OR (ii) If the wound is horizontal, keep him on his back, with knees drawn up and his head and shoulders well raised. Apply a dressing and broad bandage firmly and evenly. In all cases—give nothing by the mouth. Keep the case warm. Don’t move him unless absolutely necessary until he is to be placed in the ambulance vehicle. Shock will be extreme and secondary shock must be guarded against. Appropriate careful management, and rapid, smooth transport to hospital are essential if the case is not to be prejudiced from the outset. In treating shock, if they are available, put hot-water bottles in the axillae and lying across both thighs, taking care they do not scald or burn him. (Cowell.) Be careful that blankets or rugs do nat press on the abdomen. Let all movement be as smooth and gentle as possible. APPENDIX G Burns and scalds: quicklime and acid in the eye: eye irrigation after duty BURNS AND: SCALDS. In addition to injuries due to missiles or to falling debris, burns or scalds may need attention. A burn is caused by dry heat (flame, hot metal, an electric current, or a strong acid or alkali). A scald is caused by wet heat (e.g. steam, boiling water or oil). The general rules for the treatment of both burns and scalds ave:— (1) Carefully remove the clothing from the affected part, except where it sticks. Cut round the pieces of cloth which stick to the flesh and leave them in position when you remove the garment. (2) If blisters have formed do not break or puncture them, but as far as possible, protect them and keep them intact. (3) Immediately exclude airy from the affected part. Either immerse it in water (preferably at the temperature of the body) or cover the part with clean cotton wool, lint or soft clean cloths if available, and bandage on. This is until suitable dressings can be prepared.
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