Bandages and medical appliances.

In our illustration on p. 690, Fig. 1 represents the cross bandages applied to an injured head; and here we may remark, once for all, that in bandaging, as in knotting or lashing, simplicity is the essence of security. Let as many turns of the bandages be used as are absolutely necessary to cover and secure the dressings of the wound; all in addition are not only superfluous, but detrimental.

Fig. 2 (p. 690) shows the support for a dislocated shoulder or broken collar-bone: a roll or pad of calico is placed under the armpit, and secured by a bandage over the opposite shoulder; another bandage is then passed in figures-of-8 fashion round the arm and the body, in order to confine the arm close to the side. The arm of this figure, with the palm of the hand placed against the breast, as at Fig. 3 (p. 690), shows the position in which the limb should be placed in cases of fracture of the bones or other injury; the hand then lying between the prone and supine positions, and the bones and muscles assuming, without constraint, their natural relative position towards each other. This figure also shows the manner of applying a bandage to a taper limb. If the bandage were wound spirally round, one edge would be unduly tight while the other would be slack; therefore, at every turn round the limb a turn more or less decided is taken in the bandage, which thus accommodates itself easily and exactly to the shape of the limb.

In the next figure is shown another form of head bandage (Fig. 4), one part of which forms a loop, while the next, passing through it, is turned upwards at right angles over the head, and this is repeated until the whole, or as much of the scalp as is necessary, is covered. This is a very convenient form when, from any other injury, it is not advisable to pass a cross bandage under the chin.

Fig. 5 is the strapping or bandage for a broken jaw. It is made of sticking plaister, a hole is cut for the chin, and the ends are cut in swallow tails, to allow them to take the shape of the face they are laid on.

Fig. 6 is the bandage for a broken rib. If the body is at rest, the bones will assume their natural place, but the expansion and contraction of the chest in breathing disturbs and disunites them. Sometimes, therefore, the whole chest is tightly bandaged; but as it will answer the purpose just as well if the injured side is prevented from expanding, strips of adhesive plaister may be cut sufficiently long to reach from the sternum to the spine, and so to confine the wounded side and leave the other free.

If the back of the hand should be injured, it may be necessary to place a ball of calico or other soft substance in the palm of the hand, then closing the fingers upon it to bind the fist firmly down, as in Fig. 7.

If it is required to keep the elbow bent, a bandage may be applied, as in Fig. 8; this may be in case of cuts in the bend of the arm or similar injuries.