The Science and Art of Surgery, Volum 2

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Passatges populars

Pàgina 588 - Replace the patient on the face, raising and supporting the chest well on a folded coat or other article of dress. Turn the body very gently on the side and a little beyond, and then briskly on the face, back again; repeating these measures cautiously, efficiently, and perseveringly about fifteen times in the minute, or once every four or five seconds, occasionally varying the side.
Pàgina 285 - ... the elbow-joint, in the bend of the arm, takes hold of the patient's wrist, and bends the arm. At the same time he presses on the radius and ulna with his knee, so as to separate them from the os humeri, and thus the coronoid process is thrown from the posterior fossa of the humerus ; and whilst this pressure is supported by the knee, the arm is to be forcibly but slowly bent, and the reduction is soon effected.
Pàgina 312 - ... whether dislocation, fracture, or bruise ;" this is " an arched form of the lumbar part of the spine, which cannot be straightened so long as the thigh is straight, or on a line with the patient's trunk. When the limb is raised or bent upwards upon the pelvis, the back rests flat upon the bed; but so soon as the limb is allowed to descend, the back becomes arched as...
Pàgina 588 - This mode of treatment, under the name of "Prone and Postural Respiration," is thus described by its distinguished a.uthor : — " (1.) Treat the patient instantly, on the spot, in the open air, exposing the face and chest to the breeze (except in severe weather).
Pàgina 588 - Repeat these movements deliberately and perseveringly, fifteen times only in a minute. (When the patient lies on the thorax, this cavity is compressed by the weight of the body, and expiration takes place. When he is turned on the side, this pressure is removed, and inspiration occurs.) 6th. When the...
Pàgina 399 - In impacted fracture, the upper fragment penetrates the lower one, producing a twisted appearance of the arm, and the axis of the humerus is directed slightly inward, toward the axilla. The head of the bone can be felt in the glenoid cavity, but it is not in the axis of the limb ; the elbow projects slightly from the side, and a hollow is felt under the acromion.
Pàgina 368 - His manner of using this instrument is as follows : " In case of an oblique fracture, or one with overlapping, the skin is perforated with the instrument at such a point as to enable it to be carried through the ends of the fragments, to wound their surfaces, and to transfix whatever tissue may be placed between them. After having transfixed them in one direction, it is withdrawn from...
Pàgina 472 - ... answer quite as well as the instrument which I have had made of iron on the following plan : The two arches, represented by the letter H at one end, are made of iron bars one-eighth of an inch in thickness, and threefourths of an inch in width, and are continuous with the bottom pieces (K), which rest upon the bed, and measure twenty-two inches in length.
Pàgina 305 - Let the operator stand or kneel on the injured side and seize the ankle with one hand and the knee with the other. Then flex the leg on the thigh ; next strongly adduct it, carrying it over the sound one, and at the same time upward over the pelvis by a kind of semi-circular sweep as high as the umbilicus. Then abduct the knee gently, turn the toes outward, the heel inward, and the foot across the opposite and sound limb, making gentle oscillations of the thigh, when the head of the bone will slip...
Pàgina 473 - ... bandage formerly used around the ankle for making extension. The leg then, as seen in figure No. 1. is supported upon the crossbar passing under the bracket (B) attached to the foot-piece, and by resting upon the strap (N), pinned over the bars (A) on either side; while the extension and counter-extension is effected by means of the bar across the foot-piece below, and above by means of adhesive straps three inches in width, as indicated by the letter (M), which are attached to the sides of the...

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