applying the bandage too
tightly, especially if the parts swell under the bandage. If this
happens, there is increase of pain which may be followed by numbness
of the limb and, what is still more significant, coldness and blueness
of the extremities below the bandage, particularly of the fingers and
toes. In such cases the bandage must be removed and reapplied with
less force. If the ankle or knee be sprained the patient must go to
bed for at least twenty-four hours, and give the limb a complete rest.

When the wrist or shoulder is sprained the arm should be confined in a
sling. In the more serious cases the injured joint should be fixed in
a splint before bandaging. An injured elbow joint is held at a right
angle by a pasteboard splint, a bandage, and a sling, while the knee
and wrist are treated with the limb in a straight line, as far as
possible.

In the case of the knee, the splint is applied to the back of the leg;
in sprained wrist, to the palm of the hand and same side of the
forearm. Sheet wadding, which may be bought at any drygoods store, is
torn into strips about two inches wide and sewed together forming a
bandage ten or fifteen feet long, and this is first wound about the
sprained joint. Then pieces of millboard or heavy pasteboard are
soaked in water and applied while wet in long strips about three
inches wide over the wadding, and the whole is covered with bandage.
In the case of the knee it is better to use a strip of wood for the
splint, reaching from the lower part of the calf to four inches above
the knee. It should be from a quarter to half an inch thick, a little
narrower than the leg, and be padded thickly with sheet wadding. It is
held in place by strips of surgeon's adhesive plaster, about two
inches wide, passed around the whole circumference of the limb above
and below the knee joint, and covered with bandage.

In ordinary sprains of the ankle, uncomplicated by broken bone or
ligament, it is possible for the patient, after resting in bed for a
day, to go about on crutches, without bearing any weight on the foot
until the third day after the accident. The treatment in the meanwhile
consists in immersing the sprained ankle alternately, first in hot
water for five minutes and then in cold water for five minutes,
followed by rubbing of the parts about the injured joint with
chloroform liniment for fifteen minutes, but not at the beginning
touching the joint itself. The rubbing should be done b