Image from page 68 of "Railway surgery : a handbook on the management of injuries" (1899)
Publisher: New York : W. Wood and company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School
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n as well as some par-donable pride in having such an outfit to work with. 46 RAILWAY SURGERY. Many depend upon throwing a few things in a bag atthe time of a call, and too often get to the scene and findthat something, perhaps the most important, is missing. ■ ^HJ Bm ^Ml HP ,■--.■ H s9 ■HP v 9 ■K/ - £■ B JBBJHBHHJ ■3 ia itiHH B : PI ^ > J[ 1L Fig. 2i.—Sterile Packages of Silk, Silkworm Gut, and Catgut. One cannot afford to take the chances of anxiety and cha-grin such a mishap would cause, for any one will haveplenty of leisure when these packages can be preparedfor later use. Then it is gratifying to arrive at a case,the details of which were perhaps unknown before- EMERGENCY CASE. 47 hand, and to find ones self fully equipped to meet therequirements. As railway and street accidents are not every-dayoccurrences, and the locking- up of several instrumentsthat may be needed is not always desirable, the latterneed not be kept in the box; but if this plan be adopted,
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Fig. 22.—The Instruments Necessary for an Emergency Case, named from the right-hand end, viz.: scalpel, curette, anatomical forceps, haemostatic forceps, scissors,saw, rongeur bone forceps, and bone elevator. make a list of these and place it upon the case, where itmay be referred to when making up the package, so thatnone be forgotten in the hurry of departure. When they are thus taken without the necessary timefor sterilization, the carbolic-acid solution, 1:40 or 1:60,or a one-per-cent solution of formaldehyde can be utilizedfor their immersion. 48 RAILWAY SURGERY. Water, the only thing left to obtain, is everywhereaccessible, and if means are at hand for heating it rapidly,that should of course be done. If a locomotive is near by,live steam can be turned into a basin of water and heat itvery quickly, or hot water, drawn directly from the boilerof the locomotive, is practically sterile and highly satis-factory. Sterilization. Now as regards the sterilization. There are many ad-mi
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