A manual of minor surgery and bandaging for the use of house surgeons, dressers and junior practitioners.

  • Christopher Heath
Date:
1862
Catalogue details

Licence: Public Domain Mark

Credit: A manual of minor surgery and bandaging for the use of house surgeons, dressers and junior practitioners. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

    48/256 (page 24)
    HiEMORlUIAGE. TJleeralion nnd slovrjldng may give rise to very severe and even fatal iuemorrliage by opening into a large vessel. IJere the temporary arrest by pressure on the main trunk, and the subsequent adoption of the treatment ])roper for wounds of arteries (p. 19), must be had recourse to ; although in some localities, /IS in the tln'oat after scarlet fever, &c., the hannorrhage is beyond the surgeon's control, and -will prove fatal. HiEJIOIllinAaE ArTUll SUItGICAL OPERATIONS. IIcc7norrliaf/e after extraction of teeth is sometimes troublesome, particularly in feeble patients. It is best treated by careful and forcible plugging with a strip of lint, which is to be thrust bit by bit into the socket until it projects beyond the neighbouring teeth; the pressure of the opposite jaw, maintained by a bandage imder the chin, will then keep it sufficiently tight. Jlccmorrliarjc from the tonsils may follow either the puncture of an inflamed tonsil, or the removal of one which is chronically enlarged, and the former is naturally the more severe accident. The blood comes only from the branches of artery to the tonsil, and never from the internal carotid; and if gargling with iced water fails to arrest the ha?morrhage, the Tinctura Ferri Sesquichloridi, or still better, the solu- tion of the perchloride of iron of the Trench, may be almost certainly depended upon to eftect it. It should be applied by means of a small sponge or piece of lint, which must be held firmly against the bleeding point for some minutes.* * Compare two cases of haemorrliage fioni the tonsils in ' Medical Times and Gazette,' 24tli December, 1859. In one tlie hffiinorrliage was arrested by stj'ptics; in tbe otber the common carotid was tied for a snpposed wound of tlie internal carotid, and the patient sni)seqnently dying of consequent soften- ing of the brain, that vessel was found intact.