Excerpt from The Retrospect of Medicine, Vol. 85: Being a Half-Yearly Journal Containing a Retrospective View of Every Discovery and Practical Improvement in the Medical Sciences; January-June, 1882
External aneurism.-compression by the Elastic Ban dage. In 1875 stafi-surgeon Walter Reid, r.n., Operated on a case Of necrosis Of the femur, and during the whole period Of the Operation, which was protracted to over an hour, the limb was kept quite anaemic by means Of Esmarch's elastic tourni quet. Having a case Of popliteal aneurism in the hospital at the time, it occurred to Dr. Reid that this same tourniquet would be a ready and safe means Of keeping the sac full Of stagnant blood for a time sufficient for its coagulation. Accordingly, next day, at e.m., he bandaged the limb with the elastic roller, from the toes upwards to the junction Of the middle with the lower third Of the thigh. It was applied lightly over the aneurism, so as not to compress it. The elastic tubing was then wound round the limb over the highest turn Of the bandage, which was now removed. The entire circulation below the tubing was found to be arrested; The limb had assumed a death-like pallor, and gradually lost temperature. The aneurism was Of its usual size, and pulse less. After fifty minutes, the patient complaining Of severe pain above the seat Of constriction, a Carte's compressor was adjusted to the main trunk at the pelvic brim, and the elastic tubing removed. The aneurism was now found to be pulsexxviii synopsis.
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