d escapes more freely than if the vessel is completely
severed, because in the latter instance the severed ends retract, curl in,
and may aid very much in arresting the flow. When the blood merely oozes
from the wound, and even when it flows in a small stream, the forming of
the clot arrests the hemorrhage in a comparatively short time.
Slight hemorrhages may be checked by the continuous application of cold
water, ice, or snow, to the wound, as cold causes contraction of the small
vessels. Water from a hose may be thrown on a wound, or dashed on it from
the hand or a cup, or folds of cotton cloths may be held on it and kept
wet. Ice or snow may be held against the wound, or they may be put into a
bag and conveniently secured in position.
Hot water of an average temperature of 115 deg. to 120 deg. F. injected into the
vagina or womb is often efficient in arresting hemorrhages from those
organs. Tow, raw cotton, lint, or sponges may be forced into a wound and
held or bound there with bandages. This is an excellent method of checking
the flow of blood until the arrival of an expert. If the flow persists,
these articles may be saturated with tincture of iron, but it is not
advisable to use it unless necessary, as it is a caustic and retards
healing by causing a slough. In cases of necessity, the articles may be
saturated with vinegar, or tannic acid or alum dissolved in water may be
used instead. Whatever article is used should be left in the wound
sufficiently long to make sure that its removal will not be followed by a
renewal of the hemorrhage. Sometimes it must remain there one or two days.
An iron heated white and then pressed on the bleeding vessel for three or
four seconds is occasionally used. It should not be applied longer, or else
the charred tissue will come away with the iron and thus defeat the purpose
of its application.
Compression may be applied in different ways, but only the most convenient
will be mentioned. To many wounds bandages may easily be applied. The
bandages may be made of linen, muslin, etc., sufficiently wide and long,
according to the nature of the wound and the region to be bandaged. Bed
sheets torn in strips the full length make excellent bandages for this
purpose. Cotton batting, tow, or a piece of sponge may be placed on the
wound and firmly bound there with the bandages.
Many cases require ligating, which is almost entirely confined to arteries.
A ligature is a piece of thread or
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