Forest City press. (Forest City, Potter County, D.T. [S.D.]) 1883-19??, 1915-10-06
CARE OF WAR WOUNDS.

In the last week OF July. 1914, a
great surgical congress was being held
In London. The leading surgeons of
the world We're expected. The great
est single attraction was to be Won
Eiselsberg. When the congress opened
1t was noticed that German and Aus
TRAN surgeons were not in attendance
Few present inferred that this meant
that war was a practical certainty.
On the last day of the came
the first of Il series of declarations OF
war. The congress was held with
out it's stellar attraction--the clinic 10y
Won Eiselsberg. There are those who
hold that the opinion of Won Eisels-
berg on a surgical subject is the best
to be had III the world.
The nance that Germany and Aus
tria have to win this war depends very
much upon The care k of their men.
The best minds in sanitation are en-
gagged in protecting the soldiers against
all forms of ~preventable disease. Rub
ner is settling all questions as to food.
drink. and clothing. In addition, there
is need that the wounded shall be We'll
cared for and returned to the ranks at
the front with the greatest possible
haste.
The greatest surgical genius Of his
country. Austria. Von EiselsberS. has
drawn up a series of directions for the
care of the wounded in this hour of
need for Austria n Germany. Most
of what he says applies to the treat
ment of ordinary wounds among peo-
pie engaged in the ordinary duties OF
life. Those that do not apply to the
ordinary accidents of the ordinary man
do apply to the men who handle heavy
machinery or use high explosives in
the very large manufacturing plants
and big mines.
Surgery, Gynecology and Obstetrics
for June publishes the following 10
commandments for the military sur
geon:
81. The fresh wound must not be
touched with the finger. and no anti
septics must be applied to 1t. AS soon
as possible the fresh wound is COW
cred with Il piece of dressing without
the wound or tissues around it being
washed or irrigated. The dressing
should be sterile white microscopic
hand as an Individual dressing. This
sterile dressing is fastened with a
bandage-if necessary with adhesive
plaster. Care should be exercised in
using null %bandages. for if they are
applied a little bit too firmly they may
cause construction.
"2. The treatment of primary hem
orrhage. if local compression with
dressings is not sufficient, is to be ac-
complished with elastic bandages OF
tourniquet. Hemorrhage from large
arterial trunks may be controlled by
pressure with the finger. wrapped. il
possible, with sterile gauze. Hemos-
tasis with instruments OigatiOn)
should be deferred so far as possible
until a stationary hospital is reached
IS. The canal of the bullet should
not be probed, either with a III OF
with the finger, nor should it be tam
pOned with a piece of dressing, even II
it is sterile. The rule holds. too. In
general for the later treatment OF
wounds. The sound, dressing forceps
or finger can be introduced for the
sake of orientation only Immediately
before or during the opening of a
wound for suppuration.
"a. Fractures should he immobil-
lied by fixing both the neighboring
Joints. In the first dressing at the
front it is not SO important to produce
accurate coaptation as to see that the
each other or exert pressure upo
~neighboring soft parts. This fixation
may be accomplished by means of a
plaster dressing, if the material is at
hand and the physician is a master OF
the technic. Generally he only applies
splints. The wire splint in different
sizes is an excellent splint for univer-
sal use. The fiXation of the the broken
femur is he most difficult, especially
If the fracture is above the middle, as
the ordinary Petit's boots are not ade-
quate. For transportation 1 would
u " IN PIl
which has two lateral wings to enclose
the thigh and pelvis. In the final
treatment of fractures OF the long
bones, especially the femur, l use ex-
tension as much as possible, and finally
get the patient On his feet again by
the use of plaster or mu dressings.
rs. The extraction Of projectiles is
a pressing operation only in very rare
cases and even secondarily should only
be performed when there is some spe-
cial indication for it, as when the bull.
let is causing serious symptoms or car
be felt Immediately under the skin
The desire of the patient to nave the
bullet removed should not influence
the physician to remove it. The Ro-
entgen picture makes the diagnosis OF
of the location of the bullet easier
but should not cad the surgeon to per.
form an operation that is not indicated
1t almost looks a. If Roentg@nology
had brought about dangerous attempts
at extraction, by which patients have
been injured.
&c. In all painful operations, ever
painful changing of dressings, where
injection of morphine, is not sufficient
ether should be resorted to. Ether vapol
n slight ether anaesthesia are Otter
a failure, especially in the phlegmOnou:
processes.
should be emptied out by incision ant
counter-incision along the dressing for
cepts introduced into the wound, an(
then-always under anaesthesia-s
drainage tube inserted. Tamponing o.
the opening should always be avoided
Changing a tampon and applying {
fresh one are not only painful, but di
rectly injurious.
80. In every swelling that is at frs
diffuse and Their gives the impression