The daily morning journal and courier., 1901-06-20
CRITICAL HEMORRHAGE.
Paper Read Before Hartford Medical
 Society.

Taper Read Before I1afttofQ Medlca
 Society.
 Dr. Robert II. M Dawborn of New
 York. professor in the College of Thy
 slcans and Surgeons and the Post i Graduate Medical College in New York, read paper before the Hartford Medi-
 cal society at the Hunt Memorial build l ing Monday evening on Emergencies l in Medical and Surgical Hemorrhagos. " l In the afternoon Professor DaWborn i performed two operations at the Hart
 ford hospital, in the presence of a
 number of local surgeons. pr. DaW-
 born was a classmate at the College of | Physicians and Surgeons of Dr. Joseph | E. Root of this city.
 Under the head of medical hemor- images the speaker considered those
 cases of bleeding where it Is impossible to apply direct pressure to the broken vessel. In these eases he was not an advocate of the use of drugs. Morphia might be used to quiet the excitement
 and a.conite if the heart were pumping
 too vigorously. What aconite can do in very feeble and slow way might however, be accomplished promptly and effectually by plan of extreme an tiquity, which seems to have been for gotten by most practitioners of the present genera tion. He referred to the cording of the extremities. Three limbs should be corded close to the trunk, using knotted towel about each, twisted tightly by aid of a stick, and the evidence that the construction is ef- fective would be the swelling of the limbs from accumulation of Venous blood in them This swelling continues until, from cardiac and brain anania, the patient is made somewhat faint. Three limbs only are to be corded at one time, and. after half an hour. tne fourth should be corded and the first released, and so on. The same method is the proper one in apopleXy, where there is a ruddy face, hard pulse and sterterous breathing. Painting has saved many a life where suicide has been attempted by throat cut or sever ing the vessels at the wrist. During that condition blood pressure at the bleeding point is so reduced that an effective clot can form, plugging the vessel. The same idea in principle was 
 Dr. Dawborn talked at greater length on surgical hemorrhage. He expressed the wish that some professor in the col leges of pharmacy would rise up and tell the embryo druggists not to use astringents and styptics in the control of such emergency bleeding as they would be called upon to treat. They should put no drug whatever into the bleeding wound. Deaths from nasal he said, need never occur. If the bleeding is from the inferior artery of the septum, 1t is readily that pressure upon the upper lip may stop it. When the bleed ing spot on the septum can be located. by means of bent hairpin used as Il it can be cauterlzed by an other hairpin, strengthened, out and heated red hot at one end in flame. When the bleeding spot cannot be To- ,ated. a gentle packing from the front 1 may be tried with a strip of gauge soaked in some unirritating chemical | 1f hemosfatic qualities All irritant | styptics should be barred. If these means fail the physician knows that ! III cases of nose bleed may be stopped 1 oy thorough tamponage of both ante for and posterior nares The lecturer described in detail his method of tam ,onage as somewhat modified from the isual method. Dr. Dawborn spoke df ther kinds of emergency hemorrhagcs, md in conclusion expressed his cordial of the brotherly way in which he had been received by the Yo- iety and promised that he would not e found wanting in hospitality If he ociety, collectively or as individuals,
 sited his village"
 Before the reading of the paper a eception in honor of the guest of the vening was held and many local phy- icians had the pleasure of meeting him.