Synopsis
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1892 edition. Excerpt: ...as he can swallow give him some brandy and water. Now, what is the condition of things in his case? If we could look into his chest and abdomen we would find all the numerous veins of the entire intestinal canal, peritoneum and of other viscera contained in the abdominal cavity intensely injected with blood, their coats almost paralyzed; the arteries and the left side of the heart would be found empty, and consequently the heart has ceased to beat. The man is practically dead, and beautifully exemplifies the possibility of one's bleeding to death into one's own veins. No matter, then, where the blood is; as long as there is none in the left heart and the arteries, the man must die. Therefore, all indications for treatment in these cases are the promptemployment of all such means as are calculated getting the blood contained in his over-distended veins back into the heart. You lay him flat on his back to facilitate the flow of blood back to the heart, you make pressure on the abdomen and rub his legs and arms centripetally with the same object in view: you give him brandy internally in order to induce peristaltic or vermicular contractions of the intestinal canal whereby the over-distended veins are freed from the blood which they contain. All these means have the same object, and until this is attained our patient will remain dead; with the equalization of the circulation, however, quick recovery follows. Practical exercises in dressing and arresting hemorrhage from different parts of the body. LECTURE IV. FRACTURES. The force required to break a thoroughly sound bone is generally quite considerable; fractures that are caused by mere muscular contraction, on the other hand, almost always indicate a diseased or abnormal condition of the...
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