A complete handbook for the sanitary troops of the U S army and navy . at hand a suitable one must be improvised; anexcellent tourniquet may be improvised with a rubber bandage; anumber of turns are made about the limb and the rolled ])ortion ofthe bandage then placed under the last turn in such a position as topress directly upon the artery (). The most common improvisedtourniquet is the Spanish windlass:in this arrangement any rounded,smooth, hard object, such as a stone,a cork, or a roller bandage, is used asa compress: for the band a handker-chief, a suspender, a waistbelt. abandage,


A complete handbook for the sanitary troops of the U S army and navy . at hand a suitable one must be improvised; anexcellent tourniquet may be improvised with a rubber bandage; anumber of turns are made about the limb and the rolled ])ortion ofthe bandage then placed under the last turn in such a position as topress directly upon the artery (). The most common improvisedtourniquet is the Spanish windlass:in this arrangement any rounded,smooth, hard object, such as a stone,a cork, or a roller bandage, is used asa compress: for the band a handker-chief, a suspender, a waistbelt. abandage, or anything of the sort maybe used; to tighten up the band astick or bayonet, scabbard or some-thing of the kind is passed underthe band and twisted until the fic. 4-.— Spanish HEMORRHAGES 99 bleeding ceases, when the ends of the stick are tied to the limb toprevent the band from becoming- untwisted (Fig. 45). A tourniquetapplied tight enough to stop arterial hemorrhage causes pain andswelling of the limb, and if left long enough may cause gangrene ofthe part; it should therefore be watched and loosened up from timeto time, say every half-hour or so. H on loosening the tourniquet the bleeding starts again tightenit up, if there is no appearanceof bleeding leave the loose tourni-quet in place with an attendantwatching to tighten it up shouldthe hemorrhage recur. The surgeon arrests the hem-orrhage permanently by tying ortwisting the divided ends of theartery. Fig. 46 shows on the skeletonthe points at which the variousarteries may be compressed totlie best advantage. for bleeding anyichere in thenpfcr extremity below the mid-


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfirstaidinillnessand