The Atlanta Medical and Surgical Journal, Vol. 6

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Excerpt from The Atlanta Medical and Surgical Journal, Vol. 6: March, 1889To better illustrate the application of a Splint, we will take a case from practice. I receive a call that Tom Jones had bro ken his leg. Come out at once and fix it up. Get things ready to set a fractured leg, I call to my assistants. In five minutes the things are all packed in.a satchel, and we are on our way to the patient. But pause a moment, and we will look at the contents of the satchel. It contains a bucket of plaster of Paris bandages, half a dozen ¿annel roller bandages, a pound of ether, a few narrow strips of perforated tin, a tape-line and a a pair of scissors. We reach the patient and find that Tom is a very stout, inuscular man, weighing about two hundred pounds. An examination reveals an oblique fracture of the upper third of the right thigh, with two inches shortening. We immediately proceed to work, one assistant etherizes the patient, and the other gets things in order. An old sheet is put down by the bed to cover the carpet, on it, in easy reach, put a basin of cold water, place the plaster bandages close beside the basin, and have the ¿annel bandages at hand. While this is being done, I secure a few large books, tie them securely together, then wrap a towel around a broom-stick and fasten it. By this time Tom is etherized. I put the broom-stick down inside the side railing Of the bed between two of the slats upright, while the end of the handle rests on the ¿oor, an assistant holds it in this position. Now we pull Tom across the sides of the bed until his buttocks rest on the edge, while his legs hang over it, with the broom handle between them, pressing against the perineum. I have Tom lifted, and put the book under his left buttock. This keeps him raised high enough for me to get around the pelvis with my bandage.The assistant begins to make slow and steady extension, the counter-extension is made by the broom-handle, held firmly against the perineum. The towel wrapped around the broom handle protects the perineum from injury. The slow, steady extension is kept up until the fracture is reduced, I hold both legs up side by side, and satisfy myself by exact measurement with the tape line, that both legs are the same length, keep up the extension all the time the bandage is being applied.About the PublisherForgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.comThis book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.