Fig. 6
Arm blown off at elbow
NOTICE:
1. Bandage on stump.
2. Tourniquet below to check bleeding.
3. Arm held upright to lessen bleeding.
4. Strap supports arm and also acts as a tourniquet.

[1482]. The dangers from a tourniquet are:

1. Gangrene,—that is, the death of a limb caused by the lack of blood, which has been cut off by the tourniquet. By watching the toes and finger tips and loosening the tourniquet if they are becoming blue black and remain white when pinched, gangrene may be prevented. However, the wound should be plugged before loosening the tourniquet.

2. Injury to nerves from pressure which may cause palsy (paralysis). However, that will generally pass off in a few days.

Fig. 7
Compound fracture

[1483]. Broken Bones (Fractures). A broken bone or fracture is known by pain in a particular place that hurts on movement or when touched. Also, by a deformity or a movable lump, caused by the broken end of the bone.

A broken bone should be handled with the greatest possible care. Careless handling may cause the broken ends to pierce the flesh and stick out through the skin. This is called a compound fracture, and is serious, because it adds fuel to the fire by making a doorway for germs to enter, which may cause death or the loss of the limb. Furthermore, careless handling may make the bones grow together in a bad position, causing a deformity.