Memphis daily appeal. [volume] (Memphis, Tenn.) 1847-1886, 1862-07-12

Injured. the sufferer will probably bleed to DEATH
unless aid be afforded, by making compression
/ above, and on the bleeding part. long, pu'
not broad stone, tied sharply on with a hanker-
chief. will often suffice until assistance can De
/ obtained when both ends OF the divided OF
wounded artery are to be secured by ligetures
- The upper end of the great artery OF the
] thigh bleeds scarlet blood, the lower END dsEH
/ vc1ous-colored blood and this is not departed
/ from in a case Of accidental injury unless there
! have been previous disease IN the limb A
! lrnovvladoe Of this fact or circumstance, which
| continues for several days, viii prevent mis-
! take at the moment of injury, and at subse-
ousnt period, if secondary hemorrhage should
! occur II the upper extremity both ends of the
nrincipal artery bleed scarlet blood from the
| free collateral circulation, and from the anasto-
moses in the hand.
96. From this cause, modification rarely takes
place after wound of the principal artery Of the
/ arm, or even Of the arm-pit.
It frequently follows wound Of the principal
artery in the under, middle or even lower parts
of the ihgh, rendering amputatlOn necessary.
y. /. is a great question, when the bone Is
uuipiured, v here and what part the Smputation
should be performed. Notification of the foot
aud leg. from such wound is disposed to stop
q little below the knee, if il should not destroy
the sufferer and the operation, il done in the
first instance, as soon as the tallowy or mOttled
| appearance Of the foot is observed, should be
done at that part; the wound of the artery, and
the operation for securing the vessel above and
below the wound, being left unheeded By this
proceeding, when successful, the knee-joint is
saved, while en- amputston above the middle OF
the thigh is always doubtful in lis result.
2S When modification has taken place from
any cause, and has been arrested below the
knee, and the dead parts show some sign of sep
sration, il is usual to amputate above the knee.
BY lot doing it, but by gradually separating and
removing the dead parts, under the use Of disin-
fecting medicaments aud fresh aif, good stump
may be ultimately made, the knee.joint and life
being preserved which latter is frequently lest
after amputating under such circumstances.
- Hospital g&ngrene, when it unfortunately
occurs, should be considered to be contagious
and infectious, and is to be treated locally by
destructive remedies, such as nitric acid, and the
! bivouacing or encamping Of the rem2inder of the
wound, If It can be effected, or their removal to
! the open air.
30 Poultices have been very often applied in
| rur-shot wounds from laziness, or to cover neg
| Iect, and should be used as seldom as possible.
81 Cbloroform may be Administered in all
| cases of amputatiOn Of the upper extremity and
| below the knee, and in all minor operations :;
which cases may also be deferred, without dis
advantage, URtil the more serious operations are
performed.
B. AmputaGon of the upper and middle
parts Of the thigh are to be done as soon as pos
siple after the receipt of the injury. The ad-
ministration of chloroform in them, when there
is much pTostration, is doubtful, and mast be
attended to- and observed with great care. The
question whether it should not be administered
| in such cases being undecided.
| 2l If the young surgeon should not feel
! quito equal to the ready performance of the va
| rious operations recommended, many of them
! requiring great anatomical knowledge and man
ual dexterity (and it is not to be expected that
he should), ne should avail himself of every OPP
pOrtunity which may offer of peIfecting his
| knowledge.
The surgery of the British army should be at
the hight of The surgery Of the metropolis, and
the medical officers Of that service should reco-
lect, that the elevation at which it has arrived
/ has been on many points principally due to the
! labors OF their predecessors, during the war in
/ the Peninsula. 1t is expected, then, that they
viii not only correct any errors into which their
/ predecessors may have fallen, but excel them by
the additions opportunities viii permit them
I 70 make in the improvement of the great art and
science Of zungerY.-L london IeaeA' g1---.''sle