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swell and
become very evident. If this is not sufficient, the hand should be
constantly and quickly opened and shut for the same purpose. There will
now be seen, passing up the middle of the fore-arm, a vein which, just
below the bend of the elbow, sends a branch inwards and outwards, each
branch shortly joining another large vein. It is from the _outer_
branch--that the person is to be bled. The right arm is the one mostly
operated on. The operator should take the lancet in his right hand,
between the thumb and first finger, place the thumb of his left hand on
the vein below the part where he is going to bleed from, and then gently
thrust the tip of the lancet into the vein, and, taking care not to push
it too deeply, cut in a gently curved direction, thus and bring it
out, point upwards, at about half an inch from the part of the vein into
which he had thrust it. The vein must be cut lengthways, and not across.
When sufficient blood has been taken away, remove the bandage from above
the elbow, and place the thumb of the left hand firmly over the cut,
until all the bleeding ceases. A small pad of lint is then to be put
over the cut, with a larger pad over it, and the two kept in their
places by means of a handkerchief or linen roller bound pretty tightly
over them and round the arm.
2606. When a person is bled, he should always be in the standing, or at
any rate in the sitting, position; for if, as is often the case, he
should happen to faint, he can, in, most eases at least, easily be
brought to again by the operator placing him flat on his back, and
stopping the bleeding. _This is of the greatest importance._ It has been
recommended, for what supposed advantages we don't know, to bleed people
when they are lying down. Should a person, under these circumstances,
faint, what could be done to bring him to again? The great treatment of
lowering the body of the patient to the flat position cannot be followed
here. It is in that position already, and cannot be placed lower than it
at present is--except, as is most likely to be the case, under the
ground.
2607. BLEEDING FROM THE NOSE.--Many children, especially those of a
sanguineous temperament, are subject to sudden discharges of blood from
some part of the body; and as all such fluxes are in general the result
of an effort of nature to relieve the system from some overload or
pressure, such discharges, unless in excess, and when likely to produce
debility, should not
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