Memphis daily appeal. [volume] (Memphis, Tenn.) 1847-1886, 1862-07-01

injured. the srfferer will probably bleed to DEATH
unless aid be afforded, by making compression
abovs and on the bleeding part long, pu1
not broad stone, tied sharply on win bAhAeI-
chief will often suffice until assistance can De
obtained when both ends OF tho DIVIDED Ut
wounded artery are to be secured by iig~tHts'
- The upper end Of the great artery ol '.e
thigh bleeds scarlet blood, the lower end dark
vanous-colored blood and this Is not departed
fron in a case of accidental injury unless there
have been previous disease IN the limb a
l-nowledge If this TACT or circumstance, winch
continues for several days, will prevent a mis-
,aLe AT the moment of injury, and at subse
ouent nariod, if secondary bemorrhage should
occur In the upper extremity both ends oi me
rrincipa artery bleed scarlet blood, from the
FREQ collateral circulation, and from the anasto
moses in the hand
26 From this cause, modification rarely takes
place after wound OF the principal artery oi inc
arm. or even Of the arm-pt.
It f-sgzeRHg follows a wound OF the principal
artery in the under, middle, or even lower parts
of the thigh, rendering amputahOn necessary.
y. l. is a great on ,siion, when the bone is
uniI ilred, where and what part the amputa;iOn
should be performed. Nh ifcston Of the iOot
and leg from such a wound, is disposed TO stop
a little below the knee, il it should not destroy
the sufferer: and the operstou, If done in the
appearance Of the foot IS observed, should be
done at that part the wound Of the artery, and
the operation for securing the vessel sbove and
below the wound, being left uDheeded by this
proceeding, y hen successful, the kneeJoiot Is
.Av i, whle sn ampuseti5n above the middle Of
ilie thigh is always doubtful ia its result.
% When modification has taken place from
any cause, and hss been arrested below the
knee, aad the dead parts show some sign Ofiep
-, q. IL l..
BY not ding it, but by gradually separating and
removing the dead parts, under the use CT disin-
f,cting medic2meats and fresh air, good stump
may be ultima 'ely made, the knee j5int and life
being pTesarged which latter is iIequeHtly !, 81
after smputating under such girrumSignceg.
- Hospital gsngrene, when it unfortunately
occurs, should be considered TO be contagious
and infectious, aud is to be treated locally by
destructive remedies, such as nitric acid, and the
biYoUacing OF encampDg Of the remainder o. the
wound, il it can be Effected or tlsir remoYel to
the open air.
50 Foultic9s have been very often spplied in
guu-shot wounds, from iasness, ar 10 p6g5r neg
lect, and should be used rs seldom as pasSi6e
81 ChlOrOiOTm may be Administered IN all
cases Gf 4Wgutstian Of the upper extremity and
below the knee, sul in ali minor operations
which cases may also be deferred, without dis
advantage, uatil the m9Ts spTjOEs operations are
performed.
3} Auputalion cf the upper ard middle
parts Of llle thigh are to be done as soon as pos
siple aleT the II Geipt of the il jury. The sd
ninistration of cAloroform ip them, Ehsp thRre
is mach prOsITaiiOD, is doubtful, and pUss be
attended TO, and observed with great cara. The
question whether it should not be administered
IN such cases being undecided.
q. II tie young surgeon should not feel
quite eqpal to the ready performances Of the Va
Ti0uS operations recommended many Of them |
requiring great anatomical knowledge and mar
ual deHtenty aid L is not to be expected that |
he shcpd), he she ud avail nilnsgif 3f eyeyy op-
portuniiy which may offer Of peIfecting his !
knowledge
Ile s65s3iT of the British army should be at |
the hight Of the surgery Of the metropolis, and |
the medical offers OF that service should Teeol
lfct, that tie elevation at which it Las arrived |
has been ~ RanY points principally due to the |
ls5oIs OF thtiT predecessors, dgripg the wsr in
the Peninsula. 1t is expected, tfeu, that lissy |
yil not only correct any errors into which their
may have fallen, but excel them by |
ihe gddiEQus theiT oPpeTiunites will permit them |
70 make in the Improvement Of the great Grt aud |
science u surgeTY.-iaHd0a LaReef for June.