Bleeding From The Upper Arm (Art. Brachialis)

Bring the elbows of the patient as near as possible together upon the back, and fasten them with a bandage. From this point let a doppelt bandage pass down to and over the perineum; separate the bandages again in front, let one end run over the left, the other over the right groin back again to the elbows (see Fig. 1)

Bleeding From The Upper Arm Art Brachialis 299 15a

Fig. 1.

"The illustrations will explain at a glance."

Bleeding From The Arteries In The Upper Third Of The Arm

Acute flexion of the elbow, simple bending of the forearm upon the upper arm, will suffice. But if there is bleeding from the arteries near the joint of the hand or from any part of the hand, then the hand must also be brought into flexion, and secured by a bandage. (See Fig. 2.) The bandage must always be wrapped around the wound first.

Bleeding From The Arteries In The Upper Third Of T 299 15b

Fig. 2.

Bleeding From The Thigh (Art. Femoralis)

It needs no other explanation, as Fig. 3 shows the mode of stopping the hemorrhage from that region temporarily.

Bleeding from the front part of the leg (Art. Tibialis Ant.), same as Fig. 3.

Bleeding From The Thigh Art Femoralis 299 15c

FIG. 3.

Bleeding from the posterior part of the leg (Art. Tibiailis Post, et Peronea) same as above, with the addition of a tampon or compress under the knee joint, or like Fig. 4.

Bleeding From The Foot (Art. Plantaris Et Dorsalis Pedis)

Flexion of the leg upon the thigh, and flexion of the foot upon the front of the tibia.

Objections might also be raised to the above method on account of the pain which it may produce; but the flexion never needs to be so forced as to be unendurable to the patient; the position may be a little uncomfortable to a very sensitive person, that is all. Furthermore, it has been proven that a limb can be kept in a flexed position for several days, "nine by some authors," without any injury, and with a complete closure of the arteries. We do not expect, however, that this method of arresting hemorrhage will ever be adopted as "the" method in surgery, neither will it be necessary here to point out any cases where the practitioner can have and under certain circumstances be obliged to have to resort to this simple method. Military surgeons may also profit by it, for it is certainly a valuable and admirable mode, and so easily applied in cases of emergency by any one, if the unfortunate should be distant from surgical aid. I also believe that it would be advisable and certainly humane, to instruct the people in general, by popular lectures or through the press, the manner of stopping hemorrhage temporarily.

Bleeding From The Foot Art Plantaris Et Dorsalis P 299 15d

Fig. 4.

The simplest of all methods, however, to arrest hemorrhage is the rubber bandage. It has displaced in surgery the old tourniquet almost completely, which required a certain skill and anatomical knowledge to apply it; not necessarily so with the rubber bandage. Any one can apply it, for the amount of pressure needed to arrest the hemorrhage from a wound suggests itself. The rubber bandage produces but little pain; the patient is comparatively comfortable and out of immediate danger and anxiety; while in the meantime the proper attention can be secured.

I think it would be well if our health officers would direct their attention a little to the accidental hemorrhages, and if they do not possess the power, to refer the matter to the proper tribunal to enact a law that would compel all owners and corporations of factories, saw, planing, and rolling mills, and, in fact, every establishment where the laborers are constantly in danger of accidents, to keep on hand a certain number of strong rubber bandages, according to the number of men employed, and that at least several of the men, if not all in every establishment of that kind, be instructed in the application of the bandage. Steamboats and other vessels should carry a supply, and railroad companies should be obliged to furnish all watchmen along their respective roads with rubber bandages, and see that the men know how to use them in case an accident should occur. Every train that goes out should have some bandages on board in care of some employe, who knows how to handle them when needed. Many pounds of precious blood may thus be saved, and danger to life from this cause be averted.--Indiana Medical Reporter.