The Houston daily post. [volume] (Houston, Tex.) 1886-1903, 1896-01-26

and fluid nourishment, such as calculated
to support the system under the drain of
prolonged suppuration, and treat such
complications as pneumonia pleurisy,
poritonit,s. enteritis or hemorrhage on
general principles. When slough puts on,
as IL sometimes does. norid EXAMINATIONS,
they become as other ulcers and should
be treated as such.
In conclusion, on treatment let me insist
on. whatever Is done let 1t be strictly
aseptic and more especially WITHIN accord
of the modern teachings of the term
Scars from burns or scalds are almost
certain to contract more or less for a
long time. and produce, in bad cases
most terrible deformities. These are "a
he prevented by position, splints, active
and passive motion and later by operative
measures.
SPECIAL POINTS IN AMpUTATlONs-
Nv / s Letcher Md, Dallas. TeNas,
Local surgeon Gulf. Colorado ana santa
ITe Railroad. .s
In Inc practice of railway surgery as
met by the lccal surgeon, there are Ptuo-
ably no more nice questions ptestn'e''
tbnn those which must he settled whel
On iri,,rv to an extremity is such that the
necessity of amputation is suggested Cut''
snrains bruises, dslocations ana Irac-
,nres receive temporary treatment ana II
| tho case proves of length the patient Is
| sent to the general hospital. wheh ,he "
| tails of treatment are carried out ny WV
| faculty, who relieves the Local surgeon Vi
| responsibility and annoyance EVeh WEN
either supposed or real spinal injuries on
| tain notice of the courts, the case haNi"b
nassed early out OF his hands, he Is pre-
sumed 10 be in possession of less M o' ma
! ton than the chief surgeon ana ms US
| sistants in whose charge the patleh, ia ;
fingered On the other hama such 'ii w, t vs.
| as probably necessitate amputatioh can i"l
prompt decision and intelligent ac'oli VI
the mart of the local surgeon ON whoH
| the entire responsibility must rest anu
uron whose wisdom and skill must oc-
nerd the life and limbs OF the patent
and the legal interest Of the coHpd"!
he repre sents When the company IS not
| ably represented tho misfortune to all con-
cefned is great for however caret"'lE ~
| rections have been given, ana however
chief surgeons desire to advise. the nature
of the injury prevents the patients re-
moval and the emergency OF the case
precludes the possibility of personal m
| spection by the superior officer. Inc -oilE
Of having down specific rules by one Fur-
| geon for the ,udance Of another u,,te'
emergencies. is very plain ana II j mn ,,
/, cult for those to whom they are se"'
Ia avoid the belief that he attehP' i
not only foolish, but presumptious'
Ii would likewise be, for tins paper :,
undertake to define the plan best adapted
in conditions referred to. The question:
to he settled upon the merits OF each cast
are:
!. Is amputation imperative? a.,
3, When should amputation be hiaue
3. Where should amputation he h'"'e
The same general rules apphcaole U
other injuries will obtain except .nat - -
auently the hurt is so extensive tlat u
order to control immediate hemorrhase y
to prevent that which may he eNpeEte'
on recovery from shock, will compei so','
early attention to blood vessels anu
the shock is not too profound ana W
injury not too near the body, ampul"''o'
and permanent dressing VIII not prouuc
more than temporary shock OF REM. .
more serious the condition OF the patlel.,
To decide whether limb must De 90
feed becomes at once grave ques. ",
and unfortunately for the victims Oh '"''
! road accidents, when the injury mas y
comparatively extensive, there are sPe ,,,e
, rea sons for an unfavorable decision, -, u
parts are generally lacerated' ana II - ~,
are at all injured the fractures are 80
minuted. Injuries of such variety nre peou
liarly liable to assume a gangrehous coz
! dltion owing TO the mashed nhuscu'a -,
; sue, and therefore stranSuIatIoh oi :. =.
blood supply. Besides this tendency Oh W
tissue at the seat of the injury, there nag